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Article ; Online: PUM1 mediates the posttranscriptional regulation of human fetal hemoglobin.

Elagooz, Reem / Dhara, Anita R / Gott, Rose M / Adams, Sarah E / White, Rachael A / Ghosh, Arnab / Ganguly, Shinjini / Man, Yuncheng / Owusu-Ansah, Amma / Mian, Omar Y / Gurkan, Umut A / Komar, Anton A / Ramamoorthy, Mahesh / Gnanapragasam, Merlin Nithya

Blood advances

2022  Volume 6, Issue 23, Page(s) 6016–6022

Abstract: The fetal-to-adult hemoglobin switching at about the time of birth involves a shift in expression from γ-globin to β-globin in erythroid cells. Effective re-expression of fetal γ-globin can ameliorate sickle cell anemia and β-thalassemia. Despite the ... ...

Abstract The fetal-to-adult hemoglobin switching at about the time of birth involves a shift in expression from γ-globin to β-globin in erythroid cells. Effective re-expression of fetal γ-globin can ameliorate sickle cell anemia and β-thalassemia. Despite the physiological and clinical relevance of this switch, its posttranscriptional regulation is poorly understood. Here, we identify Pumilo 1 (PUM1), an RNA-binding protein with no previously reported functions in erythropoiesis, as a direct posttranscriptional regulator of β-globin switching. PUM1, whose expression is regulated by the erythroid master transcription factor erythroid Krüppel-like factor (EKLF/KLF1), peaks during erythroid differentiation, binds γ-globin messenger RNA (mRNA), and reduces γ-globin (HBG1) mRNA stability and translational efficiency, which culminates in reduced γ-globin protein levels. Knockdown of PUM1 leads to a robust increase in fetal hemoglobin (∼22% HbF) without affecting β-globin levels in human erythroid cells. Importantly, targeting PUM1 does not limit the progression of erythropoiesis, which provides a potentially safe and effective treatment strategy for sickle cell anemia and β-thalassemia. In support of this idea, we report elevated levels of HbF in the absence of anemia in an individual with a novel heterozygous PUM1 mutation in the RNA-binding domain (p.(His1090Profs∗16); c.3267_3270delTCAC), which suggests that PUM1-mediated posttranscriptional regulation is a critical player during human hemoglobin switching.
MeSH term(s) Adult ; Humans ; Fetal Hemoglobin/genetics ; Fetal Hemoglobin/metabolism ; gamma-Globins/genetics ; gamma-Globins/metabolism ; beta-Thalassemia/genetics ; beta-Globins/genetics ; Carrier Proteins ; Anemia, Sickle Cell/genetics ; RNA-Binding Proteins/genetics
Chemical Substances Fetal Hemoglobin (9034-63-3) ; gamma-Globins ; beta-Globins ; Carrier Proteins ; PUM1 protein, human ; RNA-Binding Proteins
Language English
Publishing date 2022-06-10
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID 2915908-8
ISSN 2473-9537 ; 2473-9529
ISSN (online) 2473-9537
ISSN 2473-9529
DOI 10.1182/bloodadvances.2021006730
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