| خلاصه مقاله | Background: The providing of blood for two categories patients presents a
massive problem to blood transfusion organization international. First for patients
who need frequent blood transfusions for example thalassaemia or sickle cell
disease. That in the result, repeated transfusion, alloimmunization arises owing to
incompatibility at minor blood group antigens (Particularly C, E, K, Fya, Fy3,
JKb, U, and S). Thus increases the difficulty for finding compatible blood. Second
for the individual with the rare phenotype such as Bombay phenotype.
Finding: To increases RBCs compatibility for transfusion, transformation A and B
to O by glycosidases, antigen masking and silencing using shRNAs has been
demonstrated. But they had little success and silencing faced with two
problems:1. Partial knockdown antigen genes may be cussing alloantibody
formation in vivo, 2. limited proliferative ability of modified HSC and necessity
for repetitive shRNA transduction.The CRISPR–Cas9 gene editing technology
developed from prokaryotic defense systems, as a flexible method to the
prosperous production of in vitro derived RBCs with custom-made blood group.
To achieve this goal, researchers using CRISPR developed immortalized HSC cell
line that can be Unlimited differentiated to create useful reticulocytes, and as well
as using for inactivation of SH2B3 (a negative regulator of cytokine signaling forin vivo expansion of RBCs) boost the maturation and produce of in HSC-derived
RBCs.
conclusion : Using the built-HSC cell line simultaneously knockouts multiple
blood group genes that encode antigens responsible for the most common
transfusion incompatibilities to produce a single cell line that could be
differentiated to generate RBCs with broad transfusion compatibility. Blood
created by genetically modified cells might onetime enable compatible
transfusions for patients whom blood matching is challenging |