Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Gene Therapy: A Revolutionary Step in Treating Thalassemia

Version 1 : Received: 31 May 2024 / Approved: 3 June 2024 / Online: 3 June 2024 (07:52:49 CEST)

How to cite: Attia, R. A.; Qureshi, G. S. A.; Safdar, M.; Raafat, A.; Janardhan, G.; Elshamy, H. A. H.; Malay, J. Gene Therapy: A Revolutionary Step in Treating Thalassemia. Preprints 2024, 2024060024. https://doi.org/10.20944/preprints202406.0024.v1 Attia, R. A.; Qureshi, G. S. A.; Safdar, M.; Raafat, A.; Janardhan, G.; Elshamy, H. A. H.; Malay, J. Gene Therapy: A Revolutionary Step in Treating Thalassemia. Preprints 2024, 2024060024. https://doi.org/10.20944/preprints202406.0024.v1

Abstract

Beta thalassemia is an inherited blood disorder that results in inefficient erythropoiesis due to genetic mutation that leads to reduction or absence of the hemoglobin beta-globulin protein. Approximately 8.5% of UAE residents suffer from β-thalassemia, a significant health and financial problem. The treatment options available for β-Thalassemia major are limited and associated with a wide range of complications. β-thalassemia gene therapy is emerging as a potential novel treatment option that eliminates the complications caused by the current long-term treatment modalities and the associated economic burden. This paper reviews the scientific literature related to emerging gene-therapy for β-Thalassemia by analyzing all the articles published from January 2010 to December 2023 in the English language on Databases like PubMed, Scopus, ProQuest, and CINAHL. The use of gene therapy has demonstrated promising outcomes for a permanent cure of β-Thalassemia. ZYNTEGLO (Betibeglogene autotemcel) is the only cell-based gene therapy which was approved by the FDA on 19th August, 2018. To conclude, Gene therapy is an innovative solution. It demonstrates a promising future, but does come with its own set-backs and is something that must be tackled in-order to revolutionize it in the medical world. FDA approved ZYNTEGLO is a potentially one-time curative treatment for β-Thalassemia. Although cutting-edge, its use is limited because of the high cost; a price of $2.8million per patient.

Keywords

beta thalassemia major; Cooley’s anemia; gene addition; gene editing; gene modification; Mediterranean Anemia; transfusion dependent beta thalassemia

Subject

Medicine and Pharmacology, Hematology

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