Rh D blood group conversion using transcription activator-like effector nucleases

Nat Commun. 2015 Jun 16:6:7451. doi: 10.1038/ncomms8451.

Abstract

Group O D-negative blood cells are universal donors in transfusion medicine and methods for converting other blood groups into this universal donor group have been researched. However, conversion of D-positive cells into D-negative is yet to be achieved, although conversion of group A or B cells into O cells has been reported. The Rh D blood group is determined by the RHD gene, which encodes a 12-transmembrane domain protein. Here we convert Rh D-positive erythroid progenitor cells into D-negative cells using RHD-targeting transcription activator-like effector nucleases (TALENs). After transfection of TALEN-encoding plasmids, RHD-knockout clones are obtained. Erythroid-lineage cells differentiated from these knockout erythroid progenitor cells do not agglutinate in the presence of anti-D reagents and do not express D antigen, as assessed using flow cytometry. Our programmable nuclease-induced blood group conversion opens new avenues for compatible donor cell generation in transfusion medicine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Deoxyribonucleases / genetics*
  • Erythrocytes / metabolism*
  • Erythroid Precursor Cells / metabolism*
  • Fetal Blood
  • Gene Knockout Techniques / methods*
  • Gene Transfer Techniques*
  • Humans
  • Induced Pluripotent Stem Cells
  • Plasmids
  • RNA, Messenger / metabolism*
  • Reverse Transcriptase Polymerase Chain Reaction
  • Rh-Hr Blood-Group System / genetics*
  • Rh-Hr Blood-Group System / metabolism
  • Transfection

Substances

  • RNA, Messenger
  • Rh-Hr Blood-Group System
  • Rho(D) antigen
  • Deoxyribonucleases