From www.bloodjournal.org by guest on June 18, 2017. For personal use only. Locus Control Region-Ay Transgenic Mice: A New Model for Studying the Induction of Fetal Hemoglobin in the Adult By P. Constantoulakis, 6. Josephson, L. Mangahas, T. Papayannopoulou, T. Enver, F. Costantini, and G. Stamatoyannopoulos All pharmacologic agents that induce fetal hemoglobin (Hb) have been discovered with in vivo studies of humans, macaques, and baboons. We tested whether transgenic mice carrying human fetal (y) globin genes provide a model for studying the pharmacologic induction of HbF in the adult. In initial studies, phenylhydrazine-induced hemolytic anemia, 5-aracytidine, butyrate, or combinations of these treatments failed to activate the human y-globin gene in a transgenic mouse line carrying a 4.4-kb Gy globin gene construct that is expressed only in the embryonic stage of mouse development. Subsequently, adult mice carrying the human Ay gene linkedto the locus control region (LCR) regulatorysequences and expressing heterocellularly HbF (about 25% y-positive cells) were used. Treatments with erythropoietin, 5-azacytidine, hydroxyurea, or butyrate resultedin induction of y gene expression as documented by measurement of F-reticulocytes, the y/y + p biosynthetic ratio and the level of steady state y mRNA. Administration of erythropoietin or butyrate to transgenic mice carrying a pLCR-p (human) globin construct, failed to increase human @-globinexpression. These results suggest that the kLCR-Ay transgenic mice provide a new model for studying the induction of fetal Hb in the adult, 0 1991 by The American Society of Hematology. N HUMANS, FETAL hemoglobin (Hb) switches off containing the locus control region (LCR)* were used. This region is located 5 to 22 kb upstream of the human embryonic €-globin gene and contains five developmentally Transgenic mice stable DNAse I hypersensitive carrying constructs containing the human P-globin gene linked to the LCR, display high level position and integration-site-independent human globin gene expression.“ Animals carrying a 3.3-kb fragment of the human Ay-globin gene linked to an LCR casette express the human fetal gene in the embryonic stage of development in a copy-numberdependent, position of integration independent fashion but also continue to express small amount of Ay globin during the adult life.” In the experiments described here, we used nonLCR-G-y transgenic mice and LCR-Ay transgenic mice, to ask whether administration of known in vivo HbF inducers would also induce y gene expression in the adult transgenic animals. I during the perinatal period, but some trace amount is found in every person during adult life. A variety of physiologic conditions and pharmacologic agents such as erythropoietin (Epo), 5-azacytidine, arabinocytosine, hydroxyurea, and normal metabolites like butyric acid analogues, have been found to induce HbF production in the AI1 studies on the in vivo induction of HbF have been done either in primates or in humans, ie, species that possess fetal Hb.In the studies described in this report we tested whether transgenic mice can be used for studying the pharmacologic induction of HbF in the adult. In contrast to humans, who have three stages of Hb development, embryonic, fetal, and adult, mice have only two stages of Hb development, embryonic and adult. Embryonic globins (ph’,e ) are produced during the embryonic stage of mouse development, while adult globins (pmaj, p“”) are produced when the definitive stage of erythropoiesis starts in the fetal liver. Transgenic mice have been used for studying the developmental control of human globin genes. Thus, it was initially shown that mice carrying a 4.4-kb fragment containing the human Gy globin gene display a low level y globin expression in the embryonic red blood cells (RBCs) of the yolk sac but not in cells of the definitive erythrop~iesis.‘~ In subsequent studies, constructs ~~ ~ ~ From the Division of Medical Genetics, Depattment of Medicine, Universityof Washington, Seattle; and the Department of Genetics and Development, College of Physicians and Surgeons, Columbia University, New York, Ny: Submitted August 6, 1990; November 6, 1990. Supported by Grants HL-20899 and DK-31232from the National Institutes of Health. Address reprint requests to G . Stamatoyannopoulos, MD, Dr Sci, Professor of Medicine, Medical Genetics, RG-25, University of Washington, Seattle, WA 98195. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. section 1734 sole& to indicate this fact. 0 1991 by TheAmerican Society ofHematofogy 0OO6-4971J91~7706-#30$3. OOJO 1326 MATERIALS AND METHODS Animals. Three types of transgenic mice were used: the G9 line of Gy-mice, carrying the construct containing the 4.4-kb Bgl IIISph I fragment with the Gy-globin gene and 1.5 kb of 5’ and 0.3 kb of 3’ flanking sequence^^^; the 1279 line of pLCR-Ay mice, carrying the construct pBSpLCR-Ay, containing four hypersensitive sites from the 5’ region of the @-globinlocus within a 2.5-kb fragment,”linked to a 3.3-kb Hind111 DNA fragment containing a copy of the human Ay-globin gene; and the pB17 line of pLCR-@mice, containing the 2.5-kb pLCR casette linked to a 4.8-kb Bgl 11-EcoRV fragment containing the human @-globingene.2u Drugs. Recombinant human Epo (rhuEpo; Genetics Institute, Cambridge, MA), 5-azacytidine (Sigma Chemical Co, St Louis, MO), and hydroxyurea (Sigma) were administered intraperitoneally in schedules and doses described below. a-amino-n-butyric acid (Sigma) was dissolved in normal saline and administered subcutaneously through a surgically implanted osmotic pump (Aka Corporation, Palo Alto, CA) over a 5-day period according to the manufacturers’ directions. *The LCR was previously known as LAR (locus activation region) or DCR (dominant control region). The new term, LCR, was agreed upon by the participants of the Seventh Conference on Hemoglobin Switching, Airlie House, Virginia, September 8-11, 1990. B/uod, Vol77,No 6 (March 15). 1991: pp 1326-1333 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. HeF STIMULATION IN TRANSGENIC MICE 1327 done as previously described?’ The probes used were human y Hematologic studies. Twenty to thirty microliters of blood was pTlAy,Z6 human p P S P ~ ~ ~ and , , , ,mouse ~ ci pSP64”ci.” drawn daily from the mouse tail and used for the analyses For the polymerase chain reaction (PCR)-RNA analysis of the described below. Proportions of reticulocytes were calculated by human y-globin expression, mouse blood RNA was isolatedMand counting 2,000 cells. The proportion of HbF containing reticuloreverse transcribed in the presence of the two y-primers cytes (F-reticulocytes) was evaluated using a previously described (Gi’:GAGGACAAGGCTACTATCACAand G::GTAT(JTGGAmethod2lZ; in brief, the reticulum in the reticulocytes was first GGACAGGGCACT) that generate a 417-bp fragment from RNA precipitated by incubating blood with 1% Brillant Cresyl Blue transcripts. Following amplification (25 cycles, 94°C 6 minutes, (BCB); and smears were prepared, fixed in methanol, and labeled 50°C 2 minutes, 72°C 2 minutes) we analyzed the PCR product with with the anti-y-chain monoclonal antibody (MoAb) and antimouse agarose gel electrophoresis. F(ab’)2-FITC in the presence of 0.005% acridine orange. With this method, the precipitated reticulum in F-reticulocytes appears RESULTS red-orange on a green background; reticulocytes that do not Studies of nonLCR-Gy transgenic mice. It has been contain HbF show the red-orange reticulum on a black backpreviously shown that transgenic mice carrying the 4.4-kb ground. The preparations were viewed in a Zeiss Universal Gy-globin gene fragment without LCR sequences express Fluorescent microscope (Zeiss Inc, New York, NY)equipped with the human gene only during the embryonic stage of developepiilluminationand a 200 Mercury/lSO Zenon power source. Globin chain anaZysk. Blood aliquots were incubated in the ment.” Adult animals of line G9 containing this construct presence of ’[HI-leucine (specific activity 60 Cimmol), in leucinewere examined for y globin expression after staining of free Iscove’s modified Dulbecco’s medium (IMDM)and 10% fetal blood with fluorescent anti-y-globin antibodies, or by calf serum (FCS) at 37°C for 12 to 16 hours. At the end of isoelectric focusing of radiolabeled globin chains or by incubation, the samples were washed with Na, K, Mg (NKM)saline y-globin mRNA PCR. No y globin was detected in the and either analyzed immediately or stored in liquid nitrogen for blood of these animals by these techniques. To test whether later analysis.Cell lysates were subjected to globin chain isoelectric the y-globin transgene is activated by acute erythropoietic focusing followed by fluorography as previously described.= The stress, acute hemolytic anemia was induced by phenylhydrarelative proportion of synthesized globin chains was determined by zine and the appearance of F-reticulocytes was monitored automated densitometry of the resulting fluorograms (Gelman, by immunofluorescence labeling. Despite an increase in Automatic Computing Densitometer, Ann Arbor, MI). reticulocytes from 2%-3% to 30%-35%, no F-reticulocytes RNA undysk. Whole blood was used for slot blot cytoplasmic globin could be could be detected. To test whether hybridization analysis of globin RNA as follows. The cells were counted (1 to 5 x 106cells) and pelleted by centrifugation.The cell pellet was washed twice in phosphate-bufferedsaline (PBS), it was resuspended in cold Tris-EDTA (TE) buffer (10 mmoVL Tris, 0.1 mmol/L EDTA) and 20 U of RNAse inhibitor were added (RNasin; Promega, Madison, WI). The cells were then lysed with 5% “-40 solution and, after centrifugation, the cytoplasm was transferred in tubes containing SSC (0.15 mol/L NaCl, 0.015 m o w Trisodium Citrate) and formaldehyde (6X SSC, and 8% formaldehyde final). After denaturing at 65°C for 15 minutes, the samples were used for “spot blotting” immediately, or they were stored at -70°C for later analysis. The “spot blotting” technique was performed using the Schleicher& Schuell (Keene, NH) Minifold I1 apparatus, as previously described.” In brief, the samples were diluted to final volume of 300 FL with 15x SSC and loaded on prewet (in 15x SSC) S and S (Schleicher and Schull) nitrocellulose paper under vacuum. After drying, the nitrocellulosewas baked in a vacuum oven at 80°C for 2 hours. After 3 hours of prehybridization in a 65°C water bath, the blots were hybridized with 50 ng of in vitro transcribed radioactive (a-”P-UTP) RNA probes. For detection of mouse globin RNA, the mouse 3’ p-major globinz specific probe was used. For the detection of the human y-globin mRNA the 0.6-kb EcoRIIHindIII fragment of the 3’ end of the human Gy-globin gene was used. Hybridization was allowed to take place between the homologous RNA sequences for at least 16 hours, e - : 4 0 4 8 12 18 followed by extensive washing under stringent conditions (2x SSC Daysofbeabnent with 0.1% sodium dodecyl sulfate [SDS] at 65°C six times, followed by 0.1 x SSC with 0.1% SDS in 50% formamide at 65°C two times). Fig 1. Epo stimulates y globin expression in transgenic mice. Two kLCR-Ay transgenic mice were injectedwith 3.000 U of Epo per kg of After exposing the blot in a Kodak X-OMAT AR film (Eastman body weight every 12 hours for 1 day (left) and for 3 days (right). The Kodak, Rochester, NY) at -7O”C, the relative amounts of y- and number of treatment days is indicated by the arrows in each panel. p-globin mRNAs were calculated by both scanning in a densitomeTop panels: number of total reticulocytes during the treatment ter and by directly measuring the radioactivity (counts per minute) period. Middle panels: proportionof fetal Hb expressing reticulocytes of every slot in a liquid scintillation f3-counter. (F-reticulocytes) during the treatment. Bottom panels: y/y + p”‘ For the RNAse protection assays, 100 FL of tail blood was globin chain biosynthetic ratios, as obtained by isoelectricfocusing of drawn, total RNA was isolated? and 200 ng was used in each assay, peripheralblood reticulocytes during the treatment. u From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1328 CONSTANTOUIAKiS ET AI. induced by 5-azacytidine,the animalswere treated intraperitoneally with 10 mgkg of 5-azacytidine per day for 4 days. This treatment resulted in cytoreduction followed by an increase in reticulocytes up to 25% but no appearance of F-reticulocytes. Because previous studies in baboons"' have suggested that 5-azacytidine activates fetal globin production when it acts on an expanding erythropoicsis, mice were trcatcd first with phenylhydrazine(10 mg/kg/d for 4 days) to induce erythropoietic expansion and subscqucntly with 5-azacytidine for either 2 days or 4 days (4 mg pcr kg of body weight per injcction). This manipulation also failed to induce y globin expression as judged by the F-reticulocyte assay or the lack of appearancc of radioactive y-globin chains on isoelectric focusing gels. It has bccn previously shown that the combination of 5-azacytidinewith butyrate reactivates the embryonicglobin gene in chickens," and induces F-reticulocyte production in baboons."." Transgenic animals of the Gy line were treated with a schedule (previously used in baboons)'' consisting of administration of 5-azacytidineon day 1 (4 mgkg, followed 12 hours later by 12 mgkg) and of 1 g/kg sodium butyrate or 250 mgkg a-amino-n-butyric acid on days 2 to 6.Thcrc was no dctcctable y globin expression by the F-reticulocyte assay or globin chain biosynthesis or y-globin RNA PCR. Induction of human y-globin gene in GCR-Ay tmtqenic mice tmared with E p . The FLCR-A~transgenic mice were the offspring of a founder mousc containing three A slot -Blot - Hybrldlzatfon ~ _ _ - copies of the human y-globin gene.'9 Adult heterozygous animals having 23% to 32% y-positive cells by immunofluorescence and 0.03 to 0.09 yhu""/amRNA ratio by RNA% protection were used for these studics. To test whether Epo can induce y-globin gene expression in the kLCR-Ay transgenic mice, animals were trcated for 1 day, or for 3 days, with doses of Epo previously shown to induce HhF in baboons.'' Thus, Epo was administered as intraperitoneal bolus injections of 3,000 U pcr kg of body weight every 12 hours. As shown in Fig 1, this manipulation induced erythroid regeneration, as indicated by the sharp increase in reticulocytes (from 2% to 3% to 10% to 12% in the 1-day treatment and to 20% to 22% in the 3-day treatment). In parallel, there was induction of y globin expression as indicated by the increase in F-reticulocytes (Fig 1). The dcgrcc of erythroid regeneration and the increase in F-reticulocytes were dependent on the dose of Epo used (compare, in Fig 1, the rcsults of the 1-day trcatment, to thc results of the 3-day treatment). A transient increase was obscrved in the y/y + f3"' globin chain ratio by globin chain biosynthesis (Fig 1). in the y/y + f3"l mRNA ratio as measured by cytoplasmic hybridization (Fig 2). and in the $a""- globin mRNA ratio as measured by RNA% protection (Fig 2). Induction of y gene q m s s i o n pLLR-Ay mice mated with 5-azucytidine. Animals were treated with a schedule, previously used in baboons,'' consisting of intraperitoneal RNAse-PIotectlon _ _ __ Increment of y/y$ mRNA Ratlo day 0 day 4 Days of treatment I) @ a-mouse dm -a 4 d'b. -- vmw* - - B- FiO 2 7 (11mRNA in "g.nk mk. t r o d with Epo. Mouw ratkulotyh. (rLCR-Ay) wore anawed for globin RNA expression with cytoplasmic slot blot hybrldlzation, andlor with R N h proteetion, using specific human (7). mouw (p), and mouw (a)globin RNA probes (uta Materials and Methodr). (A) Left panel: changes in the y / y + pw ratio during the course of treatment (pretreatment y / y + p"* ratio Is taken as 1). obtained by cytopiasmk slot blot hybridization. Right panel: results of R N h proteetion analysis pedormed at days 0 and 4 of the treatment with Epo. (E) Autoradiogram from the slot blot hybridization experiment described in (A) (Epo treatment 3,000U/kg x 6). The column "wlis" shows the number of RBCs applied to each slot. do to d12 correspond to the days of treatment. y"" and pindicate the probes used for hybridization with each row of filters. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1329 HBF STIMULATION IN TRANSGENIC MICE bolus injection of 4 mg per kg of body weight, followed 12 hours later by an injection of 12 m a g . As in the studies of primates:' an initial decline and a subsequent increase in the number of reticulocytes was observed in response to 5-azacytidine treatment (Fig 3). During the rebound of reticulocytes, an increase in F-reticulocytes (from 30% to 32% to 65% to 67%) also took place (Fig 3). There was a fivefold to sevenfold increase in the y/y + pmaiglobin chain I 20 r biosynthetic ratio (Fig 3), a sixfold to sevenfold increase of the y/y + pmaJmRNA ratio by the slot blot hybridization assay (Fig 4), and a fourfold to fivefold increase in the ,/amause mRNA ratio by the RNAse protection assay (Fig 4). pLCR-Ay transgenic mice treated with hydroxyurea. TO test whether hydroxyurea can induce y globin expression in the kLCR-Ay transgenic mice, we administered intraperitonealy 200 mg of hydroxyurea per kg of body weight daily for 5 days each week for total of 5 weeks. This dose was previously shown by Alter and Wagner3jto induce p-minor globin gene expression in adult mice. The treatment resulted in very sharp changes in the production of reticulocytes (Fig 5) consistent with sequential cycles of cytoreduction and erythroid regeneration. At the same time there was a gradual increase in the F-reticulocyte production from 28% to 30% to 64% to 66% (Fig 5). Induction of pLCR-Ay expression by butyrate. Butyric acid analogues induce erythroid differentiation in erythroleukemia lines34335 and activate fetal globin genes in erythroid cell c u l t ~ r e . 'In ~ ' vivo ~ ~ studies have shown inhibition of the y to p switch in sheep fetuses treated with butyrate," reactivation of embryonic globin gene expression in adult chickens treated with butyrate and 5-azacytidine? and stimulation of fetal Hb production in butyrate-treated adult baboon^."^'^ t lot 1 2o 0.06 n i t 0 4 0 4 8 12 16 Days of treatment Fig 3. 5-azacytidine stimulates y globin expression in transgenic mice. Means of two experiments in which pLCR-Ay transgenic mice were treated with an injectionof 4 mg of 5-azacytidine per kg of body weight, followed 12 hours later by a 12-mg/kg injection. Vertical arrows show the days of 5-azacytidine administration. Top panel: number of total reticulocytes during the treatment period. Middle panel: proportion of HbF-expressing reticulocytes during the treatment. Bottom panel: changes in the y/y + @""' ratio during the course of treatment. To test whether butyrate induces y-globin gene expression in transgenic mice, we administered 200 mg of a-aminon-butyric acid per kg of body weight per day for 5 days, through a subcutaneous osmotic pump, a treatment schedule that has been previously shown to increase HbF production in bab00ns.l~While this manipulation produced only a small increase of reticulocytes, it substantially increased F-reticulocyte production (from 28% to 30% to 54% to 56%, Fig 6). The induction of y globin expression was also apparent in the increase of y/y + pmaJglobin biosynthetic ratio (Fig 6) and the increase in y globin mRNA (Fig 7). Studies of pLCR-p transgenic mice. The induction of the human y-globin gene in the pLCR-Ay transgenic mice could be mediated by an action on sequences of the Ay globin gene or on sequences of the kLCR cassette, or on sequences of both the wLCR and the Ay gene. To investigate the role of the sequences of the pLCR cassette we examined whether Epo or butyrate can induce p globin expression in pLCR-P transgenic mice. Fifteen percent to 20% of the P-like globin chains of the transgenic animals we used are human p globin chains. One animal was treated for 3 days with the doses of Epo shown to stimulate y gene expression in the LCR-Ay transgenic animals (Fig 1). Levels of steady state p mRNA were analyzed with cytoplasmic slot blot hybridization and with RNAse protection assays. Despite the Epo-induced erythroid regeneration, there was no increase in the phuman/ phuman + pmaJmRNA ratio as measured by cytoplasmic RNA hybridization (Fig 8), or the phuman/amoure mRNA ratio as measured by RNAse protection (Fig 9). Indeed, the phuman/ phuman + pmaimRNA ratio slightly decreased during the treatment period (Fig 8). Similar results were obtained From www.bloodjournal.org by guest on June 18, 2017. For personal use only. CONSTANTOUIAKIS ET AL 1330 day 0 day 6 Increment of Y/*s mRNA Ratio 0 ry-human -6 6. 5. 9 4- 2 3- I a-mouse Days of treatment following treatment with a-amino-n-butyric acid (200 mgl kg/d for 5 days). DISCUSSION The results presented here show that several compounds that induce HbF in humans and baboons also induce y globin in the pLCR-Ay transgenic mice. Our observations suggest that these transgenic mice may offer a convenicnt in vivo system for testing induction of HbF by various pharmacologic agents. Transgenic mice carrying LCR-globin constructs may also provide opportunitics to delincatc the cis sequences that are involved in y-globin gene inducibility. Previous studies have shown that administration of high doses of Epo stimulate HbF production in bahoons.by inducing rapid erythroid rcgeneration." The induction of HbF by Epo and cytotoxic drugs has been attributed to premature commitment of early erythroid cells. Presumably such cclls contain fmns-acting elements that induce fetal globin expression and these dements are retained in the tcrminal cells when premature commitment occurs. In the studies described herc, we find that Epo can induce human - 4 O -6. FIg 5. Hydro.tkrmkh.7 gkMn e r p " In tnnsgenk mk.. Two anlmah (A and B) WII. treated wkh a .eh.dule of th.vrrtk.1 a n ~ m in the "h) c o d h u d r ~ r y ~1indk.t.d m ing of daily lntraperitocnalInjmkms of200mg per kg of body weight, for 5 days each week, for a total of 5 weeks. Top panels: changes in ruticuloqte production during the treatment course. Bottom paneh: proportion of F-retkulocytes during the &week treatment period; note that F-rstkuloqtes increased several weeks after the onset of treatment. FIg4. 7gbbInmRNAintnmgenic mk. treated with Suacytidine. During the treatment of the pLCR-Ay transgenic mke with kzacytldine, described in Fig 3, we analyzed the globin RNA oxprasion of the mticulocytes with slot blot hybridization and R N A n protection assays. LStt panel: results of slot blot hybridizationanalysis during the treatment. Right panel: RNAW protection analysis at days 0 and 6 of the treatment. 4 0 4 8. l P l 8 I Butymterthnul.h.7pkMne~in~mk.. two (rlCR-&tnnrg.nk m k . (A and B) were treated wkh 200 mglkg ol a-amlno-n-butyric acid per day for 5 days through a continuousRow osmotk pump. The box- insIda the pawls indicate the days of butyrate admlnistrmtbn. Top panels: number of total m t k u l m during the treatment pe&. Middle panels: proportion of F-retkulocytes during the treatment period. Bottom panels: changes in the y / y + p"* ratio during the course of treatmont. Not. the incroaw in F-reticulocytesand y / y + p- globin chain biosynthetk ratio desplte the small increase in ntkuloqtes. From www.bloodjournal.org by guest on June 18, 2017. For personal use only. HeF STIMULATION IN TRANSGENIC MICE 1331 y-human -7. ygkMnmRNAlnbw wt"dtnnrg.nk mko. Globin RNA analysis dudng th. butyrate treatment of the pLCR-Ay transgenic mice described in Fig 6. Left panel: wsub of dot blot hybridhatlon during the treatment period. Right panel: RNAw protection analysis of mouse blood RNA on days 0 and 5 of butyrate treat- Days of treatment a-mouse for 6 day8 ment. y-globin gene expression in the cells of mice. This result suggests that the "factors" of fast regeneration which activate y globin expression are not specks specific. The failure to detect an induction of y gene of the non-LCR-y transgenic mice could be explaincd by one of 0.08 - I 111 I 0.04 0.02 4 la- 0 4 0.1 I -?-,i'" ma i-ot-rlCRg-k-withEpo.Om & C R + t m w k " o w a InJoeredwith 3,000U d Epo per kg of body weight every 12 hours for 3 days. Treatment days a n indicated by arrows in the panoh. Top panel: total roticuloqte numbw. Bottom panel: changes in the p-/p+ p- mRNA rrti0 obtained by cvtoplmk slot Mot hybridhation onalysh. 1-1 I I O4t owe- Fig 9. Hu" @ gbbln "A In &cft-gtmmgank mkr. One animol (M) wms tro.t.d with Epo for 3 days 13.000 U/kg evwy 12 hours). and anoth.r (right) with a-amlnon-buyrk acid (200 mglkgldl for 5 dovs. In selected days, globin mRNA wn analyzed by RNA.. protection. Top left: levels of protected human p- and "ea-globin mRNAs, W o r e Epo treatment, ond 4 days from the onset of treatment. Top right: levels of human 8- and mouse a-globin mRNAs, b d o butyrate ~ treatment, and 4 days from the 0M.t of tmatment. Bottom panels: mRNA ratios (p-/p+ (IC....)obtained from th. RNA.. protoctbn analysis after autoradiography scanning (m) or liquid scintillation counting (C). From www.bloodjournal.org by guest on June 18, 2017. For personal use only. CONSTANTOULAKIS ET AL 1332 three possibilities. First, it is possible that induction of Gy transgene has occurred but y globin accumulation was below the threshold of detection by the methods we applied. The sensitivity of the PCR technique argues against this possibility. Second, the compounds we used may induce y gene expression by acting on sequences of the LCR. This possibility is less likely in the case of butyrate and Epo, because these compounds failed to induce p gene expression in the p,LCR-p transgenic mice. Third, the inducers we used may augment y expression only when the y-globin genes are already transcriptionally active. Thus, it can be argued that there was stimulation of y expression in the pLCR-Ay transgenic mice because the genes are dysregulated, ie, already “on”, in the cells of the adult animals. Studies of transgenic mice carrying LCR-globin constructs in which both the y and p genes are submitted to developmental controlZowill offer useful insights in the induction of fetal Hb in the adult. REFERENCES 1. Stamatoyannopoulos G, Nienhuis AW: Hemoglobin switching, in Stamatoyannopoulos G, Nienhuis AW, Leder P, Majerus PW (eds): The Molecular Basis of Blood Diseases. Philadelphia, PA, Saunders, 1987, p 66 2. DeSimone J, Heller P, Hall L, Zwiers D: 5-Azacytidine stimulates fetal hemoglobin synthesis in anemic baboons. Proc Natl Acad Sci USA 79:4428,1982 3. Ley TJ, DeSimone J, Anagnou NP, Keller GH, Humphries RK, Turner PH, Young NS, Heller P, Nienhuis AW: 5-Azacytidine selectively increases y-globin synthesis in a patient with p’ thalassemia. N Engl J Med 307:1469,1982 4. Ley TJ, DeSimone J, Noguchi CT,Turner PH, Schechter AN, Heller P, Nienhuis A W 5-Azacytidine increases y-globin synthesis and reduces the proportion of dense cells in patients with sicklecell anemia. Blood 62270,1983 5. Papayannopoulou Th, Torrealba de Ron A, Veith R, Knitter G, Stamatoyannopoulos G: Arabinosylcytosine induces fetal hemoglobin in baboons by perturbing erythroid cell differentiation kinetics. Science 224:617,1984 6. Letvin NL, Lintch DC, Beardsley GP, McIntyre KW, Nathan DG: Augmentation of fetal hemoglobin production in anemic monkeys by hydroxyurea. N Engl J Med 3102369,1984 7. Platt 0, Orkin S, Dover G, Beardsley G, Miller B, Nathan G: Hydroxyurea enhances fetal hemoglobin production in sickle cell anemia. J Clin Invest 74:652,1984 8. Dover G, Charache S, Boyer S, Vogelsang G, Moyer M: 5-azacytidine increases HbF production and reduces anemia in sickle cell disease: Dose response analysis of subcutaneous and oral dosage regimens. Blood 66:527,1985 9. Dover G, Humphries K, Moore G, Ley T, Young N, Charache S, Nienhuis A: Hydroxyurea induction of F production in sickle cell disease: Relationship between cytotoxicity and F-cell production. Blood 67:735,1986 10. Veith R, Galanello R, Papayannopoulou Th, Stamatoyannopoulos G: Stimulation of F-cell production in patients with sickle cell anemia treated with cytarabine or hydroxyurea. N Engl J Med 313:1571,1986 11. AI-Khatti A, Veith R, Papayannopoulou Th, Fritsch E, Goldwasser E, Stamatoyannopoulos G: Stimulation of fetal hemoglobin synthesis by erythropoietin in baboons. N Engl J Med 317:415,1987 12. Charache S, Dover G, Moyer M, Moore J: Hydroxyureainduced augmentation of fetal hemoglobin production in patients with sickle cell anemia. Blood 69:109,1987 13. Constantoulakis P, Papayannopoulou Th, Stamatoyannopoulos G: a-Amino-n-butyric acid stimulates fetal hemoglobin in the adult. Blood 72:1961,1988 14. Constantoulakis P, Knitter G, Stamatoyannopoulos G : On the induction of fetal hemoglobin by butyrates: In vivo and in vitro studies with sodium butyrate and comparison of combination treatments with 5-azaC and AraC. Blood 74:1963,1989 15. Chada K, Magram J, Costantini F: An embryonic pattern of expression of human fetal globin gene in transgenic mice. Nature 319:685, 1986 16. Tuan D, Solomon W, Li Q, London I: The P-like .gene domain in human erythroid cells. Proc Natl Acad Sci USA 82:6384, 1985 17. Forrester W, Thompson C, Elder J, Groudine M: A developmentally stable chromatin structure in the human p-globin gene cluster. Proc Natl Acad Sci USA 83:1359,1986 18. Grosveld F, Van Assendelft G, Greaves D, Kollias G: Position-independent, high-level expression of the human P-globin gene in transgenic mice. Cell 51:975, 1987 19. Enver T, Ebens AJ, Forrester WC, Stamatoyannopoulos G: The human P-globin locus activation region alters the developmental fate of a human fetal globin gene in transgenic mice. Proc Natl Acad Sci USA 86:7033,1989 20. Enver T, Raich N, Ebens AJ, Papayannopoulou Th, Costantini F, Stamatoyannopoulos G: Developmental regulation of human fetal to adult globin gene switching in transgenic mice. Nature 344:309,1990 21. Papayannopoulou Th, Vichinsky E, Stamatoyannopoulos G: Fetal Hb production during acute erythroid expansion. Br J Hematol44:535,1980 22. Stamatoyannopoulos G, Farquhar M, Lindsley D, Brice M, Papayannopoulou Th, Nute P: Monoclonal antibodies specific for globin chains. Blood 61530,1983 23. Papayannopoulou Th, Kurachi S, Brice M, Nakamoto B, Stamatoyannopoulos G: Asynchronous synthesis of HbF and HbA during erythroblast maturation. 11. Studies of Gy, Ay and P chain synthesis in individual erythroid clones from neonatal and adult BFUe cultures. Blood 57531,1981 24. Kafatos FC, Jones WC, Efstratiadis A: Determination of nucleic acid sequence homologies and relative concentrations by a dot hybridization procedure. Nucleic Acids Res 7:1541,1979 25. Magram J, Chada K, Costantini F: Developmental regulation of a cloned adult beta-globin gene in transgenic mice. Nature 315:338,1985 26. Karlinsey J, Stamatoyannopoulos G, Enver T: Simultaneous purification of DNA and RNA from small numbers of eukaryotic cells. Anal Biochem 180:303,1989 27. Enver T, Nakamoto B, Karlinsey J, Josephson B, Greenberger J, Papayannopoulou Th: Erythropoietin changes the globin program of an interleukine 3-dependent multipotential cell line. Proc Natl Acad Sci USA 85:9091,1988 28. Charnay P, Treisman R, Mellon P, Chao M, Axel R, Maniatis T: Differences in human cy and P-globin gene expression in mouse erythroleukemia cells: The role of intragenic sequences. Cell 38:251,1984 29. Baron M, Maniatis T: Rapid reprogramming of globin gene expression in transient heterokaryons. Cell 46591,1986 30. Chomczynski P, Sacchi N: Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal Biochem 162:156,1987 31. Torrealba de Ron A, Papayannopoulou Th, Knapp M, Fu From www.bloodjournal.org by guest on June 18, 2017. For personal use only. HeF STIMULATION IN TRANSGENIC MICE M, Knitter G, Stamatoyannopoulos G: Perturbations in the erythroid marrow progenitor cell pools may play a role in the augmentation of HbF by 5-azacytidine. Blood 63:201,1984 32. Ginder G, Whitters M, Pohlman J: Activation of a chicken embryonic globin gene in adult erythroid cells by 5-azacytidine and sodium butyrate. Proc Natl Acad Sci USA 81:3954,1984 33. Alter B, Wagner C: A murine model for hemoglobin regulation: Hydroxyurea increases mouse minor hemoglobin in vivo, in Stamatoyannopoulos G, Nienhuis AW (eds): Developmental control of globin gene expression. New York, NY, Liss, 1987, p 479 34. Leder A, Leder P: Butyric acid, a potent inducer of erythroid 1333 differentiation in cultured erythroleukemic cells. Cell 5:319,1975 35. Papayannopoulou Th, Nakamoto B, Kurachi S, Nelson R: Analysis of the erythroid phenotype of HEL cells: Clonal variation and effect of inducers. Blood 70:1764,1987 36. Perrine S, Miller B, Greene M, Cohen R, Cook N, Shackleton C, Faller D: Butyric acid analogues augment y-globin expression in neonatal erythroid progenitors. Biochem Biophys Res Commun 148:694,1987 37. Perrine S, Rudolph A, Faller D, Roman C, Cohen A, Chen S, Kan YW: Butyrate infusions in the ovine fetus delay the biologic clock for the globin gene switching. Proc Natl Acad Sci USA 85:8540,1988 From www.bloodjournal.org by guest on June 18, 2017. For personal use only. 1991 77: 1326-1333 Locus control region-A gamma transgenic mice: a new model for studying the induction of fetal hemoglobin in the adult P Constantoulakis, B Josephson, L Mangahas, T Papayannopoulou, T Enver, F Costantini and G Stamatoyannopoulos Updated information and services can be found at: http://www.bloodjournal.org/content/77/6/1326.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. Copyright 2011 by The American Society of Hematology; all rights reserved.
© Copyright 2026 Paperzz