α-Thalassemia is a genetic disease with high prevalence worldwide. About 5% of the world's population carries an α globin (HBA) gene variant. α-Thalassemia is caused by the deletion or mutation of HBA1 and HBA2 genes, affecting the development and function of red blood cells, resulting in varying degrees of anemia. If 3 α-globin genes are defective, the synthesis of α-globin is severely reduced, resulting in excess β-globin and forms abnormal globin tetramer β4 (called hemoglobin H, or HbH).
To relieve the symptoms of anemia, patients with severe HbH disease need to go through regular red-cell transfusion, which brings heavy financial burdens to patients and their families.
At present, there is no effective treatment for α-thalassemia except for allogeneic hematopoietic stem cell transplantation. Gene therapy has been proven to be safe and effective in a variety of diseases, namely transfusion-dependent β-thalassemia. This gives hope of gene therapy to cure α-thalassemia.