# CCND3 Suppression Ameliorates β-Thalassaemia in a Murine Disease Model: A Potential Therapeutic Strategy

## TL;DR

This study shows that suppressing the CCND3 gene in a mouse model of β-thalassaemia improves symptoms by increasing hemoglobin levels and reducing complications.

## Contribution

The study identifies CCND3 as a novel druggable target for treating β-thalassaemia through its effect on hemoglobin levels.

## Key findings

- CCND3 suppression increases γ- and δ-globin levels, partially restoring the α/β globin balance.
- Mice lacking CCND3 show improved hemoglobin levels, reduced iron overload, and smaller spleens.
- Erythropoiesis is enhanced in the absence of CCND3, suggesting a therapeutic benefit for β-thalassaemia.

## Abstract

β-thalassaemia (β-thal) is part of a group of diseases, the β-hemoglobinopathies, affecting the levels or functionality of the β-globin subunit of hemoglobin, which are the most widespread monogenic diseases throughout the world. The severity of β-thal is determined by different genetic factors, but in the gravest form, affected patients are constrained to a program of blood transfusion and iron chelation regimens for their entire life. Although definitive cures, such as bone marrow transplantation or gene therapy, are now available, they are still far from being applied worldwide. Therefore, there is growing attention towards the use of drugs to cure or ameliorate β-thal disorder. Among all the strategies, pharmacological increase of fetal HbF and/or adult HbA2 can represent an advantageous approach as high levels of both hemoglobins are effective against β-thal. Therefore, the identification of therapeutic targets that can modulate, by the use of drugs, these hemoglobins is increasingly urgent. In this paper, we analyze the effects of the absence of the CCND3 gene, a druggable target associated with HbF and HbA2 levels, in a humanized mouse model of β-thal to assess the impact against the disorder. Upregulation of γ- and δ-globin levels in mice lacking Ccnd3 expression contributes to partial restoration of the α/β balance, with a consequent increase in hemoglobin levels, improvement of iron levels, and reduction of splenomegaly. Moreover, we present data supporting the enhancement of erythropoiesis. Our data indicate the CCND3 gene as a possible target for drugs against β-thal.