SllmmllL~We sought to investigate the usefulness of the adeno-associated virus 2 (AAV)-based vectors to suppress the excess production of the human cx-globin gene product towards developing a treatment modality for B-thalassemia since accumulation of free c~-globin reduces the lifespan of red blood cells in these patients. We constructed recombinant AAV virions containing the human ~x-globin gene sequences in antisense orientation driven by the herpesvirus thymidine kinase (TK) promoter, the SV40 early gene promoter, and the human cx-globin gene promoter, respectively, as well as a bacterial gene for resistance to neomycin (neo ~) as a selectable marker. These recombinant virions were used to infect a human erythroleukemia cell line (K562) that expresses high levels of c~-globin mRNA. Clonal populations of neo p" cells were obtained after selection with the drug G418, a neomycin analogue. Total genomic DNA samples isolated from these cells were analyzed on Southern blots to document stable integration of the transduced neo and o~-globin genes. Total cellular RNA samples isolated from mock-infected and recombinant virus-infected cultures were also analyzed by Northern blots. Whereas the TK promoter-driven antisense cx-globin sequences showed no inhibition of expression of the endogenous ol-globin gene, the SV40 promoter and the oe-globin gene promoter-driven antisense ot-globin sequences suppressed the expression of this constitutively over-expressed gene by approximately 29 and 91%, respectively, at the transcriptional level. These studies suggest the feasibility of utilizing the AAV-based antisense gene transfer approach in the potential treatment of t3-thalassemia.