Summary
Sickle cell disease (
SCD
) affects over 2 million people worldwide with high morbidity and mortality in underdeveloped countries. Therapeutic interventions aimed at reactivating fetal haemoglobin (HbF) is an effective approach for improving survival and ameliorating the clinical severity of
SCD
. A class of agents that inhibit
DNA
methyltransferase (
DNMT
) activity show promise as HbF inducers because off‐target effects are not observed at low concentrations. However, these compounds are rapidly degraded by cytidine deaminase when taken by oral administration, creating a critical barrier to clinical development for
SCD
. We previously demonstrated that micro
RNA
29B (
MIR
29B
) inhibits
de novo
DNMT
synthesis, therefore, the goal of our study was to determine if
MIR
29
mediates HbF induction. Overexpression of
MIR
29B
in human
KU
812 cells and primary erythroid progenitors significantly increased the percentage of HbF positive cells, while decreasing the expression of
DNMT
3A and the
HBG
repressor
MYB
. Furthermore,
HBG
promoter methylation levels decreased significantly following
MIR
29B
overexpression in human erythroid progenitors. We subsequently, observed higher
MIR
29B
expression in
SCD
patients with higher HbF levels compared to those with low HbF. Our findings provide evidence for the ability of
MIR
29B
to induce HbF and supports further investigation to expand treatment options for
SCD
.