Efficient HSC editing at the HBG1 promoter in Townes;SpCas9-EGPF animals.HBBA/A and HBBS/S animals were IV injected as adults (A,C,E) or neonates (B,D,F) with vehicle or scAAV-3xHBG1.gRNA and analyzed 12 weeks after injection. Approximately 4 × 1012 vg per animal was used for adults and ∼2 × 1011 vg per animal was used for neonates. HBG1 promoter modification in HSCs of adult injected (panel A) or neonatally injected (panel B) animals. HBG1 promoter modification in BM Ery progenitors from adult injected (panel C) or neonatally injected (panel D) animals. HBG1 promoter modification in whole blood from adult injected (panel E) or neonatally injected (panel F) animals and analyzed 12 weeks after injection. One-way ANOVA with Brown-Forsythe and Welch correction. ∗P < .05; ∗∗P < .01; ∗∗∗P < .001; ∗∗∗∗P < .0001. Data compiled from 4 (panels A,C,E) or 3 (panels B,D,F) independent experiments. Females, square; males, triangles. A/A, healthy HBBA/A; BM Ery, BM erythroid; S/S, sickle homozygote HBBS/S.