Peptide nucleic acids (PNAs) can bind to homopurine/homopyrimidine sequences of double-stranded DNA targets in a sequence-specific manner and form [PNA](2)/DNA triplexes with single-stranded DNA D-loop structures at the PNA binding sites, These D-loop structures have been found to have a capacity to initiate transcription in vitro, If this strategy can be used to induce transcription of endogenous genes, it may provide a novel approach for gene therapy of many human diseases, Human beta globin disorders such as sickle cell anemia and beta-thalassemia are very common genetic diseases that are caused by mutations in the beta-globin gene. When gamma-globin genes are highly expressed in sickle cell patients, the presence of high levels of fetal hemoglobin (HbF, alpha 2 gamma 2) can compensate for the defective beta-globin gene product and such patients have much improved symptoms or are free of disease, However, the gamma-globin genes are developmentally regulated and normally expressed at very low levels (>1%) in adult blood cells. We have investigated the possibility of inducing gamma-globin gene expression with PNAs, Using PNAs designed to bind to the 5' flanking region of the gamma-globin gene, induction of expression of a reporter gene construct was demonstrated both in vitro and in vivo, More importantly, PNA-mediated induction of endogenous gamma-globin gene expression was also demonstrated in K562 human erythroleukemia cells, This result suggests that induction of gamma-globin gene expression with PNAs might provide a new approach for the treatment of sickle cell disease, PNA-induced gene expression strategy also may have implications in gene therapy of other diseases such as genetic diseases, cancer and infectious diseases.