000 02512 am a22003493u 4500
042 _adc
100 1 0 _aBöck, Desirée
_eauthor
_92742
700 1 0 _aRothgangl, Tanja
_eauthor
_92743
700 1 0 _aVilliger, Lukas
_eauthor
_92744
700 1 0 _aSchmidheini, Lukas
_eauthor
_92745
700 1 0 _aMatsushita, Mai
_eauthor
_92746
700 1 0 _aMathis, Nicolas
_eauthor
_92747
700 1 0 _aIoannidi, Eleonora
_eauthor
_92748
700 1 0 _aRimann, Nicole
_eauthor
_92749
700 1 0 _aGrisch-Chan, Hiu Man
_eauthor
_92750
700 1 0 _aKreutzer, Susanne
_eauthor
_92751
700 1 0 _aKontarakis, Zacharias
_eauthor
_92752
700 1 0 _aKopf, Manfred
_eauthor
_92753
700 1 0 _aThöny, Beat
_eauthor
_92754
700 1 0 _aSchwank, Gerald
_eauthor
_92755
245 0 0 _aIn vivo prime editing of a metabolic liver disease in mice
260 _c2022-03-16.
500 _a/pmc/articles/PMC7614134/
500 _a/pubmed/35294257
520 _aPrime editing is a highly versatile CRISPR-based genome editing technology that works without DNA double-strand break formation. Despite rapid technological advances, in vivo application for the treatment of genetic diseases remains challenging. Here, we developed a size-reduced SpCas9 prime editor (PE) lacking the RNaseH domain (PE2(ΔRnH)) and an intein-split construct (PE2 p.1153) for adeno-associated virus (AAV)-mediated delivery into the liver. Editing efficiencies reached 15% at the Dnmt1 locus, and were further elevated to 58% by delivering unsplit PE2(ΔRnH) via human adenoviral vector 5 (AdV). To provide proof-of-concept for correcting a genetic liver disease, we next employed the AdV approach for repairing the disease-causing Pah(enu2) mutation in a mouse model of phenylketonuria (PKU) via prime editing. Average correction efficiencies of 11.1% (up to 17.4%) in neonates led to therapeutic reduction of blood phenylalanine (L-Phe), without inducing detectable off-target mutations or prolonged liver inflammation. Although the current in vivo prime editing approach for PKU has limitations for clinical application due to the requirement of high vector doses (7×10(14) vg/kg) and the induction of immune responses to the vector and the PE, further development of the technology may lead to curative therapies for PKU and other genetic liver diseases.
540 _a
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nSci Transl Med
856 4 1 _uhttp://dx.doi.org/10.1126/scitranslmed.abl9238
_zConnect to this object online.
999 _c2242
_d2242