In utero adenine base editing corrects multi-organ pathology in a lethal lysosomal storage disease.

In utero adenine base editing corrects multi-organ pathology in a lethal lysosomal storage disease.
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DOI:
10.1038/s41467-021-24443-8
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发表时间:
2021-07-13
影响因子:
16.6
通讯作者:
Peranteau WH
Peranteau WH
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Bose SK;White BM;Kashyap MV;Dave A;De Bie FR;Li H;Singh K;Menon P;Wang T;Teerdhala S;Swaminathan V;Hartman HA;Jayachandran S;Chandrasekaran P;Musunuru K;Jain R;Frank DB;Zoltick P;Peranteau WH

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In utero base editing has the potential to correct disease-causing mutations before the onset of pathology. Mucopolysaccharidosis type I (MPS-IH, Hurler syndrome) is a lysosomal storage disease (LSD) affecting multiple organs, often leading to early postnatal cardiopulmonary demise. We assessed in utero adeno-associated virus serotype 9 (AAV9) delivery of an adenine base editor (ABE) targeting the Idua G→A (W392X) mutation in the MPS-IH mouse, corresponding to the common IDUA G→A (W402X) mutation in MPS-IH patients. Here we show efficient long-term W392X correction in hepatocytes and cardiomyocytes and low-level editing in the brain. In utero editing was associated with improved survival and amelioration of metabolic, musculoskeletal, and cardiac disease. This proof-of-concept study demonstrates the possibility of efficiently performing therapeutic base editing in multiple organs before birth via a clinically relevant delivery mechanism, highlighting the potential of this approach for MPS-IH and other genetic diseases. Lysosomal storage diseases like mucopolysaccharidosis type I (MPS I) cause pathology before birth and result in early morbidity and mortality. Here, the authors show that in utero base editing mediates multi-organ phenotypic and survival benefits in a mouse model recapitulating a common human MPSI mutation.
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