Abstract
Base editors are RNA-programmable deaminases that enable precise single-base conversions in genomic DNA. However, off-target activity is a concern in the potential use of base editors to treat genetic diseases. Here, we report unbiased analyses of transcriptome-wide and genome-wide off-target modifications effected by cytidine base editors in the liver of mice with phenylketonuria. The intravenous delivery of intein-split cytidine base editors by dual adeno-associated viruses led to the repair of the disease-causing mutation without generating off-target mutations in the RNA and DNA of the hepatocytes. Moreover, the transient expression of a cytidine base editor mRNA and a relevant single-guide RNA intravenously delivered by lipid nanoparticles led to ~21% on-target editing and to the reversal of the disease phenotype; there were also no detectable transcriptome-wide and genome-wide off-target edits. Our findings support the feasibility of therapeutic cytidine base editing to treat genetic liver diseases.
Original language | English |
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Pages (from-to) | 179-189 |
Number of pages | 11 |
Journal | Nature biomedical engineering |
Volume | 5 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 2021 |
Keywords
- Adenoviridae/physiology
- Animals
- Cytidine/genetics
- DNA/genetics
- Gene Editing/methods
- Genetic Vectors/physiology
- HEK293 Cells
- Hepatocytes/metabolism
- Humans
- Mice, Inbred C57BL
- RNA/genetics