Eliminating base-editor-induced genome-wide and transcriptome-wide off-target mutations

Nat Cell Biol. 2021 May;23(5):552-563. doi: 10.1038/s41556-021-00671-4. Epub 2021 May 10.

Abstract

The fusion of CRISPR-Cas9 with cytidine deaminases leads to base editors (BEs) capable of programmable C-to-T editing, which has potential in clinical applications but suffers from off-target (OT) mutations. Here, we used a cleavable deoxycytidine deaminase inhibitor (dCDI) domain to construct a transformer BE (tBE) system that induces efficient editing with only background levels of genome-wide and transcriptome-wide OT mutations. After being produced, the tBE remains inactive at OT sites with the fusion of a cleavable dCDI, therefore eliminating unintended mutations. When binding at on-target sites, the tBE is transformed to cleave off the dCDI domain and catalyses targeted deamination for precise base editing. After delivery into mice through a dual-adeno-associated virus (AAV) system, the tBE system created a premature stop codon in Pcsk9 and significantly reduced serum PCSK9, resulting in a ~30-40% decrease in total cholesterol. The development of tBE establishes a highly specific base editing system and its in vivo efficacy has potential for therapeutic applications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CRISPR-Cas Systems / genetics
  • Cytidine Deaminase / genetics
  • Cytidine Deaminase / metabolism
  • Gene Editing* / methods
  • HEK293 Cells
  • Humans
  • Mice
  • Mutation / genetics*
  • Proprotein Convertase 9 / genetics*
  • Proprotein Convertase 9 / metabolism

Substances

  • PCSK9 protein, human
  • Pcsk9 protein, mouse
  • Proprotein Convertase 9
  • Cytidine Deaminase