School of Life Science and Technology and Shanghai Institute for Advanced Immunochemical Studies, ShanghaiTech University, Shanghai, China.
Gene Editing Center, School of Life Science and Technology, ShanghaiTech University, Shanghai, China.
Nat Cell Biol. 2021 May;23(5):552-563. doi: 10.1038/s41556-021-00671-4. Epub 2021 May 10.
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.
CRISPR-Cas9 与胞嘧啶脱氨酶融合产生碱基编辑器(BE),可实现可编程的 C 到 T 编辑,这在临床应用中有很大的潜力,但存在脱靶(OT)突变的问题。在这里,我们使用可切割的脱氧胞苷脱氨酶抑制剂(dCDI)结构域构建了一个可切换的碱基编辑器(tBE)系统,该系统仅在背景水平上诱导全基因组和转录组范围的 OT 突变,从而实现高效编辑。tBE 与可切割的 dCDI 融合后,在 OT 位点保持不活跃,从而消除非预期的突变。当结合到靶位点时,tBE 会被转化为切割掉 dCDI 结构域,并催化靶向脱氨酶反应以实现精确的碱基编辑。通过双腺相关病毒(AAV)系统递送到小鼠体内后,tBE 系统在 Pcsk9 中产生了一个提前终止密码子,显著降低了血清 PCSK9,导致总胆固醇降低约 30-40%。tBE 的开发建立了一个高度特异性的碱基编辑系统,其体内疗效具有治疗应用的潜力。