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Publication : Base editing correction of hypertrophic cardiomyopathy in human cardiomyocytes and humanized mice.

First Author  Chai AC Year  2023
Journal  Nat Med Volume  29
Issue  2 Pages  401-411
PubMed ID  36797478 Mgi Jnum  J:362301
Mgi Id  MGI:7859780 Doi  10.1038/s41591-022-02176-5
Citation  Chai AC, et al. (2023) Base editing correction of hypertrophic cardiomyopathy in human cardiomyocytes and humanized mice. Nat Med 29(2):401-411
abstractText  The most common form of genetic heart disease is hypertrophic cardiomyopathy (HCM), which is caused by variants in cardiac sarcomeric genes and leads to abnormal heart muscle thickening. Complications of HCM include heart failure, arrhythmia and sudden cardiac death. The dominant-negative c.1208G>A (p.R403Q) pathogenic variant (PV) in beta-myosin (MYH7) is a common and well-studied PV that leads to increased cardiac contractility and HCM onset. In this study we identify an adenine base editor and single-guide RNA system that can efficiently correct this human PV with minimal bystander editing and off-target editing at selected sites. We show that delivery of base editing components rescues pathological manifestations of HCM in induced pluripotent stem cell cardiomyocytes derived from patients with HCM and in a humanized mouse model of HCM. Our findings demonstrate the potential of base editing to treat inherited cardiac diseases and prompt the further development of adenine base editor-based therapies to correct monogenic variants causing cardiac disease.
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