High-efficiency base editing in the retina in primates and human tissues
Open accessAbstract
Stargardt disease is a currently untreatable, inherited neurodegenerative disease that leads to macular degeneration and blindness due to loss-of-function mutations in the ABCA4 gene. We have designed a dual adeno-associated viral vector encoding a split-intein adenine base editor to correct the most common mutation in ABCA4 (c.5882G>A, p.Gly1961Glu). We optimized ABCA4 base editing in human models, including retinal organoids, induced pluripotent stem cell-derived retinal pigment epithelial (RPE) cells, as well as adult human retinal explants and RPE/choroid explants in vitro. The resulting gene therapy vectors achieved high levels of gene correction in mutation-carrying mice and in female nonhuman primates, with average editing of 75% of cones and 87% of RPE cells in vivo, which has the potential to translate to a clinical benefit. No off-target editing was detectable in human retinal explants and RPE/choroid explants. The high editing rates in primates show promise for efficient gene editing in other ocular diseases that are targetable by base editing.
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Muller et al. reported ABCA4 base-editing in mice, non-human primates, and in vitro human retinal models using gene therapy vectors.
“Notably, Muller et al. reported ABCA4 base-editing in mice, non-human primates, and in vitro human retinal models using gene therapy vectors [12].”
From Precise CRISPR/Cas9 and Cas12 Correction Using Lipoplexes in Retinal Models Derived from Patients with Inherited Retinal Dystrophies (2026) · cites this paper as [12]
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- Authors
- Muller, A., Sullivan, J., Schwarzer, W., Wang, M., Park-Windhol, C., Hasler, P. W., Janeschitz-Kriegl, L., Duman, M., Klingler, B., Matsell, J., Hostettler, S. M., Galliker, P., Hou, Y., Balmer, P., Virág, T., Barrera, L. A., Young, L., Xu, Q., Magda, D. P., Kilin, F., Khadka, A., Moreau, P.-H., Fellmann, L., Azoulay, T., Quinodoz, M., Karademir, D., Leppert, J., Fratzl, A., Kosche, G., Sharma, R., Montford, J., Cattaneo, M., Croyal, M., Cronin, T., Picelli, S., Grison, A., Cowan, C. S., Kusnyerik, Á., Anders, P., Renner, M., Nagy, Z. Z., Szabó, A., Bharti, K., Rivolta, C., Scholl, H. P. N., Bryson, D., Ciaramella, G., Roska, B., & György, B.
- Affiliations
- University of Basel (CH)
- Beam Therapeutics (United States) (US)
- Semmelweis University (HU)
- Université de Strasbourg (FR)
- University of Leicester (GB)
- National Institutes of Health (US)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Roska, Botond
- György, Bence
- ORCID
- Sullivan, Jack
- Schwarzer, Wibke
- Park-Windhol, Cindy
- Hasler, Pascal W.
- Duman, Mert
- Matsell, Jane
- Hou, Yanyan
- Barrera, Luis Alberto
- Xu, Quan
- Magda, Dániel Péter
- Moreau, Pierre-Henri
- Fellmann, Lyne
- Quinodoz, Mathieu
- Karademir, Duygu
- Fratzl, Alex
- Kosche, Georg
- Sharma, Ruchi
- Cattaneo, Marco
- Croyal, Mikaël
- Picelli, Simone
- Grison, Alice
- Cowan, Cameron S.
- Kusnyerik, Ákos
- Anders, Philipp
- Renner, Magdalena
- Nagy, Zoltán Zsolt
- Szabó, Arnold
- Bharti, Kapil
- Rivolta, Carlo
- Scholl, Hendrik P. N.
- Ciaramella, Giuseppe
- Roska, Botond
- György, Bence
- Venue
- Nature Medicine
- Published
- 2025-01-08
- Volume
- 31
- Issue
- 2
- Pages
- 490-501
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC11835749
- OpenAlex
- W4406152275
- Cited by
- 52
- References
- 53
- Citations by year
- 2026: 26 · 2025: 26
- FWCI
- 15.63
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Nature Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- Funders
- National Science Foundation
- European Molecular Biology Organization (postdoctoral fellowship ALTF 688-2022)
- Wellcome Trust
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (204285, 192665, 51NF40, 138726, 182895, 202756, 201165, 310030)
- Semmelweis Egyetem (TKP 2021 EGA-25)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Keywords
- Stargardt disease, ABCA4, base editing, adeno-associated virus vectors, retinal organoids, retinal pigment epithelial cells, retinal explants, choroid, non-human primates, macular degeneration, gene therapy, off-target editing
- MeSH terms
- Gene Editing, Stargardt Disease, Dependovirus, Animals, Female, Genetic Vectors, Humans, Macular Degeneration, Male, Mutation, Organoids, Primates, Retina, Genetic Therapy, ATP-Binding Cassette Transporters, Mice, Retinal Pigment Epithelium, Induced Pluripotent Stem Cells
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