Faculty, Staff and Student Publications

Language

English

Publication Date

2-1-2023

Journal

Nature Medicine

DOI

10.1038/s41591-022-02176-5

PMID

36797478

PMCID

PMC10053064

PubMedCentral® Posted Date

3-29-2023

PubMedCentral® Full Text Version

Author MSS

Abstract

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 β-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.

Keywords

Humans, Animals, Mice, Myocytes, Cardiac, Gene Editing, Cardiomyopathy, Hypertrophic, Myocardium, Arrhythmias, Cardiac, Mutation

Published Open-Access

yes

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