Base editing to correct PAH c.1222C>T variant in humanized mice
(A) Changes in blood phenylalanine levels in homozygous PKU mice following treatment with 5-mg/kg dose of SpRY-ABE8.8/PAH4 LNPs (n = 3 animals) or with 2.5-mg/kg dose of LNPs (n = 3 animals), comparing levels at various timepoints up to 7 days following treatment to levels in vehicle-treated homozygous PKU control (n = 4 animals) and vehicle-treated heterozygous non-PKU control (n = 4 animals) age-matched (approximately 8 weeks of age) colonymates (one blood sample per time point).
(B) Corrective PAH c.1222C>T editing (determined from genomic DNA) in each of eight liver samples (two samples each from the four lobes) from each treated mouse, calculated as the proportion of aligned sequencing reads with the indicated type of edits. “Correction only” refers to reads in which the c.1222C>T adenine variant is edited to guanine, with or without base editing of the adjacent synonymous adenine, with no base editing of any other adenines; “unwanted bystander editing” refers to reads in which the c.1222C>T adenine variant is edited to guanine, along with base editing of one or more nonsynonymous adenines.
(C) Standard CRISPResso output for a liver sample from the LNP-treated homozygous PKU mouse with the highest level of editing. The codons in the vicinity of the c.1222C>T variant site are indicated; the top-listed amino acid is the baseline identity of the codon, and the bottom-listed amino acid is the one that results from base editing of the adenine in the codon. Lines in graphs = mean values.