Table 3.
Precise genome-editing-mediated gene therapy
Environment | Disease type | Target | Strategies | Editing efficiency | Delivery | References |
---|---|---|---|---|---|---|
Ex vivo | Sickle cell disease | HBB | ZFN-HDR | ~18% T > A correction | Lentivirus and electroporation | 392 |
Cas9-HDR | 20–30% T > A correction | AAV and electroporation | 393,394 | |||
ABE | 40%–80% A > G correction | Electroporation | 395 | |||
PE | ~27% T > A correction | Electroporation | 386 | |||
β-thalassemia | IVS1 | ABE | ~80% A > G correction | Electroporation | 396 | |
BCL11A, HBB | CBE | ~90% C > T correction of BCL11A, ~18.2 C > T correction of HBB | Electroporation | 397 | ||
BCL11A, HBG | ABE | ~94.3% A > G correction of BCL11A, ~85.5% A > G correction of HBG | Electroporation | 398 | ||
X-linked chronic granulomatous disease | CYBB | ZFN-HDR | ~7.1% CYBB cDNA insertion | AAV and electroporation | 400 | |
Cas9-HDR | ~21% T > C correction | Electroporation | 399 | |||
Lymphoblastic leukaemia | TRAC | Cas9-HDR | ~46.5% CAR insertion of T cells | AAV6 and electroporation | 407 | |
Glioblastoma | AAVS1 | Cas9-HDR | >90% CAR insertion of cells | Nucleofection | 408 | |
In vivo | Duchenne muscular dystrophy | DMD | HITI | 4% ~ 7% Exon 52 insertion | AAV9 | 284 |
ABE | ~51.0% A > G correction | AAV9 | 287 | |||
Spinal muscular atrophy | SMN2 | ABE | ~37% T > C correction | AAV9 | 410 | |
Hypertrophic cardiomyopathy | Myh6 | ABE | ~32.3% A > G correction | AAV9 | 412 | |
ABE | ~32.3% A > G correction of DNA | AAV9 | 412 | |||
Ornithine transcarbamylase deficiency | OTC | Cas9-HDR | ~10% A > G correction | AAV8 | 282 | |
Cas9-HDR | ~6% OTC cDNA insertion | AAV8 | 413 | |||
Familial Hypercholesterolemia | LDLR | Cas9-HDR | ~6.7% T > G correction | AAV8 | 283 | |
Fabry disease | GLA | ZFNs-HDR | ~1.7% human GLA cDNA insertion | AAV8 | 414 | |
Adrenoleukodystrophy | ABCD1 | HITI | Human ABCD1 insertion | AAV9 | 286 | |
phenylketonuria | PAH | CBE | 21.9–26.9% C > T correction | AAV8 | 109 | |
PE | 2.0%–6.9% C > T correction | AdV | 240 | |||
Type I tyrosinemia | FAH | Cas9-HDR | ~9% A > G correction | Plasmid | 415 | |
ABE | ~9.5% A > G correction | Plasmid | 310 | |||
PE | ~11.5% A > G correction | Plasmid | 417 | |||
PE | ~0.76% 1.3 kb deletion and 19 bp insertion of hepatocytes | Plasmid | 416 | |||
Hutchinson-Gilford progeria syndrome | LMNA | ABE | 20%–60% T > C correction | AAV9 | 419 | |
Inherited retinal disease | RPE65 | ABE | ~16% T > C correction | Lentivirus | 421 | |
ABE | ~22% T > C correction | AAV2 | 422 | |||
PE | ~6.8% T > C correction | AAV8 | 417 | |||
PE | ~11.4 T > C correction | AAV8 | 420 | |||
Atherosclerotic cardiovascular disease | PCSK9 | ABE | ~50% A > G conversion | AAV8 | 425 | |
ABE | ~60% A > G conversion | LNP | 426,427 | |||
Ischemia/reperfusion injury | CaMKIIδ | ABE | 7.6% A > G conversion | AAV9 | 430 |
ZFN zinc-finger nuclease, HDR homology-directed repair, HITI homology-independent target integration, ABE adenine base editor, CBE cytosine base editor, PE prime editor, AAV adeno-associated virus, AdV adenovirus, LNP lipid nanoparticles