Adenine base editing with engineered virus-like particles rescues the CFTR mutation G542X in patient-derived intestinal organoids
Cystic fibrosis (CF) is a life-shortening autosomal recessive disease, caused by loss-of-function mutations that affect the CF transmembrane conductance regulator (CFTR) anion channel. G542X is the second-most common CF-causing variant, and it does not respond to current CFTR modulator drugs. Our study explores the use of adenine base editing to edit G542X to a non-CF-causing variant, G542R, and recover CFTR function. Using base editor engineered virus-like particles (BE-eVLPs) in patient-derived intestinal organoids, we achieved ∼2% G542X-to-G542R editing efficiency and restored CFTR-mediated chloride transport to ∼6.4% of wild-type levels, independent of modulator treatment, and with no bystander edits. This proof-of-principle study demonstrates the potential of base editing to rescue G542X and provides a foundation for future <i>in</i> <i>-</i> <i>vivo</i> applications.
Authors
- Paola Melotti
- Isabelle Sermet‐Gaudelus (ORCID: https://orcid.org/0000-0001-5537-9482)
- Lucia Nicosia
- Ramón Latorre
- Patrick T. Harrison (ORCID: https://orcid.org/0000-0002-2319-0949)
- Kader Cavusoglu-Doran
- Michael Carroll (ORCID: https://orcid.org/0000-0002-7853-6732)
- Elise Dréano
- Iwona Pranke (ORCID: https://orcid.org/0000-0003-1734-7425)
- Joseph T. Costello (ORCID: https://orcid.org/0000-0001-9510-7932)
- Martina Scallan
- Claudio Sorio
- L. Lonetti
- Joss B. Murray
Institutions
- University of Verona (IT)
- Cincinnati Children's Hospital Medical Center (US)
- Hôpital Necker-Enfants Malades (FR)
- Centre National de la Recherche Scientifique (FR)
- Inserm (FR)
- Université Paris Cité (FR)
- University College Cork (IE)
- Institut Necker Enfants Malades (FR)
- Azienda Ospedaliera Universitaria Integrata Verona (IT)
- Assistance Publique – Hôpitaux de Paris (FR)
- ERN GUARD-Heart (NL)
Publication Details
- Journal
- iScience
- Published
- 2025-02-21
- DOI
- https://doi.org/10.1016/j.isci.2025.111979
- Citations
- 8
- Primary Topic
- CRISPR and Genetic Engineering
- Type
- article
- Field-Weighted Citation Impact
- 6.45
Funders
- Cystic Fibrosis Foundation
- Cystic Fibrosis Trust