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P02

Prime editing strategies for modeling and treatment of dilated cardiomyopathy 

S Ottonello(1,2,3) S Sürmeli(1,2,3) E Di Pasquale(6,7) C Kupatt(1,4) G Condorelli(6,7) A Moretti(1,4) J Grünewald(1,2,3,4,5)

1:Klinikum rechts der Isar der TUM; 2:Center for Organoid Systems and Tissue Engineering; 3:TranslaTUM - Organoid Hub; 4:DZHK (German Center of Cardiovascular Research); 5:Munich Institute of Biomedical Engineering; 6:Department of Cardiovascular Medicine, Humanitas Research Hospital; 7:National Research Council of Italy, Institute of Genetics and Biomedical Research

Dilated cardiomyopathy (DCM) is a heart muscle disease characterized by structural and functional myocardial abnormalities. Left ventricular or biventricular dilation results in impaired heart contraction. Up to 30% of DCMs are reported to have a monogenic etiology. Mutations in several genes can cause DCM, including genes encoding sarcomeric, nuclear envelope, or cytoskeletal proteins. As a result, decreased cardiac contractility and conduction defects occur, ultimately leading to arrhythmia, heart failure, and sudden cardiac death. To date, the only curative approach is heart transplant, and etiological treatments are lacking. Mutations in the LMNA gene are among the most prevalent candidates associated with severe genetic cardiomyopathy. We used prime editing (PE) to model and correct DCM-associated LMNA pathogenic variants in human cell lines and iPSC-derived cardiomyocytes. We compared different PE approaches to optimize editing frequencies, showing that the same pegRNAs can result in substantially different editing efficiencies across the cell types tested. We also compared adenine base editor (ABE) and PE for gene correction of a common LMNA mutation. Our work highlights the potential of PE for the treatment of genetic heart diseases.

Sekretariat der DG-GT e.V.
Institut für Experimentelle Hämatologie
Hildegard Büning
Carl-Neuberg-Str. 1
30625 Hannover

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© 2021 Die Deutsche Gesellschaft für Gentherapie e.V.

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