Compositions, systems, and methods for allele-specific prime editing

A prime editing strategy using Cas9 nickase and reverse transcriptase selectively targets disease-associated rhodopsin alleles, addressing the limitations of current CRISPR/Cas9 methods by silencing mutations while preserving wild-type alleles, enhancing treatment efficacy for inherited retinal disorders.

WO2025259694A1 Publication Date: 2025-12-18THE TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK
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Patent Information

Application Number
PCT/US2025/033042
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Priority Date
2024-06-10
Filing Date
2025-06-10
Publication Date
2025-12-18

AI Technical Summary

Technical Problem

Current therapeutic approaches for inherited retinal disorders, particularly those affecting the rhodopsin gene, are limited by high development costs and lack of treatments for rare mutations, with existing CRISPR/Cas9 methods causing double-strand breaks and affecting wild-type alleles.

Method used

An allele-targeting, mutation-agnostic prime editing strategy using Cas9 nickase and reverse transcriptase to selectively silence disease-associated rhodopsin alleles by mutating or deleting the start codon, while preserving wild-type alleles, leveraging the rs7984 SNP for specificity.

Benefits of technology

The strategy effectively increases rod responses and thickens the outer nuclear layer in mouse models, demonstrating potential for broad treatment of inherited retinal diseases by targeting high-frequency SNPs without affecting wild-type alleles.

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Abstract

The present disclosure provides systems, methods, and compositions for modifying a target nucleic acid. Particularly, the present invention relates to modifying sequences in the 5' UTR near the Kozak sequence to silence a gene, for example, mutating a target rhodopsin allele start codon or deleting a region of the target rhodopsin allele comprising at least a portion of the start codon.
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