Evidence map›Paper›PMID 32332872›Full record

ArticleEuropean journal of human genetics : EJHG2020

High rate of HDR in gene editing of p.(Thr158Met) MECP2 mutational hotspot.

Susanna Croci, Miriam Lucia Carriero, Katia Capitani, Sergio Daga, Francesco Donati, Elisa Frullanti, Vittoria Lamacchia, Rossella Tita, Annarita Giliberti, Floriana Valentino and 8 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
  6. Novel therapeutics in autism spectrum disorder.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
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  9. Review
  10. Article
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  12. Article
  13. Article
  14. State-of-the-art therapies for Rett syndrome.Developmental medicine and child neurology · 2023
    Review
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  16. Review
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  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Susanna CrociMedical Genetics, University of Siena, Siena, Italy.
Miriam Lucia CarrieroMedical Genetics, University of Siena, Siena, Italy.
Katia CapitaniMedical Genetics, University of Siena, Siena, Italy.
Sergio DagaMedical Genetics, University of Siena, Siena, Italy.
Francesco DonatiMedical Genetics, University of Siena, Siena, Italy.
Elisa FrullantiMedical Genetics, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0001-5634-031X
Vittoria LamacchiaMedical Genetics, University of Siena, Siena, Italy.
Rossella TitaGenetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Annarita GilibertiMedical Genetics, University of Siena, Siena, Italy.
Floriana ValentinoMedical Genetics, University of Siena, Siena, Italy.
Elisa BenettiMedical Genetics, University of Siena, Siena, Italy.
Annalisa CiabattiniLaboratory of Molecular Microbiology and Biotechnology, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Simone FuriniDepartment of Medical Biotechnologies, University of Siena, Siena, Italy.
Caterina Lo RizzoGenetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Anna Maria PintoGenetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy.ORCID http://orcid.org/0000-0001-6259-6901
Silvestro Giovanni ConticelloISPRO, Institute for Cancer Research, Prevention and Clinical Network, Firenze, Italy.ORCID http://orcid.org/0000-0002-4244-1846
Alessandra RenieriMedical Genetics, University of Siena, Siena, Italy. alessandra.renieri@unisi.it.
Ilaria MeloniMedical Genetics, University of Siena, Siena, Italy.
University of Siena · ITAzienda Ospedaliera Universitaria Senese · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rett syndrome is a progressive neurodevelopmental disorder which affects almost exclusively girls, caused by variants in MECP2 gene. Effective therapies for this devastating disorder are not yet available and the need for tight regulation of MECP2 expression for brain to properly function makes gene replacement therapy risky. For this reason, gene editing with CRISPR/Cas9 technology appears as a preferable option for the development of new therapies. To study the disease, we developed and characterized a human neuronal model obtained by genetic reprogramming of patient-derived primary fibroblasts into induced Pluripotent Stem Cells. This cellular model represents an important source for our studies, aiming to correct MECP2 variants in neurons which represent the primarily affected cell type. We engineered a gene editing toolkit composed by a two-plasmid system to correct a hotspot missense variant in MECP2, c.473 C > T (p.(Thr158Met)). The first construct expresses the variant-specific sgRNA and the Donor DNA along with a fluorescent reporter system. The second construct brings Cas9 and targets for auto-cleaving, to avoid long-term Cas9 expression. NGS analysis on sorted cells from four independent patients demonstrated an exceptionally high editing efficiency, with up to 80% of HDR and less than 1% of indels in all patients, outlining the relevant potentiality of the approach for Rett syndrome therapy.

Indexed as

Gene EditingMutation, MissenseRecombinational DNA RepairCells, CulturedCellular ReprogrammingCRISPR-Cas SystemsFibroblastsGenetic TherapyHEK293 CellsHumansInduced Pluripotent Stem CellsMethyl-CpG-Binding Protein 2NeuronsRett SyndromeMECP2 protein, humanMethyl-CpG-Binding Protein 2

Identifiers

PMID32332872
PMCPMC7609331
OpenAlexW3017757734

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.