Evidence map›Paper›PMID 34257302›Full record

ArticleNature communications2021

In utero adenine base editing corrects multi-organ pathology in a lethal lysosomal storage disease.

Sourav K Bose, Brandon M White, Meghana V Kashyap, Apeksha Dave, Felix R De Bie, Haiying Li, Kshitiz Singh, Pallavi Menon, Tiankun Wang, Shiva Teerdhala and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 62 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
    Review
  5. Defining a Midgestational Window forbioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Article
  8. TIGER: A tdTomato in vivo genome-editing reporter mouse for investigating precision-editor delivery approaches.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Prenatal Delivery of Enzyme Replacement Therapy to Fetuses Affected by Early-Onset Lysosomal Storage Diseases.American journal of medical genetics. Part C, Seminars in medical genetics · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Non-Viral RNA Delivery During Pregnancy: Opportunities and Challenges.Small (Weinheim an der Bergstrasse, Germany) · 2024
    Review
  14. Review
  15. In utero delivery of targeted ionizable lipid nanoparticles facilitates in vivo gene editing of hematopoietic stem cells.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Sourav K Bose *Center for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Brandon M White *Center for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-5873-8011
Meghana V KashyapCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-7920-983X
Apeksha DaveCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Felix R De BieCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-0363-1233
Haiying LiCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kshitiz SinghCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Pallavi MenonCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Tiankun WangCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shiva TeerdhalaCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Vishal SwaminathanCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0003-3165-5950
Heather A HartmanCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-0164-4575
Sowmya JayachandranDivision of Pediatric Cardiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Prashant ChandrasekaranDivision of Pediatric Cardiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Kiran MusunuruCardiovascular Institute, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Rajan JainDepartment of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
David B FrankDivision of Pediatric Cardiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3064-2069
Philip ZoltickCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
William H PeranteauCenter for Fetal Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. peranteauw@chop.edu.
Children's Hospital of Philadelphia · USCalifornia Institute for Regenerative Medicine · USCardiovascular Institute of the South · US

Funding

In utero gene editing to cure a metabolic liver diseaseR01DK123049 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI PERANTEAU, WILLIAM H. · 2020 to 2024
$3.7M
In utero CRISPR-mediated gene editing to cure congenital monogenic disordersDP2HL152427 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI PERANTEAU, WILLIAM H. · 2019 to 2019
$2.6M
The Role of BRD4 in Cardiac SpecificationR01HL139783 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JAIN, RAJAN · 2019 to 2022
$1.6M
Wnt-mediated epithelial-endothelial crosstalk in the generation and regeneration of the lung alveolusK08HL140129 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI FRANK, DAVID BRIAN · 2018 to 2022
$797k
NHLBI NIH HHS DP2 HL152427NHLBI NIH HHS K08 HL140129NHLBI NIH HHS R01 HL139783NIDDK NIH HHS R01 DK123049
6 · The paper itself

Abstract

In utero base editing has the potential to correct disease-causing mutations before the onset of pathology. Mucopolysaccharidosis type I (MPS-IH, Hurler syndrome) is a lysosomal storage disease (LSD) affecting multiple organs, often leading to early postnatal cardiopulmonary demise. We assessed in utero adeno-associated virus serotype 9 (AAV9) delivery of an adenine base editor (ABE) targeting the Idua G→A (W392X) mutation in the MPS-IH mouse, corresponding to the common IDUA G→A (W402X) mutation in MPS-IH patients. Here we show efficient long-term W392X correction in hepatocytes and cardiomyocytes and low-level editing in the brain. In utero editing was associated with improved survival and amelioration of metabolic, musculoskeletal, and cardiac disease. This proof-of-concept study demonstrates the possibility of efficiently performing therapeutic base editing in multiple organs before birth via a clinically relevant delivery mechanism, highlighting the potential of this approach for MPS-IH and other genetic diseases.

Indexed as

AnimalsDisease Models, AnimalHepatocytesHumansLysosomal Storage DiseasesMutationMyocytes, Cardiac

Identifiers

PMID34257302
PMCPMC8277817
OpenAlexW3178368289

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.