Evidence map›Paper›PMID 36040815›Full record

ArticleJCI insight2022

Allele-specific silencing of the gain-of-function mutation in Huntington's disease using CRISPR/Cas9.

Jun Wan Shin, Eun Pyo Hong, Seri S Park, Doo Eun Choi, Ihn Sik Seong, Madelynn N Whittaker, Benjamin P Kleinstiver, Richard Z Chen, Jong-Min Lee

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Treatment of Huntington's disease with a pan-HTT-targeting CRISPR nuclease.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Review
  4. Haplotype editing with CRISPR-Cas9 as a therapeutic approach for dominant-negative missense mutations in NEFL.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  5. Article
  6. Review
  7. Current trends in gene therapy to treat inherited disorders of the brain.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
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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

9 authors at 4 institutions in 1 country.

Jun Wan ShinCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Eun Pyo HongCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Seri S ParkCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Doo Eun ChoiCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ihn Sik SeongCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Madelynn N WhittakerCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Benjamin P KleinstiverCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Richard Z ChenCHDI Foundation, Princeton, New Jersey, USA.
Jong-Min LeeCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Broad Institute · USHarvard University · USMassachusetts General Hospital · USCHDI Foundation · US

Funding

Therapeutic Potential of Base Editing Strategies to Convert CAG to CAA in Huntington's DiseaseR01NS119471 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, JONG-MIN · 2021 to 2025
$2.6M
Genetic foundation for complete mutant allele-specific CRISPR in neurodegenerative diseasesR01NS105709 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, JONG-MIN · 2018 to 2022
$2.4M
Optimizing Cancer Immunotherapy Safety and Efficacy using Genome EditingR00CA218870 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KLEINSTIVER, BENJAMIN PETER · 2018 to 2020
$730k
NCI NIH HHS R00 CA218870NINDS NIH HHS R01 NS105709NINDS NIH HHS R01 NS119471
6 · The paper itself

Abstract

Dominant gain-of-function mechanisms in Huntington's disease (HD) suggest that selective silencing of mutant HTT produces robust therapeutic benefits. Here, capitalizing on exonic protospacer adjacent motif-altering (PAM-altering) SNP (PAS), we developed an allele-specific CRISPR/Cas9 strategy to permanently inactivate mutant HTT through nonsense-mediated decay (NMD). Comprehensive sequence/haplotype analysis identified SNP-generated NGG PAM sites on exons of common HTT haplotypes in HD subjects, revealing a clinically relevant PAS-based mutant-specific CRISPR/Cas9 strategy. Alternative allele of rs363099 (29th exon) eliminates the NGG PAM site on the most frequent normal HTT haplotype in HD, permitting mutant-specific CRISPR/Cas9 therapeutics in a predicted ~20% of HD subjects with European ancestry. Our rs363099-based CRISPR/Cas9 showed perfect allele specificity and good targeting efficiencies in patient-derived cells. Dramatically reduced mutant HTT mRNA and complete loss of mutant protein suggest that our allele-specific CRISPR/Cas9 strategy inactivates mutant HTT through NMD. In addition, GUIDE-Seq analysis and subsequent validation experiments support high levels of on-target gene specificity. Our data demonstrate a significant target population, complete mutant specificity, decent targeting efficiency in patient-derived cells, and minimal off-target effects on protein-coding genes, proving the concept of PAS-based allele-specific NMD-CRISPR/Cas9 and supporting its therapeutic potential in HD.

Indexed as

Huntington DiseaseAllelesCRISPR-Cas SystemsGain of Function MutationHumansHuntingtin ProteinMutant ProteinsRNA, MessengerHuntingtin ProteinMutant ProteinsRNA, MessengerGenetic diseasesGenetics

Identifiers

PMID36040815
PMCPMC9675467
OpenAlexW4293581872

What OpenQuestion holds

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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.