Evidence map›Paper›PMID 37349314›Full record

ArticleNature communications2023

Striated muscle-specific base editing enables correction of mutations causing dilated cardiomyopathy.

Markus Grosch, Laura Schraft, Adrian Chan, Leonie Küchenhoff, Kleopatra Rapti, Anne-Maud Ferreira, Julia Kornienko, Shengdi Li, Michael H Radke, Chiara Krämer and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Review
  3. RNA splicing in health and disease.Molecular biomedicine · 2026
    Review
  4. Article
  5. Article
  6. RBM20 variants disrupt CaSignal transduction and targeted therapy · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Genes & diseases · 2026
    Review
  12. Review
  13. Article
  14. Treating RBM20-related cardiomyopathy-Ready for prime time?Molecular therapy. Nucleic acids · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Molecular therapy. Nucleic acids · 2025
    Review
  20. Article
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

18 authors at 7 institutions in 4 countries.

Markus GroschEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.ORCID 0000-0001-9016-8920
Laura SchraftEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.ORCID 0009-0005-4504-8926
Adrian ChanKlaus Tschira Institute for Integrative Computational Cardiology, University of Heidelberg, Heidelberg, Germany.
Leonie KüchenhoffEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.ORCID 0000-0002-3715-4551
Kleopatra RaptiDepartment of Infectious Diseases/Virology, Section Viral Vector Technologies, Medical Faculty, BioQuant, University of Heidelberg, Heidelberg, Germany.
Anne-Maud FerreiraDepartment of Genetics, Stanford University School of Medicine, Stanford, CA, USA.
Julia KornienkoEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.ORCID 0000-0002-7876-230X
Shengdi LiEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.
Michael H RadkeTranslational Cardiology and Functional Genomics, Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.ORCID 0000-0003-0112-9917
Chiara KrämerDepartment of Infectious Diseases/Virology, Section Viral Vector Technologies, Medical Faculty, BioQuant, University of Heidelberg, Heidelberg, Germany.
Sandra Clauder-MünsterEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany.
Emerald PerlasEpigenetics and Neurobiology Unit, EMBL Rome, Monterotondo, Italy.
Johannes BacksDZHK (German Center for Cardiovascular Research), Partner Site Heidelberg/Mannheim, Heidelberg, Germany.
Michael GotthardtTranslational Cardiology and Functional Genomics, Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.ORCID 0000-0003-1788-3172
Christoph DieterichDZHK (German Center for Cardiovascular Research), Partner Site Heidelberg/Mannheim, Heidelberg, Germany.ORCID 0000-0001-9468-6311
Maarten M G van den HoogenhofDZHK (German Center for Cardiovascular Research), Partner Site Heidelberg/Mannheim, Heidelberg, Germany.ORCID 0000-0003-2768-3457
Dirk GrimmDZHK (German Center for Cardiovascular Research), Partner Site Heidelberg/Mannheim, Heidelberg, Germany.ORCID 0000-0001-6227-5665
Lars M SteinmetzEuropean Molecular Biology Laboratory (EMBL), Genome Biology Unit, Heidelberg, Germany. Lars.Steinmetz@stanford.edu.ORCID 0000-0002-3962-2865
Heidelberg University · DEEuropean Molecular Biology Laboratory · DEGerman Centre for Cardiovascular Research · DEMax Delbrück Center · DEEuropean Bioinformatics Institute · GBEuropean Molecular Biology Laboratory · ITStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dilated cardiomyopathy is the second most common cause for heart failure with no cure except a high-risk heart transplantation. Approximately 30% of patients harbor heritable mutations which are amenable to CRISPR-based gene therapy. However, challenges related to delivery of the editing complex and off-target concerns hamper the broad applicability of CRISPR agents in the heart. We employ a combination of the viral vector AAVMYO with superior targeting specificity of heart muscle tissue and CRISPR base editors to repair patient mutations in the cardiac splice factor Rbm20, which cause aggressive dilated cardiomyopathy. Using optimized conditions, we repair >70% of cardiomyocytes in two Rbm20 knock-in mouse models that we have generated to serve as an in vivo platform of our editing strategy. Treatment of juvenile mice restores the localization defect of RBM20 in 75% of cells and splicing of RBM20 targets including TTN. Three months after injection, cardiac dilation and ejection fraction reach wild-type levels. Single-nuclei RNA sequencing uncovers restoration of the transcriptional profile across all major cardiac cell types and whole-genome sequencing reveals no evidence for aberrant off-target editing. Our study highlights the potential of base editors combined with AAVMYO to achieve gene repair for treatment of hereditary cardiac diseases.

Indexed as

Cardiomyopathy, DilatedAnimalsGene EditingMiceMutationMyocardiumMyocytes, CardiacRNA-Binding ProteinsRBM20 protein, mouseRNA-Binding Proteins

Identifiers

PMID37349314
PMCPMC10287752
OpenAlexW4381682054

What OpenQuestion holds

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Registered trials

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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.