Evidence map›Paper›PMID 38057426›Full record

ArticleNature biomedical engineering2024

Optimization of base editors for the functional correction of SMN2 as a treatment for spinal muscular atrophy.

Christiano R R Alves, Leillani L Ha, Rebecca Yaworski, Emma R Sutton, Cicera R Lazzarotto, Kathleen A Christie, Aoife Reilly, Ariane Beauvais, Roman M Doll, Demitri de la Cruz and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Nature biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
11.2field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 39 citations in OpenAlex.

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  17. Prime editing of the βNature communications · 2025
    Article
  18. In vivo base editing reduces liver cysts in autosomal dominant polycystic kidney disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  19. Review
  20. Molecular therapy. Nucleic acids · 2025
    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

15 authors at 5 institutions in 3 countries.

Christiano R R AlvesCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA. calves2@mgh.harvard.edu.ORCID 0000-0002-2646-9689
Leillani L HaCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Rebecca YaworskiOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Emma R SuttonOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Cicera R LazzarottoDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0003-1093-0175
Kathleen A ChristieCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Aoife ReillyOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Ariane BeauvaisOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Roman M DollCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-3991-6043
Demitri de la CruzMolecular Neurogenetics Unit, Department of Neurology, Massachusetts General Hospital, Charlestown, MA, USA.
Casey A MaguireMolecular Neurogenetics Unit, Department of Neurology, Massachusetts General Hospital, Charlestown, MA, USA.
Kathryn J SwobodaCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4593-6342
Shengdar Q TsaiDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0001-9161-3993
Rashmi KotharyOttawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-9239-7310
Benjamin P KleinstiverCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA. bkleinstiver@mgh.harvard.edu.ORCID 0000-0002-5469-0655
Harvard University · USUniversity of Ottawa · CASt. Jude Children's Research Hospital · USGerman Cancer Research Center · DEMassachusetts General Hospital · US

Funding

PROJECT 4: Somatic evolution of the hematopoietic system in cardiovascular diseaseP01HL142494 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Benjamin Peter Kleinstiver · 2019 to 2026
$19.5M
Scalable Development of Custom Genome Editing TechnologiesDP2CA281401 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KLEINSTIVER, BENJAMIN PETER · 2022 to 2025
$2.5M
A novel human T-cell platform to define biological effects of genome editingU01AI157189 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TSAI, SHENGDAR · 2020 to 2022
$1.8M
Enhanced gene delivery for CNS and sensory disordersR01DC017117 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI MAGUIRE, CASEY A · 2019 to 2023
$1.8M
Ultra-sensitive, unbiased, high-throughput, biochemical CHANGE-seq genome-wide activity and gRNA sequencing assays for therapeutic genome editing INDsU01AI176471 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TSAI, SHENGDAR · 2023 to 2025
$1.4M
Development of in Vivo Base Editing as a Genetic Treatment for Spinal Muscular AtrophyK01NS134784 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Christiano Alves · 2024 to 2026
$726k
NCI NIH HHS DP2 CA281401NHLBI NIH HHS P01 HL142494NIAID NIH HHS U01 AI157189NIAID NIH HHS U01 AI176471NIDCD NIH HHS R01 DC017117NINDS NIH HHS K01 NS134784
6 · The paper itself

Abstract

Spinal muscular atrophy (SMA) is caused by mutations in SMN1. SMN2 is a paralogous gene with a C•G-to-T•A transition in exon 7, which causes this exon to be skipped in most SMN2 transcripts, and results in low levels of the protein survival motor neuron (SMN). Here we show, in fibroblasts derived from patients with SMA and in a mouse model of SMA that, irrespective of the mutations in SMN1, adenosine base editors can be optimized to target the SMN2 exon-7 mutation or nearby regulatory elements to restore the normal expression of SMN. After optimizing and testing more than 100 guide RNAs and base editors, and leveraging Cas9 variants with high editing fidelity that are tolerant of different protospacer-adjacent motifs, we achieved the reversion of the exon-7 mutation via an A•T-to-G•C edit in up to 99% of fibroblasts, with concomitant increases in the levels of the SMN2 exon-7 transcript and of SMN. Targeting the SMN2 exon-7 mutation via base editing or other CRISPR-based methods may provide long-lasting outcomes to patients with SMA.

Indexed as

Muscular Atrophy, SpinalRNA-Binding ProteinsAnimalsExonsHumansMiceRNA, Guide, CRISPR-Cas SystemsSMN Complex ProteinsSurvival of Motor Neuron 2 ProteinRNA-Binding ProteinsRNA, Guide, CRISPR-Cas SystemsSMN2 protein, humanSMN Complex ProteinsSurvival of Motor Neuron 2 Protein

Identifiers

PMID38057426
PMCPMC10922509
OpenAlexW4389388944

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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.