Evidence map›Paper›PMID 40373211›Full record

ArticleThe New England journal of medicine2025

Patient-Specific In Vivo Gene Editing to Treat a Rare Genetic Disease.

Kiran Musunuru, Sarah A Grandinette, Xiao Wang, Taylor R Hudson, Kevin Briseno, Anne Marie Berry, Julia L Hacker, Alvin Hsu, Rachel A Silverstein, Logan T Hille and 35 more

Abstract readCase Reports
In one paragraph

Article in The New England journal of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 221 papers.

0numbers the graph read from it
0cells of the map it votes in
221citing papers in PubMed
–field-weighted citation impact
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

221 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Base Editing: Mechanisms and Therapeutic Applications.Methods in molecular biology (Clifton, N.J.) · 2027
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Clinical and genetic characterization of intellectual disability.Developmental medicine and child neurology · 2026
    Article
  9. Article
  10. Review
  11. Towards mRNA therapeutics 2.0.Nature reviews. Drug discovery · 2026
    Review
  12. Review
  13. Review
  14. From N-of-1 therapy to health-system implementation.Nature reviews. Drug discovery · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

161 more citing papers are in PubMed but not listed here.

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

45 authors.

Kiran MusunuruChildren's Hospital of Philadelphia, Philadelphia.ORCID 0000-0003-3298-0368
Sarah A GrandinettePerelman School of Medicine at the University of Pennsylvania, Philadelphia.
Xiao WangPerelman School of Medicine at the University of Pennsylvania, Philadelphia.
Taylor R HudsonInnovative Genomics Institute, University of California, Berkeley, Berkeley.
Kevin BrisenoInnovative Genomics Institute, University of California, Berkeley, Berkeley.
Anne Marie BerryPerelman School of Medicine at the University of Pennsylvania, Philadelphia.
Julia L HackerPerelman School of Medicine at the University of Pennsylvania, Philadelphia.
Alvin HsuBroad Institute of MIT and Harvard, Harvard University, Howard Hughes Medical Institute, Cambridge, MA.
Rachel A SilversteinMassachusetts General Hospital-Harvard Medical School, Boston.
Logan T HilleMassachusetts General Hospital-Harvard Medical School, Boston.
Aysel N OgulInnovative Genomics Institute, University of California, Berkeley, Berkeley.
Nancy A Robinson-GarvinChildren's Hospital of Philadelphia, Philadelphia.
Juliana C SmallChildren's Hospital of Philadelphia, Philadelphia.
Sarah McCagueChildren's Hospital of Philadelphia, Philadelphia.
Samantha M BurkeChildren's Hospital of Philadelphia, Philadelphia.
Christina M WrightChildren's Hospital of Philadelphia, Philadelphia.
Sarah BickChildren's Hospital of Philadelphia, Philadelphia.
Venkata IndurthiAldevron, Fargo, ND.
Shweta SharmaAldevron, Fargo, ND.
Michael JeppersonAldevron, Fargo, ND.
Christopher A VakulskasIntegrated DNA Technologies, Coralville, IA.ORCID 0000-0001-8510-4332
Michael CollingwoodIntegrated DNA Technologies, Coralville, IA.
Katie KeoghIntegrated DNA Technologies, Coralville, IA.
Ashley JacobiIntegrated DNA Technologies, Coralville, IA.
Morgan SturgeonIntegrated DNA Technologies, Coralville, IA.
Christian BrommelIntegrated DNA Technologies, Coralville, IA.
Ellen SchmaljohnIntegrated DNA Technologies, Coralville, IA.
Gavin KurganIntegrated DNA Technologies, Coralville, IA.
Thomas OsborneIntegrated DNA Technologies, Coralville, IA.
He ZhangIntegrated DNA Technologies, Coralville, IA.
Kyle KinneyIntegrated DNA Technologies, Coralville, IA.ORCID 0000-0002-1029-3279
Garrett RettigIntegrated DNA Technologies, Coralville, IA.
Christopher J BarbosaAcuitas Therapeutics, Vancouver, BC, Canada.
Sean C SempleAcuitas Therapeutics, Vancouver, BC, Canada.
Ying K TamAcuitas Therapeutics, Vancouver, BC, Canada.
Cathleen LutzJackson Laboratory, Bar Harbor, ME.
Lindsey A GeorgeChildren's Hospital of Philadelphia, Philadelphia.
Benjamin P KleinstiverMassachusetts General Hospital-Harvard Medical School, Boston.
David R LiuBroad Institute of MIT and Harvard, Harvard University, Howard Hughes Medical Institute, Cambridge, MA.
Kim NgChildren's Hospital of Philadelphia, Philadelphia.
Sadik H KassimDanaher Corporation, Washington, DC.
Petros GiannikopoulosInnovative Genomics Institute, University of California, Berkeley, Berkeley.
Mohamad-Gabriel AlamehChildren's Hospital of Philadelphia, Philadelphia.
Fyodor D UrnovInnovative Genomics Institute, University of California, Berkeley, Berkeley.ORCID 0000-0001-7542-4084
Rebecca C Ahrens-NicklasChildren's Hospital of Philadelphia, Philadelphia.

Funding

Replication study of in vivo postnatal gene editing for metabolic liver disease in the nonhuman primate modelU19NS132301 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Xiao Wang · 2023 to 2026
$48.5M
Resource Core II: In Vivo CoreU19NS132303 · NINDS · UNIVERSITY OF CALIFORNIA BERKELEY · PI Ross C Wilson · 2023 to 2026
$19.7M
PROJECT 4: Somatic evolution of the hematopoietic system in cardiovascular diseaseP01HL142494 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Filip K Swirski · 2019 to 2026
$19.5M
Personalized prime editing as a platform for hepatic inborn errors of metabolismU01TR005355 · NCATS · CHILDREN'S HOSP OF PHILADELPHIA · PI Rebecca Clare Ahrens-Nicklas, Kiran Musunuru · 2024 to 2026
$10.8M
Diagnosis, Prevention, And Treatment Of Cardiovascular Diseases With Genome EditingR35HL145203 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MUSUNURU, KIRAN · 2019 to 2025
$5.7M
Scalable Development of Custom Genome Editing TechnologiesDP2CA281401 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KLEINSTIVER, BENJAMIN PETER · 2022 to 2025
$2.5M
Children's Hospital of Philadelphia CHOP Research Institute Frontier ProgramsNCATS NIH HHS U01 TR005355NCI NIH HHS DP2 CA281401NHLBI NIH HHS P01 HL142494NHLBI NIH HHS R35 HL145203NIH HHS DP2CA281401NIH HHS P01HL142494NIH HHS R35HL145203NIH HHS U01TR005355NINDS NIH HHS U19 NS132301NINDS NIH HHS U19NS132301NINDS NIH HHS U19 NS132303NINDS NIH HHS U19NS132303
6 · The paper itself

Abstract

Base editors can correct disease-causing genetic variants. After a neonate had received a diagnosis of severe carbamoyl-phosphate synthetase 1 deficiency, a disease with an estimated 50% mortality in early infancy, we immediately began to develop a customized lipid nanoparticle-delivered base-editing therapy. After regulatory approval had been obtained for the therapy, the patient received two infusions at approximately 7 and 8 months of age. In the 7 weeks after the initial infusion, the patient was able to receive an increased amount of dietary protein and a reduced dose of a nitrogen-scavenger medication to half the starting dose, without unacceptable adverse events and despite viral illnesses. No serious adverse events occurred. Longer follow-up is warranted to assess safety and efficacy. (Funded by the National Institutes of Health and others.).

Indexed as

Carbamoyl-Phosphate Synthase I Deficiency DiseaseGene EditingGenetic TherapyHyperammonemiaRare DiseasesAmmoniaCarbamoyl-Phosphate Synthase (Ammonia)HepatocytesHumansInfantInfant, NewbornLiposomesMaleNanoparticlesTreatment OutcomeAmmoniaCarbamoyl-Phosphate Synthase (Ammonia)CPS1 protein, humanLipid NanoparticlesLiposomes

Identifiers

PMID40373211
PMCPMC12713542

What OpenQuestion holds

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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.