Evidence map›Paper›PMID 41129587›Full record

ArticleBlood2026

Therapeutic base editing to generate a gain-of-function F9 variant for hemophilia B.

Nemekhbayar Baatartsogt, Yuji Kashiwakura, Takafumi Hiramoto, Rina Ito, Rikako Sato, Yasumitsu Nagao, Hina Naruoka, Haruka Takata, Morisada Hayakawa, Khishigjargal Batjargal and 7 more

Abstract read
In one paragraph

Article in Blood, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Advancements in CRISPR-basedFrontiers in genome editing · 2026
    Review
  3. 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

17 authors.

Nemekhbayar BaatartsogtDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-3004-8457
Yuji KashiwakuraDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0003-0585-3937
Takafumi HiramotoDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.
Rina ItoLaboratory for Molecular Design of Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University, Hokkaido, Japan.
Rikako SatoLaboratory for Molecular Design of Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University, Hokkaido, Japan.
Yasumitsu NagaoCenter for Experimental Medicine, Jichi Medical University, Tochigi, Japan.
Hina NaruokaDepartment of Pharmacokinetics and Biopharmaceutics, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Haruka TakataDepartment of Pharmacokinetics and Biopharmaceutics, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.ORCID 0000-0001-7792-2239
Morisada HayakawaDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-1869-2450
Khishigjargal BatjargalDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0001-5999-9910
Tomoki TogashiDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-2600-657X
Atsushi HoshinoDepartment of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0002-4015-1319
Taro ShimizuResearch Institute for Microbial Diseases, Osaka University, Osaka, Japan.ORCID 0000-0002-8326-2166
Yusuke SatoLaboratory for Molecular Design of Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University, Hokkaido, Japan.ORCID 0000-0003-0913-7815
Tatsuhiro IshidaDepartment of Pharmacokinetics and Biopharmaceutics, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.ORCID 0000-0002-1333-6465
Osamu NurekiDepartment of Biological Sciences, Graduate School of Science, The University of Tokyo, Tokyo, Japan.ORCID 0000-0003-1813-7008
Tsukasa OhmoriDepartment of Biochemistry, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0001-5082-6394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThe repair of pathological gene variants is an ultimate goal in treating genetic diseases; however, developing distinct therapeutic reagents for each of the numerous variants within a gene may not be scalable. Here, we investigated whether base editing to introduce a gain-of-function variant in blood coagulation factor IX (FIX) can increase FIX activity as a targeted therapeutic approach for hemophilia B. We engineered a G:C to A:T substitution at c.1151 of F9 by cytosine base editing to generate R338Q (the Shanghai F9 variant), which markedly increases coagulation factor activity. An adeno-associated virus vector harboring the base editor converted >60% of the target G:C to A:T and increased FIX activity in HEK293 cells harboring patient-derived F9 variants as well as in knock-in mice carrying a human F9 complementary DNA. Furthermore, administration of lipid nanoparticles containing the base-editor mRNA and guide RNA increased FIX activity in mice. These data indicate that cytosine base editing to generate R338Q in FIX is a broadly applicable genome-editing strategy for hemophilia B with residual FIX activity.

Indexed as

Factor IXGain of Function MutationGene EditingHemophilia BAnimalsGene Knock-In TechniquesGenetic TherapyHEK293 CellsHumansMiceFactor IX

Identifiers

PMID41129587
PMCPMC12883862

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.