2020
DOI: 10.1101/2020.08.06.239723
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Prime editing primarily induces undesired outcomes in mice

Abstract: SummaryGenome editing has transformed biomedical science, but is still unpredictable and often induces undesired outcomes. Prime editing (PE) is a promising new approach due to its proposed flexibility and ability to avoid unwanted indels. Here, we show highly efficient PE-mediated genome editing in mammalian zygotes. Utilizing chemically modified guideRNAs, PE efficiently introduced 10 targeted modifications including substitutions, deletions, and insertions across 6 genes in mouse embryos. However, we unexpe… Show more

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Cited by 41 publications
(49 citation statements)
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“…Prime editing in plant protoplasts also produces a fraction of undesired editing outcomes when employing either the PE2 and PE3 strategy 7 . Interestingly, in mouse zygotes the PE3 strategy produces alleles containing the desired edit, but a large fraction also harbor deletions of various sizes between the target site and the nicking site 11 . Reassuringly, for our in vivo PE3 editing the majority of modified alleles contain the intended product without additional modifications.…”
Section: Discussionmentioning
confidence: 99%
“…Prime editing in plant protoplasts also produces a fraction of undesired editing outcomes when employing either the PE2 and PE3 strategy 7 . Interestingly, in mouse zygotes the PE3 strategy produces alleles containing the desired edit, but a large fraction also harbor deletions of various sizes between the target site and the nicking site 11 . Reassuringly, for our in vivo PE3 editing the majority of modified alleles contain the intended product without additional modifications.…”
Section: Discussionmentioning
confidence: 99%
“…It would also be of interest to evaluate whether other genome editing strategies, such as prime and base editing, nickases or improvements in the efficiency of integrating a repair template, may reduce the on-target complexities observed by us and others using spCas9. However, non-negligible frequencies of editing-associated large deletions have been reported after the use of the Cas9 D10A nickase in mESCs (14) and prime editing in early mouse embryos (43). By contrast, while proof-of-principle studies suggest that base editors could be used to repair disease-associated mutations in human embryos, further refinements to reduce the likelihood of unexpected conversion patterns and high rates of off-target edits would be of benefit (2).…”
Section: Discussionmentioning
confidence: 99%
“…Thus, in principle, prime editing represents a versatile, precision-guided platform that can potentially correct all SNVs of clinical importance [24]. Prime editing has been reported in plants [25][26][27], in early-staged mouse embryos [28,29], and in Drosophila [30]. However, there has yet to be a comparative analysis of prime editing versus CRISPR-mediated HDR editing in mice bred through the germline and analyzed for phenotypes.…”
Section: Introductionmentioning
confidence: 99%