Article
Author: Bannister, Brianna ; Chou, Janice Y. ; Kothiyal, Prachi ; Young, Lauren ; Chou, Janice Y ; Lung, Genesis ; Fernandez, Thomas P. ; Ciaramella, Giuseppe ; Chen, Hung-Dar ; Mansfield, Brian C. ; Zhang, Lisa ; Mansfield, Brian C ; Aratyn-Schaus, Yvonne ; Boule, Steven ; Gregoire, Francine M. ; Gregoire, Francine M ; Cheng, Lo-I ; Barrera, Luis ; Leboeuf, Dominique ; Grayson, Phil ; Quinn, Jeffrey J. ; Mok, Ka W. ; Bock, Caroline ; Fernandez, Thomas P ; Packer, Michael S. ; Gautam, Sudeep ; Huang, Victoria ; Arnaoutova, Irina ; Mok, Ka W ; Shuang, Lan S. ; Lee, Cheol ; Packer, Michael S ; Leete, Thomas ; Quinn, Jeffrey J ; Shuang, Lan S ; Decker, Jeremy
AbstractGlycogen storage disease type-Ia patients, deficient in the G6PC1 gene encoding glucose-6-phosphatase-α, lack blood glucose control, resulting in life-threatening hypoglycemia. Here we show our humanized mouse model, huR83C, carrying the pathogenic G6PC1-R83C variant displays the phenotype of glycogen storage disease type-Ia and dies prematurely. We evaluate the efficacy of BEAM-301, a formulation of lipid nanoparticles containing a newly-engineered adenine base editor, to correct the G6PC1-R83C variant in huR83C mice and monitor phenotypic correction through one year. BEAM-301 can correct up to ~60% of the G6PC1-R83C variant in liver cells, restores blood glucose control, improves metabolic abnormalities of the disease, and confers long-term survival to the mice. Interestingly, just ~10% base correction is therapeutic. The durable pharmacological efficacy of base editing in huR83C mice supports the development of BEAM-301 as a potential therapeutic for homozygous and compound heterozygous glycogen storage disease type-Ia patients carrying the G6PC1-R83C variant.