Article
Author: Packer, Michael S ; Shuang, Lan S ; Mansfield, Brian C. ; Young, Lauren ; Kothiyal, Prachi ; Leboeuf, Dominique ; Packer, Michael S. ; Quinn, Jeffrey J ; Cheng, Lo-I ; Bock, Caroline ; Lee, Cheol ; Ciaramella, Giuseppe ; Gregoire, Francine M. ; Bannister, Brianna ; Mok, Ka W ; Zhang, Lisa ; Chou, Janice Y. ; Huang, Victoria ; Boule, Steven ; Quinn, Jeffrey J. ; Decker, Jeremy ; Arnaoutova, Irina ; Leete, Thomas ; Mansfield, Brian C ; Barrera, Luis ; Gautam, Sudeep ; Fernandez, Thomas P. ; Chou, Janice Y ; Aratyn-Schaus, Yvonne ; Mok, Ka W. ; Gregoire, Francine M ; Lung, Genesis ; Chen, Hung-Dar ; Shuang, Lan S. ; Grayson, Phil ; Fernandez, Thomas P
Abstract:Glycogen 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.