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In vivo base editing rescues ADPKD in a humanized mouse model.

Alice Shasha Cheng1,2, Linda Xiaoyan Li1,2, Julie Xia Zhou1,2

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Nature Communications
|December 11, 2025
PubMed
Summary

Adenine base editor (ABE9) delivered by adeno-associated virus (AAV9) shows promise for treating autosomal dominant polycystic kidney disease (ADPKD). A single dose corrected the genetic defect in mice, delaying cyst growth and improving survival, supporting potential single-dose gene therapies for ADPKD.

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Area of Science:

  • Genetics
  • Molecular Biology
  • Gene Therapy

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder causing kidney cysts and complications.
  • Adeno-associated virus (AAV)-delivered CRISPR-Cas9 gene editing offers a novel therapeutic approach for inherited diseases.
  • In vivo application of gene editing for kidney diseases presents challenges.

Purpose of the Study:

  • To adapt adenine base editor (ABE9) for in vivo gene editing in ADPKD.
  • To develop and test broadly expressed and kidney-specific ABE9 systems delivered via AAV9.
  • To evaluate the therapeutic potential of ABE9 in a preclinical ADPKD mouse model.

Main Methods:

  • Developed dual ABE9 systems with broadly expressed and kidney-specific promoters.
  • Delivered ABE9 systems using adeno-associated virus serotype 9 (AAV9) in humanized Pkd1RC/RC mice.
  • Assessed gene correction, cyst development, extrarenal complications, and survival rates post-treatment.

Main Results:

  • A single dose of broadly expressed ABE9-AAV9 corrected the Pkd1 mutation in kidneys, hearts, and livers, delaying cyst growth and reducing cardiac hypertrophy.
  • Kidney-specific ABE9-AAV9 corrected the mutation solely in the kidneys, also delaying cyst growth.
  • Both ABE9 delivery methods significantly increased the survival rate in Pkd1RC/null mice.

Conclusions:

  • Single-dose adenine base editor therapy delivered by AAV9 is a promising strategy for preventing ADPKD.
  • Targeted gene editing using kidney-specific promoters can mitigate off-target organ effects.
  • This approach supports the potential for single-dose genetic therapies for ADPKD in clinical settings.