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Updated: May 16, 2026

CIRCLE-Seq for Interrogation of Off-Target Gene Editing
Published on: November 1, 2024
Genotoxicity profiling reveals distinct platform-and cell type-specific effects in therapeutic gene editing for
Lei Lei1, Masako M Kaufmann2, Jessica Lao3
1Institute for Transfusion Medicine and Gene Therapy, Medical Center - University of Freiburg, 79106 Freiburg, Germany; Center for Chronic Immunodeficiency, Medical Center - University of Freiburg, 79106 Freiburg, Germany; PhD Program, Faculty of Biology, University of Freiburg, 79106 Freiburg, Germany.
Abstract:
Base editors enable precise correction of point mutations without requiring DNA double-strand breaks, yet platform- and cell type-specific genotoxicities remain incompletely characterized. Here, we applied cytosine base editing (CBE) to disrupt a cryptic splice-site mutation in the Unc13d locus of Jinx mice, a model of familial hemophagocytic lymphohistiocytosis type 3 (FHL3). Efficient editing (62%-89%) in fibroblasts, T cells, and hematopoietic stem cells (HSCs) restored Unc13d splicing, reconstituted cytotoxic T cell function, and protected mice from virus-triggered hyperinflammation after transplantation of edited HSCs. Comparative genotoxicity profiling revealed distinct platform- and cell type-specific patterns: hyperactive CBE induced broader off-target activity and more structural variants than CRISPR-Cas9. Although off-target sequence edits persisted, the stability of CBE-induced chromosomal translocations differed between cell types. These findings establish base editing as a therapeutic strategy for a genetically predisposed hyperinflammatory syndrome and underscore the importance of context-specific safety profiling to guide the clinical translation of genome editors.
Insights
Cytosine base editing (CBE) precisely corrected a genetic defect in mice, restoring immune function and preventing hyperinflammation. Safety profiling revealed cell-type-specific genotoxicity, crucial for clinical translation of gene editing therapies.
Area of Science:
- Genetics
- Immunology
- Molecular Biology
Background:
- Base editors offer precise gene correction without DNA double-strand breaks.
- Genotoxicity of base editing platforms and cell types requires thorough characterization.
Purpose of the Study:
- To apply cytosine base editing (CBE) to correct a splice-site mutation in the Unc13d gene in a mouse model of FHL3.
- To evaluate the therapeutic efficacy and genotoxicity of CBE in various cell types.
Main Methods:
- Cytosine base editing (CBE) was used to target the Unc13d locus in Jinx mice.
- Editing efficiency was assessed in fibroblasts, T cells, and hematopoietic stem cells (HSCs).
- Genotoxicity profiling compared CBE with CRISPR-Cas9, analyzing off-target edits and structural variants.
Main Results:
- Efficient CBE (62%-89%) restored Unc13d splicing and cytotoxic T cell function.
- Transplantation of edited HSCs protected mice from virus-triggered hyperinflammation.
- Hyperactive CBE showed broader off-target activity and more structural variants than CRISPR-Cas9, with cell-type-specific translocation stability.
Conclusions:
- Base editing is a viable therapeutic strategy for familial hemophagocytic lymphohistiocytosis type 3 (FHL3).
- Context-specific safety profiling is essential for the clinical translation of genome editing technologies.
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