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In Vivo Prime Editing Corrects AHC Gene Defects and More Than Doubles Mouse Survival

This advance lays groundwork for therapies that could reverse symptoms of genetic brain disorders beyond early development.

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Overview

  • A single neonatal injection of AAV9-delivered prime editing corrected up to 85% of ATP1A3 mutations in mouse brain cells.
  • Treated mice showed significantly fewer and milder paralysis, dystonia and seizure episodes, and survived more than twice as long as untreated mice.
  • Delivering a healthy ATP1A3 copy via conventional gene therapy did not improve symptoms or survival, highlighting prime editing’s advantage.
  • Tests in patient-derived cells revealed minimal off-target edits, supporting a promising safety profile.
  • The Jackson Laboratory, Broad Institute and RARE Hope’s patient-centered team are now evaluating treatment after symptom onset and exploring less invasive delivery strategies.