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Mitochondrial Base Editor Repairs Harmful Mutations in Patient-Derived Human Cells

Delivering the base editor as mRNA in lipid nanoparticles achieved precise mitochondrial DNA corrections with minimal off-target effects

Patient-derived liver organoids and their mitochondria (red).

Overview

  • Researchers in the Netherlands used a DdCBE tool to convert cytosine to thymine in mitochondrial DNA without creating double-stranded breaks.
  • The team corrected pathogenic mutations in patient-derived liver organoids and skin cells from a Gitelman-like syndrome patient, restoring key signs of healthy mitochondrial function.
  • Encapsulating mRNA encoding the base editor in lipid nanoparticles enhanced delivery efficiency and reduced cellular toxicity compared with DNA-based methods.
  • Comprehensive genomic analyses showed negligible off-target edits in the nuclear genome and only minimal unintended changes in mitochondrial DNA.
  • Researchers are now tackling in vivo delivery hurdles to target mitochondrial base editors to organs such as muscle and brain ahead of clinical application