Therapeutic prime editing for gene therapy against ocular dystrophy

This technology is a collection of optimized therapeutic prime-editing strategies targeting four common splicing mutations in the peripherin‐2 gene (PRPH2) that are associated with various retinal degenerations.

Unmet Need: Targeted therapeutics against peripherin‐2 gene (PRPH2), which mediates retinal degeneration

The peripherin-2 gene (PRPH2) encodes a protein necessary in the formation, maintenance, and renewal of photoreceptors in the eye, and its disruption is associated with a variety of retinal degenerations, including macular dystrophy and cone‐rod dystrophy. While more than three hundred PRPH2 mutations have been documented, a number of these occur in the c.828 splice site, including c.828+3A.T, the second most reported disease-causing variant. As there are currently no therapeutics on the market to treat peripherin‐2 (PRPH2) mutations, there is a need for treatment approaches to ocular dystrophies.

The Technology: Gene augmentation methods and systems for PRPH2 retinal dystrophy therapeutics

This technology encompasses a series of methods and systems to correct +1, +2, and +3 c.828 splice site PRPH2 mutations. The method uses prime-editing to modify up to four c.828+ mutations in any combination in PRPH2 using a modified version of the Cas9 nickase-reverse transcriptase, optimized pegRNA, and nicking sgRNA. The technology is a targeted approach configured for delivery to retinal cells.

This technology was validated in vitro using patient-induced pluripotent stem cell (iPSC)-derived retinal organoids.

Applications:

  • Method for modifying a gene using prime-editing
  • Prime-editing therapeutic strategy consisting of a variety of the following: Cas protein, a reverse transcriptase, RNA spacer or extension sequence, and a nicking guide RNA (ngRNA)
  • Package to correct the +1, +2 and +3 c.828 PRPH2 patient mutations, which includes the second most reported variant
  • Treatment for retinal degeneration, retinitis pigmentosa, macular degeneration, macular dystrophy, fundus flavimaculatus-like dystrophy, central areolar choroidal dystrophy, and cone-rod dystrophy
  • Methods can be developed to similarly edit optical dystrophies in domestic animal and livestock breeding industries

Advantages:

  • Can correct several splice mutations with a single therapeutic design
  • Can be easily converted into a genome therapeutic product using AAV or lentiviruses
  • Enables precise base edits of patient-derived mutations
  • Research tool capable of studying complex base transitions and conversions
  • Can be developed into a clinical treatment or preventive for patients with PRPH2 mutations

Lead Inventor:

Stephen H. Tsang, M.D., Ph.D.

Patent Information:

Patent Pending (US20250090690)

Related Publications:

Tech Ventures Reference:

Quick Facts:
Tags
Animal husbandryCas9GenomeInduced pluripotent stem cellMacular degenerationMutationPhotoreceptor cellProteinRetinaRetinitis pigmentosaRetinopathyReverse transcriptaseStem-cell therapy
Inventors
Bruna Lopes da CostaPeter M.J. QuinnSalvatore M. CarusoStephen H. Tsang M.D., Ph.D.Yi-Ting Tsai
Manager
Kristin Neuman
Departments
Biomedical EngineeringOphthalmology
Divisions
College of Physicians and Surgeons (CUMCColumbia University Medical Center (CUMC)Fu Foundation School of Engineering and Applied Science (SEAS)
Reference Number
CU22243
Release Date
2024-04-25
Collections
OphthalmologyGene Therapy