Department of Biotechnology
inStem (Institute for Stem Cell Science and Regenerative Medicine)

Multiplex base editing to protect from CD33 directed drugs for immune and gene therapy.

Publication Type

Journal Article

Date of Publication

May 27, 2025

Journal

Nature communications

Volume/Issue

16/1

ISSN

2041-1723

The selection of genetically engineered immune or hematopoietic cells in vivo after gene editing remains a clinical problem and requires a method to spare on-target toxicity to normal cells. Here, we develop a base editing approach exploiting a naturally occurring CD33 single nucleotide polymorphism leading to removal of full-length CD33 surface expression on edited cells. CD33 editing in human and nonhuman primate hematopoietic stem and progenitor cells protects myeloid progeny from CD33-targeted therapeutics without affecting normal hematopoiesis in vivo, thus demonstrating potential for improved immunotherapies with reduced off-leukemia toxicity. For broader application to gene therapies, we demonstrate highly efficient (>70%) multiplexed adenine base editing of the CD33 and gamma globin genes, resulting in long-term persistence of dual gene-edited cells with HbF reactivation in nonhuman primates. Using the CD33 antibody-drug conjugate Gemtuzumab Ozogamicin, we show resistance of engrafted, multiplex edited human cells in vivo, and a 2-fold enrichment for edited cells in vitro. Together, our results highlight the potential of adenine base editors for improved immune and gene therapies.

Alternate Journal

Nat Commun

PubMed ID

40425554

PubMed Central ID

PMC12116803

Authors

Borot F
Humbert O
Ehmsen JT
Fields E
Kohli S
Radtke S
Swing K
Pande D
Enstrom MR
Laszlo GS
Mayuranathan T
Ali AM
Weiss MJ
Yen JS
Newby GA
Walter RB
Liu DR
Mukherjee S
Kiem HP

Keywords

Gemtuzumab
Polymorphism
Single Nucleotide
Animals
Hematopoietic Stem Cells
Mice
Humans
CRISPR-Cas Systems
Genetic Therapy
Gene Editing
Immunotherapy
Sialic Acid Binding Ig-like Lectin 3