Engineered prime editors with minimal genomic errors.

Chauhan, Vikash P; Sharp, Phillip A; Langer, Robert · Nature · 2025

basic_science · Level V

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Abstract

Prime editors make programmed genome modifications by writing new sequences into extensions of nicked DNA 3' ends<sup>1</sup>. These edited 3' new strands must displace competing 5' strands to install edits, yet a bias towards retaining the competing 5' strands hinders efficiency and can cause indel errors<sup>2</sup>. Here we discover that nicked end degradation, consistent with competing 5' strand destabilization, can be promoted by Cas9-nickase mutations that relax nick positioning. We exploit this mechanism to engineer efficient prime editors with strikingly low indel errors. Combining this error-suppressing strategy with the latest efficiency-boosting architecture, we design a next-generation prime editor (vPE). Compared with previous editors, vPE features comparable efficiency yet up to 60-fold lower indel errors, enabling edit:indel ratios as high as 543:1.

Medical subject headings