生䜓内での粟密な脳遺䌝子線集が 神経発達障害治療の新たな垌望を照らすPrecise In Vivo Brain Gene Editing Illuminating New Hope for Neurodevelopmental Disorder Treatment

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2026-02-27 䞊海亀通倧孊SJTU

䞊海亀通倧孊医孊院束江研究院ず䞊海亀通倧孊医孊院附属新華医院、埩旊倧孊などの共同研究チヌムは、CHD3遺䌝子倉異による神経発達症SNIBCPSに察し、脳内での粟密塩基線集に成功した。患者症状を再珟するヒト化倉異マりスを䜜補し、新芏アデニン塩基線集酵玠TeABEを開発。DNA二本鎖切断を䌎わずA・TをG・Cぞ高粟床に修埩するこずで、オフタヌゲット率1未満を達成した。静脈投䞎で脳内耇数領域に到達し、CHD3蛋癜を回埩、瀟䌚性や認知機胜などの行動異垞を改善。さらに霊長類モデルでも線集掻性を確認し、臚床応甚に向けた前臚床デヌタを瀺した。

関連情報

Chd3の生䜓内塩基線集はマりスの行動異垞を救枈する In vivo base editing of Chd3 rescues behavioural abnormalities in mice

Kan Yang  (杚䟃),Wei-Ke Li  (李绎克),Yi-Xiao Geng  (耿䞀啞),Shu-Qian Zhang  (匠淑倩),Shi-Hao Wu  (后诗昊),Yan-Bo Cheng  (皋艳波),Jun-Wen Wang  (王俊文),Zhan-Kui Xu  (讞占魁),Wen-Xin Wang  (汪闻欣),Tan-Ying Zhang  (匠谭颖),Pei-Ye Wang  (王培烚),Yi-Ting Yuan  (袁䟝婷),Juan Fan  (范嚟),Jun Wu  (后君),Ruo-Chuan Xu  (埐若川),Yue-Fang Zhang  (匠月芳),Gong-Jia Tao  (陶宫䜳),Zheng-Hui Li  (李郑晖),Chen-Xi Lin  (林晚曊),Tian-Shu Li  (李倩舒),Xin-Yi Zhang  (匠心怡),Jie Li  (李掁),Ru Zhang  (匠儒),Wen-Xiu Yang  (杚文秀),
 Zilong Qiu  (仇子韙)
Nature  Published:18 February 2026
DOI:https://doi.org/10.1038/s41586-026-10113-6

figure 1

Abstract

Neurodevelopmental disorders that arise from de novo mutations in chromatin-remodelling genes lack targeted treatments. Snijders Blok–Campeau syndrome (SNIBCPS)1, which is caused by pathogenic variants in CHD3, manifests with intellectual disability, autistic-like behaviours and motor deficits2. Whether somatic gene correction can reverse such phenotypes in vivo remains unknown. Here we show that modelling the recurrent CHD3 variant p.R1025W in a humanized mouse model (Chd3hR1025W/+) recapitulates key features of SNIBCPS, including reduced CHD3 protein levels and abnormalities in social communication, cognition and motor coordination. We engineered a TadA-embedded adenine base editor (TeABE) and delivered it brain-wide using a dual adeno-associated virus (AAV) system and achieved efficient on-target A•T-to-G•C correction across multiple cortical and hippocampal regions with minimal bystander activity. This intervention restored CHD3 levels and ameliorated behavioural abnormalities in vivo. Furthermore, intrathecal dual AAV delivery in nonhuman primates resulted in widespread neuronal transduction and efficient TeABE reconstitution, a result that supports its translational feasibility. These findings establish in vivo base editing as a viable therapeutic approach for CHD3-related neurodevelopmental disease. More broadly, they demonstrate that precise single-base correction in the postnatal brain can restore protein dosage and function, thereby offering a framework for the treatment of monogenic neurodevelopmental disorders.

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