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Graphite Bio's AAT targeted gene insertion program is an experimental ex vivo gene-edited cell therapy designed for the treatment of Alpha-1 antitrypsin (AAT) deficiency. The therapy utilizes CRISPR-based precision gene editing to perform targeted insertion of a functional SERPINA1 (AAT) coding sequence into autologous hematopoietic stem and progenitor cells (HSPCs). Once these edited cells are transplanted back into the patient following a conditioning regimen, they are intended to engraft in the bone marrow and differentiate into blood lineages that serve as a permanent, systemic 'bio-factory' for the AAT protein. This approach aims to provide a one-time curative treatment by restoring protective levels of circulating AAT to address both lung and liver manifestations of the disease.
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