Drug intelligence / Profile preview

AAV-HITI gene editing therapy

Development stage
Preclinical
Lead developer
Telethon Institute of Genetics and Medicine
Modality
Gene Silencing → Gene Therapies, Gene Addition/Replacement → Gene Therapies, CRISPR-Cas9 → CRISPR Systems → Programmable Nucleases → Gene Editing → Gene Therapies
Administration
Intravenous, Ophthalmic
01

Overview

AAV-HITI (Adeno-Associated Viral vector-mediated Homology-Independent Targeted Integration) gene editing therapy is a preclinical-stage gene editing platform developed by researchers at the Telethon Institute of Genetics and Medicine (TIGEM). The platform utilizes CRISPR-Cas9 machinery delivered via two co-administered adeno-associated virus serotype 8 (AAV8) vectors to achieve stable, promoterless transgene knock-in. Unlike traditional homology-directed repair (HDR), which is often inefficient in non-dividing cells, HITI leverages the non-homologous end joining (NHEJ) DNA repair pathway. This allows for efficient gene insertion in both dividing and non-dividing cells, such as hepatocytes and photoreceptors. The therapy has demonstrated therapeutic benefit in mouse models of inherited diseases, including hemophilia A, lysosomal storage diseases, and autosomal dominant retinitis pigmentosa (ADRP), by targeting genomic loci such as albumin or rhodopsin (RHO).

Other names
Adeno-Associated Viral vector-mediated Homology-Independent Targeted Integration gene editing therapy
02

Targets

Alb-SpCas9-TS (Albumin locus engineered SpCas9/sgRNA genomic target site)Adeno-associated virus 2 (AAV2) receptor complexDMD (Dystrophin gene (DMD) locus, proximal exons 1–19 region)AAVR/LamR (Adeno-associated virus receptor (AAVR) and 37/67 kDa laminin receptor (LamR))AAVR (Adeno-associated virus receptor)

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