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Genomic DNA adenine bases at the intended editing locus serve as the specific chemical substrate for Adenine Base Editors (ABEs). These therapeutic systems typically employ a CRISPR-Cas9 nickase (nCas9) tethered to an evolved TadA (tRNA-specific adenosine deaminase) enzyme (Gaudelli et al., Nature, 2017). Guided by a specific single-guide RNA (sgRNA), the complex binds to a complementary DNA sequence, where the deaminase converts a specific adenine into inosine. Because inosine is interpreted as guanine by cellular machinery during DNA replication or repair, the process effectively achieves a precise A-T to G-C point mutation without inducing double-strand breaks (Beam Therapeutics, 2024). This target is central to treating genetic diseases caused by G-to-A mutations, such as sickle cell disease and alpha-1 antitrypsin deficiency, where editing can restore normal protein function or modulate gene expression (Kantor et al., 2020). By avoiding double-strand breaks, targeting these adenine bases reduces the risk of unintended insertions, deletions, or chromosomal translocations compared to traditional CRISPR-Cas9 methods.
The mechanism involves the hydrolytic deamination of the target adenine base to inosine by a deoxyadenosine deaminase (e.g., evolved TadA). Inosine is subsequently read as guanine by DNA polymerase during DNA replication or through the mismatch repair pathway, resulting in a permanent A-T to G-C transition (Gaudelli et al., Nature, 2017).
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