Gerald SCHWANK, PhD and Johannes HÄBERLE, MD
University of Zürich, Switzerland

Gene editing of SLC25A13 to treat citrin deficiency

Citrin deficiency caused by mutations in SLC25A13 is a monogenic liver disease affecting newborns, children and adults in quite variable ways While the disease is pan-ethnic and considered rare, its prevalence is much higher among Eastern Asian populations, peaking at a carrier rate of 1:65 in Japanese population. There is no cure available for this disease and patients are treated according to their type of presentation with a low-carbohydrate, lactose-free and MCT-enriched diet being the mainstay.

This research project follows the hypothesis that citrin deficiency can be ultimately treated using gene editing in the liver, where the main expression of the citrin protein is found. Accordingly, we aim for genetic correction of pathogenic SLC25A13 mutations in engineered hepatic cells, with proper characterization to demonstrate their capability to represent relevant biological functions of citrin and in patient derived hepatocyte-like cells, which will be basis for later correction in in vivo in animal models. We will be evaluating efficacy and accuracy of different genome editing technologies, such as base and prime editing, in correcting various pathogenic SLC25A13 mutations. Results from this project will form the basis for establishing gene editing therapies for citrin deficiency patients.

(Updated July 2022)