Researchers have developed Dual SORT LNPs, a lipid nanoparticle system enabling precise base editing in both the liver and lungs for genetic diseases like Alpha-1 antitrypsin deficiency (AATD). AATD affects liver and lung function due to mutated SERPINA1 gene causing misfolded A1AT proteins and insufficient enzyme inhibition, respectively.
The innovative base editing strategy addresses the complex pathology of AATD in multiple organs, where conventional therapies have limitations in delivering genetic medicines effectively to diverse tissues.
Dual SORT LNPs allow efficient co-delivery of base editors to liver and lung cells, achieving significant correction rates in liver and lung AT2 cells essential for AATD pathology.
The base editing persistence over a 32-week period in liver cells resulted in a substantial reduction of Z-allele A1AT protein levels, normalizing hepatic function and mitigating liver disease progression.
In the lungs, the correction led to a notable reduction in neutrophil elastase activity, indicating mitigation of pulmonary damage pathways and potential alleviation of emphysema.
The precise organ targeting of Dual SORT LNPs, with tailored lipid formulations, enhances selective delivery to specific cellular microenvironments, minimizing off-target effects and systemic toxicity.
This breakthrough paves the way for future applications of dual-organ gene editing therapies, with promising safety profiles and potential for broadening the approach to treat other multi-organ genetic diseases.
The innovation signifies a paradigm shift in genetic medicine by integrating precision editing with targeted delivery to address systemic diseases effectively, transforming untreatable conditions into manageable or curable illnesses.
Further optimization of Dual SORT LNPs could involve customization for additional tissues, scale-up of manufacturing, and integration of next-generation base editors to enhance editing precision and scope.
This groundbreaking technology offers a tangible pathway towards durable cures for complex genetic diseases, reshaping therapeutic genome editing and providing hope for millions affected by multisystemic genetic conditions.
Author: Researchers Kim, Song, and Chen. Article Title: Dual SORT LNPs for multi-organ base editing. Published in Nature Biotechnology (2025).