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TALEN-based gene correction for epidermolysis bullosa.
[dystrophic epidermolysis bullosa]
Recessive
dystrophic
epidermolysis
bullosa
(
RDEB
)
is
characterized
by
a
functional
deficit
of
type
VII
collagen
protein
due
to
gene
defects
in
the
type
VII
collagen
gene
(
COL
7
A
1
)
.
Gene
augmentation
therapies
are
promising
,
but
run
the
risk
of
insertional
mutagenesis
.
To
abrogate
this
risk
,
we
explored
the
possibility
of
using
engineered
transcription
activator-like
effector
nucleases
(
TALEN
)
for
precise
genome
editing
.
We
report
the
ability
of
TALEN
to
induce
site-
specific
double
-stranded
DNA
breaks
(
DSBs
)
leading
to
homology-directed
repair
(
HDR
)
from
an
exogenous
donor
template
.
This
process
resulted
in
COL
7
A
1
gene
mutation
correction
in
primary
fibroblasts
that
were
subsequently
reprogrammed
into
inducible
pluripotent
stem
cells
and
showed
normal
protein
expression
and
deposition
in
a
teratoma
-based
skin
model
in
vivo
.
Deep
sequencing-based
genome-
wide
screening
established
a
safety
profile
showing
on-target
activity
and
three
off-target
(
OT
)
loci
that
,
importantly
,
were
at
least
10
 
kb
from
a
coding
sequence
.
This
study
provides
proof-of-concept
for
TALEN-mediated
in
situ
correction
of
an
endogenous
patient-
specific
gene
mutation
and
used
an
unbiased
screen
for
comprehensive
TALEN
target
mapping
that
will
cooperatively
facilitate
translational
application
.
Diseases
Validation
Diseases presenting
"primary fibroblasts"
symptom
dystrophic epidermolysis bullosa
gm1 gangliosidosis
werner syndrome
x-linked adrenoleukodystrophy
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