{"id":302859,"date":"2025-11-20T08:45:15","date_gmt":"2025-11-20T08:45:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/302859\/"},"modified":"2025-11-20T08:45:15","modified_gmt":"2025-11-20T08:45:15","slug":"prime-editing-installed-suppressor-trnas-for-disease-agnostic-genome-editing","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/302859\/","title":{"rendered":"Prime editing-installed suppressor tRNAs for disease-agnostic genome editing"},"content":{"rendered":"<p>General methods<\/p>\n<p>DNA amplification was conducted by PCR using Phusion U Green Multiplex PCR Master Mix (ThermoFisher Scientific) or Q5 Hot Start High-Fidelity 2\u00d7 Master Mix (New England BioLabs) unless otherwise noted. DNA oligonucleotides were obtained from Integrated DNA Technologies. Plasmids expressing epegRNAs were constructed by Gibson assembly using a custom acceptor plasmid. Sequences of sgRNA and epegRNA constructs used in this work are listed in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>. All vectors for mammalian cell experiments were purified using Plasmid Plus Midiprep kits (Qiagen) or PureYield plasmid miniprep kits (Promega), which include endotoxin removal steps. All experiments using live animals were approved by the Broad Institute Institutional and Animal Care and Use Committees. Wild-type C57BL\/6 mice were obtained from Charles River (027).<\/p>\n<p>General mammalian cell culture conditions<\/p>\n<p>Cell lines with homozygous PTCs in TPP1, HEXA\u00a0and NPC1were generated using prime editing. HEK293T (ATCC CRL-3216), Neuro-2a (ATCC CCL-131) and HeLa (CCL-2) cells were purchased from ATCC and cultured and passaged in Dulbecco\u2019s Modified Eagle\u2019s Medium (DMEM) plus GlutaMAX (ThermoFisher Scientific), supplemented with 10% (v\/v) fetal bovine serum (Gibco, qualified). All cell types were incubated, maintained, and cultured at 37\u2009\u00b0C with 5% CO2. Cell lines were authenticated by their respective suppliers and tested negative for mycoplasma.<\/p>\n<p>Generation of cell lines<\/p>\n<p>HEK293T cells were seeded at 100,000 cells per well on 24-well plates (Corning). 16\u201324\u2009h after\u00a0seeding, cells were transfected at approximately 60% confluency with 600\u2009ng, 200\u2009ng and 60\u2009ng of PEmax plasmid, epegRNA plasmid and ngRNA plasmid, respectively using Lipofectamine 3000 according to manufacturer\u2019s instructions (Thermo Fisher Scientific). 4 d after\u00a0transfection, single cell clones were isolated by limiting dilution cloning and expanded over a 2-week period. The resulting colonies were further expanded and genotyped by high-throughput sequencing of the targeted locus and those found to be homozygous for the expected edit were retained for downstream experiments.<\/p>\n<p>Lentiviral production<\/p>\n<p>HEK293Ts (ATCC CRL-3216) were transfected with pMD2.G (Addgene #12259) and delta8.2 (Addgene Plasmid #8455) packaging plasmids alongside the appropriate lentiviral backbone using Lipofectamine 2000. Lentiviral backbone sequences used in this work are listed in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>. Medium was changed 24\u2009h after transfection. Virus-containing supernatant was collected and filtered through a 0.45-\u03bcM filter 48\u2009h after\u00a0transfection. Virus was used immediately or stored at 4\u2009\u00b0C for up to 1 week before cell transduction.<\/p>\n<p>General high-throughput lentiviral screening protocol<\/p>\n<p>All oligonucleotides for high-throughput screening were ordered from Twist Biosciences as single-stranded oligonucleotide pools. Oligonucleotide pools were amplified using Q5 Hot Start High-Fidelity 2X Master Mix (NEB M0494L) to create double-stranded inserts for isothermal assembly. Primers used are indicated in each specific screening section of the <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"section anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#Sec16\" rel=\"nofollow noopener\" target=\"_blank\">Methods<\/a>. The minimum number of PCR cycles was used to amplify (typically between 11\u00a0and\u00a013 cycles) and double-stranded inserts were checked for size and\/or inappropriate products by TapeStation (Agilent). For each 20-\u03bcl reaction cloned into the pSEP0308, pSEP0309 or pSEP0310 lentiviral backbones with a 300-bp insert, 50\u2009ng of the appropriate lentiviral backbone was assembled with 10\u2009ng of the appropriate double-stranded insert using NEBuilder HiFi DNA Assembly Master Mix (NEB E2621L). Reactions were scaled according to the number of elements in the library. For each 1,000 elements, an additional 20-\u03bcl reaction was set up. Reactions were incubated at 50\u2009\u00b0C for 2\u2009h and then pooled and purified using the QIAquick PCR purification kit (Qiagen 28104) according to manufacturer\u2019s instructions. Reaction products were eluted in a minimum of 20\u2009\u03bcl ddH2O, but otherwise were eluted in 2.5\u2009\u03bcl per original 20-\u03bcl reaction.<\/p>\n<p>Isothermal assembly reactions were electroporated into NEB 10-beta Electrocompetent Escherichia coli\u00a0(NEB C3020) and plated onto LB plates aiming for at least 1,000\u00d7 coverage of each library element. 14\u2009h later, colonies were scraped and prepared using Qiagen Plasmid Plus kits (Qiagen 12945 and 12963) according to manufacturer\u2019s instructions. Pooled plasmids were transfected into HEK293Ts alongside lentiviral packaging plasmids using Lipofectamine 2000. Medium was changed 24\u2009h after transfection. Virus-containing supernatant was collected and filtered through a 0.45-\u03bcM filter 48\u2009h after transfection. Cells were transduced with virus aiming for a multiplicity of infection of 0.3. Cells were transduced to ensure \u22651,000\u00d7 coverage of transduced cells per element of the library. 2 d after\u00a0transduction, cells were passaged with 1\u2009\u03bcg\u2009ml\u22121 puromycin for 3\u20134 days to enrich for transduced cells. For screens requiring FACS isolation of GFP-positive cells, we calculated approximate coverage by multiplying the per cent of GFP-positive cells by the number of elements in the library and aiming for 1,000\u00d7 coverage of that number. For example, if 10% of cells were GFP-positive for a 500 element library, we sorted at least 50,000 cells per replicate. Cells were pelleted and flash frozen on dry ice. Genomic DNA was isolated using QIAamp DNA Micro kits (Qiagen 56304) or QIAamp Mini kits (Qiagen 51304) depending on the cell number isolated.<\/p>\n<p>All genomic DNA for each replicate was input into an initial set of PCR reactions using Q5 Hot Start High-Fidelity 2X Master Mix (NEB M0494L) to amplify the integrated lentiviral cassette and to add sequencing adapters, with a maximum of 5\u2009\u03bcg genomic DNA per 50-\u03bcl reaction. Primers used are indicated in each screening section and are also listed in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>. PCR reactions were purified using the QIAquick PCR purification kit (Qiagen 28104) according to manufacturer\u2019s instructions and 2\u2009\u03bcl of PCR product was input into a second PCR reaction to add unique sample indices and flow cell adapters to each amplicon. Final PCR reactions were bead purified with a ratio of 0.7\u00d7 using SPRI beads, quality controlled using a TapeStation (Agilent) and quantified using a Qubit prior to high-throughput sequencing on an Illumina MiSeq, Illumina NextSeq, or Element Biosciences AVITI instrument. Sequencing conditions and downstream analyses are specific to each screen and are indicated in each separate screening section.<\/p>\n<p>PE2 screening<\/p>\n<p>To convert each endogenous tRNA into a sup-tRNA, we identified 418 high-confidence tRNA genes and identified the two closest 20-bp spacers with an NGG protospacer-adjacent motif upstream and downstream of the anticodon. We allowed prime editing to target multiple tRNAs in the case of identical mature tRNA sequences. We systematically varied the PBS lengths from 11\u2009bp to 14\u2009bp, and varied the RTT homology lengths 3\u2032 of the last edited nucleotide from 6\u2009bp to 10\u2009bp, where feasible. We designed three prime editing screens, each with RTTs that replaced the anticodon of each endogenous tRNA with one of three sup-tRNA anticodons (CUA, UCA or UUA). To enhance prime editing efficiency, we appended a structured RNA motif, tevopreQ1, to the 3\u2032 end of each pegRNA, creating epegRNAs<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 29\" title=\"Nelson, J. W. et al. Engineered pegRNAs improve prime editing efficiency. Nat. Biotechnol. 40, 402&#x2013;410 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR29\" id=\"ref-link-section-d138959105e1974\" rel=\"nofollow noopener\" target=\"_blank\">29<\/a>. In total, we designed 17,579 epegRNAs to convert endogenous tRNAs to sup-tRNAs for each of the three possible sup-tRNA anticodons. Each pool also included 420 control epegRNAs targeting serine and arginine tRNAs, swapping their anticodons for those of other serine and arginine anticodons, which are not expected to give signal in a readthrough-based screen (Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM4\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a>). We included a unique barcode sequence 3\u2032 of the polyT terminator sequence for each epegRNA to improve our ability to assign each sequencing read to the correct element. The final oligonucleotides had the following design: a common 5\u2032 end for isothermal assembly (5\u2032-tatcttgtggaaaggacgaaacacc-3\u2032), a unique epegRNA sequence followed by a polyT for Pol III termination, an adjustable length linker used to ensure that each element of the library was the same length, a unique 25\u2009bp barcode, and a common 3\u2032 end for isothermal assembly (5\u2032-ctcgagtactaggatccattaggcg-3\u2032). Oligonucleotides were amplified using oSEP0114 and oSEP0115 prior to isothermal assembly into a linearized pSEP0308 with a hU6 promoter for driving expression of the epegRNAs. Final libraries for next generation sequencing were sequenced on an Illumina MiSeq instrument using oSEP0213 as a custom Read1 primer with 300 cycles. For analysis, the first 25 cycles of the read were matched exactly to the barcode for each element of the screening pool, allowing for no mismatches. Reads were normalized on the basis of\u00a0sequencing depth and sorted samples were compared with the plasmid pool representation of each element. Oligonucleotides and results for this screen are listed in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM4\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a>.<\/p>\n<p>Lentiviral sup-tRNA screen<\/p>\n<p>To evaluate a wide range of tRNA promoter variants in high-throughput, we took the 418 high-confidence tRNA sequences from the human genome and swapped their anticodon to CUA, UCA or UUA to target the stop codons TAG, TGA or TAA, respectively. A unique barcode was assigned to each tRNA variant to reduce the likelihood that sequencing errors would influence assignment of library members. In addition, a pre-integrated Nextera Read1 adapter was included so that Read1 sequences on an Illumina instrument will read straight into the highly complex barcode for defining clusters. We cloned this pool using isothermal assembly into three different lentiviral backbones to evaluate the effect of different upstream elements on sup-tRNA efficacy: pSEP0308, which has a hU6 promoter, pSEP0309, which has a minU6 promoter and pSEP0310, which contains no exogenous promoter. For analysis, the first 25 cycles of the read were matched exactly to the barcode for each element of the screening pool, allowing for no mismatches. Reads were normalized on the basis of\u00a0sequencing depth and sorted samples were compared with the plasmid pool representation of each element. Oligonucleotides and results for this screen are listed in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM5\" rel=\"nofollow noopener\" target=\"_blank\">3<\/a>.<\/p>\n<p>Leader and terminator sequence screening<\/p>\n<p>For the initial leader sequence screen, the 40\u2009bp upstream of each endogenous high-confidence tRNA in the human genome was determined and placed upstream of the mature sequence for tRNA-Leu-TAA-3-1 with its anticodon changed to CUA followed by a polyT termination sequence. As controls, the same leader sequences were placed upstream of the mature sequence for tRNA-Leu-TAA-3-1 with its native anticodon. Libraries were sequenced and exact matching was used for both the leader sequence and the anticodon region of the read to assign to the correct library element. Oligonucleotides and results for this screen are recorded in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM6\" rel=\"nofollow noopener\" target=\"_blank\">4<\/a>.<\/p>\n<p>To next screen leader sequences across a wide range of sup-tRNAs, we generated a lentiviral library containing six leader sequences (two top-performing, two bottom-performing and two random sequences) paired with 418 human tRNAs with their anticodons switched to CUA, UCA or UAA. We also assessed the effect of each terminator sequence when placed downstream of sup-tRNAs paired with their endogenous leader sequences, with a total of 11,543 combinations of leader sequence, sup-tRNA and terminator. We included a unique 20-bp barcode sequence 3\u2032 of the terminator sequence for each tRNA to improve our ability to assign each sequencing read to the correct element. For analysis, the first 25 cycles of the read were matched exactly to the barcode for each element of the screening pool, allowing for no mismatches. For analysis, alignment was confirmed between tRNA elements and the 20-bp barcode region and then subsequently the 20-bp barcode was used to assign each read to the appropriate library element. Reads were normalized on the basis of\u00a0sequencing depth and sorted samples were compared with the plasmid pool representation of each element. Oligonucleotides and results for this screen are recorded in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM7\" rel=\"nofollow noopener\" target=\"_blank\">5<\/a>.<\/p>\n<p>Saturation mutagenesis screening<\/p>\n<p>To design variants for saturation mutagenesis screening, every sequence containing a SNV, paired substitution at all hairpin positions, and 1-bp deletion was generated computationally. Then, 25\u2009bp ends compatible with isothermal assembly were added to either side (see Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>) and a unique barcode was assigned to each tRNA variant to reduce the likelihood that sequencing errors would influence assignment of library members. In addition, a pre-integrated Nextera Read1 adapter was included so that Read1 sequences on an Illumina instrument will read straight into the highly complex barcode for defining clusters. Variants were ordered as a Twist oligonucleotide pool for each individual tRNA for tRNA-Leu-TAA-4-1, tRNA-Arg-CCT-4-1, mouse tRNA-Leu-TAA-2-1 and tRNA-Tyr-GTA-2-1 (sequences in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM8\" rel=\"nofollow noopener\" target=\"_blank\">6<\/a>). A pooled library of all possible variants for tRNA-Leu-TAA-1-1, tRNA-Leu-TAA-2-1, tRNA-Leu-TAA-3-1, and tRNA-Leu-TAA-4-1 was ordered as a separate Leu-TAA focused library (sequences in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM9\" rel=\"nofollow noopener\" target=\"_blank\">7<\/a>).<\/p>\n<p>For the tRNA-Arg-CCT-4-1, mouse tRNA-Leu-TAA-2-1, and tRNA-Tyr-GTA-2-1 screens, Twist oligonucleotides contained a leader sequence element for each tRNA and they were cloned by isothermal assembly into the pSEP0310 lentiviral backbone with no exogenous Pol III promoter. For the tRNA-Leu-TAA-4-1 and Leu-TAA focused library, Twist oligonucleotides did not contain a leader sequence element for each tRNA and they were cloned by isothermal assembly into the pSEP0308 lentiviral backbone with an exogenous hU6 promoter driving expression of the tRNAs. Libraries were sequenced on an Illumina instrument with 26 cycles for Read1 covering the barcode region and 86 cycles for Read2 covering the tRNA region. For analysis, alignment was confirmed between tRNA elements and the 25-bp barcode region and then subsequently the 25-bp barcode was used to assign each read to the appropriate library element.<\/p>\n<p>epegRNA optimization with synthetic target-site screening<\/p>\n<p>To optimize epegRNA architectures, we designed a lentiviral epegRNA library of 17,280 epegRNAs to test out five spacer variants, PBS lengths from 8 to 16\u2009nt, RTT lengths from 21 to 36\u2009nt, and combinations of each of the 19 mutation variants of interest alongside 720 control epegRNAs with RTTs that do not encode an anticodon edit. On the same oligonucleotide, we encoded an adjacent tRNA-Leu-TAA-1-1 synthetic target site directly adjacent to the lentiviral epegRNA to read out both the epegRNA and the outcome of editing in the same sequencing read. We transfected cells transduced with this library with a panel of prime editor proteins that\u00a0included PEmax and several engineered PE6 variants<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 40\" title=\"Doman, J. L. et al. Phage-assisted evolution and protein engineering yield compact, efficient prime editors. Cell 186, 3983&#x2013;4002.e3926 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR40\" id=\"ref-link-section-d138959105e2040\" rel=\"nofollow noopener\" target=\"_blank\">40<\/a> listed in Supplementary Data Tables <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM11\" rel=\"nofollow noopener\" target=\"_blank\">9<\/a> and <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM12\" rel=\"nofollow noopener\" target=\"_blank\">10<\/a>. We performed experiments in both MMR-deficient (HEK293T) cells and MMR-proficient (HeLa) cells and included conditions in each case in which MMR was transiently inhibited by co-transfection of a dominant-negative MMR protein (MLH1dn)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 38\" title=\"Chen, P. J. et al. Enhanced prime editing systems by manipulating cellular determinants of editing outcomes. Cell 184, 5635&#x2013;5652.e5629 (2021).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR38\" id=\"ref-link-section-d138959105e2050\" rel=\"nofollow noopener\" target=\"_blank\">38<\/a>. For experiments in HeLa cells, we collected genomic DNA 3 d after\u00a0transfection. For experiments in HEK293T cells, we collected genomic DNA at 3 d and 9 d after\u00a0transfection. We then performed high-throughput sequencing of the lentivirally integrated cassette. For analysis, sequencing reads were initially demultiplexed into individual fastq files by first aligning each read to a corresponding member of the epegRNA library using bowtie2\u00a0(ref.\u00a0<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 65\" title=\"Langmead, B. &amp; Salzberg, S. L. Fast gapped-read alignment with Bowtie 2. Nat. Methods 9, 357&#x2013;359 (2012).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR65\" id=\"ref-link-section-d138959105e2054\" rel=\"nofollow noopener\" target=\"_blank\">65<\/a>). Next, each individual fastq file was then trimmed to only include the full-length synthetic target site. Editing outcomes for each epegRNA sequence were quantified using CRISPResso2. Oligonucleotides and results for this screen are recorded in Supplementary Data Tables <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM11\" rel=\"nofollow noopener\" target=\"_blank\">9<\/a> and <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM12\" rel=\"nofollow noopener\" target=\"_blank\">10<\/a>.<\/p>\n<p>RNA-seq and transcriptomic analysis<\/p>\n<p>HEK293T cells were transfected with our optimized epegRNA sequence and ngRNA alongside PE6c or with an unrelated epegRNA and ngRNA pair targeting the HEK3 locus alongside PE6c (see Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>). RNA was extracted 6 d after\u00a0transfection using the Qiagen RNeasy kit (Qiagen) according to manufacturer\u2019s instructions. RNA-seq libraries were generated using the SMART-Seq mRNA LP kit (Takara Bio) according to manufacturer\u2019s instructions and sequenced 2\u00d7\u200975-bp on an Element Biosciences AVITI instrument. Fastq reads were trimmed of adapter sequences using Trim Galore, aligned to the human genome using STAR, and differential expression analysis was performed using DESeq2 and custom R scripts.<\/p>\n<p>Measurement of tRNA abundance<\/p>\n<p>Total RNA, including small RNAs, was isolated from prime edited cells using miRNeasy kits (Qiagen) according to manufacturer\u2019s protocols. RNA was reversed transcribed with SuperScript IV (Thermo Fisher Scientific) using a primer specific to each tRNA gene family queried<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 66\" title=\"Udagawa, T., Seki, M. &amp; Inada, T. Optimized protocol for tRNA identification in the ribosomal complexes from human cell lines. STAR Protoc. 2, 100615 (2021).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR66\" id=\"ref-link-section-d138959105e2088\" rel=\"nofollow noopener\" target=\"_blank\">66<\/a> (Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>). Next, quantitative PCR was performed using Power SYBR Green PCR master mix (Thermo Fisher Scientific) and primers specific to each tRNA gene family queried (Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>). For tRNA-Leu-TAA-1-1, we performed targeted tRNA sequencing. Specifically, we measured the relative abundance of the desired tRNA edit versus unedited in a polyclonal edited population in both genomic DNA and total RNA. For targeted tRNA sequencing, we performed reverse transcription using a primer specific to tRNA-Leu-TAA-1-1 and the Induro RT enzyme that is tolerant to RNA modifications<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 39\" title=\"Nakano, Y. et al. Genome-wide profiling of tRNA modifications by Induro-tRNAseq reveals coordinated changes. Nat. Commun. 16, 1047 (2025).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR39\" id=\"ref-link-section-d138959105e2098\" rel=\"nofollow noopener\" target=\"_blank\">39<\/a>.<\/p>\n<p>Sequence context screening<\/p>\n<p>To generate a diverse PTC sequence context reporter library, 14,746 naturally occurring premature TAG stop codons in protein-coding genes were identified in ClinVar that were annotated as pathogenic, likely pathogenic, or of uncertain significance. Each TAG stop codon was flanked on either side by the 18 nucleotides present in the native mRNA sequence. Positive controls were generated that contained the same sequence context but a TTG Leucine codon instead of a TAG premature stop codon. For negative controls, 2,800 \u2018redundant stop\u2019 control library members were generated, which were a subset of the ClinVar variants and their TTG controls but with the codon following the TAG stop codon or TTG codon changed to a TAA stop codon followed by a +1 frameshift to prevent readthrough.<\/p>\n<p>The pSEP0211 lentiviral backbone was first linearized using oSEP0163 and oSEP0164 and the oligonucleotide pool was amplified using oSEP0165 and oSEP0166 (Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>). These sequences were cloned into the pSEP0211 lentiviral backbone between mCherry and GFP via Gibson assembly. Two days following transduction, we extracted both mRNA and genomic DNA from the transduced cell population, generated cDNA by reverse transcription, and sequenced the integrated reporter construct from both the cDNA and genomic DNA samples. For analysis, we calculated an \u2018RNA score\u2019 metric by quantifying the frequency of each element in the cDNA and dividing that value by the frequency of that element in the genomic DNA. To control for the impact each unique sequence context might have on transcript expression level independent of readthrough activity, we defined a \u2018readthrough score\u2019 for each ClinVar PTC by dividing the RNA score of each variant by the RNA score of its corresponding no-premature-stop equivalent. Oligonucleotides and results for this screen are recorded in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM17\" rel=\"nofollow noopener\" target=\"_blank\">15<\/a>.<\/p>\n<p>Off-target prime editing screening<\/p>\n<p>To identify candidate off-target prime editing sites, we used Cas-OFFinder<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 67\" title=\"Bae, S., Park, J. &amp; Kim, J. S. Cas-OFFinder: a fast and versatile algorithm that searches for potential off-target sites of Cas9 RNA-guided endonucleases. Bioinformatics 30, 1473&#x2013;1475 (2014).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR67\" id=\"ref-link-section-d138959105e2127\" rel=\"nofollow noopener\" target=\"_blank\">67<\/a> to identify all human genomic sequences with up to six mismatches, or up to four mismatches combined with up to two bulges relative to our optimized epegRNA spacer sequence. To account for target-site binding and potential annealing of the full-length RTT product, we extracted the local sequence surrounding these sites to include 3\u2009bp upstream of the putative target site and 34\u2009bp downstream. We included 100 uniquely barcoded positive-control sequences corresponding to the endogenous tRNA-Leu-TAA-1-1 site and 694 negative-control sequences that shared no homology with the epegRNA spacer sequence. These sequences were cloned into the pSEP0310 lentiviral backbone and transduced into HEK293T cells after lentiviral production. These cells were then transfected with an epegRNA expression plasmid alone as a negative control, or with a PE6c prime editor expression plasmid alongside the epegRNA expression plasmid. 3 d after\u00a0transfection, genomic DNA was isolated and the lentiviral integrated target site was amplified for high-throughput sequencing. The amplified target-site was sequenced using 2\u00d7 115 paired-end high-throughput sequencing. For analysis, high-throughput sequencing reads were initially demultiplexed into individual fastq files by first aligning each read to a corresponding member of the target-site library using bowtie2\u00a0(ref.\u00a0<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 65\" title=\"Langmead, B. &amp; Salzberg, S. L. Fast gapped-read alignment with Bowtie 2. Nat. Methods 9, 357&#x2013;359 (2012).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR65\" id=\"ref-link-section-d138959105e2131\" rel=\"nofollow noopener\" target=\"_blank\">65<\/a>). Next, each individual fastq file was then trimmed to only include the full-length putative off-target site. Putative off-target editing events were characterized as previously described<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Anzalone, A. V. et al. Programmable deletion, replacement, integration and inversion of large DNA sequences with twin prime editing. Nat. Biotechnol. 40, 731&#x2013;740 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR34\" id=\"ref-link-section-d138959105e2135\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>. In brief, the sequence encoded by the RTT was compared base-by-base to the nucleotide sequence 3\u2032 of the cas9 nick site of each potential off-target site with an \u2018off-target marker\u2019 sequence being identified as the minimal deviating sequence between the two. The presence of this off-target marker sequence was quantified using output from CRISPResso2 and was used as a proxy for off-target prime editing. Oligonucleotides and results for this screen are recorded in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM13\" rel=\"nofollow noopener\" target=\"_blank\">11<\/a>.<\/p>\n<p>rhAmpSeq off-target-site amplification and analysis<\/p>\n<p>For initial off-target analysis, we used Cas-OFFinder to identify all human genomic sequences with up to 4 mismatches relative to our optimized epegRNA spacer sequence. A pooled sequencing primer was generated for nominated human off-target sites using the rhAmpSeq design tool (IDT). Genomic DNA was extracted from editor-treated HEK293T cells and amplified with rhAmpSeq pooled sequencing primers according to the manufacturer\u2019s protocol. The amplified libraries were sequenced with 300-bp single-end reads with an Illumina MiSeq. Sequences for rhAmpSeq amplicons were extracted using the R Bioconductor BSGenome package (v.1.4.3) using the GRCh37\/hg19 (human) reference genomes. CRISPResso2 was used to align the rhAmpSeq reads to the amplicon reference sequences and quantify the number of reads with each possible edit.<\/p>\n<p>Flow cytometry<\/p>\n<p>Cells were trypsinized, resuspended in media containing 10% FBS, and the solution was filtered through a 45-\u03bcm cell strainer prior to flow cytometry or FACS isolation. Flow cytometry analysis was performed using the CytoFLEX LX Flow Cytometer (Beckman Coulter, C06779) at the Broad Institute Flow Cytometry Core, with CytExpert Acquisition and Analysis Software (v.2.4). FACS was performed on the SONY MA900 Cell Sorter (Sony Biotechnology) and cells were sorted into medium prior to being spun down.<\/p>\n<p>General cloning<\/p>\n<p>Plasmid vectors for mammalian expression of epegRNAs or ngRNAs were cloned via isothermal assembly as previously described<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 67\" title=\"Bae, S., Park, J. &amp; Kim, J. S. Cas-OFFinder: a fast and versatile algorithm that searches for potential off-target sites of Cas9 RNA-guided endonucleases. Bioinformatics 30, 1473&#x2013;1475 (2014).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR67\" id=\"ref-link-section-d138959105e2167\" rel=\"nofollow noopener\" target=\"_blank\">67<\/a>. In brief, a human U6 promoter vector was linearized via polymerase chain reaction and incubated with IDT eBlocks encoding the full-length epegRNA or ngRNA sequence flanked by sequences necessary for isothermal assembly using NEBuilder HiFi DNA Assembly Master Mix (New England BioLabs). A list of epegRNA and ngRNA sequences used in this study are provided in Supplementary Table <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM3\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>.<\/p>\n<p>AAV vector genomes were cloned via isothermal assembly as previously described<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 50\" title=\"Davis, J. R. et al. Efficient prime editing in mouse brain, liver and heart with dual AAVs. Nat. Biotechnol. 42, 253&#x2013;264 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#ref-CR50\" id=\"ref-link-section-d138959105e2177\" rel=\"nofollow noopener\" target=\"_blank\">50<\/a>. In brief, the v3em vector genome construct (Addgene, #198735) was linearized by restriction digest and new epegRNA and ngRNA sequences, encoded across two IDT eBlocks, were inserted via isothermal assembly using NEBuilder HiFi DNA Assembly Master Mix (New England BioLabs). The PE6d and PE6e v3em vectors were assembled via isothermal assembly using NEBuilder HiFi DNA Assembly Master Mix (New England BioLabs). The sequences of interest were PCR amplified out of existing vectors (Addgene, #207854 and 207855) and assembled into the corresponding v3em vector (Addgene, #198735 and #193734).<\/p>\n<p>Arrayed genome-editing experiments<\/p>\n<p>For all experiments performed in HEK293T or HeLa readthrough reporter polyclonal cell lines and experiments performed in Neuro-2a cells, cells were seeded at 12,000 cells per well into 96-well plates (Corning) and transfected the following day with Lipofectamine 3000 (Thermo Fisher Scientific). A total of 200\u2009ng, 66\u2009ng and 22\u2009ng of prime editor plasmid, epegRNA plasmid and ngRNA plasmid (where indicated), respectively, were transfected per well. 3 d after\u00a0transfection, cells were lysed and genomic DNA was collected by incubation in a lysis buffer containing 10\u2009mM Tris-HCl, pH 8.0, 0.05% SDS and 800 units per \u03bcl of proteinase K (New England BioLabs) at 37\u2009\u00b0C for 1\u2009h, followed by enzyme inactivation at 80\u2009\u00b0C for 30\u2009min.<\/p>\n<p>For rescue experiments performed in the HEK293T disease models, cells were initially seeded at 200,000 cells per well in 12-well plates (Corning). The following day, cells were transfected with 700\u2009ng of PE6c prime editor plasmid, 200\u2009ng of epegRNA plasmid and 75\u2009ng of ngRNA plasmid using Lipofectamine 3000 (Thermo Fisher Scientific). 3 d after\u00a0transfection, genomic DNA was extracted as described above.<\/p>\n<p>Protein isolation and enzymatic activity assays<\/p>\n<p>For assays using human cells, cells were collected by trypsinization, pelleted, washed in 1\u00d7 phosphate-buffered saline and repelleted. For the tripeptidyl peptidase (TPP1) assay, pelleted cells were lysed at 4\u2009\u00b0C for 30\u2009min in a buffer containing 0.1% Triton X-100 (Sigma) and 10% SDS (Thermo Fisher Scientific) in 1\u00d7 phosphate-buffered saline. For the hexosaminidase (HEXA) assay, pelleted cells were lysed in a RIPA homogenizing buffer supplemented with a protease inhibitor cocktail (Roche) at 4\u2009\u00b0C for 30\u2009min. In both cases, lysates were then centrifuged at 20,000g for 20\u2009min at 4\u2009\u00b0C. Supernatant was collected and total protein concentration was quantified using the Pierce BCA protein assay kit according to the manufacturer\u2019s protocol (Thermo Fisher Scientific). For both HEXA and TPP1 assays, the sensitivity and accuracy of the assay was determined by a standard curve derived from measurements of known quantities of wild-type protein lysate (Supplementary Fig. <a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM1\" rel=\"nofollow noopener\" target=\"_blank\">10b,c<\/a>).<\/p>\n<p>For the TPP1 assay, 10\u2009\u03bcg of protein lysate was incubated at 37\u2009\u00b0C overnight in a 0.1\u2009M sodium acetate buffer at pH 4 containing the Ala-Ala-Phe-7-amido-4-methylcoumarin substrate (Sigma, A3401) at a final concentration of 250\u2009\u03bcM in a reaction volume of 40\u2009\u03bcl. Endpoint fluorescence was then measured with a Tecan Spark Multimode Microplate Reader with an excitation wavelength of 360\u2009nm (20\u2009nm bandwidth) and emission of wavelength of 460\u2009nm (20\u2009nm bandwidth). Enzymatic activity relative to wild-type was calculated by dividing the mean fluorescence values from each treatment condition by the mean fluorescence values of mock-treated wild-type HEK293T cells.<\/p>\n<p>For the HEXA assay, 5\u2009\u03bcg of protein lysate was incubated for 1\u2009h at 37\u2009\u00b0C in a 0.1\u2009M citrate phosphate buffer at pH 4.5 containing either 4-methylumbelliferone-f-N-acetylglucosamine (MUG, Sigma, 69585) or 4-methylumbelliferone-O-N-acetylglucosamine-6-sulfate (MUGS, Sigma, 454428) substrate at a concentration of 3.2\u2009mM. Each reaction was carried out in a total volume of 50\u2009\u03bcl and stopped by the addition of 200\u2009\u03bcl of a 100\u2009mM solution of 2-amino-2-methyl-1-propanol. Endpoint fluorescence measurements were made with a Tecan Spark Multimode Microplate Reader with an excitation wavelength of 360\u2009nm (20\u2009nm bandwidth) and emission of wavelength of 450\u2009nm (20\u2009nm bandwidth). HEXA activity was normalized to HEXB activity by dividing the mean fluorescence values from the MUGS (HEXA) reaction by the corresponding mean fluorescence values from the MUG (HEXB) reaction. Enzymatic activity relative to wild-type was calculated by dividing the derived mean HEXA activity values for each treatment condition by that of the mean HEXA activity values from mock-treated wild-type HEK293T cells.<\/p>\n<p>For measurements of \u03b1-L-iduronidase in mouse tissue, protein was extracted by first homogenizing the tissue using the TissueLyser II (QIAGEN) in T-PER tissue protein extraction reagent (Thermo Fisher Scientific, 78510) containing cOmplete Protease Inhibitor Cocktail (Roche). Lysates were then centrifuged at 20,000g for 20\u2009min at 4\u2009\u00b0C and supernatant was collected and total protein concentration was quantified using the Pierce BCA protein assay kit according to the manufacturer\u2019s protocol (Thermo Fisher Scientific). Up to 40\u2009\u03bcg of whole protein lysate was incubated overnight in a 130\u2009mM sodium formate buffer containing 0.42\u2009mg\u2009ml\u22121 of d-saccharic acid 1,4-lactone monohydrate (Sigma-Aldrich, S0375) and 4MU-iduronic acid (0.12\u2009mM; Santa Cruz Biotechnology, sc-220961) at pH 3.5. Endpoint fluorescence measurements were made with a Tecan Spark Multimode Microplate Reader with an excitation wavelength of 365\u2009nm (20\u2009nm bandwidth) and emission of wavelength of 450\u2009nm (20\u2009nm bandwidth).<\/p>\n<p>Western blotting<\/p>\n<p>Cells were collected by trypsinization, pelleted, washed in 1\u00d7 phosphate-buffered saline then lysed in a RIPA homogenizing buffer supplemented with a protease inhibitor cocktail (Roche) at 4\u2009\u00b0C for 30\u2009min. Lysates were then centrifuged at 20,000g for 20\u2009min at 4\u2009\u00b0C. Supernatant was collected and total protein concentration was quantified using the Pierce BCA protein assay kit according to the manufacturer\u2019s protocol (Thermo Fisher Scientific). Up to 10\u2009\u03bcg of whole protein lysate was separated by SDS\u2013PAGE using a 4\u201312% Bolt Bis-Tris Plus Mini Protein Gel (Invitrogen). Proteins were transferred to a nitrocellulose membrane using the iBlot 2 Dry Blotting system (Thermo Fisher Scientific) then incubated in a 5% milk solution in 1 \u00d7 Tris-Buffered Saline, 0.1% Tween-20 (TBST). The blocked membrane was incubated at 4\u2009\u00b0C overnight in NPC1 (Abcam, ab134113, 1:2,500 dilution) or GAPDH (Santa Cruz, sc-47724, 1:5,000 dilution) primary antibody. The following day, the membrane was incubated with horseradish peroxidase-conjugated goat anti-rabbit IgG (Abcam, ab6721; 1:10,000 dilution) for NPC1 and anti-mouse IgG (Abcam, ab205719; 1:10,000 dilution) for GAPDH for 1\u2009h at room temperature. The secondary antibody was removed and the membrane was washed and signal was collected using the SuperSignal West Femto Maximum Sensitivity Substrate (Thermo Fisher Scientific) according to the manufacturer\u2019s protocol.<\/p>\n<p>Protein isolation, trypsin digestion and TMT labelling for mass spectrometry<\/p>\n<p>Protein was isolated as described for Western blotting. To prepare samples for mass spectrometry, samples were passed over S-trap micro spin columns (Profiti) according to manufacturer\u2019s protocols with the following modifications: 10\u2009mM DTT (final concentration) was used instead of TCEP. After adding DTT, tubes were placed on a heating block for 10\u2009min at 95\u2009\u00b0C. Disulfides were alkylated with 20\u2009mM iodoacetamide (final concentration) instead of methyl methanethiosulfonate, and after adding the iodoacetamide the samples were incubated at 25\u2009\u00b0C for 30\u2009min in the dark. After digestion with 5\u2009\u00b5g trypsin (Thermo Fisher 90057), samples were desalted using Pierce Peptide Desalting Spin Columns (Thermo Fisher 89852) following the manufacturer\u2019s protocol. The desalted tryptic peptides were resuspended in 100\u2009\u00b5l of 100\u2009mM triethylammonium bicarbonate buffer (TEAB), vortexed, and briefly centrifuged. For labelling with tandem mass tags (TMTs), lyophilized TMTpro Label reagents (Thermo Fisher A44520) were used according to manufacturer\u2019s protocols. At the time of labelling, aliquots were equilibrated at room temperature and 20\u2009\u00b5l of anhydrous acetonitrile was added to each tube. The TMT reagents were vortexed, briefly centrifuged, and allowed to dissolve for 5\u2009min at 25\u2009\u00b0C. TMT reagents were added to each 100-\u00b5l sample, vortexed, and briefly centrifuged. The samples were incubated for 1\u2009h at 25\u2009\u00b0C. After 1\u2009h, 5\u2009\u00b5l of 5% hydroxylamine was added to each sample and incubated for 15\u2009min to quench the reaction. Equal amounts of each labelled sample were then combined together and speed-vacuumed to dryness.<\/p>\n<p>LC\u2013MS<\/p>\n<p>The TMT-labelled tryptic peptides were separated by reverse phase HPLC (Thermo Ultimate 3000) using a Thermo PepMap RSLC C18 column (2\u2009\u00b5m tip, 75\u2009\u00b5m x 50\u2009cm ES903) over a gradient before nano-electrospray using a Orbitrap Exploris 480 mass spectrometer (Thermo). Solvent A was 0.1% formic acid in water and solvent B was 0.1% formic acid in acetonitrile. The mass spectrometer was operated in a data-dependent mode. The parameters for the full scan MS were: resolution of 60,000 across 450\u20131,600\u2009m\/z and maximum IT 50\u2009ms. The full mass spectrometry scan was followed by MS\/MS for as many precursor ions in a three-second cycle with a NCE of 32, dynamic exclusion of 30\u2009s and resolution of 45,000.<\/p>\n<p>Database search with Proteome Discoverer<\/p>\n<p>Raw mass spectral data files (.raw) were searched using Sequest HT in Proteome Discoverer (Thermo). Sequest search parameters were: 10 ppm mass tolerance for precursor ions; 0.02\u2009Da for fragment ion mass tolerance; 2 missed cleavages of trypsin. Fixed modifications were carbamidomethylation of cysteine and TMTpro modification on lysines and peptide N termini. Variable modifications were methionine oxidation, methionine loss at the N terminus of the protein, acetylation of the N terminus of the protein, and methionine loss plus acetylation of the protein N terminus.<\/p>\n<p>AAV production<\/p>\n<p>AAV production was performed using HEK293T clone 17 cells (ATCC, CRL-11268) maintained in DMEM plus GlutaMAX (Thermo Fisher Scientific) with 10% heat-inactivated FBS without antibiotic in 150\u2009mm2 dishes (Thermo Fisher Scientific). The day before transfection cells were plated at a density of 18 million cells per 150\u2009mm2 plate. The following day, 5.7\u2009\u03bcg of AAV genome plasmid, 11.4\u2009\u03bcg of pHelper (Clontech) and 22.8\u2009\u03bcg of rep-cap plasmid per plate were delivered via polyethyleneimine transfection (PEI MAX, Polysciences). Three days after transfection, cells were collected by cell scraping and pelleted at 3,000g for 10\u2009min. Medium was decanted into a solution of poly(ethylene glycol) (PEG) 8000 (Sigma-Aldrich) and NaCl at a final concentration of 8% PEG and 500\u2009mM NaC and incubated on ice for 2\u2009h. The cell pellet was resuspended in 500\u2009\u00b5l per plate of a hypertonic buffer containing 40\u2009mM Tris base, 500\u2009mM NaCl, 2\u2009mM MgCl2 and 100\u2009U\u2009ml\u22121 salt active nuclease (ArcticZymes) and incubated for one hour at 37\u2009\u00b0C. The medium-containing solution was then pelleted by centrifugation at 3,000g for 30\u2009min and the resulting pellet was resuspended in 500\u2009\u00b5l per plate of a hypertonic lysis buffer and combined with the cell lysate. This lysate was then added to Beckman Coulter Quick-Seal tubes via 16-gauge, 5-inch needles (Air-Tite N165) in a discontinuous gradient of iodixanol in sequentially floating layers as follows: 9\u2009ml of 15% iodixanol in 500\u2009mM NaCl and 1\u00d7 phosphate-buffered saline-MK (1\u00d7 phosphate-buffered saline plus 1\u2009mM MgCl2 and 2.5\u2009mM KCl), 6\u2009ml of 25% iodixanol in 1\u00d7 phosphate-buffered saline-MK and 5\u2009ml each of 40% and 60% iodixanol in 1\u00d7 phosphate-buffered saline-MK with phenol red at a concentration of 1\u2009\u03bcg\u2009ml\u22121 in the 15%, 25% and 60% layers to aid layer visualization This gradient was then ultracentrifuged using a fixed-angle Ti 70 rotor in an Optima XPN-100 Ultracentrifuge (Beckman Coulter) at 68,000\u2009rpm for one hour at 18\u2009\u00b0C. Next, 3\u2009ml of virus-containing solution was extracted from the 40\u201360% iodixanol interface via an 18-gauge needle. Buffer was exchanged for cold phosphate-buffered saline with 0.001% F-68 using a PES 100 kD MWCO column (Thermo Fisher Scientific) and concentrated. The resulting AAV-containing solution was sterile filtered using a 0.22-\u03bcm filter and quantified by quantitative PCR (qPCR) (AAVpro Titration Kit version 2, Clontech). Purified virus was stored at 4\u2009\u00b0C until use.<\/p>\n<p>Animal use<\/p>\n<p>All experiments involving live animals were approved by the Broad Institute Institutional Animal Care and Use Committee (D16-00903; 0048-04-15-2). Mouse housing facilities were maintained at 20\u201322\u2009\u00b0C with 30\u201350% humidity, on a 12\u2009h light\/12\u2009h dark cycle with ad libitum access to standard rodent diet and water. For experiments involving IduaW392X mice, we used Strain from Jackson Laboratory.<\/p>\n<p>Neonatal ventricular injections<\/p>\n<p>Syringes for microinjection were prepared by pulling PCR Micropipettes (Drummond Scientific Company, 5-000-1001-X10) with the Sutter P1000 micropipette puller for a tip diameter size of 100 \u03bcm. The injection solution was prepared by mixing 5\u2009\u00d7\u20091010\u2009vg of each half of prime editor encoding AAV and 1\u2009\u00d7\u20091010\u2009vg of reporter AAV in 0.9% NaCl solution (Covetrus, 061758) in total volume of 4\u2009\u03bcl, along with 0.1\u2009\u03bcl of Fast Green. A total of 4\u2009\u03bcl of injection solution was front-loaded to the micropipette syringe for injection. Neonatal mice were anaesthetized on ice. A total of 2\u2009\u03bcl of injection solution was injected into each ventricle with successful injection being verified by the spread of Fast Green dye by transillumination of the head. Litters were randomized for injection with a given AAV composition. Both sexes were included for each experimental condition for in vivo experiments. Both sexes were assigned to each experimental group as evenly as possible. No statistics were performed to pre-determine sample size for each group.<\/p>\n<p>In vivo prime editing<\/p>\n<p>In experiments demonstrating readthrough of an exogenous reporter co-administered via AAV, we evaluated both TAG and TGA stop codon readthrough. To achieve TGA stop codon readthrough, we used the epegRNA architecture optimized for the introduction of the CUA anticodon but modified the 3\u2032 extension to introduce a UCA anticodon. The reporter construct contained an eGFP expression cassette with either a TAG or TGA PTC at codon 81 or the wild-type glutamine codon. In experiments evaluating the long-term tolerability of PERT, we delivered editing reagents in the v3em dual-AAV architecture introducing either an CUA anticodon into the mouse tRNA-Leu-TAA-2-1 gene, or a control +5 G-to-T edit in the Dnmt1 locus. At three weeks, the cortices and livers from mice were processed for whole proteome mass spectrometry to evaluate readthrough past natural stop codons.<\/p>\n<p>Mouse tissue collection, histology and immunohistochemistry<\/p>\n<p>Mice used in this study were sacrificed by CO2 asphyxiation, and unperfused tissues were immediately dissected. For protein and DNA analysis, dissected tissues were immediately frozen in liquid nitrogen. Protein extraction was performed as described above. Genomic DNA and RNA was extracted using the QIAGEN AllPrep DNA\/RNA kit according to the manufacturer\u2019s protocol.<\/p>\n<p>For histology and immunohistochemistry, dissected tissues were placed in 10% neutral buffered formalin and then soaked in 70% ethanol prior to paraffin embedding. Following routine processing and paraffin embedding, tissue sections were stained with either haematoxylin and eosin, Alcian blue, or prepared for immunohistochemistry. For immunohistochemistry, 4-\u03bcm-thick sections were deparaffinized and rehydrated, followed by antigen retrieval using a sodium citrate buffer. After quenching endogenous peroxidase and application of a protein block (Dako), sections were incubated with either an anti-GFP antibody (Abcam, ab183734) or an anti-iduronidase (R&amp;D systems, AF4119) antibody. Staining was detected using a species-specific detection kit, diaminobenzidine was used as the chromogen, and Mayer\u2019s Haematoxylin (Dako) was used as the counterstain. Primary antibodies were substituted with an appropriate negative-control IgG for negative-control slides. For Alcian blue staining, 4-\u03bcm formalin-fixed, paraffin-embedded tissue sections were deparaffinized and rehydrated. Sections were stained with the Alcian Blue\u20131%, pH 2.5 kit (Newcomer, 9102A). Tissue histopathology was performed at the University of Minnesota Comparative Pathology Shared Resource and pathology scoring was performed by a board-certified veterinary pathologist blinded to the treatment conditions.<\/p>\n<p>Statistics and reproducibility<\/p>\n<p>All screens were performed in independent biological duplicates. Sample sizes for all other experiments and analyses are defined in the corresponding figure legends. Where performed, select comparisons are indicated within the figure, and P values can be found in corresponding Supplementary Tables.<\/p>\n<p>Reporting summary<\/p>\n<p>Further information on research design is available in the\u00a0<a data-track=\"click\" data-track-label=\"link\" data-track-action=\"supplementary material anchor\" href=\"http:\/\/www.nature.com\/articles\/s41586-025-09732-2#MOESM2\" rel=\"nofollow noopener\" target=\"_blank\">Nature Portfolio Reporting Summary<\/a> linked to this article.<\/p>\n","protected":false},"excerpt":{"rendered":"General methods DNA amplification was conducted by PCR using Phusion U Green Multiplex PCR Master Mix (ThermoFisher Scientific)&hellip;\n","protected":false},"author":2,"featured_media":302860,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[126735,13056,97,1159,1160,79],"class_list":{"0":"post-302859","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-crispr-cas9-genome-editing","9":"tag-gene-therapy","10":"tag-health","11":"tag-humanities-and-social-sciences","12":"tag-multidisciplinary","13":"tag-science"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/302859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=302859"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/302859\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/302860"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=302859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=302859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=302859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}