ProPE expands the prime editing window and enhances gene editing efficiency where prime editing is inefficient

Krausz, Sarah and Simon, Dorottya Anna and Bartos, Zsuzsa and Biczók, Zsuzsanna and Varga, Éva and Huszár, Krisztina and Kulcsár, Péter István and Tálas, András and Ligeti, Zoltán Mihály and Welker, Ervin (2025) ProPE expands the prime editing window and enhances gene editing efficiency where prime editing is inefficient. NATURE CATALYSIS, 8 (10). pp. 1100-1116. ISSN 2520-1158

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Abstract

Prime editing (PE) is a promising gene editing method that exploits a reverse transcriptase fused to a Cas9, whose single guide RNA (sgRNA) is extended with a reverse transcriptase template containing the desired DNA modifications. Its efficiency and specificity are inconsistent, requiring extensive optimization. To address this, we propose prime editing with prolonged editing window (proPE), which uses a second non-cleaving sgRNA to target the reverse transcriptase template near the edit site. ProPE requires less optimization than PE and extends PE’s potential for allele-specific modifications. By overcoming five limitations of PE, proPE significantly increases overall editing efficiency 6.2-fold up to 29.3% for low-performing edits (<5% with PE) and broadens its applicability to modifications beyond the typical PE range, encompassing a major portion of human pathogenic single nucleotide polymorphisms. With these enhanced properties, proPE holds considerable promise for improved gene editing, including disease modelling and therapeutic intervention.

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