WO2018027078A1 - Adenosine nucleobase editors and uses thereof - Google Patents

Adenosine nucleobase editors and uses thereof Download PDF

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Publication number
WO2018027078A1
WO2018027078A1 PCT/US2017/045381 US2017045381W WO2018027078A1 WO 2018027078 A1 WO2018027078 A1 WO 2018027078A1 US 2017045381 W US2017045381 W US 2017045381W WO 2018027078 A1 WO2018027078 A1 WO 2018027078A1
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adenosine deaminase
seq
amino acid
mutation
acid sequence
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WO2018027078A8 (en
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David R. Liu
Nicole GAUDELLI
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Harvard University
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Harvard University
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Priority to CA3032699A priority Critical patent/CA3032699A1/en
Priority to AU2017306676A priority patent/AU2017306676B2/en
Priority to KR1020257021334A priority patent/KR20250103795A/ko
Priority to JP2019506123A priority patent/JP7231935B2/ja
Priority to KR1020237020845A priority patent/KR102827276B1/ko
Priority to EP17758315.0A priority patent/EP3494215A1/en
Priority to IL264565A priority patent/IL264565B2/en
Priority to KR1020197006104A priority patent/KR102547316B1/ko
Priority to GB1902915.6A priority patent/GB2568182A/en
Priority to SG11201900907YA priority patent/SG11201900907YA/en
Priority to CN201780061722.XA priority patent/CN110214183A/zh
Priority to US15/791,085 priority patent/US10113163B2/en
Publication of WO2018027078A1 publication Critical patent/WO2018027078A1/en
Priority to US16/143,370 priority patent/US10947530B2/en
Publication of WO2018027078A8 publication Critical patent/WO2018027078A8/en
Anticipated expiration legal-status Critical
Priority to US17/148,059 priority patent/US11702651B2/en
Priority to JP2022178101A priority patent/JP7740713B2/ja
Priority to US18/174,569 priority patent/US11999947B2/en
Priority to IL308426A priority patent/IL308426B1/en
Priority to US18/641,299 priority patent/US20250092382A1/en
Priority to AU2024203284A priority patent/AU2024203284A1/en
Priority to JP2025077176A priority patent/JP2025120176A/ja
Priority to IL323601A priority patent/IL323601A/en
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    • C12N15/09—Recombinant DNA-technology
    • C12N15/10—Processes for the isolation, preparation or purification of DNA or RNA
    • C12N15/102—Mutagenizing nucleic acids
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    • C12N15/09—Recombinant DNA-technology
    • C12N15/11—DNA or RNA fragments; Modified forms thereof; Non-coding nucleic acids having a biological activity
    • C12N15/113—Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing
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    • C12Y305/04—Hydrolases acting on carbon-nitrogen bonds, other than peptide bonds (3.5) in cyclic amidines (3.5.4)
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Definitions

  • Targeted editing of nucleic acid sequences is a highly promising approach for the study of gene function and also has the potential to provide new therapies for human genetic diseases. Since many genetic diseases in principle can be treated by effecting a specific nucleotide change at a specific location in the genome (for example, an A to G or a T to C change in a specific codon of a gene associated with a disease), the development of a programmable way to achieve such precise gene editing represents both a powerful new research tool, as well as a potential new approach to gene editing-based therapeutics.
  • compositions, kits, and methods of modifying a polynucleotide e.g., DNA
  • an adenosine deaminase and a nucleic acid programmable DNA binding protein e.g., Cas9
  • Some aspects of the disclosure provide nucleobase editing proteins which catalyze hydrolytic deamination of adenosine (forming inosine, which base pairs like guanine (G)) in the context of DNA.
  • adenosine deaminases that act on DNA.
  • known adenosine deaminases act on RNA (e.g., tRNA or mRNA).
  • the first deoxyadenosine deaminases were evolved to accept DNA substrates and deaminate deoxyadenosine (dA) to deoxyinosine.
  • AD AT tRNA
  • ecTadA deaminases also include truncations of ecTadA.
  • truncations e.g., N-terminal truncations
  • a full length ecTadA SEQ ID NO: 84
  • SEQ ID NO: 1 the N-terminally truncated ecTadA set forth in SEQ ID NO: 1
  • other adenosine deaminase mutants such as S. aureus TadA mutants, were capable of deaminating adenosine.
  • truncations of adenosine deaminases may have desired solubility and/or expression properties as compared to their full-length counterparts.
  • Mutations in the deaminase domain of nucleobase editing proteins were made by evolving adenosine deaminases. Productive variants were identified via selection for A to G reversion at the codon of an active-site His in the acetyl-transferase gene of chloramphenicol (encoded on a co-transformed selection plasmid).
  • the ecTadA variant comprises a D108A mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the first round of evolution also yielded an ecTadA variant, ecTadA A106V.
  • ecTadA variants that are capable of deaminating adenosine in DNA include one or more of the following mutations D108N, A106V, D147, E155V, L84F, H123Y, and I157F of SEQ ID NO: 1. It should be appreciated however, that homologous mutations may be made in other adenosine deaminases to generate variants that are capable of deaminating adenosine in DNA. Additional rounds of evolution provided further ecTadA variants. For example, additional ecTadA variants are shown in Figures 11, 16, 97, 104-106, 125-128, 115 and Table 4.
  • exemplary nucleobase editors contain two ecTadA domains and a nucleic acid programmable DNA binding protein (napDNAbp).
  • nucleobase editors may have the general structure ecTadA(D108N)-ecTadA(D108N)-nCas9.
  • nucleobase editors containing ecTadA variants demonstrate an improvement in performance of the nucleobase editors in mammalian cells.
  • nucleobase editors are covalently fused to catalytically dead alkyl adenosine gylcosylase (AAG), which may protect the edited inosine from base excision repair (or other DNA repair systems) until the T on the opposite strand is changed to a C, for example, through mismatch repair (or other DNA repair systems).
  • AAG catalytically dead alkyl adenosine gylcosylase
  • the inosine may be changed to a G irreversibly and permanently through cellular DNA repair processes, resulting [0005]
  • the adenosine nucleobase editors described herein work by using ecTadA variants to deaminate A bases in DNA, causing A to G mutations via inosine formation. Inosine preferentially hydrogen bonds with C, resulting in A to G mutation during DNA replication.
  • the adenosine deaminase (e.g., ecTadA) is localized to a gene of interest and catalyzes A to G mutations in the ssDNA substrate.
  • This editor can be used to target and revert single nucleotide
  • SNPs polymorphisms
  • This editor can also be used to target and revert single nucleotide polymorphisms (SNPs) in disease-relevant genes, which require T to C reversion by mutating the A, opposite of the T, to a G.
  • the T may then be replaced with a C, for example by base excision repair
  • engineered (e.g., evolved) adenosine deaminases are capable of deaminating adenosine in a deoxyribonucleic acid (DNA) substrate.
  • the disclosure provides such adenosine deaminases.
  • the adenosine deaminases provided herein are capable of deaminating an adenosine in a DNA molecule.
  • Other aspects of the disclosure provide fusion proteins comprising a Cas9 domain and an adenosine deaminase domain, for example, an engineered deaminase domain capable of deaminating an adenosine in DNA.
  • the fusion protein comprises one or more of a nuclear localization sequence (NLS), an inhibitor of inosine base excision repair (e.g., dISN), and/or a linker.
  • NLS nuclear localization sequence
  • dISN inhibitor of inosine base excision repair
  • the disclosure provides an adenosine deaminase capable of deaminating an adenosine in a deoxyribonucleic acid (DNA) substrate.
  • DNA deoxyribonucleic acid
  • the adenosine deaminase is from a bacterium, for example, E. coli or S. aureus. In some embodiments, the adenosine deaminase is a TadA deaminase. In some
  • the TadA deaminase is an E. coli TadA deaminase (ecTadA).
  • the adenosine deaminase comprises a D108X mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, wherein X is any amino acid other than the amino acid found in the wild-type protein.
  • X is G, N, V, A, or Y.
  • the adenosine deaminase comprises a E155X mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, wherein X is any amino acid other than the amino acid found in the wild-type protein.
  • X is D, G, or V. It should be appreciated that the adenosine deaminases provided herein may contain one or more of the mutations provided herein in any combination.
  • a fusion protein comprising: (i) a Cas9 domain, and (ii) an adenosine deaminase, such as any of the adenosine deaminases provided herein.
  • the Cas9 domain of the fusion protein is a nuclease dead Cas9 (dCas9), a Cas9 nickase (nCas9), or a nuclease active Cas9.
  • the fusion protein further comprises an inhibitor of inosine base excision repair, for example a dISN or a single stranded DNA binding protein.
  • the fusion protein comprises one or more linkers used to attach an adenine deaminase (e.g., ecTadA) to a nucleic acid programmable DNA binding protein (e.g., Cas9).
  • the fusion protein comprises one or more nuclear localization sequences (NLS).
  • Figure 1 shows high throughput screen results with various deaminases.
  • APOBEC BE3 is the positive control; ADAR acts on mRNA, ADA acts on deoxyadenosine, and AD AT acts on tRNA.
  • the untreated group is the negative control.
  • Figure 2 is a schematic of a deamination selection plasmid.
  • Figure 3 shows a serial dilution of the selection plasmid in S 1030 cells plated on increasing concentrations of chloramphenicol.
  • Figure 4 shows the validation of chloramphenicol selection with a rAPOBEC l- XTEN-dCas9 construct as a positive control.
  • the sequences from top to bottom correspond to SEQ ID NOs: 95 (the nucleotide sequence), 96 (the amino acid sequence), 97 (the nucleotide sequence), 98 (the amino acid sequence), 95 (the nucleotide sequence) and 99 (the truncated nucleotide sequence).
  • Figure 5 is a schematic of a deaminase-XTEN-dCas9 construct.
  • Figure 6 shows the sequencing results from the first round of the TadA-XTEN-dCas9 library.
  • Figure 7 shows the sequence of a selection plasmid
  • Figure 8 shows the results of deaminase sequencing, illustrating the convergence at residue D108.
  • the sequences correspond to SEQ ID NOs: 589-607 from top to bottom.
  • Figure 9 shows the E. coli TadA crystal structure. Note that Dl 19 in the figure corresponds to D108, as the residue numbering isoffset in the figure.
  • Figure 10 shows the crystal structure of TadA (in S. aureus) tRNA and an alignment of with TadA from E. coli. The sequences from top to bottom correspond to SEQ ID NOs: 105-107.
  • Figure 11 shows results from the isolation and challenge of individual constructs from ecTadA evolution.
  • Figure 12 shows the colony forming units (C.F.U.) of various constructs challenged on increasing concentrations of chloramphenicol.
  • the construct numbers correspond to those listed in Figure 11.
  • Figure 13 shows data from the second round of evolution from the constructs containing the D108N mutation.
  • the sequences from top to bottom correspond to SEQ ID NOs: 608-623.
  • Figure 14 shows A to G editing in mammalian cells.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 15 is a schematic showing the development of ABE.
  • Figure 16 is a table showing the results of clones assayed after second round evolution. Columns 1, 8, and 10 represent mutations from the first round evolution. Columns 1, 8, and 10
  • 11 and 14 represent the consensus mutations from second round evolution.
  • Figure 17 shows the results of individual clone antibiotic challenge assays.
  • the identity of the construct numbers correspond to the pNMG clone numbers from Figure 16.
  • Figure 18 show schematic representations of new constructs that were developed.
  • New constructs include UGI, AAG*E125Q, and EndoV*D35A domains.
  • Figure 19 shows the transfection of constructs into mammalian cells containing single or double mutations in ecTadA.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 20 shows the transfection of constructs with the addition of UGI to adenosine nucleobase editor (ABE) (D108N).
  • ABE adenosine nucleobase editor
  • Figure 21 shows that ABE operates best on 1 of 6 genomic sites tested. The sequence corresponds to SEQ ID NO: 46.
  • Figure 22 shows that the Hek-3 site also has lower editing relative to the Hek-2 site editing at position 8 of the protospacer. The sequence corresponds to SEQ ID NO: 42.
  • Figure 23 shows inactive C-terminal Cas9 fusions of ecTadA for constructs pNMG- 164 through pNMG-173.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 24 shows inactive C-terminal Cas9 fusions of ecTadA for pNMG-174 through pNMG-177.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 25 shows the editing results from ecTadA nucleobase editors (pNMG-143, pNMG-144, pNMG-164, and pNMG-177). The sequence corresponds to SEQ ID NO: 41.
  • Figure 26 shows the editing results from ecTadA nucleobase editors (pNMG-164, pNMG-177, pNMG-178, pNMG-179, and pNMG-180). The sequence corresponds to SEQ ID NO: 41.
  • Figure 27 shows the results of editing at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 28 shows the results of editing at the Hek-2 site.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 29 shows the results of editing at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 30 shows the results of editing at the Hek-4 site.
  • the sequence corresponds to SEQ ID NO: 43.
  • Figure 31 shows the results of editing at the RNF-2 site.
  • the sequence corresponds to SEQ ID NO: 44.
  • Figure 32 shows the results of editing at the FANCF site.
  • the sequence corresponds to SEQ ID NO: 45.
  • Figure 33 shows the results of editing at the EMX-1 site.
  • the sequence corresponds to SEQ ID NO: 46.
  • Figure 34 shows the results of C-terminal fusion at the Hek-2 site.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 35 shows the results of C-terminal fusion at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 36 shows the results of C-terminal fusion at the Hek-4 site.
  • the sequence corresponds to SEQ ID NO: 43.
  • Figure 37 shows the results of C-terminal fusion at the EMX-1 site. The sequence corresponds to SEQ ID NO: 46.
  • Figure 38 shows the results of C-terminal fusion at the RNF-2 site. The sequence corresponds to SEQ ID NO: 44.
  • Figure 39 shows the results of C-terminal fusion at the FANCF site.
  • the sequence corresponds to SEQ ID NO: 45.
  • Figure 40 shows the results of transfection at the Hek-2 site.
  • the sequence corresponds to SEQ ID NO: 41.
  • Figure 41 shows the results of transfection at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 42 shows the results of transfection at the RNF-2 site.
  • the sequence corresponds to SEQ ID NO: 44.
  • Figure 43 shows the results of transfection at the Hek-4 site.
  • the sequence corresponds to SEQ ID NO: 43.
  • Figure 44 shows the results of transfection at the EMX-1 site.
  • the sequence corresponds to SEQ ID NO: 46.
  • Figure 45 shows the results of transfection at the FANCF site.
  • the sequence corresponds to SEQ ID NO: 45.
  • Figure 46 shows deaminase editing of sgRNA.
  • Figure 47 shows constructs developed for fusions at various sites.
  • Figure 48 shows indel rates for different fusions at various sites.
  • Figure 49 shows the protospacer and PAM sequences of base editing sites set forth
  • Figure 50 shows constructs developed for fusions at various sites using further mutated D108 residue.
  • Figure 51 shows the protospacer and PAM sequences of base editing sites set forth SEQ ID NOs: 6, 46, and 42 from top to bottom, respectively.
  • Figure 52 shows the results of using mutated D108 residues to cause deaminase to reject RNA as a substrate and change the editing outcome.
  • Figure 53 shows the results of using mutated D108 residues to cause deaminase to reject RNA as a substrate and change the editing outcome.
  • Figure 54 shows constructs developed for fusions at various sites.
  • Figure 55 shows the protospacer and PAM sequences of base editing sites set forth
  • Figure 56 shows the results of ABE on HEK site 2.
  • Figure 58 shows constructs developed for fusions at various sites using various linker lengths.
  • Figure 59 shows the importance of linker length on base editing function.
  • Figure 60 shows the importance of linker length on base editing function.
  • Figure 61 is a schematic showing the dimerization of deaminase.
  • Figure 62 shows constructs developed for fusions at various sites using various linker lengths.
  • Figure 63 shows the current editor architecture (top panel), the in trans dimerization
  • Figure 64 shows dimerization results from base editing.
  • Figure 65 shows dimerization results from base editing.
  • Figure 66 shows dimerization results from base editing.
  • Figure 67 shows constructs developed for fusions at various sgRNA sites.
  • Figure 68 shows the evolution of ABE editor against new selection sequences.
  • the sequences from top to bottom and left to right correspond to SEQ ID NOs: 707-719, respectively.
  • Figure 69 shows the current editor targeting Q4 stop site. The sequences from top to bottom correspond to SEQ ID NOs: 624-628.
  • Figure 70 shows the current editor targeting W15 stop site.
  • the sequences correspond to SEQ ID NOs: 629-633 from top to bottom respectively.
  • Figure 71 shows a HEK293 site 2 sequence. The sequence corresponds to SEQ ID NO: 360.
  • Figure 72 shows the results of the first run with various edTadA mutations using the sequence of Figure 71.
  • Figure 73 shows the results of the second run with various edTadA mutations using the sequence of Figure 71.
  • Figure 74 shows a FANCF sequence. The sequence corresponds to SEQ ID NO: 45.
  • Figure 75 shows the results of the second run using various edTadA mutations and the sequence of Figure 74.
  • Figure 76 shows the results of mutated D108 on all sites.
  • Figure 77 shows in trans data from previous run (left panel) and the mut-mut fusions hindered by super long linkers.
  • Figure 78 shows the results of tethering mutTadA to ABE.
  • Figure 80 shows the constructs used when tethering AAG to ABE.
  • Figure 81 is a schematic showing the tethering of AAG to ABE.
  • Figure 82 shows the results of tethering AAG to ABE.
  • Figure 83 shows the constructs used when tethering AAG to ABE with an N- terminus of TadA.
  • Figure 84 is a schematic showing the tethering of AAG to ABE with an N-terminus of TadA.
  • Figure 85 shows the results of tethering AAG to ABE.
  • Figure 86 shows the constructs used when tethering EndoV to ABE.
  • Figure 87 is a schematic showing the tethering EndoV to ABE.
  • Figure 88 shows the results of tethering EndoV to ABE.
  • Figure 89 shows the constructs used when tethering UGI to ABE.
  • Figure 90 shows the results of tethering UGI to the end of ABE.
  • Figure 91 shows the results of various inhibitors increasing A to G editing.
  • Figure 92 shows a sequence alignment of prokaryotic TadA amino acid sequences. The sequences correspond to SEQ ID NOs: 634-657 from top to bottom respectively.
  • Figure 93 shows a schematic of the relative sequence identity analysis of
  • Figure 94 shows a schematic representation of an exemplary adenosine base editing process.
  • Figure 95 shows a schematic representation of an exemplary adenosine base editor, which deaminates adenosine to inosine.
  • Figure 96 shows a schematic of an exemplary base-editing selection plasmid.
  • Figure 97 shows a list of clones including identified mutations in ecTadA.
  • Figure 98 shows an exemplary sequencing analysis of a selection plasmid from surviving colonies.
  • the sequences correspond to SEQ ID NOs: 658-661 from top to bottom respectively.
  • Figure 99 shows a schematic of exemplary adenosine base editors from a third round of evolution.
  • Figure 100 shows the percentage of A to G conversions in Hek293T cells.
  • Figure 101 shows a schematic of an exemplary base-editing selection plasmid.
  • Figure 102 shows a schematic representation of the verdine crystal structure of S. aureus TadA.
  • the S. aureus TadA a homolog of ecTadA, is shown with its tRNA substrate co-crystalized. Red arrows are the H-bond contacts with the various nucleic acids in the tRNA substrate. SeeLosey, H.C., et al., "Crystal structure of Staphylococcus sureus tRNA adenosine deaminase tadA in complex with RNA", Nature Struct. Mol. Biol. 2, 153- 159 (2006).
  • Figure 103 shows a schematic of a construct containing ecTadA_2.2 and dCas9, identifying mutated ecTadA residues.
  • Figure 104 shows results of ecTadA evolution (evolution #4) at sites E25 and
  • Figure 105 shows results of ecTadA evolution (evolution #4) at site R107.
  • Figure 106 shows results of ecTadA evolution (evolution #4) at sites A142 and A143.
  • Figure 107 shows an exemplary sequencing analysis of a selection plasmid from surviving colonies.
  • the sequences correspond to SEQ ID NO: 662-671 from top to bottom respectively.
  • Figure 108 shows a summary of results of editing at the Hek-2 site.
  • SEQ ID NO: 41 is the DNA strand where A to G editing takes place.
  • the sequence corresponds to SEQ ID ID: 6.
  • Figure 109 shows a summary of results of editing at the Hek2-3 site.
  • the sequence corresponds to SEQ ID NO: 363.
  • Figure 110 shows a summary of results of editing at the Hek2-6 site.
  • the sequence corresponds to SEQ ID NO: 364.
  • Figure 111 shows a summary of results of editing at the Hek2-7 site.
  • Hek2-7 sequence provided in the figure represents the reverse complement of the DNA strand where A to G editing takes place.
  • the sequence corresponds to SEQ ID NO: 365.
  • Figure 112 shows a summary of results of editing at the Hek2-10 site.
  • the sequence corresponds to SEQ ID NO: 366.
  • Figure 113 shows a summary of results of editing at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 114 shows a summary of results of editing at the FANCF site. The sequence corresponds to SEQ ID NO: 45.
  • Figure 115 shows a summary of results of editing at the Hek-2 site. The sequence corresponds to SEQ ID NO: 367.
  • Figure 116 shows a summary of results of editing at the Hek2-2 site.
  • the sequence corresponds to SEQ ID NO: 368.
  • Figure 117 shows a summary of results of editing at the Hek2-3 site.
  • the sequence corresponds to SEQ ID NO: 363.
  • Figure 118 shows a summary of results of editing at the Hek2-6 site.
  • the sequence corresponds to SEQ ID NO: 364.
  • Figure 119 shows a summary of results of editing at the Hek2-7 site.
  • the sequence corresponds to SEQ ID NO: 365.
  • Figure 120 shows a summary of results of editing at the Hek2-10 site.
  • the sequence corresponds to SEQ ID NO: 366.
  • Figure 121 shows a summary of results of editing at the Hek-3 site.
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 122 shows a summary of results of editing at the FANCF site.
  • the sequence corresponds to SEQ ID NO: 45.
  • Figure 123 shows the results of ecTadA evolution (evolution #4) at HEK2,
  • HEK2-2 HEK2-3, HEK2-6, HEK2-7, and HEK2-10 sites.
  • the constructs used were pNMG- 370 (evolution #2), pNMG-371 (evolution #3), and pNMG 382-389 (evolution #4).
  • the sequences correspond to SEQ ID NOs: 7, 368, 363, 364, 369, and 370 from top to bottom., respectively.
  • Figure 124 shows a schematic of a construct containing ecTadA and dCas9 used for ecTadA evolution (evolution #5).
  • Figure 125 is a table showing the results of clones assayed after fifth round evolution (128 ug/mL chlor, 7h).
  • Figures 126A to 136B are tables showing the results of sub-cloned and re- transformed clones assayed after fifth round under varying conditions.
  • Figure 127 is a table showing the results of amplicons from spectinomycin selection clones assayed after fifth round evolution.
  • Figure 128 is a table showing the results of clones assayed after fifth round evolution.
  • Figure 129 shows a summary of results of editing at the Hek-2 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346-349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 6.
  • Figure 130 shows a summary of results of editing at the Hek2-lsite using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the Hek2-1 sequence provided in the figure represents the DNA strand where A to G editing takes place. The sequence corresponds to SEQ ID NO: 465.
  • Figure 131 shows a summary of results of editing at the Hek2-2 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 368.
  • Figure 132 shows a summary of results of editing at the Hek2-3 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 363.
  • Figure 133 shows a summary of results of editing at the Hek2-4 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the Hek2-4 sequence provided in the figure represents the DNA strand where A to G editing takes place. The sequence corresponds to SEQ ID NO: 466.
  • Figure 134 shows a summary of results of editing at the Hek2-6 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 364.
  • Figure 135 shows a summary of results of editing at the Hek2-9 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the Hek2-9 sequence provided in the figure represents the DNA strand where A to G editing takes place. The sequence corresponds to SEQ ID NO: 467.
  • Figure 136 shows a summary of results of editing at the Hek2-10 site using which include pNMG-346- 349.
  • results of editors that contain an engineered E. coli TadA ecTadA
  • the Hek2-10 sequence provided in the figure represents the DNA strand where A to G editing takes place.
  • the sequence corresponds to SEQ ID NO: 370.
  • Figure 137 shows a summary of results of editing at the Hek3 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346-349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 42.
  • Figure 138 shows a summary of results of editing at the RNF2 site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346-349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 468.
  • Figure 139 shows a summary of results of editing at the FANCF site using base editors that contain an engineered S. aureus TadA (saTadA), which include pNMG-346- 349.
  • saTadA engineered S. aureus TadA
  • ecTadA engineered E. coli TadA
  • the sequence corresponds to SEQ ID NO: 45.
  • Figure 140 shows various schematic representations of adenosine base editor
  • Figure 141 shows editing results for various ABE constructs.
  • the ABE plasmid # refers to pNMG number as indicated in Table 4.
  • 367 refers to construct pNMG-367 in Table 4.
  • the sequences correspond to SEQ ID NOs: 469 (pNMG- 466), 470 (pNMG-467), 471 (pNMG-469), 472 (pNMG-470), 473 (pNMG-501), 474 (pNMG-509), and 475 (pNMG-502) from top to bottom, respectively.
  • Figure 142 shows editing results for various ABE constructs at specific sites.
  • the numbers on the top row indicate the pNMG number as indicated in Table 4.
  • 107 refers to construct pNMG-107 in Table 4.
  • homodimer constructs have been shown to work better than a hetero dimer construct and vice versa (see for example construct 371 which is a homodimer versus construct 476 which is a
  • Figure 143 shows the percentage of indels formed for ABE constructs from
  • Figure 144 shows editing results for various ABE constructs at specific sites.
  • the identity of the constructs are shown in the top row and refer to the pNMG reference number of Table 4.
  • the results in Figure 144 indicate that adding ecTadA monomer to ABE construct may not improve editing. However, adding a long linker between monomers may help editing at some sites (see, for example, the editing results for sgRNA constructs 285b versus 277 at sites 502, 505, 507).
  • the identity of the sgRNA constructs is shown in Table 8 Schematics for these ABE constructs are shown in Figure 140. The sequences correspond to SEQ ID NOs: 478, 480, 480, 514, 517, 517, 517, 517, 519, and 521 from top to bottom, respectively.
  • Figure 145 shows results for ABE constructs at all NAN sites, where the target A is at position 5 of the Protospacer and PAM sequencs.
  • the identity of the ABE constructs, shown in the top row refers to the pNMG reference number in Table 4.
  • the number values represent the % of target A residues that were edited (e.g., % editing efficiency).
  • the sequences correspond to SEQ ID NOs: 537-552 from top to bottom, respectively.
  • Figure 146 shows A to G editing percent at the Hek2 site for various ABE constructs as referenced by their reference pNMG number in Table 4.
  • Figure 147 shows evolution round #5b evolution results.
  • the number values represent the % of A to G editing for the indicated sites.
  • the sequences from top to bottom correspond to SEQ ID NOs: 7, 465, 368, 363, 364, and 370 from top to bottom, respectively.
  • Figure 148 shows editing results for various ABE constructs which were obtained from different rounds of evolution (e.g., evo3).
  • the generic schematic for the ABE constructs is also shown.
  • the number values represent the % of A to G editing for the indicated sites.
  • the sequences correspond to SEQ ID NOs: 478, 503, 506, 521, 513, 505, 507, and 509 from top to bottom, respectively.
  • Figure 149 shows examination of the ABE constructs at genomic sites other than the Hek-2 sequence.
  • the Hek-2 site (sgRNA 299) is represented by the asterisk.
  • the identity of the sgRNA is indicated in Table 8.
  • the sequences correspond to SEQ ID NOs: 478, 514, 516, 517, 517, 517, 517, 519, 520, 529, 521 from top to bottom, respectively.
  • Figure 150 shows a schematic of the DNA shuffling experiment using nucleotide exchange and excision technology (NExT), which is referred to as ABE evolution #6.
  • NNTT nucleotide exchange and excision technology
  • the goal of this approach was to assemble a more efficient editor and remove potential epistatic mutations.
  • DNA shuffling of constructs from various evolutions were used to optimize for desired mutations and eliminate mutations that negatively affect editing efficiencies and/or protein stability.
  • Figure 151 shows a schematic for DNA Shuffle (NeXT).
  • the spect target sequence is 5'-CAATGATGACTTCTAC AGCG-3 ' (SEQ ID NO: 444) and the chlor target sequence is 5'-TACGGCGTAGTGCACCTGGA-3' (SEQ ID NO: 441).
  • Figure 152 shows the sequence identity of clones from evolution #6 surviving on spect only (non-YAC target). The mutations indicated are relative to ecTadA (SEQ ID NO: 1).
  • Figure 153 shows evolution # 6.2 which refers to the enrichment of clones from evolution #6.
  • the mutations indicated are relative to ecTadA (SEQ ID NO: 1).
  • A142N is present in almost all clones sequenced and the Pro48 mutation is also abundant.
  • the clones were selected against "GAT” in the spectinomycin site.
  • the selection target sequence was 5'- CAATGATGACTTCTACAGCG-3' (SEQ ID NO: 444).
  • Figure 154 shows schematic representations of ABE 6 constructs. 8 new constructs in total were developed. Mutations from the top 2 highest frequency amplicons in Evo #6 were used in each of the four architectures.
  • the transfection was performed with 750 ng ABE + 250 ng gRNA and incubated for 5 days before the genomic DNA was extracted to perform HTS.
  • the identity of each of the ABE constructs is indicated by the pNMG reference number as shown in Table 4.
  • the sequences correspond to SEQ ID NOs: 509, 510, 512, 520, 530, 478 from top to bottom, respectively.
  • Figure 156 shows that ABE editing efficiencies improve with iterative rounds at targeted genetic locus in Hek293T cells using evolved/engineered ABE construct.
  • the sequence corresponds to SEQ ID NO: 561.
  • the bottom panel shows that iterative rounds of evolution and engineering improve ABE.
  • ABE constructs are indicated by their pNMG reference numbers as shown in Table 4.
  • the '508' target sequence corresponds to SEQ ID NO: 520.
  • Figure 157 shows HTS results of core 6 genomic sites from the 10 "Best"
  • ABE ABE.
  • the results indicate that different editors have different local sequence preference (bottom panel).
  • the graph shows the A to G percent editing at 6 different genetic loci.
  • ABE constructs are indicated by their pNMG reference numbers as shown in Table 4. The sequences correspond to SEQ ID NOs: 509, 510, 512, 520, 530, 478 from top to bottom, respectively.
  • Figure 158 shows transfection of functioning "top 10" ABEs at all genomic sites covering every combination of NAN sequence.
  • the sequences correspond to SEQ ID NOs: 489, 490, 493, 497, 503, 504, 507, 508, 511, and 513 from top to bottom, respectively.
  • Figure 159 shows ABE window experiments (A's at odd positions) for identifying which A's are edited.
  • ABEs pNMG-477, pNMG-586, pNMG-588, BE3 and untreated control are shown.
  • the sequence for editing is shown at the top. The sequence corresponds to SEQ ID NO: 562.
  • Figure 160 shows ABE window experiment (A's at even positions) for identifying which A's are edited.
  • ABEs pNMG-477, pNMG-586, pNMG-588, BE3 and untreated control are shown.
  • the sequence for editing is shown at the top. The sequence corresponds to SEQ ID NO: 563.
  • Figure 161 shows additional ABE window experiments for identifying which
  • A's are edited.
  • ABEs pNMG-586, pNMG-560, and untreated control are shown.
  • the sequence for editing is shown at the top.
  • the sequences correspond to SEQ ID NOs: 544 and 541 from top to bottom, respectively.
  • Figure 162 shows additional ABE window experiments for identifying which
  • A's are edited.
  • ABEs pNMG-576, pNMG-586, and untreated control are shown.
  • the sequence for editing is shown at the top. The sequence corresponds to SEQ ID NO: 564.
  • Figure 163 shows evolution # 7 an attempt to edit a multi-A site.
  • the evolution selection design was to target 2 point mutations in the same gene using two separate gRNAs: 5 ' -TTC ATTA(7) ACTGTGGCCGGCT-3 ' (SEQ ID NO: 565) and 5'- ATCTTA(6)TTCGATCATGCGAA-3 ' (SEQ ID NO: 566) in order to make a D208N
  • Figure 164 shows evolution #7 mutations which were evolved to trget As within a multi A site, meaning that they are flanked on one or both sides by an A. The identity of mutations, relative to SEQ ID NO: 1 are shown.
  • Figure 165 shows schematics of ecTadA identifying residues R152 and P48.
  • Figure 166 shows MiSeq results of ABE editing on disease relevant mutations in alternative cell lines.
  • Nucleofection with Lonza kit was used with 3 different nucleofection solutions x 16 different electroporation conditions (48 total conditions/cell line). The sequences correspond to SEQ ID NOs: 522-524 from top to bottom, respectively.
  • Figure 167 shows results for A to G editing at multiple positions for various constructs.
  • ABE constructs are indicated by their pNMG reference numbers as shown in Table 4.
  • the sequences correspond to SEQ ID NOs: 469-471, 567, 475, and 474 from top to bottom, respectively.
  • the sequences correspond to SEQ ID NOs: 469 (pNMG-466), 470 (pNMG-467), 471 (pNMG-469), 567 (pNMG-472), and 474 (pNMG-509) from top to bottom, respectively.
  • Figure 168 shows editing results for various constructs using ABEs with different linkers.
  • ABE constructs are indicated by their pNMG reference numbers as shown in Table 4.
  • a schematic of the new linker ABE is also shown. The sequences correspond to
  • Figure 169 shows the 4 th round evolution. Evolution was done with a monomer construct and endogenous TadA complements TadA-dCas9 fusion.
  • Figure 170 shows 4 th round evolution results. The sequences correspond to
  • Figure 171 shows evolution round #5. The plasmid and experimental outline are shown (top panel). The graph illustrates survival on chlor vs. spectinomycin "TAG" vs.
  • the chlor target sequence is 5'-TACGGCGTAGTGCACCTGGA-3' (SEQ ID NO:
  • Figure 172 shows editing results at the chlor and spect sites. Constructs identified from evolution #4 (site saturated/NNK library) appear edit more efficiently on the spect site rather than on the chor site. ABE constructs are indicated by their pNMG reference numbers as shown in Table 4.
  • Figure 173 shows 5 th round evolution (part a).
  • the sequence corresponds to [00184]
  • Figure 174 shows 5 th round heterodimer (in trans) results.
  • Round #5a identified mutations improved both editing efficiencies and broadened substrate specificity.
  • the sequences correspond to SEQ ID NOs: 7, 368, and 363, 364, 369, and 370 from top to bottom, respectively.
  • Figure 175 shows 5 th round heterodimer (in cis) results.
  • Round #5a identified mutations improved both editing efficiencies and broadened substrate specificity, but the cis results gave higher editing efficiencies.
  • ABE constructs are indicated by their pNMG reference numbers as shown in Table 4. The sequences correspond to SEQ ID NOs: 7, 571, 465, 368, 363, 466, 364, 369, 572, and 370 from top to bottom, respectively.
  • Figure 176 shows editing results of various constructs for evolution 5.
  • Figure 177 shows editing results of various constructs for evolution 5.
  • Figure 178 shows gRNAs for ABE. 5a constructs are characterized on all 16
  • NAN sequences A at position 5 in protospacer (left panel). The sequences correspond to SEQ ID NOs: 573-578 from top to bottom, respectively. Additional sequences starting with a "G” in order to minimize variations in yield gRNA synthesis are proposed (right panel). The sequences correspond to SEQ ID NOs: 579-588 from top to bottom, respectively.
  • Figure 179 shows % A to G editing of A 5 using sgRNA 299 as indicated in
  • the sequence corresponds to SEQ ID NO: 478.
  • Figure 180 shows % A to G editing of A 5 using sgRNA 469 as indicated in
  • the sequence corresponds to SEQ ID NO: 509.
  • Figure 181 shows % A to G editing of A 5 using sgRNA 470 as indicated in
  • the sequence corresponds to SEQ ID NO: 510.
  • Figure 182 shows % A to G editing of A 5 using sgRNA 472 as indicated in
  • the sequence corresponds to SEQ ID NO: 512.
  • Figure 183 shows % A to G editing of A 5 using sgRNA 508 as indicated in
  • the sequence corresponds to SEQ ID NO: 520.
  • Figure 184 shows % A to G editing of A 7 using sgRNA 536 as indicated in
  • Figure 185 shows the % of A to G editing of the highlighted A (A 5 ) using sgRNA: 310, sgRNA: 311, sgRNA: 314, sgRNA: 318, sgRNA: 463, and sgRNA: 464 for each of the indicated base editors, which are indicated by their pNMG reference numbers as shown in Table 4.
  • the sequences correspond to SEQ ID NOs: 489, 490, 493, 497, 503 and 504 from left to right and top to bottom, respectively.
  • Figure 186 shows the % of A to G editing of the highlighted A (A 5 ) using sgRNA: 466, sgRNA: 467, sgRNA: 468, sgRNA: 471, sgRNA: 501, and sgRNA: 601 for each of the indicated base editors, which are indicated by their pNMG reference numbers as shown in Table 4.
  • the sequences correspond to SEQ ID NOs: 506, 507, 508, 511, 513, and 535 from left to right and top to bottom, respectively.
  • deaminase or “deaminase domain” refers to a protein or enzyme that catalyzes a deamination reaction.
  • the deaminase is an adenosine deaminase, which catalyzes the hydrolytic deamination of adenine or adenosine.
  • the deaminase or deaminase domain is an adenosine deaminase, catalyzing the hydrolytic deamination of adenosine or deoxy adenosine to inosine or deoxyinosine, respectively.
  • the adenosine deaminase catalyzes the hydrolytic deamination of adenine or adenosine in deoxyribonucleic acid (DNA).
  • the adenosine deaminases e.g. engineered adenosine deaminases, evolved adenosine deaminases
  • the adenosine deaminases may be from any organism, such as a bacterium.
  • the deaminase or deaminase domain is a variant of a naturally-occurring deaminase from an organism. In some embodiments, the deaminase or deaminase domain does not occur in nature.
  • the deaminase or deaminase domain is at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75% at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to a naturally-occurring deaminase.
  • the adenosine deaminase is from a bacterium, such as, E.coli, S. aureus, S. typhi, S. putrefaciens, H. influenzae, or C. crescentus.
  • the adenosine deaminase is a TadA deaminase.
  • the TadA deaminase is an E. coli TadA deaminase
  • the truncated ecTadA may be missing one or more N-terminal amino acids relative to a full-length ecTadA.
  • the truncated ecTadA may be missing 1, 2, 3, 4, 5 ,6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 6, 17, 18, 19, or 20 N-terminal amino acid residues relative to the full length ecTadA.
  • the truncated ecTadA may be missing 1, 2, 3, 4, 5 ,6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 6, 17, 18, 19, or 20 C- terminal amino acid residues relative to the full length ecTadA.
  • the ecTadA deaminase does not comprise an N-terminal methionine
  • the TadA deaminase is an N-terminal truncated TadA.
  • the adenosine deaminase comprises the amino acid sequence:
  • the TadA deaminase is a full-length E. coli TadA deaminase.
  • the adenosine deaminase comprises the amino acid sequence:
  • adenosine deaminases useful in the present application would be apparent to the skilled artisan and are within the scope of this disclosure.
  • the adenosine deaminase may be a homolog of an AD AT.
  • AD AT homologs include, without limitation:
  • Bacillus subtilis TadA Bacillus subtilis TadA:
  • base editor refers to an agent comprising a polypeptide that is capable of making a modification to a base (e.g., A, T, C, G, or U) within a nucleic acid sequence (e.g., DNA or RNA).
  • the base editor is capable of deaminating a base within a nucleic acid. In some embodiments, the base editor is capable of deaminating a base within a DNA molecule. In some embodiments, the base editor is capable of deaminating an adenine (A) in DNA. In some embodiments, the base editor is a fusion protein comprising a nucleic acid programmable DNA binding protein (napDNAbp) fused to an adenosine deaminase. In some embodiments, the base editor is a Cas9 protein fused to an adenosine deaminase.
  • napDNAbp nucleic acid programmable DNA binding protein
  • the base editor is a Cas9 nickase (nCas9) fused to an adenosine deaminase.
  • the base editor is a nuclease-inactive Cas9 (dCas9) fused to an adenosine deaminase.
  • the base editor is fused to an inhibitor of base excision repair, for example, a UGI domain, or a dISN domain.
  • the fusion protein comprises a Cas9 nickase fused to a deaminase and an inhibitor of base excision repair, such as a UGI or dISN domain.
  • the dCas9 domain of the fusion protein comprises a D10A and a H840A mutation of SEQ ID NO: 52, or a corresponding mutation in any of SEQ ID NOs: 108-357, which inactivates the nuclease activity of the Cas9 protein.
  • the fusion protein comprises a D10A mutation and comprises a histidine at residue 840 of SEQ ID NO: 52, or a corresponding mutation in any of SEQ ID NOs: 108- 357, which renders Cas9 capable of cleaving only one strand of a nucleic acid duplex.
  • An example of a Cas9 nickase is shown in SEQ ID NO: 35.
  • linker refers to a bond (e.g., covalent bond), chemical group, or a molecule linking two molecules or moieties, e.g. , two domains of a fusion protein, such as, for example, a nuclease-inactive Cas9 domain and a nucleic acid- editing domain (e.g. , an adenosine deaminase).
  • a linker joins a gRNA binding domain of an RNA-programmable nuclease, including a Cas9 nuclease domain, and the catalytic domain of a nucleic-acid editing protein.
  • a linker joins a dCas9 and a nucleic-acid editing protein.
  • the linker is positioned between, or flanked by, two groups, molecules, or other moieties and connected to each one via a covalent bond, thus connecting the two.
  • the linker is an amino acid or a plurality of amino acids (e.g. , a peptide or protein).
  • the linker is an organic molecule, group, polymer, or chemical moiety.
  • the linker is 5-100 amino acids in length, for example, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,
  • a linker comprises the amino acid sequence
  • a linker comprises the amino acid sequence SGGS (SEQ ID NO: 37).
  • a linker comprises (SGGS) n (SEQ ID NO: 37), (GGGS) n (SEQ ID NO: 38), (GGGGS) context (SEQ ID NO: 39), (G) pertain, (EAAAK) n (SEQ ID NO: 40), (GGS) n , SGSETPGTSESATPES (SEQ ID NO: 10), or (XP) n motif, or a combination of any of these, wherein n is independently an integer between 1 and 30, and wherein X is any amino acid.
  • n is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or 15.
  • mutation refers to a substitution of a residue within a sequence, e.g., a nucleic acid or amino acid sequence, with another residue, or a deletion or insertion of one or more residues within a sequence. Mutations are typically described herein by identifying the original residue followed by the position of the residue within the sequence and by the identity of the newly substituted residue. Various methods for making the amino acid substitutions (mutations) provided herein are well known in the art, and are provided by, for example, Green and Sambrook, Molecular Cloning: A Laboratory Manual (4 th ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. (2012)).
  • IBR inhibitor of base repair
  • nucleic acid repair enzyme for example a base excision repair enzyme.
  • the IBR is an inhibitor of inosine base excision repair.
  • Exemplary inhibitors of base repair include inhibitors of APE1, Endo III, Endo IV, Endo V, Endo VIII, Fpg, hOGGl, hNEILl, T7 Endol, T4PDG, UDG, hSMUGl, and hAAG.
  • the IBR is an inhibitor of Endo V or hAAG.
  • the IBR is a catalytically inactive EndoV or a catalytically inactive hAAG.
  • uracil glycosylase inhibitor refers to a protein that is capable of inhibiting a uracil-DNA glycosylase base-excision repair enzyme.
  • a UGI domain comprises a wild-type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI proteins provided herein include fragments of UGI and proteins homologous to a UGI or a UGI fragment.
  • a UGI domain comprises a fragment of the amino acid sequence set forth in SEQ ID NO: 3.
  • a UGI fragment comprises an amino acid sequence that comprises at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at
  • a UGI comprises an amino acid sequence homologous to the amino acid sequence set forth in SEQ ID NO: 3, or an amino acid sequence homologous to a fragment of the amino acid sequence set forth in SEQ ID NO: 3.
  • proteins comprising UGI or fragments of UGI or homologs of UGI or UGI fragments are referred to as "UGI variants.”
  • a UGI variant shares homology to UGI, or a fragment thereof.
  • a UGI variant is at least 70% identical, at least 75% identical, at least 80% identical, at least 85% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% identical to a wild type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI variant comprises a fragment of UGI, such that the fragment is at least 70% identical, at least 80% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% to the corresponding fragment of wild-type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI comprises the following amino acid sequence:
  • catalytically inactive ino sine- specific nuclease or “dead inosine- specific nuclease (dISN),” as used herein, refers to a protein that is capable of inhibiting an ino sine- specific nuclease.
  • catalytically inactive inosine glycosylases e.g., alkyl adenine glycosylase [AAG]
  • AAG alkyl adenine glycosylase
  • the catalytically inactive inosine-specific nuclease may be capable of binding an inosine in a nucleic acid but does not cleave the nucleic acid.
  • Exemplary catalytically inactive inosine-specific nucleases include, without limitation, catalytically inactive alkyl adenosine glycosylase (AAG nuclease), for example, from a human, and catalytically inactive endonuclease V (EndoV nuclease), for example, from E. coli.
  • AAG nuclease catalytically inactive alkyl adenosine glycosylase
  • EndoV nuclease catalytically inactive endonuclease V
  • the catalytically inactive AAG nuclease comprises an E125Q mutation as shown in SEQ ID NO: 32, or a corresponding mutation in another AAG nuclease.
  • the catalytically inactive AAG nuclease comprises the amino acid sequence set forth in SEQ ID NO: 32.
  • the catalytically inactive EndoV nuclease comprises an
  • the catalytically inactive EndoV nuclease comprises the amino acid sequence set forth in SEQ ID NO: 33. It should be appreciated that other catalytically inactive inosine-specific nucleases (dISNs) would be apparent to the skilled artisan and are within the scope of this disclosure.
  • dISNs catalytically inactive inosine-specific nucleases
  • Truncated AAG H. sapiens nuclease (E125Q); mutated residue underlined in bold.
  • D35A EndoV nuclease
  • nuclear localization sequence refers to an amino acid sequence that promotes import of a protein into the cell nucleus, for example, by nuclear transport.
  • Nuclear localization sequences are known in the art and would be apparent to the skilled artisan.
  • NLS sequences are described in Plank et al., international PCT application, PCT/EP2000/011690, filed November 23, 2000, published as WO/2001/038547 on May 31, 2001, the contents of which are incorporated herein by reference for their disclosure of exemplary nuclear localization sequences.
  • a NLS comprises the amino acid sequence PKKKRKV (SEQ ID NO: 4) or
  • nucleic acid programmable DNA binding protein refers to a protein that associates with a nucleic acid (e.g., DNA or RNA), such as a guide nuclic acid, that guides the napDNAbp to a specific nucleic acid sequence.
  • a Cas9 protein can associate with a guide RNA that guides the Cas9 protein to a specific DNA sequence that has complementary to the guide RNA.
  • the napDNAbp can associate with a guide RNA that guides the Cas9 protein to a specific DNA sequence that has complementary to the guide RNA.
  • the napDNAbp is a Cas9 domain, for example a nuclease active Cas9, a Cas9 nickase (nCas9), or a nuclease inactive Cas9 (dCas9).
  • nucleic acid programmable DNA binding proteins include, without limitation, Cas9 (e.g., dCas9 and nCas9), CasX, CasY, Cpfl, C2cl , C2c2, C2C3, and Argonaute. It should be appreciated, however, that nucleic acid programmable DNAbinding proteins also include nucleic acid programmable proteins that bind RNA.
  • the napDNAbp may be associated with a nucleic acid that guides the napDNAbp to an RNA.
  • Other nucleic acid programmable DNA binding proteins are also within the scope of this disclosure, though they may not be specifically listed in this disclosure.
  • Cas9 or "Cas9 domain” refers to an RNA-guided nuclease comprising a Cas9 protein, or a fragment thereof (e.g. , a protein comprising an active, inactive, or partially active DNA cleavage domain of Cas9, and/or the gRNA binding domain of Cas9).
  • a Cas9 nuclease is also referred to sometimes as a casnl nuclease or a CRISPR (clustered regularly interspaced short palindromic repeat)-associated nuclease.
  • CRISPR is an adaptive immune system that provides protection against mobile genetic elements (viruses, transposable elements and conjugative plasmids).
  • CRISPR clusters contain spacers, sequences complementary to antecedent mobile elements, and target invading nucleic acids. CRISPR clusters are transcribed and processed into CRISPR RNA (crRNA). In type II CRISPR systems correct processing of pre-crRNA requires a trans-encoded small RNA (tracrRNA), endogenous ribonuclease 3 (rnc) and a Cas9 protein. The tracrRNA serves as a guide for ribonuclease 3-aided processing of pre-crRNA. Subsequently,
  • the target strand not complementary to crRNA is first cut endonucleolytically, then trimmed 3 '-5' exonucleolytically.
  • DNA-binding and cleavage typically requires protein and both RNAs.
  • single guide RNAs sgRNA, or simply "gNRA”
  • sgRNA single guide RNAs
  • Cas9 recognizes a short motif in the CRISPR repeat sequences (the PAM or protospacer adjacent motif) to help distinguish self versus non-self.
  • Cas9 nuclease sequences and structures are well known to those of skill in the art (see, e.g.
  • Cas9 nucleases and sequences include Cas9 sequences from the organisms and loci disclosed in Chylinski, Rhun, and Charpentier, "The tracrRNA and Cas9 families of type II CRISPR-Cas immunity systems” (2013) RNA Biology 10:5, 726-737; the entire contents of which are incorporated herein by reference.
  • a Cas9 nuclease has an inactive ⁇ e.g., an inactivated) DNA cleavage domain, that is, the Cas9 is a nickase.
  • a nuclease-inactivated Cas9 protein may interchangeably be referred to as a
  • DNA cleavage domain of Cas9 is known to include two subdomains, the HNH nuclease subdomain and the RuvCl subdomain. The HNH subdomain cleaves the strand
  • proteins comprising fragments of Cas9 are provided.
  • a protein comprises one of two Cas9 domains: (1) the gRNA binding domain of Cas9; or (2) the DNA cleavage domain of Cas9.
  • proteins comprising Cas9 or fragments thereof are referred to as "Cas9 variants.”
  • a Cas9 variant shares homology to Cas9, or a fragment thereof.
  • a Cas9 variant is at least about 70% identical, at least about 80% identical, at least about 90% identical, at least about 95% identical, at least about 96% identical, at least about 97% identical, at least about entical, or at least about 99.9% identical to wild type Cas9.
  • the Cas9 variant may have 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 21, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more amino acid changes compared to wild type Cas9.
  • the Cas9 variant comprises a fragment of Cas9 (e.g., a gRNA binding domain or a DNA-cleavage domain), such that the fragment is at least about 70% identical, at least about 80% identical, at least about 90% identical, at least about 95% identical, at least about 96% identical, at least about 97% identical, at least about 98% identical, at least about 99% identical, at least about 99.5% identical, or at least about 99.9% identical to the corresponding fragment of wild type Cas9.
  • a fragment of Cas9 e.g., a gRNA binding domain or a DNA-cleavage domain
  • the fragment is at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95% identical, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% of the amino acid length of a corresponding wild type Cas9.
  • the fragment is at least 100 amino acids in length. In some embodiments, the fragment is at least 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950, 1000, 1050, 1100, 1150, 1200, 1250, or 1300 amino acids in length.
  • wild type Cas9 corresponds to Cas9 from
  • nucleotide SEQ ID NO: 48 (amino acid)
  • wild type Cas9 corresponds to Cas9 from
  • Cas9 refers to Cas9 from: Corynebacterium ulcerans
  • NCBI Refs NC_015683.1, NC_017317.1
  • Corynebacterium diphtheria NCBI Refs:
  • NCBI Ref NC_017861.1
  • Spiroplasma taiwanense NCBI Ref: NC_021846.1
  • Streptococcus iniae NCBI Ref: NC_021314.1
  • Belliella baltica NCBI Ref: NC_018010.1
  • Psychroflexus torquisl NCBI Ref: NC_018721.1
  • NCBI Ref NP_472073.1
  • Campylobacter jejuni NCBI Ref: YP_002344900.1
  • Neisseria Neisseria
  • meningitidis NCBI Ref: YP_002342100.1
  • dCas9 corresponds to, or comprises in part or in whole, a Cas9 amino acid sequence having one or more mutations that inactivate the Cas9 nuclease activity.
  • a dCas9 domain comprises D10A and an H840A mutation of SEQ ID NO: 52 or corresponding mutations in another Cas9.
  • the dCas9 comprises the amino acid sequence of SEQ ID NO: 53
  • the Cas9 domain comprises a D10A mutation, while the residue at position 840 remains a histidine in the amino acid sequence provided in SEQ ID NO: 52, or at corresponding positions in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • the presence of the catalytic residue H840 maintains the activity of the Cas9 to cleave the non-edited (e.g., non-deaminated) strand containing a T opposite the targeted A.
  • H840 e.g., from A840 of a dCas9
  • Such Cas9 variants are able to generate a single-strand DNA break (nick) at a specific location based on the gRNA-defined target sequence, leading to repair of the non-edited strand, ultimately resulting in a T to C change on the non-edited strand.
  • nick single-strand DNA break
  • the A of a A-T base pair can be deaminated to a inosine (I) by an adenosine deaminase, e.g., an engineered adenosine deaminase that deaminates an adenosine in DNA.
  • an adenosine deaminase e.g., an engineered adenosine deaminase that deaminates an adenosine in DNA.
  • dISN catalytically inactive inosine-specific nuclease
  • dCas9 variants having mutations other than D10A and
  • H840A are provided, which, e.g. , result in nuclease inactivated Cas9 (dCas9).
  • Such mutations include other amino acid substitutions at D10 and H840, or other substitutions within the nuclease domains of Cas9 (e.g. , substitutions in the HNH nuclease subdomain and/or the RuvC l subdomain).
  • variants or homologues of dCas9 e.g.
  • variants of SEQ ID NO: 53 are provided which are at least about 70% identical, at least about 80% identical, at least about 90% identical, at least about 95% identical, at least about 98% identical, at least about 99% identical, at least about 99.5% identical, or at least about 99.9% identical to SEQ ID NO: 10.
  • variants of dCas9 e.g.
  • variants of SEQ ID NO: 53 are provided having amino acid sequences which are shorter, or longer than SEQ ID NO: 53, by about 5 amino acids, by about 10 amino acids, by about 15 amino acids, by about 20 amino acids, by about 25 amino acids, by about 30 amino acids, by about 40 amino acids, by about 50 amino acids, by about 75 amino acids, by about 100 amino acids or more.
  • Cas9 fusion proteins as provided herein comprise the full-length amino acid sequence of a Cas9 protein, e.g. , one of the Cas9 sequences provided d herein do not comprise a full-length Cas9 sequence, but only a fragment thereof.
  • a Cas9 fusion protein provided herein comprises a Cas9 fragment, wherein the fragment binds crRNA and tracrRNA or sgRNA, but does not comprise a functional nuclease domain, e.g., in that it comprises only a truncated version of a nuclease domain or no nuclease domain at all.
  • Cas9 refers to Cas9 from: Corynebacterium ulcerans
  • NCBI Refs NC_015683.1, NC_017317.1
  • Corynebacterium diphtheria NCBI Refs:
  • NCBI Ref NC_017861.1
  • Spiroplasma taiwanense NCBI Ref: NC_021846.1
  • Streptococcus iniae NCBI Ref: NC_021314.1
  • Belliella baltica NCBI Ref: NC_018010.1
  • Psychroflexus torquisl NCBI Ref: NC_018721.1
  • Streptococcus thermophilus NCBI Ref: YP_820832.1
  • Listeria innocua NCBI Ref: NP_472073.1
  • NCBI Ref Campylobacter jejuni (NCBI Ref: YP_002344900.1); ox Neisseria, meningitidis (NCBI Ref: YP_002342100.1).
  • Cas9 (dCas9), a Cas9 nickase (nCas9), or a nuclease active Cas9), including variants and homologs thereof, are within the scope of this disclosure.
  • Exemplary Cas9 proteins include, without limitation, those provided below.
  • the Cas9 protein is a nuclease dead Cas9 (dCas9).
  • the dCas9 comprises the amino acid sequence (SEQ ID NO: 34).
  • the Cas9 protein is a Cas9 nickase (nCas9).
  • the nCas9 comprises the amino acid sequence (SEQ ID NO:
  • the Cas9 protein is a nuclease active Cas9. In some embodiments, the Cas9 protein is a nuclease active Cas9. In some
  • the nuclease active Cas9 comprises the amino acid sequence (SEQ ID NO:
  • Cas9 refers to a Cas9 from arehaea (e.g. nanoarchaea), which constitute a domain and kingdom of single-celled prokaryotic microbes.
  • Cas9 refers to CasX or CasY, which have been described in, for example, Burstein et al., "New CRISPR-Cas systems from uncultivated microbes.” Cell Res. 2017 Feb 21. doi: 10.1038/cr.2017.21, the entire contents of which is hereby incorporated by reference.
  • genome-resolved metagenomics a number of CRISPR-Cas systems were identified, including the first reported Cas9 in the archaeal domain of life.
  • Cas9 refers to CasX, or a variant of CasX. In some embodiments, Cas9 refers to a CasY, or a variant of CasY. It should be appreciated that other RNA-guided DNA binding proteins may be used as a nucleic acid programmable DNA binding protein (napDNAbp), and are within the scope of this disclosure.
  • napDNAbp nucleic acid programmable DNA binding protein
  • the nucleic acid programmable DNA binding protein comprises amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids
  • napDNAbp of any of the fusion proteins provided herein may be a CasX or CasY protein.
  • the napDNAbp is a CasX protein.
  • the napDNAbp is a CasY protein.
  • the napDNAbp comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to a naturally-occurring CasX or CasY protein.
  • the napDNAbp is a naturally-occurring CasX or CasY protein.
  • the napDNAbp comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to any one of SEQ ID NOs: 417-419.
  • the napDNAbp comprises an amino acid sequence of any one SEQ ID NOs: 417-419. It should be appreciated that CasX and CasY from other bacterial species may also be used in accordance with the present disclosure.
  • an effective amount refers to an amount of a biologically active agent that is sufficient to elicit a desired biological response.
  • an effective amount of a nucleobase editor may refer to the amount of the nucleobase editor that is sufficient to induce mutation of a target site specifically bound mutated by the nucleobase editor.
  • an effective amount of a fusion protein provided herein, e.g. , of a fusion protein comprising a nucleic acid programmable DNA binding protein and a deaminase domain e.g.
  • an adenosine deaminase domain may refer to the amount of the fusion protein that is sufficient to induce editing of a target site specifically bound and edited by the fusion protein.
  • the effective amount of an agent e.g. , a fusion protein, a nucleobase editor, a deaminase, a hybrid protein, a protein dimer, a complex of a protein (or protein dimer) and a polynucleotide, or a polynucleotide, may vary depending on various factors as, for example, on the desired biological response, e.g. , on the specific allele, genome, or target site to be edited, on the cell or tissue being targeted, and on the agent being used.
  • nucleic acid and “nucleic acid molecule,” as used herein, refer to a compound comprising a nucleobase and an acidic moiety, e.g. , a nucleoside, a nucleotide, or a polymer of nucleotides.
  • polymeric nucleic acids e.g. , nucleic acid molecules comprising three or more nucleotides are linear molecules, in which adjacent nucleotides are ments
  • nucleic acid refers to individual nucleic acid residues (e.g. nucleotides and/or nucleosides).
  • nucleic acid refers to an oligonucleotide chain comprising three or more individual nucleotide residues.
  • oligonucleotide and
  • nucleic acid can be used interchangeably to refer to a polymer of nucleotides (e.g. , a string of at least three nucleotides).
  • nucleic acid encompasses RNA as well as single and/or double-stranded DNA.
  • Nucleic acids may be naturally occurring, for example, in the context of a genome, a transcript, an mRNA, tRNA, rRNA, siRNA, snRNA, a plasmid, cosmid, chromosome, chromatid, or other naturally occurring nucleic acid molecule.
  • a nucleic acid molecule may be a non-naturally occurring molecule, e.g.
  • nucleic acid a recombinant DNA or RNA, an artificial chromosome, an engineered genome, or fragment thereof, or a synthetic DNA, RNA, DNA/RNA hybrid, or including non-naturally occurring nucleotides or nucleosides.
  • nucleic acid DNA
  • RNA and/or similar terms include nucleic acid analogs, e.g., analogs having other than a phosphodiester backbone. Nucleic acids can be purified from natural sources, produced using recombinant expression systems and optionally purified, chemically synthesized, etc. Where appropriate, e.g.
  • nucleic acids in the case of chemically synthesized molecules, can comprise nucleoside analogs such as analogs having chemically modified bases or sugars, and backbone modifications.
  • a nucleic acid sequence is presented in the 5' to 3 ' direction unless otherwise indicated.
  • a nucleic acid is or comprises natural nucleosides (e.g. adenosine, thymidine, guanosine, cytidine, uridine, deoxyadenosine, deoxythymidine, deoxyguanosine, and deoxycytidine); nucleoside analogs (e.g.
  • methylated bases e.g. , methylated bases); intercalated bases; modified sugars (e.g. , 2'-fluororibose, ribose, 2'-deoxyribose, arabinose, and hexose); and/or modified phosphate groups (e.g. , phosphorothioates and 5'-N- phosphoramidite linkages).
  • modified sugars e.g. , 2'-fluororibose, ribose, 2'-deoxyribose, arabinose, and hexose
  • modified phosphate groups e.g. , phosphorothioates and 5'-N- phosphoramidite linkages.
  • proliferative disease refers to any disease in which cell or tissue homeostasis is disturbed in that a cell or cell population exhibits an abnormally elevated proliferation rate.
  • Proliferative diseases include hyperproliferative diseases, such as pre-neoplastic hyperplastic conditions and neoplastic diseases.
  • Neoplastic diseases are characterized by an abnormal proliferation of cells and include both benign and malignant neoplasias. Malignant neoplasia is also referred to as cancer.
  • protein refers to a polymer of amino acid residues linked together by peptide (amide) bonds.
  • the terms refer to a protein, peptide, or polypeptide of any size, structure, or function. Typically, a protein, peptide, or polypeptide will be at least three amino acids long.
  • a protein, peptide, or polypeptide may refer to an individual protein or a collection of proteins.
  • One or more of the amino acids in a protein, peptide, or polypeptide may be modified, for example, by the addition of a chemical entity such as a carbohydrate group, a hydroxyl group, a phosphate group, a farnesyl group, an isofarnesyl group, a fatty acid group, a linker for conjugation, functionalization, or other modification, etc.
  • a protein, peptide, or polypeptide may also be a single molecule or may be a multi-molecular complex.
  • a protein, peptide, or polypeptide may be just a fragment of a naturally occurring protein or peptide.
  • a protein, peptide, or polypeptide may be naturally occurring, recombinant, or synthetic, or any combination thereof.
  • fusion protein refers to a hybrid polypeptide which comprises protein domains from at least two different proteins.
  • One protein may be located at the amino-terminal (N-terminal) portion of the fusion protein or at the carboxy- terminal (C-terminal) protein thus forming an "amino-terminal fusion protein” or a "carboxy- terminal fusion protein,” respectively.
  • a protein may comprise different domains, for example, a nucleic acid binding domain (e.g., the gRNA binding domain of Cas9 that directs the binding of the protein to a target site) and a nucleic acid cleavage domain or a catalytic domain of a nucleic-acid editing protein.
  • a protein comprises a proteinaceous part, e.g., an amino acid sequence constituting a nucleic acid binding domain, and an organic compound, e.g., a compound that can act as a nucleic acid cleavage agent.
  • a protein is in a complex with, or is in association with, a nucleic acid, e.g., RNA.
  • Any of the proteins provided herein may be produced by any method known in the art.
  • the proteins provided herein may be produced via recombinant protein expression and purification, which is especially suited for fusion proteins comprising a peptide linker.
  • RNA-programmable nuclease and "RNA-guided nuclease” are used x with (e.g., binds or associates with) one or more RNA(s) that is not a target for cleavage.
  • an RNA-programmable nuclease when in a complex with an RNA, may be referred to as a nuclease:RNA complex.
  • the bound RNA(s) is referred to as a guide RNA
  • gRNAs can exist as a complex of two or more RNAs, or as a single RNA molecule. gRNAs that exist as a single RNA molecule may be referred to as single-guide RNAs (sgRNAs), though "gRNA” is used interchangeably to refer to guide RNAs that exist as either single molecules or as a complex of two or more molecules.
  • sgRNAs single-guide RNAs
  • gRNAs that exist as single RNA species comprise two domains: (1) a domain that shares homology to a target nucleic acid (e.g., and directs binding of a Cas9 complex to the target); and (2) a domain that binds a Cas9 protein.
  • domain (2) corresponds to a sequence known as a tracrRNA, and comprises a stem-loop structure.
  • domain (2) is identical or homologous to a tracrRNA as provided in Jinek et ah, Science 337:816-821(2012), the entire contents of which is incorporated herein by reference.
  • Other examples of gRNAs e.g., those including domain 2 can be found in U.S. Provisional Patent Application, U.S.S.N. 61/874,682, filed September 6, 2013, entitled “Switchable Cas9 Nucleases And Uses Thereof," and U.S. Provisional Patent Application, U.S.S.N.
  • a gRNA comprises two or more of domains (1) and (2), and may be referred to as an "extended gRNA.”
  • an extended gRNA will, e.g., bind two or more Cas9 proteins and bind a target nucleic acid at two or more distinct regions, as described herein.
  • the gRNA comprises a nucleotide sequence that complements a target site, which mediates binding of the nuclease/RNA complex to said target site, providing the sequence specificity of the nuclease:RNA complex.
  • the RNA- programmable nuclease is the (CRIS PR-associated system) Cas9 endonuclease, for example, Cas9 (Csnl) from Streptococcus pyogenes (see, e.g., "Complete genome sequence of an Ml strain of Streptococcus pyogenes.” Ferretti J.J., McShan W.M., Ajdic D.J., Savic D.J., Savic G., Lyon K., Primeaux C, Sezate S., Suvorov A.N., Kenton S., Lai H.S., Lin S.P., Qian Y., Jia H.G., Najar F.Z., Ren Q., Zhu H., Song L., White J., Yuan X., Clifton S.W., Roe B.A., McLaughlin R.E., Proc.
  • Cas9 endonuclease for example, Ca
  • RNA-programmable nucleases e.g., Cas9
  • RNA-programmable nucleases such as Cas9
  • site-specific cleavage e.g., to modify a genome
  • Methods of using RNA-programmable nucleases, such as Cas9, for site-specific cleavage are known in the art (see e.g., Cong, L. et ah, Multiplex genome engineering using CRISPR/Cas systems. Science 339, 819-823 (2013); Mali, P. et ah, RNA-guided human genome engineering via Cas9. Science 339, 823-826 (2013); Hwang, W.Y. et ah, Efficient genome editing in zebrafish using a CRISPR-Cas system.
  • the term "subject,” as used herein, refers to an individual organism, for example, an individual mammal.
  • the subject is a human.
  • the subject is a non-human mammal.
  • the subject is a non-human primate.
  • the subject is a rodent.
  • the subject is a sheep, a goat, a cattle, a cat, or a dog.
  • the subject is a vertebrate, an amphibian, a reptile, a fish, an insect, a fly, or a nematode.
  • the subject is a research animal.
  • the subject is genetically engineered, e.g., a genetically engineered non-human subject.
  • the subject may be of either sex and at any stage of development.
  • target site refers to a sequence within a nucleic acid molecule that is deaminated by a deaminase or a fusion protein comprising a deaminase, (e.g., a dCas9- adenosine deaminase fusion protein provided herein).
  • treatment refers to a clinical intervention aimed to reverse, alleviate, delay the onset of, or inhibit the progress of a disease or disorder, or one or more symptoms thereof, as described herein.
  • treatment refers to a clinical intervention aimed to reverse, alleviate, delay the onset of, or inhibit the progress of a disease or disorder, or one or more symptoms thereof, as described herein.
  • treatment may be administered after one or more d.
  • treatment may be administered in the absence of symptoms, e.g., to prevent or delay onset of a symptom or inhibit onset or progression of a disease.
  • treatment may be administered to a susceptible individual prior to the onset of symptoms (e.g., in light of a history of symptoms and/or in light of genetic or other susceptibility factors). Treatment may also be continued after symptoms have resolved, for example, to prevent or delay their recurrence.
  • recombinant protein or nucleic acid molecule comprises an amino acid or nucleotide sequence that comprises at least one, at least two, at least three, at least four, at least five, at least six, or at least seven mutations as compared to any naturally occurring sequence.
  • Some aspects of this disclosure relate to proteins that deaminate the nucleobase adenine.
  • This disclosure provides adenosine deaminase proteins that are capable of deaminating (i.e., removing an amine group) adenine of a deoxyadenosine residue in deoxyribonucleic acid (DNA).
  • the adenosine deaminases provided herein are capable of deaminating adenine of a deoxyadenosine residue of DNA. It should be appreciated that there were no known adenosine deaminases capable of deaminating deoxyadenosine in DNA before the present invention.
  • fusion proteins that comprise an adenosine deaminase (e.g., an adenosine deaminase that deaminates deoxyadenosine in DNA as described herein) and a domain (e.g., a Cas9 or a Cpf 1 protein) capable of binding to a specific nucleotide sequence.
  • adenosine deaminase e.g., an adenosine deaminase that deaminates deoxyadenosine in DNA as described herein
  • a domain e.g., a Cas9 or a Cpf 1 protein
  • Such fusion proteins are useful inter alia for targeted editing of nucleic acid sequences.
  • Such fusion proteins may be used for targeted editing of DNA in vitro, e.g., for the generation of mutant cells or animals; for the introduction of targeted mutations, e.g., for the correction of genetic defects in cells ex vivo, e.g., in cells obtained from a subject that are subsequently re-introduced into the same or another subject; and for the introduction of targeted mutations in vivo, e.g., the correction of genetic defects or the introduction of deactivating mutations in disease-associated genes in a
  • a to G, or a T to C mutation may be treated using the nucleobase editors provided herein.
  • the invention provides deaminases, fusion proteins, nucleic acids, vectors, cells, compositions, methods, kits, systems, etc. that utilize the deaminases and nucleobase editors.
  • the nucleobase editors provided herein can be made by fusing together one or more protein domains, thereby generating a fusion protein.
  • the fusion proteins provided herein comprise one or more features that improve the base editing activity (e.g., efficiency, selectivity, and specificity) of the fusion proteins.
  • the fusion proteins provided herein may comprise a Cas9 domain that has reduced nuclease activity.
  • the fusion proteins provided herein may have a Cas9 domain that does not have nuclease activity (dCas9), or a Cas9 domain that cuts one strand of a duplexed DNA molecule, referred to as a Cas9 nickase (nCas9).
  • dCas9 nuclease activity
  • nCas9 Cas9 nickase
  • the presence of the catalytic residue e.g., H840
  • Mutation of the catalytic residue e.g.
  • any of the fusion proteins provided herein further comprise an inhibitor of inosine base excision repair, for example, a uracil glycosylase inhibitor (UGI) domain or a catalytically inactive inosine- specific nuclease (dISN).
  • an inhibitor of inosine base excision repair for example, a uracil glycosylase inhibitor (UGI) domain or a catalytically inactive inosine- specific nuclease (dISN).
  • the UGI domain or dISN may inhibit or prevent base excision repair of a deaminated adenosine residue (e.g., inosine), which may improve the activity or efficiency of the base editor.
  • a deaminated adenosine residue e.g., inosine
  • adenosine deaminases Some aspects of the disclosure provide adenosine deaminases.
  • the adenosine deaminases provided herein are capable of deaminating adenine. In some embodiments, the adenosine deaminases provided herein are capable of deaminating adenine in a deoxyadenosine residue of DNA.
  • the adenosine deaminase may be derived from any suitable organism (e.g., E. coli).
  • the adenine deaminase is a naturally-occurring adenosine deaminase that includes one or more mutations corresponding to any of the mutations provided herein (e.g., mutations in ecTadA).
  • mutations in ecTadA e.g., mutations in ecTadA.
  • adenosine deaminase e.g., having homology to ecTadA
  • the adenosine deaminase is from a prokaryote.
  • the adenosine deaminase is from a bacterium.
  • the adenosine deaminase is from Escherichia coli, Staphylococcus aureus, Salmonella typhi, Shewanella putrefaciens, Haemophilus influenzae, Caulobacter crescentus, or Bacillus subtilis. In some embodiments, the adenosine deaminase is from E. coli.
  • any of the mutations identified in ecTadA provided herein may be made in any homologous residue in another adenine deaminase, for example, a TadA deaminase from another bacterium.
  • Figure 93 shows the relative sequence identity analysis (heatmap of sequence identity) :
  • the adenosine deaminase comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the amino acid sequences set forth in any one of SEQ ID NOs: 1, 64-84, 420-437, 672-684, or to any of the adenosine deaminases provided herein. It should be appreciated that adenosine deaminases provided herein may include one or more mutations (e.g., any of the mutations provided herein).
  • the disclosure provides any deaminase domains with a certain percent identiy plus any of the mutations or combinations thereof described herein.
  • the adenosine deaminase comprises an amino acid sequence that has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 21, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more mutations compared to any one of the amino acid sequences set forth in SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein.
  • the adenosine deaminase comprises an amino acid sequence that has at least 5, at least 10, at least 15, at least 20, at least 25, at least 30, at least 35, at least 40, at least 45, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 110, at least 120, at least 130, at least 140, at least 150, at least 160, or at least 170 identical contiguous amino acid residues as compared to any one of the amino acid sequences set forth in SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein.
  • the adenosine deaminase comprises a D108X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a D108G, D108N, D108V, D108A, or D108Y mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • An exemplary alignment of deaminases is shown in Figure 92. It should be appreciated, however, that additional deaminases may similarly be aligned to identify homologous amino acid residues that can be mutated as provided herein.
  • the adenosine deaminse comprises an A106X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an A106V mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminase comprises a E155X mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where the presence of X indicates any amino acid other than the corresponding amino acid in the wild- type adenosine deaminase.
  • the adenosine deaminase comprises a E155D, E155G, or E155V mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminase comprises a D147X mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where the presence of X indicates any amino acid other than the corresponding amino acid in the wild- type adenosine deaminase.
  • the adenosine deaminase comprises a D147Y, mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • any of the mutations provided herein may be introduced into other adenosine deaminases, such as S. aureus TadA (saTadA), or other adenosine deaminases (e.g., bacterial adenosine deaminases). It would be apparent to the skilled artisan how to are homologous to the mutated residues in ecTadA. Thus, any of the mutations identified in ecTadA may be made in other adenosine deaminases that have homologous amino acid residues.
  • any of the mutations provided herein may be made individually or in any combination in ecTadA or another adenosine deaminase.
  • an adenosine deaminase may contain a D108N, a A106V, a E155V, and/or a D147Y mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • an adenosine deaminase comprises the following group of mutations (groups of mutations are separated by a ";") in ecTadA SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase:
  • an adenosine deaminase comprises one or more of the mutations shown in Table 4, which identifies individual mutations and combinations of mutations made in ecTadA and saTadA. In some embodiments, an adenosine deaminase comprises a mutation or combination of mutations shown in Table 4.
  • the adenosine deaminase comprises one or more of a
  • the adenosine deaminase comprises one or more of H8Y, T17S, L18E, W23L, L34S, W45L, R51H, A56E, or A56S, E59G, E85K, or E85G, M94L, 1951, V102A, F104L, A106V, R107C, or R107H, or R107P, D108G, or D108N, or D108V, or D108A, or D108Y, Kl 101, Ml 18K, N127S, A138V, F149Y, M151V, R153C, Q154L, I156D, and/or K157R mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of the mutations provided in Figure 1 1 corresponding to SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises the mutation or mutations of any one of constructs 1- 16 shown in Figure 11 or in any one of the constructs shown in Table 4 corresponding to SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of a
  • the adenosine deaminase comprises one or more of a H8Y, D108N, and/or N127S mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of
  • the adenosine deaminase comprises one or more of H8Y, R26W, M61I, L68Q, M70V, A106T, D108N, A109T, N127S, D147Y, R152C, Q154H or Q154R, E155G or E155V or E155D, K161Q, Q163H, and/or T166P mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of H8X, D108X, N127X, D147X, R152X, and Q154X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, seven, or eight mutations selected from the group consisting of H8X, M61X, M70X, D108X, N127X, Q154X, E155X, and Q163X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8X, D108X, N127X, E155X, and T166X in SEQ ID NO: 1, or a
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of H8X, A106X, D108X, mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, seven, or eight mutations selected from the group consisting of H8X, R126X, L68X, D108X, N127X, D147X, and E155X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8X, D108X, A109X, N127X, and E155X in SEQ ID NO: 1, or a
  • X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of H8Y, D108N, N127S, D147Y, R152C, and Q154H in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, seven, or eight mutations selected from the group consisting of H8Y, M61I, M70V, D108N, N127S, Q154R, E155G and Q163H in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8Y, D108N, N127S, E155V, and T166P in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of H8Y, A106T, D108N, N127S, E155D, and K161Q in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, seven, or eight mutations selected from the group consisting of H8Y, R126W, L68Q, D108N, N127S, D147Y, and E155V in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8Y, D108N, A109T, N127S, and E155G in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of the or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises the mutations of any one of constructs pNMG-149 to pNMG-154 of Figure 16, corresponding to SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises a D108N, D108G, or D108V mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises a A106V and D108N mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises R107C and D108N mutations in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises a H8Y, D108N, N127S, D147Y, and Q154H mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises a H8Y, R24W, D108N, N127S, D147Y, and E155V mutation in SEQ ID NO: 1, or
  • the adenosine deaminase comprises a D108N, D147Y, and E155V mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises a H8Y, D108N, and S 127S mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises a A106V, D108N, D147Y and E155V mutation in SEQ ID NO: 1, or corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of a
  • the adenosine deaminase comprises one or more of S2A, H8Y, I49F, L84F, H123Y, N127S, I156F and/or K160S mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of the mutations provided in Figure 97 corresponding to SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises the mutation or mutations of any one of clones 1-3 shown in Figure 97 corresponding to SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminse comprises an L84X mutation adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an L84F mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an H123X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an H123Y mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an I157X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an I157F mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, or seven mutations selected from the group consisting of L84X, A106X, D108X, H123X, D147X, E155X, and I156X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of S2X, I49X, A106X, D108X, D147X, and E155X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8X, A106X, D108X, N127X, and K160X in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase, where X indicates the presence of any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, six, or seven mutations selected from the group consisting of L84F, A106V, D108N, H123Y, D147Y, E155V, and I156F in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one, two, three, four, five, or six mutations selected from the group consisting of S2A, I49F, A106V, D108N, D147Y, and E155V in SEQ ID NO: 1, or a
  • the adenosine deaminase comprises one, two, three, four, or five, mutations selected from the group consisting of H8Y, A106T, D108N, N127S, and K160S in SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of a
  • the adenosine deaminase comprises one or more of E25M, E25D, E25A, E25R, E25V, E25S, E25Y, R26G, R26N, R26Q, R26C, R26L, R26K, R107P, R07K, R107A, R107N, R107W, R107H, R107S, A142N, A142D, A142G, A143D, A143G, A143E, A143L, A143W, A143M, A143S, A143Q and/or A143R mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of the mutations provided in Table 7 corresponding to SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises the mutation or mutations of any one of clones 1-22 shown in Table 7 corresponding to SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminse comprises an E25X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an E25M, E25D, E25A, E25R, E25V, E25S, or E25Y mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an R26X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an , R26G, R26N, R26Q, R26C, R26L, or R26K mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an R107X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an R107P, R07K, R107A, R107N, R107W, R107H, or R107S mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an A142X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an A142N, A142D, A142G, mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an A143X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an A143D, A143G, A143E, A143L, A143W, A143M, A143S, A143Q and/or A143R mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of a
  • the adenosine deaminase comprises one or more of H36L, N37T, N37S, P48T, P48L, I49V, R51H, R51L, M70L, N72S, D77G, E134G, S 146R, S 146C, Q154H, K157N, and/or K161T mutation in SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase.
  • the adenosine deaminase comprises one or more of the mutations provided in any one of Figures 125-128 corresponding to SEQ ID NO: 1, or one or more corresponding mutations in another adenosine deaminase. In some embodiments, the adenosine deaminase comprises the mutation or mutations of any one of clones 1-11 shown in any one of Figures 125-128 corresponding to SEQ ID NO: 1, or a corresponding mutation or mutations in another adenosine deaminase.
  • the adenosine deaminse comprises an H36X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an H36L mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an N37X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an N37T, or N37S mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an P48X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an P48T, or P48L mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an R51X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an R51H, or R51L mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an S 146X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises an S 146R, or S 146C mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an K157X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a K157N mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an P48X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a P48S, P48T, or P48A mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an A142X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a A142N mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an W23X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a W23R, or W23L mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminse comprises an R152X mutation in ecTadA SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase, where X indicates any amino acid other than the corresponding amino acid in the wild-type adenosine deaminase.
  • the adenosine deaminase comprises a R152P, or R52H mutation in SEQ ID NO: 1, or a corresponding mutation in another adenosine deaminase.
  • the adenosine deaminase may comprise one or more of the mutations provided in any of the adenosine deaminases (e.g., ecTadA adenosine deaminases) shown in Table 4.
  • the adenosine deaminase comprises the combination of mutations of any of the adenosine deaminases (e.g., ecTadA adenosine deaminases) shown in Table 4.
  • the adenosine deaminase may comprise the mutations H36L, R51L, L84F, A106V, D108N, H123Y, S 146C, D147Y, E155V, I156F, and K157N, which are shown in the second ecTadA (relative to SEQ ID NO: 1) of clone pNMG-477.
  • the adenosine deaminase comprises the following combination of mutations relative to SEQ ID NO: l, where each mutation of a combination is separated by a "_" and each combination of mutations is between parentheses: (A106V_D108N), (R107C_D108N),
  • the adenosine deaminase comprises an amino acid
  • the adenosine deaminase comprises an amino acid sequence that has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 21, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50 or more mutations compared to any one of the amino acid sequences set forth in SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein.
  • the adenosine deaminase comprises an amino acid sequence that has at least 5, at least 10, at least 15, at least 20, at least 25, at least 30, at least 35, at least 40, at least 45, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 110, at least 120, at least 130, at least 140, at least 150, at least 160, or at least 166, identical contiguous amino acid residues as compared to any one of the amino acid sequences set forth in SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein.
  • the adenosine deaminase comprises the amino acid sequence of any one of SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein. In some embodiments, the adenosine deaminase consists of the amino acid sequence of any one of SEQ ID NOs: 1, 64-84, 420-437, 672-684, or any of the adenosine deaminases provided herein.
  • the ecTadA sequences provided below are from ecTadA (SEQ ID NO: 1), absent the N-terminal methionine (M).
  • the saTadA sequences provided below are from saTadA (SEQ DI NO: 8), absent the N-terminal methionine (M).
  • the amino acid numbering scheme used to identify the various amino acid mutations is derived from ecTadA (SEQ ID NO: 1) for E. coli TadA and saTadA (SEQ ID NO: 8) for S. aureus TadA.
  • Amino acid mutations, relative to SEQ ID NO: 1 (ecTadA) or SEQ DI NO: 8 (saTadA) are indicated by underlining.
  • nucleic acid programmable DNA binding protein [00277] In some aspects, a nucleic acid programmable DNA binding protein
  • the Cas9 domain is a nuclease active Cas9 domain, a nuclease inactive Cas9 domain, or a Cas9 nickase.
  • the Cas9 domain is a nuclease active domain.
  • the Cas9 domain may be a Cas9 domain that cuts both strands of a duplexed nucleic acid ⁇ e.g., both strands of a duplexed DNA molecule).
  • the Cas9 domain comprises any one of the amino acid sequences as set forth in SEQ ID NOs: 108-357.
  • the Cas9 domain comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the amino acid sequences set forth in SEQ ID NOs: 108-357. In some embodiments,
  • the Cas9 domain comprises an amino acid sequence that has at least 10, at least 15, at least 20, at least 30, at least 40, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 150, at least 200, at least 250, at least 300, at least 350, at least 400, at least 500, at least 600, at least 700, at least 800, at least 900, at least 1000, at least 1100, or at least 1200 identical contiguous amino acid residues as compared to any one of the amino acid sequences set forth in SEQ ID NOs: 108-357.
  • the Cas9 domain is a nuclease-inactive Cas9 domain
  • the dCas9 domain may bind to a duplexed nucleic acid molecule (e.g., via a gRNA molecule) without cleaving either strand of the duplexed nucleic acid molecule.
  • the nuclease-inactive dCas9 domain comprises a D10X mutation and a H840X mutation of the amino acid sequence set forth in SEQ ID NO: 52, or a
  • nuclease-inactive dCas9 domain comprises a D10A mutation and a H840A mutation of the amino acid sequence set forth in SEQ ID NO: 52, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • a nuclease-inactive Cas9 domain comprises the amino acid sequence set forth in SEQ ID NO: 54 (Cloning vector pPlatTET-gRNA2, Accession No. BAV54124).
  • nuclease-inactive dCas9 domains will be apparent to those of skill in the art based on this disclosure and knowledge in the field, and are within the scope of this disclosure.
  • Such additional exemplary suitable nuclease-inactive Cas9 domains include, but are not limited to, D10A/H840A, D10A/D839A/H840A, and
  • D10A/D839A/H840A/N863A mutant domains See, e.g., Prashant et al, CAS 9
  • the dCas9 domain comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the dCas9 domains provided herein.
  • the Cas9 domain comprises an amino acid sequences that has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 21, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more mutations compared to any one of the amino acid sequences set forth in SEQ ID NOs: 108- 357.
  • the Cas9 domain comprises an amino acid sequence that has at least 10, at least 15, at least 20, at least 30, at least 40, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 150, at least 200, at least 250, at least 300, at least at least 900, at least 1000, at least 1100, or at least 1200 identical contiguous amino acid residues as compared to any one of the amino acid sequences set forth in SEQ ID NOs: 108-357.
  • the Cas9 domain is a Cas9 nickase.
  • the Cas9 nickase may be a Cas9 protein that is capable of cleaving only one strand of a duplexed nucleic acid molecule (e.g., a duplexed DNA molecule).
  • the Cas9 nickase cleaves the target strand of a duplexed nucleic acid molecule, meaning that the Cas9 nickase cleaves the strand that is base paired to (complementary to) a gRNA (e.g., an sgRNA) that is bound to the Cas9.
  • a gRNA e.g., an sgRNA
  • a Cas9 nickase comprises a D10A mutation and has a histidine at position 840 of SEQ ID NO: 52, or a mutation in any of SEQ ID NOs: 108-357.
  • a Cas9 nickase may comprise the amino acid sequence as set forth in SEQ ID NO: 35.
  • the Cas9 nickase cleaves the non-target, non-base-edited strand of a duplexed nucleic acid molecule, meaning that the Cas9 nickase cleaves the strand that is not base paired to a gRNA (e.g., an sgRNA) that is bound to the Cas9.
  • a gRNA e.g., an sgRNA
  • a Cas9 nickase comprises an H840A mutation and has an aspartic acid residue at position 10 of SEQ ID NO: 52, or a corresponding mutation in any of SEQ ID NOs: 108- 357.
  • the Cas9 nickase comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the Cas9 nickases provided herein. Additional suitable Cas9 nickases will be apparent to those of skill in the art based on this disclosure and knowledge in the field, and are within the scope of this disclosure.
  • Cas9 domains that have different PAM specificities.
  • Cas9 proteins such as Cas9 from S. pyogenes (spCas9)
  • spCas9 require a canonical NGG PAM sequence to bind a particular nucleic acid region, where the "N” in "NGG” is adenine (A), thymine (T), guanine (G), or cytosine (C), and the G is guanine. This may limit the ability to edit desired bases within a genome.
  • the base editing fusion proteins provided herein need to be positioned at a precise location, for example, where a target base is within a 4 base region (e.g., a "deamination window"), which is approximately 15 bases upstream of the PAM.
  • a target base is within a 4 base region (e.g., a "deamination window"), which is approximately 15 bases upstream of the PAM.
  • any of the fusion proteins provided herein may contain a Cas9 domain that is capable of binding a nucleotide sequence that does not contain a canonical (e.g., NGG) PAM sequence.
  • Cas9 domains that bind to non-canonical PAM sequences have been described in the art and would be apparent to the skilled artisan. For example, Cas9 domains that bind non-canonical PAM sequences have been described in Kleinstiver, B.
  • the Cas9 domain is a Cas9 domain from
  • the SaCas9 domain is a nuclease active SaCas9, a nuclease inactive SaCas9 (SaCas9d), or a SaCas9 nickase (SaCas9n).
  • the SaCas9 comprises the amino acid sequence SEQ ID NO: 55.
  • the SaCas9 comprises a N579X mutation of SEQ ID NO: 55, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108- 357, wherein X is any amino acid except for N.
  • the SaCas9 comprises a N579A mutation of SEQ ID NO: 55, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • the SaCas9 domain the SaCas9d domain, or the
  • the SaCas9n domain can bind to a nucleic acid sequence having a non-canonical PAM.
  • the SaCas9 domain comprises one or more of E781X, N967X, and R1014X mutation of SEQ ID NO: 55, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357, wherein X is any amino acid.
  • the SaCas9 domain comprises one or more of a E781K, a N967K, and a R1014H mutation of SEQ ID NO: 55, or one or more corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357. In some embodiments, the SaCas9 domain comprises a E781K, a N967K, or a R1014H mutation of SEQ ID NO: 55, or corresponding mutations in any of the amino acid sequences provided in SEQ ID NOs: 108- 357.
  • the Cas9 domain of any of the fusion proteins provided herein comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of SEQ ID NOs: 55-57.
  • the Cas9 domain of any of the fusion proteins provided herein comprises the amino acid sequence of any one of SEQ ID NOs: 55-57.
  • the Cas9 domain of any of the fusion proteins provided herein consists of the amino acid sequence of any one of SEQ ID NOs: 55-57.
  • Residue N579 of SEQ ID NO: 55 which is underlined and in bold, may be mutated (e.g., to a A579) to yield a SaCas9 nickase.
  • Residue A579 of SEQ ID NO: 57 which can be mutated from N579 of SEQ
  • Residues K781, K967, and H1014 of SEQ ID NO: 57, which can be mutated from E781, N967, and R1014 of SEQ ID NO: 55 to yield a SaKKH Cas9 are underlined and in italics.
  • the Cas9 domain is a Cas9 domain from Streptococcus pyogenes (SpCas9).
  • the SpCas9 domain is a nuclease active SpCas9, a nuclease inactive SpCas9 (SpCas9d), or a SpCas9 nickase (SpCas9n).
  • the SpCas9 comprises the amino acid sequence SEQ ID NO: 58. In some embodiments, the SpCas9 comprises a D9X mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357, wherein X is any amino acid except for D. In some embodiments, the SpCas9 comprises a D9A mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • the SpCas9 domain, the SpCas9d domain, or the SpCas9n domain can bind to a nucleic acid sequence having a non-canonical PAM. In some embodiments, the SpCas9 domain, the SpCas9d domain, or the SpCas9n domain can bind to a nucleic acid sequence having a NGG, a NGA, or a NGCG PAM sequence.
  • the SpCas9 domain comprises one or more of a Dl 134X, a R1334X, and a T1336X mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-35, wherein X is any amino acid.
  • the SpCas9 domain comprises one or more of a Dl 134E, R1334Q, and T1336R mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-35.
  • the SpCas9 domain comprises a Dl 134E, a R1334Q, and a T1336R mutation of SEQ ID NO: 58, or
  • the SpCas9 domain comprises one or more of a Dl 134X, a
  • the SpCas9 domain comprises one or more of a Dl 134V, a R1334Q, and a T1336R mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-35.
  • the SpCas9 domain comprises a Dl 134V, a R1334Q, and a T1336R mutation of SEQ ID NO: 58, or
  • the SpCas9 domain comprises one or more of a Dl 134X, a G1217X, a R1334X, and a T1336X mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-35, wherein X is any amino acid.
  • the SpCas9 domain comprises one or more of a Dl 134V, a G1217R, a R1334Q, and a T1336R mutation of SEQ ID NO: 58, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-35.
  • the SpCas9 domain comprises a Dl 134V, a G1217R, a R1334Q, and a T1336R mutation of SEQ ID NO: 58, or corresponding mutations in any of the amino acid sequences provided in SEQ ID NOs: 108-35.
  • the Cas9 domain of any of the fusion proteins provided herein comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of SEQ ID NOs: 58-62.
  • the Cas9 domain of any of the fusion proteins provided herein comprises the amino acid sequence of any one of SEQ ID NOs: 58-62.
  • the Cas9 domain of any of the fusion proteins provided herein consists of the amino acid sequence of any one of SEQ ID NOs: 58-62.
  • Residues El 134, Q1334, and R1336 of SEQ ID NO: 60 which can be mutated from Dl 134, R1334, and T1336 of SEQ ID NO: 58 to yield a SpEQR Cas9, are underlined and in bold.
  • Residues VI 134, Q1334, and R1336 of SEQ ID NO: 61 which can be mutated from Dl 134, R1334, and T1336 of SEQ ID NO: 58 to yield a SpVQR Cas9, are underlined and in bold.
  • Residues VI 134, R1217, Q1334, and R1336 of SEQ ID NO: 62, which can be mutated from D1134, G1217, R1334, and T1336 of SEQ ID NO: 58 to yield a SpVRER Cas9, are underlined and in bold. High fidelity Cas9 domains
  • high fidelity Cas9 domains of the nucleobase editors provided herein.
  • high fidelity Cas9 domains are engineered Cas9 domains comprising one or more mutations that decrease electrostatic interactions between the Cas9 domain and the sugar-phosphate backbone of DNA, as compared to a corresponding wild-type Cas9 domain.
  • high fidelity Cas9 domains that have decreased electrostatic interactions with the sugar-phosphate backbone of DNA may have less off-target effects.
  • the Cas9 domain ⁇ e.g., a wild type Cas9 domain
  • a Cas9 domain comprises one or more mutations that decreases the association between the Cas9 domain and the sugar-phosphate backbone of DNA by at least 1%, at least 2%, at least 3%, at least 4%, at least 5%, at leastl0%, at least 15%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, or more.
  • any of the Cas9 fusion proteins provided herein comprise one or more of N497X, R661X, Q695X, and/or Q926X mutation of the amino acid sequence provided in SEQ ID NO: 52, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357, wherein X is any amino acid.
  • any of the Cas9 fusion proteins provided herein comprise one or more of N497A, R661A, Q695A, and/or Q926A mutation of the amino acid sequence provided in SEQ ID NO: 52, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • the Cas9 domain comprises a DIOA mutation of the amino acid sequence provided in SEQ ID NO: 52, or a corresponding mutation in any of the amino acid sequences provided in SEQ ID NOs: 108-357.
  • the Cas9 domain ⁇ e.g., of any of the fusion proteins provided herein) comprises the amino acid sequence as set forth in SEQ ID NO: 62.
  • Cas9 domains with high fidelity are known in the art and would be apparent to the skilled artisan. For example, Cas9 domains with high fidelity have been described in Kleinstiver, B.P., et al.
  • any of the base editors provided herein may be converted into high fidelity base editors by modifying the Cas9 domain as described herein to generate high fidelity base editors, for example, a high fidelity adenosine base editor.
  • any of the base editors provided herein may be converted into high fidelity base editors by modifying the Cas9 domain as described herein to generate high fidelity base editors, for example, a high fidelity adenosine base editor.
  • the high fidelity Cas9 domain is a dCas9 domain. In some embodiments, the high fidelity Cas9 domain is a nCas9 domain.
  • nucleic acid programmable DNA binding proteins which may be used to guide a protein, such as a base editor, to a specific nucleic acid (e.g., DNA or RNA) sequence.
  • Nucleic acid programmable DNA binding proteins include, without limitation, Cas9 (e.g., dCas9 and nCas9), CasX, CasY, Cpfl, C2cl, C2c2, C2C3, and Argonaute.
  • Cas9 e.g., dCas9 and nCas9
  • CasX CasY
  • Cpfl C2cl
  • C2c2, C2C3 Argonaute.
  • an nucleic acid programmable DNA-binding protein that has different PAM specificity than Cas9 is Clustered Regularly Interspaced Short Palindromic Repeats from Prevotella and Francisella 1 (Cpfl).
  • Cpfl is also a class 2 CRISPR effector. It has been shown that Cpflmediates robust DNA interference with features distinct from Cas9.
  • Cpfl is a single RNA-guided endonuclease lacking tracrRNA, and it utilizes a T-rich protospacer-adjacent motif (TTN, TTTN, or YTN).
  • Cpfl cleaves DNA via a staggered DNA double- stranded break.
  • Cpfl- family proteins two enzymes from Acidaminococcus and Lachnospiraceae are shown to have efficient genome-editing activity in human cells.
  • Cpfl proteins are known in the art and have been described previously, for example Yamano et ah, "Crystal structure of Cpfl in complex with guide RNA and target DNA.” Cell (165) 2016, p. 949-962; the entire contents of which is hereby incorporated by reference.
  • nuclease-inactive are nuclease-inactive
  • Cpfl (dCpfl) variants that may be used as a guide nucleotide sequence-programmable DNA- binding protein domain.
  • the Cpfl protein has a RuvC-like endonuclease domain that is similar to the RuvC domain of Cas9 but does not have a HNH endonuclease domain, and the N-terminal of Cpfl does not have the alfa-helical recognition lobe of Cas9. It was shown in Zetsche et ah, Cell, 163, 759-771, 2015 (which is incorporated herein by reference) that, the RuvC-like domain of Cpfl is responsible for cleaving both DNA strands and inactivation of the RuvC-like domain inactivates Cpfl nuclease activity.
  • mutations corresponding to D917A, E1006A, or D1255A in Francisella novicida Cpfl inactivates Cpfl nuclease activity.
  • the dCpfl of the present disclosure comprises mutations corresponding to D917A, E1006A, D1255A,
  • the le DNA binding protein (napDNAbp) of any of the fusion proteins provided herein may be a Cpf 1 protein.
  • the Cpfl protein is a Cpfl nickase (nCpfl).
  • the Cpfl protein is a nuclease inactive Cpfl (dCpfl).
  • the Cpfl, the nCpfl, or the dCpfl comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to any one of SEQ ID NOs: 376-382.
  • the dCpfl comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to any one of SEQ ID NOs: 376-382, and comprises mutations corresponding to D917A, E1006A, D1255A, D917A/E1006A, D917A/D1255A, E1006A/D1255A, or D917A/ E1006A/D1255A in SEQ ID NO: 376.
  • the dCpfl comprises an amino acid sequence of any one SEQ ID NOs: 376-382. It should be appreciated that Cpfl from other bacterial species may also be used in accordance with the present disclosure.
  • Wild type Francisella novicida Cpfl (SEQ ID NO: 376) (D917, E1006, and D1255 are bolded and underlined)
  • Francisella novicida Cpfl D917A (SEQ ID NO: 377) (A917, E1006, and D1255 are bolded and underlined)
  • Francisella novicida Cpfl D1255A (SEQ ID NO: 379) (D917, E1006, and A1255 are bolded and underlined)
  • Francisella novicida Cpfl D917A/E1006A (SEQ ID NO: 380) (A917, A1006, and D1255 are bolded and underlined)
  • Francisella novicida Cpfl D917A/D1255A (SEQ ID NO: 381) (A917, E1006, and A1255 are bolded and underlined)
  • Francisella novicida Cpfl E1006A/D1255A (SEQ ID NO: 382) (D917, A1006, and A1255 are bolded and underlined)
  • Francisella novicida Cpfl D917A/E1006A/D1255A (SEQ ID NO: 383) (A917, A1006, and A 1255 are bolded and underlined)
  • the nucleic acid programmable DNA binding protein [00303] In some embodiments, the nucleic acid programmable DNA binding protein
  • napDNAbp is a nucleic acid programmable DNA binding protein that does not require a canonical (NGG) PAM sequence.
  • the napDNAbp is an argonaute protein.
  • One example of such a nucleic acid programmable DNA binding protein is an Argonaute protein from Natronobacterium gregoryi (NgAgo).
  • NgAgo is a ssDNA-guided endonuclease. NgAgo binds 5' phosphorylated ssDNA of -24 nucleotides (gDNA) to guide it to its target site and will make DNA double-strand breaks at the gDNA site.
  • NgAgo-gDNA system does not require a protospacer-adjacent motif (PAM).
  • PAM protospacer-adjacent motif
  • dNgAgo nuclease inactive NgAgo
  • the characterization and use of NgAgo have been described in Gao et al., Nat Biotechnol., 2016 Jul;34(7):768-73. PubMed PMID: 27136078; Swarts et al., Nature. 507(7491) (2014):258-61; and Swarts et al., Nucleic Acids Res. 43(10) (2015):5120-9, each of which is incorporated herein by reference.
  • the sequence of Natronobacterium gregoryi Argonaute is provided in SEQ ID NO: 416. Wild type Natronobacterium gregoryi Argonaute (SEQ ID NO: 416)
  • the napDNAbp is a prokaryotic homolog of an
  • the napDNAbp is a Marinitoga piezophila Argunaute (MpAgo) protein.
  • the CRISPR-associated Marinitoga piezophila Argunaute (MpAgo) protein cleaves single- stranded target sequences using 5'- phosphorylated guides.
  • the 5' guides are used by all known Argonautes.
  • the crystal structure of an MpAgo-RNA complex shows a guide strand binding site comprising residues that block 5' phosphate interactions.
  • This data suggests the evolution of an Argonaute subclass with noncanonical specificity for a 5'-hydroxylated guide. See, e.g., Kaya et al., "A bacterial Argonaute with noncanonical guide RNA specificity", Proc Natl Acad Sci U SA. 2016 Apr 12;113(15):4057-62, the entire contents of which are hereby incorporated by reference).
  • argonaute proteins may be used, and are within [00305]
  • napDNAbp is a single effector of a microbial CRISPR-Cas system.
  • Single effectors of microbial CRISPR-Cas systems include, without limitation, Cas9, Cpfl, C2cl, C2c2, and C2c3.
  • microbial CRISPR-Cas systems are divided into Class 1 and Class 2 systems. Class 1 systems have multisubunit effector complexes, while Class 2 systems have a single protein effector. For example, Cas9 and Cpfl are Class 2 effectors.
  • C2cl Class 2 CRISPR-Cas systems
  • C2c2 Three distinct Class 2 CRISPR-Cas systems
  • Shmakov et al. "Discovery and Functional Characterization of Diverse Class 2 CRISPR Cas Systems", Mol. Cell, 2015 Nov 5; 60(3): 385-397, the entire contents of which is hereby incorporated by reference.
  • Effectors of two of the systems, C2cl and C2c3, contain RuvC-like endonuclease domains related to Cpfl.
  • a third system, C2c2 contains an effector with two predicated HEPN RNase domains.
  • C2cl depends on both CRISPR RNA and tracrRNA for DNA cleavage.
  • Bacterial C2c2 has been shown to possess a unique RNase activity for CRISPR RNA maturation distinct from its RNA-activated single- stranded RNA degradation activity. These RNase functions are different from each other and from the CRISPR RNA-processing behavior of Cpfl.
  • the nucleic acid programmable DNA binding protein [00307] In some embodiments, the nucleic acid programmable DNA binding protein
  • napDNAbp of any of the fusion proteins provided herein may be a C2cl, a C2c2, or a C2c3 protein.
  • the napDNAbp is a C2cl protein.
  • the napDNAbp is a C2c2 protein.
  • the napDNAbp is a C2c3 protein.
  • the napDNAbp comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to a naturally-occurring C2cl, C2c2, or C2c3 protein.
  • the napDNAbp is a naturally-occurring C2cl, C2c2, or C2c3 protein.
  • the napDNAbp comprises an amino acid sequence that is at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at ease 99.5% identical to any one of SEQ ID NOs: 438 or 439.
  • the napDNAbp comprises an amino acid sequence of any one SEQ ID NOs: 438 or 439. It should be appreciated that C2cl, C2c2, or C2c3 from other bacterial species may also be used in accordance with the present disclosure.
  • splT0D7A2IC2Cl_ALIAG CRIS PR-associated endonuclease
  • C2cl OS Alicyclobacillus acidoterrestris (strain ATCC 49025 / DSM 3922 / CIP 106132 / NCIMB 13137 / GD3B)
  • SV 1
  • C2c2 OS Leptotrichia shahii (strain DSM 19757 / CCUG 47503 / CIP 107916 / JCM 16776 / LB37)
  • SV 1
  • Fusion proteins comprising a nuclease programmable DNA binding protein and an adenosine deaminase
  • fusion proteins comprising a nucleic acid programmable DNA binding protein (napDNAbp) and an adenosine deaminase.
  • any of the fusion proteins provided herein are base editors.
  • the napDNAbp is a Cas9 domain, a Cpf 1 domain, a CasX domain, a CasY domain, a C2cl domain, a C2c2 domain, aC2c3 domain, or an Argonaute domain.
  • the napDNAbp is any napDNAbp provided herein.
  • the Cas9 domain may be any of the Cas9 domains or Cas9 proteins ⁇ e.g., dCas9 or nCas9) provided herein.
  • any of the Cas9 domains or Cas9 proteins ⁇ e.g., dCas9 or nCas9) provided herein may be fused with any of the adenosine deaminases provided herein.
  • the fusion protein comprises the structure:
  • the fusion proteins comprising an adenosine deaminase and a napDNAbp ⁇ e.g., Cas9 domain) do not include a linker sequence.
  • a linker is present between the adenosine deaminase domain and the napDNAbp .
  • the "-" used in the general architecture above indicates the presence of an optional linker.
  • the adenosine deaminase and the napDNAbp are fused via any of the linkers provided herein.
  • the adenosine deaminase and the napDNAbp are fused via any of the linkers ments
  • the adenosine deaminase and the napDNAbp are fused via a linker that comprises between 1 and and 200 amino acids.
  • the adenosine deaminase and the napDNAbp are fused via a linker that comprises from 1 to 5, 1 to 10, 1 to 20, 1 to 30, 1 to 40, 1 to 50, 1 to 60, 1 to 80, 1 to 100, 1 to 150, 1 to 200, 5 to 10, 5 to 20, 5 to 30, 5 to 40, 5 to 60, 5 to 80, 5 to 100, 5 to 150, 5 to 200, 10 to 20, 10 to 30, 10 to 40, 10 to 50, 10 to 60, 10 to 80, 10 to 100, 10 to 150, 10 to 200, 20 to 30, 20 to 40, 20 to 50, 20 to 60, 20 to 80, 20 to 100, 20 to 150, 20 to 200, 30 to 40, 30 to 50, 30 to 60, 30 to 80, 30 to 100, 30 to 150, 30 to 200, 40 to 50, 40 to 60, 40 to 80, 40 to 100, 40 to 150, 40 to 200, 50 to 60 50 to 80, 50 to 100, 50 to 150, 50 to 200, 60 to 80, 60 to 100, 60 to 150, 60 to 150
  • the adenosine deaminase and the napDNAbp are fused via a linker that comprises 4, 16, 32, or 104 amino acids in length. In some embodiments, the adenosine deaminase and the napDNAbp are fused via a linker that comprises the amino acid sequence of SGSETPGTSESATPES (SEQ ID NO: 10), SGGS (SEQ ID NO: 37), SGGSSGSETPGTSESATPESSGGS (SEQ ID NO: 384),
  • the adenosine deaminase and the napDNAbp are fused via a linker comprising the amino acid sequence SGSETPGTSESATPES (SEQ ID NO: 10), which may also be referred to as the XTEN linker.
  • the linker is 24 amino acids in length.
  • the linker comprises the amino acid sequence
  • the linker is 40 amino acids in length. In some embodiments, the linker comprises the amino acid sequence SGGSSGGSSGS ETPGTS ES ATPES S GGSSGGSSGGSSGGS (SEQ ID NO: 686). In some embodiments, the linker is 64 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • the linker is 92 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • Fusion proteins comprising an inhibitor of base repair
  • ns that comprise an inhibitor of base repair may further comprise an inhibitor of base repair.
  • IBR comprises an inhibitor of inosine base repair.
  • the IBR is an inhibitor of inosine base excision repair.
  • the inhibitor of inosine base excision repair is a catalytically inactive inosine specific nuclease (dISN).
  • the fusion proteins provided herein further comprise a catalytically inactive inosine-specific nuclease (dISN).
  • dISN catalytically inactive inosine-specific nuclease
  • any of the fusion proteins provided herein that comprise a napDNAbp e.g., a nuclease active Cas9 domain, a nuclease inactive dCas9 domain, or a Cas9 nickase
  • an adenosine deaminase may be further fused to a catalytically inactive inosine-specific nuclease (dISN) either directly or via a linker.
  • fusion proteins that comprise an adenosine deaminase (e.g., an engineered adenosine deaminase that deaminates adenosine in a DNA) a napDNAbp (e.g., a dCas9 or nCas9), and a dISN.
  • adenosine deaminase e.g., an engineered adenosine deaminase that deaminates adenosine in a DNA
  • a napDNAbp e.g., a dCas9 or nCas9
  • dISN e.g., a dISN
  • AAG catalyzes removal of inosine (I) from DNA in cells, which may initiate base excision repair, with reversion of the I:T pair to a A:T pair as the most common outcome.
  • a catalytically inactive inosine-specific nuclease may be capable of binding an inosine in a nucleic acid, without cleaving the nucleic acid, to prevent removal (e.g., by cellular DNA repair mechanisms) of the inosine residue in the DNA.
  • a dISN may inhibit (e.g., by steric hindrance) inosine removing enzymes from excising the inosine residue from DNA.
  • catalytically dead inosine glycosylases e.g., alkyl adenine glycosylase [AAG]
  • AAG alkyl adenine glycosylase
  • this disclosure contemplates a fusion protein comprising a napDNAbp and an adenosine deaminase further fused to a dISN .
  • a fusion protein comprising any Cas9 domain, for example, a Cas9 nickase (nCas9) domain, a catalytically inactive Cas9 (dCas9) domain, a high fidelity Cas9 domain, or a Cas9 domain with reduced PAM exclusivity.
  • a dISN may increase the editing efficiency of a adenosine deaminase that is capable of catalyzing a A to I change.
  • fusion proteins comprising a dISN domain may be more efficient in deaminating A residues.
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between two domains or proteins (e.g., adenosine deaminase, napDNAbp, or dISN).
  • the "-" used in the general architecture above indicates the presence of an optional linker sequence.
  • a dISN comprises an ino sine- specific nuclease that has reduced or nuclease activity, or does not have nuclease activity.
  • a dISN has up to 1%, up to 2%, up to 3%, up to 4%, up to 5%, up to 10%, up to 15%, up to 20%, up to 25%, up to 30%, up to 35%, up to 40%, up to 45%, or up to 50% of the nuclease activity of a corresponding (e.g., the wild-type) inosine-specific nuclease.
  • the dISN is a wild-type inosine-specific nuclease that comprises one or more mutations that reduces or eliminates the nuclease activity of the wild-type inosine-specific nuclease.
  • Exemplary catalytically inactive inosine-specific nucleases include, without limitation, catalytically inactive AAG nuclease and catalytically inactive EndoV nuclease.
  • the catalytically inactive AAG nuclease comprises an E125Q mutation as compared to SEQ ID NO: 32, or a corresponding mutation in another AAG nuclease.
  • the catalytically inactive AAG nuclease comprises the amino acid sequence set forth in SEQ ID NO: 32.
  • the catalytically inactive EndoV nuclease comprises an D35A mutation as compared to SEQ ID NO 32, or a corresponding mutation in another EndoV nuclease.
  • the catalytically inactive EndoV nuclease comprises the amino acid sequence set forth in SEQ ID NO: 33. It should be appreciated that other catalytically inactive inosine-specific nucleases (dISNs) would be apparent to the skilled artisan and are within the scope of this disclosure.
  • dISNs catalytically inactive inosine-specific nucleases
  • the dISN proteins provided herein include fragments of dISN proteins and proteins homologous to a dISN or a dISN fragment.
  • a dISN comprises a fragment of the amino acid sequence set forth in mprises an amino acid sequence that comprises at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% of the amino acid sequence as set forth in SEQ ID NO: 32 or 33.
  • a dISN comprises an amino acid sequence homologous to the amino acid sequence set forth in SEQ ID NO: 32 or 33, or an amino acid sequence homologous to a fragment of the amino acid sequence set forth in SEQ ID NO: 32 or 33.
  • proteins comprising a dISN or fragments of a dISN or homologs of a dISN or a dISN fragment are referred to as "dISN variants.”
  • a dISN variant shares homology to a dISN, or a fragment thereof.
  • a dISN variant is at least 70% identical, at least 75% identical, at least 80% identical, at least 85% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% identical to a wild-type dISN or a dISN as set forth in SEQ ID NO: 32 or 33.
  • the dISN variant comprises a fragment of dISN, such that the fragment is at least 70% identical, at least 80% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% to the corresponding fragment of wild-type dISN or a dISN as set forth in SEQ ID NO: 32 or 33.
  • the dISN comprises the following amino acid sequence:
  • AAG nuclease (E125Q); mutated residue underlined in bold.
  • D35A EndoV nuclease
  • Suitable dISN proteins are provided herein and additional suitable dISN proteins are known to those in the art, and include, for example, AAG, EndoV, and variants thereof. It should be appreciated that additional proteins that block or inhibit base-excision repair, such as base excision of an inosine, are also within the scope of this disclosure. In some embodiments, a protein that binds inosine in DNA is used.
  • fusion proteins that comprise MBD4, or TDG, which may be used as inhibitors of base repair.
  • this disclosure contemplates a fusion protein comprising a napDNAbp and an adenosine deaminase further fused to MBD4 or TDG.
  • This disclosure contemplates a fusion protein comprising any Cas9 domain, for example, a Cas9 nickase (nCas9) domain, a catalytically inactive Cas9 (dCas9) domain, a high fidelity Cas9 domain, or a Cas9 domain with reduced PAM exclusivity.
  • MBD4 or TDG may increase the editing efficiency of a adenosine deaminase that is capable of catalyzing a A to I change.
  • fusion proteins comprising MBD4 or TDG may be more efficient in deaminating A residues.
  • the fusion protein comprises the structure:
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between two domains or proteins (e.g., adenosine deaminase, napDNAbp, MBD4 or TDG).
  • the "-" used in the general architecture above indicates the presence of an optional linker sequence.
  • the MBD4 or TDG is a wild-type MBD4 or TDG. Exemplary, MBD4 and TDG amino acid sequences would be apparent to the skilled artisan and include, without limitation, the MBD4 and TDG amino acid sequences provided below.
  • the MBD4 or TDG proteins provided herein include fragments of MBD4 or TDG proteins and proteins homologous to a MBD4 or a TDG fragment.
  • a MBD4 or TDG protein comprises a fragment of the amino acid sequence set forth in SEQ ID NO: 689 or 690.
  • a MBD4 or TDG fragment comprises an amino acid sequence that comprises at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% of the amino acid sequence as set forth in SEQ ID NO: 689 or 690.
  • a MBD4 or TDG protein comprises an amino acid sequence homologous to the amino acid sequence set forth in SEQ ID NO: 689 or 690, or an amino acid sequence homologous to a fragment of the amino acid sequence set forth in SEQ ID NO: 689 or 690.
  • proteins comprising a MBD4 or TDG or fragments of a MBD4 or TDG or homologs of a MBD4 or TDG fragment are referred to as "MBD4 varients" or "TDG variants.”
  • a MBD4 or TDG variant shares homology to a MBD4 or TDG, or a fragment thereof.
  • a MBD4 or TDG variant is at least 70% identical, at least 75% identical, at least 80% identical, at least 85% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or or TDG as set forth in SEQ ID NO: 689 or 690.
  • the MBD4 or TDG variant comprises a fragment of MBD4 or TDG, such that the fragment is at least 70% identical, at least 80% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% to the corresponding fragment of wild-type MBD4 or TDG or a MBD4 or TDG as set forth in SEQ ID NO: 689 or 690.
  • the dISN comprises the following amino acid sequence:
  • fusion proteins that comprise a uracil glycosylase inhibitor (UGI) domain.
  • UGI uracil glycosylase inhibitor
  • any of the fusion proteins provided herein that comprise a napDNAbp e.g., a nuclease active Cas9 domain, a nuclease inactive dCas9 domain, or a Cas9 nickase
  • an adenosine deaminase may be further fused to a UGI domain either directly or via a linker.
  • fusion proteins that comprise an adenosine deaminase (e.g., an engineered adenosine deaminase that deaminates deoxy adenosine in a DNA) a napDNAbp (e.g., a dCas9 or nCas9), and a UGI domain.
  • an adenosine deaminase e.g., an engineered adenosine deaminase that deaminates deoxy adenosine in a DNA
  • a napDNAbp e.g., a dCas9 or nCas9
  • UGI domain e.g., a dCas9 or nCas9
  • the cellular DNA- repair response to the presence of I:T heteroduplex DNA may be responsible for the decrease in nucleobase editing efficiency in cells.
  • a UGI domain may inhibit (e.g., by steric hindrance) inosine removing enzymes from excising the inosine residue from DNA.
  • this disclosure contemplates a fusion protein comprising a Cas9 domain and an adenosine deaminase domain further fused to a UGI domain.
  • a fusion protein comprising any nucleic acid programmable DNA binding protein, for example, a Cas9 nickase (nCas9) domain, a catalytically inactive Cas9 (dCas9) domain, a high fidelity Cas9 domain, or a Cas9 domain with reduced PAM exclusivity.
  • nCas9 nickase Cas9 nickase
  • dCas9 domain catalytically inactive Cas9
  • a high fidelity Cas9 domain a Cas9 domain with reduced PAM exclusivity.
  • the use of a UGI domain may increase the editing efficiency of a adenosine deaminase that is capable of catalyzing a A to I change.
  • fusion proteins comprising a UGI domain may be more efficient in deaminating adenosine residues.
  • the fusion protein comprises the structure:
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between any of the domains or proteins (e.g., adenosine deaminase, napDNAbp, and/or UGI domains).
  • the "- " used in the general architecture above indicates the presence of an optional linker.
  • a UGI domain comprises a wild-type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI proteins provided herein include fragments of UGI and proteins homologous to a UGI or a UGI fragment.
  • a UGI domain comprises a fragment of the amino acid sequence set forth in SEQ ID NO: 3.
  • a UGI fragment comprises an amino acid sequence that comprises at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% of the amino acid sequence as set forth in SEQ ID NO: 3.
  • a UGI comprises an amino acid sequence homologous to the amino acid sequence set forth in SEQ ID NO: 3 or an amino acid sequence homologous to a fragment of the amino acid sequence set forth in SEQ ID NO: 3.
  • proteins comprising UGI or fragments of UGI or homologs of UGI or UGI fragments are referred to as "UGI variants.”
  • a UGI variant shares homology to UGI, or a fragment thereof.
  • a UGI variant is at least 70% identical, at least 75% identical, at least 80% identical, at least 85% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% identical to a wild type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI variant comprises a fragment of UGI, such that the fragment is at least 70% identical, at least 80% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 97% identical, at least 98% identical, at least 99% identical, at least 99.5% identical, or at least 99.9% to the corresponding fragment of wild-type UGI or a UGI as set forth in SEQ ID NO: 3.
  • the UGI comprises the following amino acid sequence: >splP14739IUNGI_BPPB2 Uracil-DNA glycosylase inhibitor
  • UGI protein and nucleotide sequences are provided herein and additional suitable UGI sequences are known to those in the art, and include, for example, those published in Wang et al., Uracil-DNA glycosylase inhibitor gene of bacteriophage PBS2 encodes a binding protein specific for uracil-DNA glycosylase. J. Biol. Chem.
  • a protein that binds DNA is used.
  • a substitute for UGI is used.
  • a uracil glycosylase inhibitor is a protein that binds single- stranded DNA.
  • a uracil glycosylase inhibitor may be a Erwinia tasmaniensis single- stranded binding protein.
  • the single- stranded binding protein comprises the amino acid sequence (SEQ ID NO: 29).
  • a uracil glycosylase inhibitor is a protein that binds uracil.
  • a uracil glycosylase inhibitor is a protein that binds uracil in DNA.
  • a uracil glycosylase inhibitor is a catalytically inactive uracil DNA-glycosylase protein.
  • a uracil glycosylase inhibitor is a catalytically inactive uracil DNA-glycosylase protein that does not excise uracil from the DNA.
  • a uracil glycosylase inhibitor is a UdgX.
  • the UdgX comprises the amino acid sequence (SEQ ID NO: 30).
  • a uracil glycosylase inhibitor is a catalytically inactive UDG.
  • a catalytically inactive UDG comprises the amino acid sequence (SEQ ID NO: 31). It should be appreciated that other uracil
  • a uracil glycosylase inhibitor is a protein that is homologous to any one of SEQ ID NOs: 29-31. In some embodiments, a uracil glycosylase inhibitor is a protein that is at least 50% identical, at least 55% identical, at least 60% identical, at least 65% identical, at least 70% identical, at least 75% identical, at least 80% identical at least 85% identical, at least 90% identical, at least 95% identical, at least 96% identical, at least 98% identical, at least 99% identical, or at least 99.5% identical to any one of SEQ ID NOs: 29-31.
  • Fusion proteins comprising a nuclear localization sequence (NLS)
  • the fusion proteins provided herein further comprise one or more nuclear targeting sequences, for example, a nuclear localization sequence (NLS).
  • NLS nuclear localization sequence
  • a NLS comprises an amino acid sequence that facilitates the importation of a protein, that comprises an NLS, into the cell nucleus (e.g., by nuclear
  • the NLS is fused to the N-terminus of the fusion protein. In some embodiments, the NLS is fused to the C- terminus of the fusion protein. In some embodiments, the NLS is fused to the N-terminus of the IBR (e.g. , dISN). In some embodiments, the NLS is fused to the C-terminus of the IBR (e.g., dISN). In some embodiments, the NLS is fused to the N-terminus of the napDNAbp. In some embodiments, the NLS is fused to the C-terminus of the napDNAbp.
  • NLS is fused to the N-terminus of the napDNAbp.
  • the NLS is fused to the N-terminus of the adenosine deaminase. In some embodiments, the NLS is fused to the C-terminus of the adenosine deaminase. In some embodiments, the NLS is fused to the fusion protein via one or more linkers. In some embodiments, the NLS is fused to the fusion protein without a linker. In some embodiments, the NLS comprises an amino acid sequence of any one of the NLS sequences provided or referenced herein. In some embodiments, the NLS comprises an amino acid sequence as set forth in SEQ ID NO: 4 or SEQ ID NO: 5. Additional nuclear localization sequences are known in the art and would be apparent to the skilled artisan.
  • NLS sequences are described in Plank et ah , PCT/EP2000/011690, the contents of which are incorporated herein by reference for their disclosure of exemplary nuclear localization sequences.
  • a NLS comprises the amino acid sequence PKKKRKV (SEQ ID NO: 4) or MDS LLMNRRKFLYQFKNVRW AKGRRET YLC (SEQ ID NO: 5).
  • the general architecture of exemplary fusion proteins with an adenosine deaminase and a napDNAbp comprises any one of the following structures, where NLS is a nuclear localization sequence (e.g., any NLS provided herein), NH 2 is the N-terminus of the fusion protein, and COOH is the C-terminus of the fusion protein.
  • NLS is a nuclear localization sequence (e.g., any NLS provided herein)
  • NH 2 is the N-terminus of the fusion protein
  • COOH is the C-terminus of the fusion protein.
  • Fusion proteins comprising an adenosine deaminase, a napDNAbp, and a
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between one or more of the domains or some embodiments, the "- " used in the general architecture above indicates the presence of an optional linker.
  • Fusion proteins comprising an adenosine deaminase, a napDNAbp, and an inhibitor of base repair (IBR).
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between one or more of the domains or proteins (e.g., adenosine deaminase, napDNAbp, and/or IBR).
  • the "-" used in the general architecture above indicates the presence of an optional linker.
  • Fusion proteins comprising an adenosine deaminase, a napDNAbp,an inhibitor of base repair (IBR) and a NLS.
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between one or more of the domains or proteins (e.g., adenosine deaminase, napDNAbp, NLS, and/or IBR).
  • the "-" used in the general architecture above indicates the presence of an optional linker.
  • fusion proteins that comprise a nucleic acid programmable DNA binding protein (napDNAbp) and at least two adenosine deaminase domains.
  • napDNAbp nucleic acid programmable DNA binding protein
  • dimerization of adenosine deaminases may improve the ability (e.g., efficiency) of the fusion protein to modify a nucleic acid base, for example to deaminate adenine.
  • any of the fusion proteins may comprise 2, 3, 4 or 5 adenosine deaminase domains.
  • any of the fusion proteins provided herein comprise two adenosine deaminases.
  • any of the fusion proteins provided herein contain only two adenosine deaminases.
  • the adenosine deaminases are the same.
  • the adenosine deaminases are any of the adenosine deaminases provided herein.
  • the adenosine deaminases are different.
  • the first adenosine deaminase is any of the adenosine deaminases provided herein
  • the second adenosine is any of the adenosine deaminases provided herein, but is not identical to the first adenosine deaminase.
  • the fusion protein may comprise a first adenosine deaminase and a second adenosine deaminase that both comprise the amino acid sequence of SEQ ID NO: 72, which contains a A106V, D108N, D147Y, and E155V mutation from ecTadA (SEQ ID NO: 1).
  • the fusion protein may comprise a first adenosine deaminase domain that comprises the amino amino acid sequence of SEQ ID NO: 72, which contains a A106V, D108N, D147Y, and E155V mutation from ecTadA (SEQ ID NO: 1), and a second adenosine deaminase that comprises the amino acid sequence of SEQ ID NO: 421, which contains a L84F, A106V, D108N, H123Y, D147Y, E155V, and I156F mutation from ecTadA (SEQ ID NO: 1).
  • the fusion protein comprises two adenosine deaminases
  • first adenosine deaminase and a second adenosine deaminase are fused directly or via a linker.
  • the linker is any of the linkers provided herein, for example, any of the linkers described in the "Linkers" section.
  • the linker comprises the amino acid sequence of any one of SEQ ID NOs: 10, 37-40, 384-386, or 685-688.
  • the first adenosine deaminase is the same as the second adenosine deaminase.
  • the first adenosine deaminase and the second adenosine deaminase are any of the adenosine deaminases described herein.
  • the first adenosine deaminase and the second adenosine deaminase are different.
  • the first adenosine deaminase is any of the adenosine deaminases provided herein.
  • the second adenosine deaminase is any of the adenosine deaminases provided herein but is not identical to the first adenosine deaminase.
  • the first adenosine deaminase is an ecTadA adenosine deaminase.
  • the first adenosine deaminase comprises an amino acid sequence that is at least least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the amino acid sequences set forth in any one of SEQ ID NOs: 1, 64-84, 420-437, 672-684, or to any of the adenosine deaminases provided herein.
  • the first adenosine deaminase comprises the amino acid sequence of SEQ ID NO: 1.
  • the second adenosine deaminase comprises an amino acid sequence that is at least least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the amino acid sequences set forth in any one of SEQ ID NOs: 1, 64-84, 420-437, 672-684, or to any of the adenosine deaminases provided herein.
  • the second adenosine deaminase comprises the amino acid sequence of SEQ ID NO: 1.
  • the first adenosine deaminase and the second adenosine deaminase of the fusion protein comprise the mutations in ecTadA (SEQ ID NO: 1), or corresponding mutations in another adenosine deaminase, as shown in any one of the constructs provided in Table 4 (e.g. , pNMG-371 , pNMG-477, pNMG-576, pNMG-586, and pNMG-616).
  • the fusion protein comprises the two adenosine deaminases (e.g., a first adenosine deaminase and a second adenosine deaminase) of any one of the constructs (e.g. ,
  • the general architecture of exemplary fusion proteins with a first adenosine deaminase, a second adenosine deaminase, and a napDNAbp comprises any one of the following structures, where NLS is a nuclear localization sequence (e.g., any NLS provided herein), NH 2 is the N-terminus of the fusion protein, and COOH is the C- terminus of the fusion protein.
  • NLS is a nuclear localization sequence (e.g., any NLS provided herein)
  • NH 2 is the N-terminus of the fusion protein
  • COOH is the C- terminus of the fusion protein.
  • Fusion proteins comprising a first adenosine deaminase, a second adenosine deaminase, and a napDNAbp.
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between one or more of the domains or proteins (e.g., first adenosine deaminase, second adenosine deaminase, and/or napDNAbp).
  • the "-" used in the general architecture above indicates the presence of an optional linker.
  • Fusion proteins comprising a first adenosine deaminase, a second adenosine deaminase, a napDNAbp, and an NLS.
  • the fusion proteins provided herein do not comprise a linker.
  • a linker is present between one or more of the domains or proteins (e.g., first adenosine deaminase, second adenosine deaminase, napDNAbp, and/or NLS).
  • the "-" used in the general architecture above indicates the presence of an optional linker.
  • the fusion proteins of the present disclosure may comprise one or more additional features.
  • the fusion protein may comprise cytoplasmic localization sequences, export sequences, such as nuclear export sequences, or other localization sequences, as well as sequence tags that are useful for solubilization, purification, or detection of the fusion proteins.
  • Suitable protein tags include, but are not limited to, biotin carboxylase carrier protein (BCCP) tags, myc- tags, calmodulin-tags, FLAG-tags, hemagglutinin (HA)-tags, polyhistidine tags, also referred to as histidine tags or His-tags, maltose binding protein (MBP)-tags, nus-tags, glutathione-S- transferase (GST)-tags, green fluorescent protein (GFP)-tags, thioredoxin-tags, S-tags, Softags (e.g. , Softag 1, Softag 3), strep-tags , biotin ligase tags, FlAsH tags, V5 tags, and SBP-tags. Additional suitable sequences will be apparent to those of skill in the art.
  • the fusion protein comprises one or more His tags.
  • linkers may be used to link any of the protein or protein domains described herein.
  • the linker may be as simple as a covalent bond, or it may be a polymeric linker many atoms in length.
  • the linker is a polypeptide or based on amino acids. In other embodiments, the linker is not peptide-like. In arbon bond, disulfide bond, carbon-heteroatom bond, etc.).
  • the linker is a carbon-nitrogen bond of an amide linkage.
  • the linker is a cyclic or acyclic, substituted or unsubstituted, branched or unbranched aliphatic or heteroaliphatic linker.
  • the linker is polymeric (e.g. , polyethylene, polyethylene glycol, polyamide, polyester, etc.). In certain embodiments, the linker comprises a monomer, dimer, or polymer of aminoalkanoic acid. In certain embodiments, the linker comprises an aminoalkanoic acid (e.g. , glycine, ethanoic acid, alanine, beta-alanine, 3-aminopropanoic acid, 4-aminobutanoic acid, 5-pentanoic acid, etc.). In certain embodiments, the linker comprises a monomer, dimer, or polymer of aminohexanoic acid (Ahx). In certain embodiments, the linker is based on a carbocyclic moiety (e.g. , cyclopentane,
  • the linker comprises a polyethylene glycol moiety (PEG). In other embodiments, the linker comprises amino acids. In certain embodiments, the linker comprises a peptide. In certain embodiments, the linker comprises an aryl or heteroaryl moiety. In certain embodiments, the linker is based on a phenyl ring.
  • the linker may include functionalized moieties to facilitate attachment of a nucleophile (e.g. , thiol, amino) from the peptide to the linker. Any electrophile may be used as part of the linker.
  • Exemplary electrophiles include, but are not limited to, activated esters, activated amides, Michael acceptors, alkyl halides, aryl halides, acyl halides, and isothiocyanates.
  • the linker is an amino acid or a plurality of amino acids
  • the linker is a bond (e.g. , a covalent bond), an organic molecule, group, polymer, or chemical moiety.
  • the linker is 5-100 amino acids in length, for example, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 30-35, 35-40, 40-45, 45-50, 50-60, 60-70, 70-80, 80-90, 90-100, 100-110, 110- 120, 120-130, 130-140, 140- 150, or 150-200 amino acids in length. Longer or shorter linkers are also contemplated.
  • a linker comprises the amino acid sequence SGSETPGTSESATPES (SEQ ID NO: 10), which may also be referred to as the XTEN linker. In some embodiments, a linker comprises the amino acid sequence SGGS (SEQ ID NO: 37).
  • a linker comprises (SGGS) n (SEQ ID NO: 37), (GGGS)n (SEQ ID NO: 38), (GGGGS)n (SEQ ID NO: 39), (G)n, (EAAAK)n (SEQ ID NO: 40), (GGS)n, SGSETPGTSESATPES (SEQ ID NO: 10), or (XP) n motif, or a combination of any of these, wherein n is independently an integer between 1 and 30, and wherein X is any amino acid. In some embodiments, n is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or 15.
  • a linker comprises SGSETPGTSESATPES ments, a linker comprises SGGSSGSETPGTSESATPESSGGS (SEQ ID NO: 384). In some embodiments, a linker comprises SGGSSGGSSGS ETPGTS ES ATPES SGGSSGGS (SEQ ID NO: 385). In some embodiments, a linker comprises
  • the linker is 24 amino acids in length. In some embodiments, the linker comprises the amino acid sequence SGGSSGGSSGSETPGTSESATPES (SEQ ID NO: 685). In some embodiments, the linker is 40 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • the linker is 64 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • the linker is 92 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • any of the linkers provided herein may be used to link a first adenosine deaminase and a second adenosine deaminase; an adenosine deaminase (e.g. , a first or a second adenosine deaminase) and a napDNAbp; a napDNAbp and an NLS; or an adenosine deaminase (e.g. , a first or a second adenosine deaminase) and an NLS.
  • an adenosine deaminase e.g. , a first or a second adenosine deaminase
  • any of the fusion proteins provided herein comprise an adenosine deaminase and a napDNAbp that are fused to each other via a linker. In some embodiments, any of the fusion proteins provided herein, comprise a first adenosine deaminase and a second adenosine deaminase that are fused to each other via a linker. In some embodiments, any of the fusion proteins provided herein, comprise an NLS, which may be fused to an adenosine deaminase (e.g.
  • a first and/or a second adenosine deaminase a nucleic acid programmable DNA binding protein (napDNAbp), and or an inhibitor of base repair (IBR).
  • Various linker lengths and flexibilities between an adenosine deaminase e.g.
  • an engineered ecTadA) and a napDNAbp e.g., a Cas9 domain
  • a first adenosine deaminase and a second adenosine deaminase can be employed (e.g., ranging from very flexible linkers of the form (GGGGS)n (SEQ ID NO: 38), (GGGGS)n (SEQ ID NO: 39), and (G)n to more rigid linkers of the form (EAAAK)n (SEQ ID NO: 40), (SGGS)n (SEQ
  • n is 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or 15.
  • the linker comprises a (GGS) n motif, wherein n is 1, 3, or 7.
  • the adenosine deaminase and the napDNAbp, and/or the first adenosine deaminase and the second adenosine deaminase of any of the fusion proteins provided herein are fused via a linker comprising the amino acid sequence
  • the linker is 24 amino acids in length. In some embodiments, the linker comprises the amino acid sequence SGGSSGGSSGSETPGTSESATPES (SEQ ID NO: 685). In some embodiments, the linker is 40 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • the linker is 64 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • the linker is 92 amino acids in length. In some embodiments, the linker comprises the amino acid sequence
  • fusion proteins comprising a Cas9 domain and an adenosine deaminase.
  • exemplary fusion proteins include, without limitation, the following fusion proteins (for the purposes of clarity, the adenosine deaminase domain is shown in Bold; mutations of the ecTadA deaminase domain are shown in Bold underlining; the XTEN linker is shown in italics; the UGI/AAG/EndoV domains are shown in Bold italics; and NLS is shown in underlined italics): ecTadA(wt)-XTEN-nCas9-NLS :
  • the fusion protein comprises an amino acid sequence that is at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or at least 99.5% identical to any one of the amino acid sequences set forth in any one of SEQ ID NOs: 11-28, 387, 388, 440, 691-706, or to any of the fusion proteins provided herein.
  • the fusion protein comprises an amino acid sequence that has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 21, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, or more mutations compared to any one of the amino acid sequences set forth in SEQ ID NOs: 11-28, 387, 388, 440, 691-706, or any of the fusion proteins provided herein.
  • the fusion protein comprises an amino acid sequence that has at least 5, at least 10, at least 15, at least 20, at least 25, at least 30, at least 35, at least 40, at least 45, at least 50, at least 60, at least 70, at least 80, at least 90, at least 100, at least 110, at least 120, at least 130, at least 140, at least 150, at least 160, at least 170, at least 200, at least 300, at least 400, at least 500, at least 600, at least 700, at least 800, at least 900, at least 1000, at least 1100, at least 1200, at least 1300, at least 1400, at least 1500, at least 1600, at least 1700, at least 1750, or at least 1800 identical contiguous amino acid residues as compared to any one of the amino acid sequences set forth in SEQ ID NOs: 11-28, 387, 388, 440, 691-706, or any of the fusion proteins provided herein.
  • napDNAbp of the fusion protein Some aspects of this disclosure provide complexes comprising any of the fusion proteins provided herein, and a guide RNA bound to a Cas9 domain (e.g., a dCas9, a nuclease active Cas9, or a Cas9 nickase) of fusion protein.
  • a Cas9 domain e.g., a dCas9, a nuclease active Cas9, or a Cas9 nickase
  • the guide nucleic acid e.g., guide RNA
  • the guide nucleic acid is from 15-
  • the guide RNA is 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, or 50 nucleotides long.
  • the guide RNA comprises a sequence of 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, or 40 contiguous nucleotides that is complementary to a target sequence.
  • the target sequence is a DNA sequence.
  • the target sequence is an RNA sequence. In some embodiments, the target sequence is a sequence in the genome of a mammal. In some embodiments, the target sequence is a sequence in the genome of a human. In some embodiments, the 3' end of the target sequence is immediately adjacent to a canonical PAM sequence (NGG).
  • the guide nucleic acid e.g., guide RNA
  • the guide nucleic acid is complementary to a sequence associated with a disease or disorder. In some embodiments, the guide nucleic acid (e.g., guide RNA) is complementary to a sequence associated with a disease or disorder having a mutation in a gene selected from the genes disclosed in any one of Tables 1 and 2.
  • fusion proteins comprising an adenosine deaminase and a nucleic acid programmable DNA binding protein ( napDNAbp ) domain
  • Some aspects of this disclosure provide methods of using the fusion proteins, or complexes comprising a guide nucleic acid (e.g., gRNA) and a nucleobase editor provided herein.
  • a guide nucleic acid e.g., gRNA
  • some aspects of this disclosure provide methods comprising contacting a DNA, or RNA molecule with any of the fusion proteins provided herein, and with at least one guide nucleic acid (e.g., guide RNA), wherein the guide nucleic acid, (e.g., guide RNA) is about 15-100 nucleotides long and comprises a sequence of at least 10 contiguous nucleotides that is complementary to a target sequence.
  • guide nucleic acid e.g., guide RNA
  • the 3' end of the target sequence is immediately adjacent to a canonical PAM sequence (NGG). In some embodiments, the 3' end of the target sequence is not immediately adjacent to a canonical PAM sequence (NGG). In some embodiments, the 3' end of the target sequence is immediately adjacent to an AGC, GAG, TTT, GTG, or CAA sequence.
  • the target DNA sequence comprises a point mutation associated with a disease or disorder.
  • the activity of the fusion protein e.g., comprising an adenosine deaminase and a Cas9 domain), or the complex, results in a correction of the point mutation.
  • the target DNA sequence comprises a G ⁇ A point mutation associated with a disease or disorder, and wherein the deamination of the mutant A base results in a sequence that is not associated with a disease or disorder.
  • the target DNA sequence encodes a protein
  • the point mutation is in a codon and results in a change in the amino acid encoded by the mutant codon as compared to the wild-type codon.
  • the deamination of the mutant A results in a change of the amino acid encoded by the mutant codon.
  • the deamination of the mutant A results in the codon encoding the wild-type amino acid.
  • the contacting is in vivo in a subject. In some embodiments, the subject has or has been diagnosed with a disease or disorder.
  • the disease or disorder is phenylketonuria, von Willebrand disease (vWD), a neoplastic disease associated with a mutant PTEN or BRCA1, or Li-Fraumeni syndrome.
  • vWD von Willebrand disease
  • Table 1 includes the target gene, the mutation to be corrected, the related disease and the nucleotide sequence of the associated protospacer and PAM.
  • Table 1 List of exemplary diseases that may be treated using the nucleobase editors provided herein.
  • the A to be edited in the protospacer is indicated by underlining and the PAM is indicated in bold.
  • the fusion protein is used to introduce a point mutation into a nucleic acid by deaminating a target nucleobase, e.g., an A residue.
  • the deamination of the target nucleobase results in the correction of a genetic defect, e.g., in the correction of a point mutation that leads to a loss of function in a gene product.
  • the genetic defect is associated with a disease or disorder, e.g., a lysosomal storage disorder or a metabolic disease, such as, for example, type I diabetes.
  • the methods provided herein are used to introduce a deactivating point mutation into a gene or allele that encodes a gene product that is associated with a disease or disorder.
  • methods are provided herein that employ a DNA editing fusion protein to introduce a deactivating point mutation into an oncogene (e.g., in the treatment of a proliferative disease).
  • a deactivating mutation may, in some embodiments, generate a premature stop codon in a coding sequence, which results in the expression of a truncated gene product, e.g., a truncated protein lacking the function of the full-length protein.
  • the purpose of the methods provided herein is to restore the function of a dysfunctional gene via genome editing.
  • the nucleobase editing proteins provided herein can be validated for gene editing-based human therapeutics in vitro, e.g., by correcting a disease-associated mutation in human cell culture. It will be understood by the skilled artisan that the nucleobase editing proteins provided herein, e.g., the fusion proteins comprising a nucleic acid programmable DNA binding protein (e.g., Cas9) and an adenosine deaminase domain can be used to correct any single point G to A or C to T mutation.
  • a nucleic acid programmable DNA binding protein e.g., Cas9
  • an adenosine deaminase domain can be used to correct any single point G to A or C to T mutation.
  • the instant disclosure provides methods for the treatment of a subject
  • a method comprises administering to a subject having such a disease, e.g. , a cancer associated with a point mutation as described above, an effective amount of an adenosine deaminase fusion protein that corrects the point mutation or introduces a deactivating mutation into a disease-associated gene.
  • the disease is a proliferative disease.
  • the disease is a genetic disease.
  • the disease is a neoplastic disease.
  • the disease is a metabolic disease.
  • the disease is a lysosomal storage disease.
  • Other diseases that can be treated by correcting a point mutation or introducing a deactivating mutation into a disease-associated gene will be known to those of skill in the art, and the disclosure is not limited in this respect.
  • the instant disclosure provides methods for the treatment of additional diseases or disorders, e.g. , diseases or disorders that are associated or caused by a point mutation that can be corrected by deaminase-mediated gene editing.
  • additional diseases e.g. , diseases or disorders that are associated or caused by a point mutation that can be corrected by deaminase-mediated gene editing.
  • Some such diseases are described herein, and additional suitable diseases that can be treated with the strategies and fusion proteins provided herein will be apparent to those of skill in the art based on the instant disclosure.
  • Exemplary suitable diseases and disorders are listed below. It will be understood that the numbering of the specific positions or residues in the respective sequences depends on the particular protein and numbering scheme used. Numbering might be different, e.g. , in precursors of a mature protein and the mature protein itself, and differences in sequences from species to species may affect numbering.
  • Suitable diseases and disorders include, without limitation: 2-methyl-3-hydroxybutyric aciduria; 3 beta- Hydroxysteroid dehydrogenase deficiency; 3-Methylglutaconic aciduria; 3-Oxo-5 alpha- steroid delta 4-dehydrogenase deficiency; 46,XY sex reversal, type 1, 3, and 5; 5- Oxoprolinase deficiency; 6-pyruvoyl-tetrahydropterin synthase deficiency; Aarskog syndrome; Aase syndrome; Achondrogenesis type 2; Achromatopsia 2 and 7; Acquired long QT syndrome; Acrocallosal syndrome, Schinzel type; Acrocapitofemoral dysplasia;
  • Acrodysostosis 2 with or without hormone resistance; Acroerythrokeratoderma; Acromicric dysplasia; Acth-independent macronodular adrenal hyperplasia 2; Activated PI3K-delta syndrome; Acute intermittent porphyria; deficiency of Acyl-CoA dehydrogenase family, syltransferase deficiency; Adenylate kinase deficiency; hemolytic anemia due to Adenylosuccinate lyase deficiency; Adolescent nephronophthisis; Renal-hepatic-pancreatic dysplasia; Meckel syndrome type 7; Adrenoleukodystrophy; Adult junctional epidermolysis bullosa; Epidermolysis bullosa, junctional, localisata variant; Adult neuronal ceroid lipofuscinosis; Adult neuronal ceroid lipofuscinosis; Adult onset ataxia with oculomotor
  • Cardiomyopathy Transthyretin-related; Cardiomyopathy; Amyotrophic lateral sclerosis types 1, 6, 15 (with or without fronto temporal dementia), 22 (with or without fronto temporal dementia), and 10; Frontotemporal dementia with TDP43 inclusions, TARDBP-related; Andermann syndrome; Andersen Tawil syndrome; Congenital long QT syndrome; Anemia, nonspherocytic hemolytic, due to G6PD deficiency; Angelman syndrome; Severe neonatal- onset encephalopathy with microcephaly; susceptibility to Autism, X-linked 3; Angiopathy, hereditary, with nephropathy, aneurysms, and muscle cramps; Angiotensin i-converting enzyme, benign serum increase; Aniridia, cerebellar ataxia, and mental retardation;
  • Anonychia Antithrombin III deficiency; Antley-Bixler syndrome with genital anomalies and disordered steroidogenesis; Aortic aneurysm, familial thoracic 4, 6, and 9; Thoracic aortic aneurysms and aortic dissections; Multisystemic smooth muscle dysfunction syndrome; Moyamoya disease 5; Aplastic anemia; Apparent mineralocorticoid excess; Arginase deficiency; Argininosuccinate lyase deficiency; Aromatase deficiency; Arrhythmogenic right ventricular cardiomyopathy types 5, 8, and 10; Primary familial hypertrophic
  • Cardiomyopathy Arthrogryposis multiplex congenita, distal, X-linked; Arthrogryposis renal dysfunction cholestasis syndrome; Arthrogryposis, renal dysfunction, and cholestasis 2; Asparagine synthetase deficiency; Abnormality of neuronal migration; Ataxia with vitamin E deficiency; Ataxia, sensory, autosomal dominant; Ataxia-telangiectasia syndrome; Hereditary cancer-predisposing syndrome; Atransferrinemia; Atrial fibrillation, familial, 11, 12, 13, and r conduction defects); Atrial standstill 2; Atrioventricular septal defect 4; Atrophia bulborum hereditaria; ATR-X syndrome; Auriculocondylar syndrome 2; Autoimmune disease, multisystem, infantile-onset; Autoimmune lymphoproliferative syndrome, type la; Autosomal dominant hypohidrotic ectodermal dysplasia; Autosomal dominant progressive external o
  • Branchiootic syndromes 2 and 3 Breast cancer, early-onset; Breast-ovarian cancer, familial 1, 2, and 4; Brittle cornea syndrome 2; Brody myopathy; Bronchiectasis with or without elevated sweat chloride 3; Brown- Vialetto-Van laere syndrome and Brown- Vialetto- Van Laere syndrome 2; Brugada syndrome; Brugada syndrome 1; Ventricular fibrillation;
  • Cardiomyopathy Danon disease; Hypertrophic cardiomyopathy; Left ventricular pressure;
  • Noncompaction cardiomyopathy Carnevale syndrome; Carney complex, type 1; Carnitine acylcarnitine translocase deficiency; Carnitine palmitoyltransferase I , II, II (late onset), and II (infantile) deficiency; Cataract 1, 4, autosomal dominant, autosomal dominant, multiple types, with microcornea, coppock-like, juvenile, with microcornea and glucosuria, and nuclear diffuse nonprogressive; Catecholaminergic polymorphic ventricular tachycardia; Caudal regression syndrome; Cd8 deficiency, familial; Central core disease; Centromeric instability of chromosomes 1,9 and 16 and immunodeficiency; Cerebellar ataxia infantile with progressive external ophthalmoplegi and Cerebellar ataxia, mental retardation, and dysequilibrium syndrome 2; Cerebral amyloid angiopathy, APP-related; Cerebral autosomal dominant and reces
  • Ceroid lipofuscinosis neuronal 2, 6, 7, and 10 Ch ⁇ xc3 ⁇ xa9diak-Higashi syndrome , Chediak- Higashi syndrome, adult type; Charcot-Marie-Tooth disease types IB, 2B2, 2C, 2F, 21, 2U (axonal), 1C (demyelinating), dominant intermediate C, recessive intermediate A, 2A2, 4C, 4D, 4H, IF, IVF, and X; Scapuloperoneal spinal muscular atrophy; Distal spinal muscular atrophy, congenital nonprogressive; Spinal muscular atrophy, distal, autosomal recessive, 5; CHARGE association; Childhood hypophosphatasia; Adult hypophosphatasia; Cholecystitis; Progressive familial intrahepatic cholestasis 3; Cholestasis, intrahepatic, of pregnancy 3; Cholestanol storage disease; Cholesterol monooxygenase (side-chain cleaving) deficiency; Chondrodys
  • Cone-rod dystrophy amelogenesis imperfecta Congenital adrenal hyperplasia and Congenital adrenal hypoplasia, X-linked; Congenital amegakaryocytic thrombocytopenia; Congenital aniridia; Congenital central hypoventilation; Hirschsprung disease 3; Congenital contractural arachnodactyly; Congenital contractures of the limbs and face, hypotonia, and developmental delay; Congenital disorder of glycosylation types IB, ID, 1G, 1H, 1J, IK, IN, IP, 2C, 2J, 2K, Urn; Congenital dyserythropoietic anemia, type I and II; Congenital ectodermal dysplasia of face; Congenital erythropoietic porphyria; Congenital generalized lipodystrophy type 2; Congenital heart disease, multiple types, 2; Congenital heart disease; Interrupted aortic arch; Congenital lipomatous overgrowth,
  • Corticosterone methyloxidase type 2 deficiency Corticosterone methyloxidase type 2 deficiency; Costello syndrome; Cowden syndrome 1; Coxa plana; Craniodiaphyseal dysplasia, autosomal dominant; Craniosynostosis 1 and 4; Craniosynostosis and dental anomalies; Creatine deficiency, X-linked; Crouzon syndrome; Cryptophthalmos syndrome; Cryptorchidism, unilateral or bilateral; Cushing symphalangism; Cutaneous malignant melanoma 1; Cutis laxa with osteodystrophy and with severe pulmonary, gastrointestinal, and urinary abnormalities; Cyanosis, transient neonatal and atypical nephropathic; Cystic fibrosis; Cystinuria; Cytochrome c oxidase i deficiency;
  • LAMM ontia
  • Deafness autosomal dominant 3a, 4, 12, 13, 15, autosomal dominant nonsyndromic sensorineural 17, 20, and 65
  • Deafness autosomal recessive 1A, 2, 3, 6, 8, 9, 12, 15, 16, 18b, 22, 28, 31, 44, 49, 63, 77, 86, and 89
  • Deafness cochlear, with myopia and intellectual impairment, without vestibular involvement, autosomal dominant, X-linked 2
  • Deficiency of 2-methylbutyryl-CoA dehydrogenase Deficiency of 3-hydroxyacyl-CoA dehydrogenase
  • Deficiency of alpha- mannosidase Deficiency of aromatic-L-amino-acid decarboxylase
  • bisphosphoglycerate mutase Deficiency of butyryl-CoA dehydrogenase; Deficiency of ferroxidase; Deficiency of galactokinase; Deficiency of guanidinoacetate methyltransferase; Deficiency of hyaluronoglucosaminidase; Deficiency of ribose-5-phosphate isomerase;
  • Deficiency of steroid 11-beta-monooxygenase Deficiency of UDPglucose-hexose-1- phosphate uridylyltransferase; Deficiency of xanthine oxidase; Dejerine-Sottas disease;
  • Charcot-Marie-Tooth disease types ID and IVF; Dejerine-Sottas syndrome, autosomal dominant; Dendritic cell, monocyte, B lymphocyte, and natural killer lymphocyte deficiency; Desbuquois dysplasia 2; Desbuquois syndrome; DFNA 2 Nonsyndromic Hearing Loss;
  • ng-Harbor syndrome Focal epilepsy with speech disorder with or without mental retardation; Focal segmental glomerulosclerosis 5; Forebrain defects; Frank Ter Haar syndrome; Borrone Di Rocco Crovato syndrome; Frasier syndrome; Wilms tumor 1; Freeman-Sheldon syndrome;
  • epidermolysis bullosa Generalized epilepsy with febrile seizures plus 3, type 1, type 2; Epileptic encephalopathy Lennox-Gastaut type; Giant axonal neuropathy; Glanzmann thrombasthenia; Glaucoma 1, open angle, e, F, and G; Glaucoma 3, primary congenital, d; Glaucoma, congenital and Glaucoma, congenital, Coloboma; Glaucoma, primary open angle, juvenile-onset; Glioma susceptibility 1; Glucose transporter type 1 deficiency syndrome; Glucose-6-phosphate transport defect; GLUT1 deficiency syndrome 2; Epilepsy, idiopathic generalized, susceptibility to, 12; Glutamate formiminotransferase deficiency; Glutaric acidemia IIA and IIB; Glutaric aciduria, type 1; Gluthathione synthetase deficiency;
  • Glycogen storage disease 0 muscle), II (adult form), IXa2, IXc, type 1A; type II, type IV, IV (combined hepatic and myopathic), type V, and type VI; Goldmann-Favre syndrome; Gordon syndrome; Gorlin syndrome; Holoprosencephaly sequence; Holoprosencephaly 7; Granulomatous disease, chronic, X-linked, variant; Granulosa cell tumor of the ovary; Gray platelet syndrome; Griscelli syndrome type 3; Groenouw corneal dystrophy type I; Growth and mental retardation, mandibulofacial dysostosis, microcephaly, and cleft palate; Growth hormone deficiency with pituitary anomalies; Growth hormone insensitivity with
  • Hemophagocytic lymphohistiocytosis familial, 2
  • Hemophagocytic lymphohistiocytosis familial, 3
  • Heparin cofactor II deficiency Hereditary acrodermatitis enteropathica
  • Hereditary breast and ovarian cancer syndrome Hereditary breast and ovarian cancer syndrome; Ataxia-telangiectasia-like disorder;
  • Hereditary diffuse gastric cancer Hereditary diffuse leukoencephalopathy with spheroids;
  • rrhagic telangiectasia type 2 Hereditary insensitivity to pain with anhidrosis; Hereditary lymphedema type I; Hereditary motor and sensory neuropathy with optic atrophy; Hereditary myopathy with early respiratory failure; Hereditary neuralgic amyotrophy; Hereditary Nonpolyposis Colorectal Neoplasms; Lynch syndrome I and II; Hereditary pancreatitis; Pancreatitis, chronic, susceptibility to; Hereditary sensory and autonomic neuropathy type IIB amd IIA; Hereditary sideroblastic anemia; Hermansky-Pudlak syndrome 1, 3, 4, and 6; Heterotaxy, visceral, 2, 4, and 6, autosomal; Heterotaxy, visceral, X-linked; Heterotopia; Histiocytic medullary reticulosis; Histiocytosis-lymphadenopathy plus syndrome; Holocarboxylase synthetase deficiency; Holopros
  • Hypercholesterolemia autosomal recessive; Hyperekplexia 2 and Hyperekplexia hereditary; Hyperferritinemia cataract syndrome; Hyperglycinuria; Hyperimmunoglobulin D with periodic fever; Mevalonic aciduria; Hyperimmunoglobulin E syndrome; Hyperinsulinemic hypoglycemia familial 3, 4, and 5; Hyperinsulinism-hyperammonemia syndrome;
  • Hyperlysinemia Hypermanganesemia with dystonia, polycythemia and cirrhosis;
  • Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome Hyperparathyroidism 1 and 2; Hyperparathyroidism, neonatal severe; Hyperphenylalaninemia, bh4-deficient, a, due to partial pts deficiency, BH4-deficient, D, and non-pku; Hyperphosphatasia with mental retardation syndrome 2, 3, and 4; Hypertrichotic osteochondrodysplasia;
  • Hypobetalipoproteinemia familial, associated with apob32; Hypocalcemia, autosomal dominant 1; Hypocalciuric hypercalcemia, familial, types 1 and 3; Hypochondrogenesis; Hypochromic microcytic anemia with iron overload; Hypoglycemia with deficiency of glycogen synthetase in the liver; Hypogonadotropic hypogonadism 11 with or without anosmia; Hypohidrotic ectodermal dysplasia with immune deficiency; Hypohidrotic X-linked ectodermal dysplasia; Hypokalemic periodic paralysis 1 and 2; Hypomagnesemia 1, intestinal; Hypomagnesemia, seizures, and mental retardation; Hypomyelinating
  • leukodystrophy 7 Hypoplastic left heart syndrome; Atrioventricular septal defect and common atrioventricular junction; Hypospadias 1 and 2, X-linked; Hypothyroidism, congenital, nongoitrous, 1; Hypotrichosis 8 and 12; Hypotrichosis-lymphedema- telangiectasia syndrome; I blood group system; Ichthyosis bullosa of Siemens; Ichthyosis glia calcification 5; Idiopathic fibrosing alveolitis, chronic form; Dyskeratosis congenita, autosomal dominant, 2 and 5; Idiopathic hypercalcemia of infancy; Immune dysfunction with T-cell inactivation due to calcium entry defect 2; Immunodeficiency 15, 16, 19, 30, 31C, 38, 40, 8, due to defect in cd3-zeta, with hyper IgM type 1 and 2, and X-Linked, with magnesium defect, Epstein-Barr virus infection, and neoplasia; Immuno
  • Leukodystrophy Hypomyelinating, 11 and 6; Leukoencephalopathy with ataxia, with Brainstem and Spinal Cord Involvement and Lactate Elevation, with vanishing white matter, ody dementia; Lichtenstein-Knorr Syndrome; Li-Fraumeni syndrome 1; Lig4 syndrome; Limb-girdle muscular dystrophy, type IB, 2A, 2B, 2D, CI, C5, C9, C14; Congenital muscular dystrophy- dystroglycanopathy with brain and eye anomalies, type A14 and B 14; Lipase deficiency combined; Lipid proteinosis; Lipodystrophy, familial partial, type 2 and 3; Lissencephaly 1, 2 (X-linked), 3, 6 (with microcephaly), X-linked; Subcortical laminar heterotopia, X-linked; Liver failure acute infantile; Loeys-Dietz syndrome 1, 2, 3; Long QT syndrome 1, 2, 2/9, 2/5, (di
  • lobinemia types I and 2 Methionine adenosyltransferase deficiency, autosomal dominant; Methylmalonic acidemia with homocystinuria, ; Methylmalonic aciduria cblB type, ; Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency; METHYLMALONIC ACIDURIA, mut(0) TYPE; Microcephalic osteodysplastic primordial dwarfism type 2; Microcephaly with or without chorioretinopathy, lymphedema, or mental retardation; Microcephaly, hiatal hernia and nephrotic syndrome; Microcephaly; Hypoplasia of the corpus callosum; Spastic paraplegia 50, autosomal recessive; Global developmental delay; CNS hypomyelination; Brain atrophy; Microcephaly, normal intelligence and immunodeficiency; Microcephaly-capillary
  • Microphthalmia isolated 3, 5, 6, 8, and with coloboma 6; Microspherophakia; Migraine, familial basilar; Miller syndrome; Minicore myopathy with external ophthalmoplegia;
  • Myopathy congenital with cores; Mitchell-Riley syndrome; mitochondrial 3-hydroxy-3- methylglutaryl-CoA synthase deficiency; Mitochondrial complex I, II, III, III (nuclear type 2, 4, or 8) deficiency; Mitochondrial DNA depletion syndrome 11, 12 (cardiomyopathic type), 2, 4B (MNGIE type), 8B (MNGIE type); Mitochondrial DNA-depletion syndrome 3 and 7, hepatocerebral types, and 13 (encephalomyopathic type); Mitochondrial phosphate carrier and pyruvate carrier deficiency; Mitochondrial trifunctional protein deficiency; Long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency; Miyoshi muscular dystrophy 1; Myopathy, distal, with anterior tibial onset; Mohr-Tranebjaerg syndrome; Molybdenum cofactor deficiency, complementation group A; Mowat-Wil
  • Myopathy centronuclear, 1, congenital, with excess of muscle spindles, distal, 1, lactic acidosis, and sideroblastic anemia 1, mitochondrial progressive with congenital cataract, hearing loss, and developmental delay, and tubular aggregate, 2; Myopia 6; Myosclerosis, autosomal recessive; Myotonia congenital; Congenital myotonia, autosomal dominant and recessive forms; Nail-patella syndrome; Nance-Horan syndrome; Nanophthalmos 2; Navajo neurohepatopathy; Nemaline myopathy 3 and 9; Neonatal hypotonia; Intellectual disability; Seizures; Delayed speech and language development; Mental retardation, autosomal dominant 31; Neonatal intrahepatic cholestasis caused by citrin deficiency; Nephrogenic diabetes insipidus, Nephrogenic diabetes insipidus, X-linked; Nephrolithiasis/osteoporosis, hypophosphatemic, 2; Nephronophthisis 13, 15
  • Neurofibrosarcoma Neurohypophyseal diabetes insipidus; Neuropathy, Hereditary Sensory, Type IC; Neutral 1 amino acid transport defect; Neutral lipid storage disease with myopathy; Neutrophil immunodeficiency syndrome; Nicolaides-Baraitser syndrome; Niemann-Pick disease type CI, C2, type A, and type CI, adult form; Non-ketotic hyperglycinemia; Noonan syndrome 1 and 4, LEOPARD syndrome 1; Noonan syndrome-like disorder with or without juvenile myelomonocytic leukemia; Normokalemic periodic paralysis, potassium-sensitive; Norum disease; Epilepsy, Hearing Loss, And Mental Retardation Syndrome; Mental Retardation, X-Linked 102 and syndromic 13; Obesity; Ocular albinism, type I;
  • Odontohypophosphatasia Odontotrichomelic syndrome; Oguchi disease; Oligodontia- colorectal cancer syndrome; Opitz G/BBB syndrome; Optic atrophy 9; Oral-facial-digital syndrome; Ornithine aminotransferase deficiency; Orofacial cleft 11 and 7, Cleft lip/palate- ectodermal dysplasia syndrome; Orstavik Lindemann Solberg syndrome; Osteoarthritis with mild chondrodysplasia; Osteochondritis dissecans; Osteogenesis imperfecta type 12, type 5, type 7, type 8, type I, type III, with normal sclerae, dominant form, recessive perinatal lethal;
  • Perrault syndrome 4 Perry syndrome; Persistent hyperinsulinemic hypoglycemia of infancy; familial hyperinsulinism; Phenotypes; Phenylketonuria; Pheochromocytoma; Hereditary Paraganglioma- Pheochromocytoma Syndromes; Paragangliomas 1; Carcinoid tumor of intestine; Cowden syndrome 3; Phosphoglycerate dehydrogenase deficiency;
  • Phosphoglycerate kinase 1 deficiency Phosphoglycerate kinase 1 deficiency; Photosensitive trichothiodystrophy; Phytanic acid storage disease; Pick disease; Pierson syndrome; Pigmentary retinal dystrophy; Pigmented nodular adrenocortical disease, primary, 1; Pilomatrixoma; Pitt- Hopkins syndrome; Pituitary dependent hypercortisolism; Pituitary hormone deficiency, combined 1, 2, 3, and 4;
  • Plasminogen activator inhibitor type 1 deficiency Plasminogen activator inhibitor type 1 deficiency
  • Plasminogen deficiency type I
  • Platelet- type bleeding disorder 15 and 8 Platelet- type bleeding disorder 15 and 8
  • Poikiloderma hereditary fibrosing, with tendon contractures, myopathy, and pulmonary fibrosis
  • Polycystic kidney disease 2, adult type, and infantile type Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy;
  • Polyglucosan body myopathy 1 with or without immunodeficiency Polymicrogyria, asymmetric, bilateral frontoparietal; Polyneuropathy, hearing loss, ataxia, retinitis
  • Proprotein convertase 1/3 deficiency Prostate cancer, hereditary, 2; Protan defect; Proteinuria; Finnish congenital nephrotic syndrome; Proteus syndrome; Breast adenocarcinoma;
  • Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome Pseudohypoaldosteronism type 1 autosomal dominant and recessive and type 2; Pseudohypoparathyroidism type 1A, Pseudopseudohypoparathyroidism; Pseudoneonatal adrenoleukodystrophy; Pseudoprimary hyperaldosteronism; Pseudoxanthoma elasticum; Generalized arterial calcification of infancy 2; Pseudoxanthoma elasticum-like disorder with multiple coagulation factor deficiency;
  • Psoriasis susceptibility 2 PTEN hamartoma tumor syndrome; Pulmonary arterial pressure
  • Rhegmatogenous retinal detachment autosomal dominant; Rhizomelic chondrodysplasia punctata type 2 and type 3; Roberts-SC phocomelia syndrome; Robinow Sorauf syndrome; Robinow syndrome, autosomal recessive, autosomal recessive, with brachy-syn-polydactyly; Rothmund-Thomson syndrome; Rapadilino syndrome; RRM2B -related mitochondrial disease; Rubinstein-Taybi syndrome; Salla disease; Sandhoff disease, adult and infantil types;
  • Spherocytosis types 4 and 5 Spheroid body myopathy; Spinal muscular atrophy, lower extremity predominant 2, autosomal dominant; Spinal muscular atrophy, type II;
  • Stickler syndrome type 1 Kniest dysplasia; Stickler syndrome, types l(nonsyndromic ocular) and 4; Sting-associated vasculopathy, infantile-onset; Stormorken syndrome; Sturge -Weber syndrome, Capillary malformations, congenital, 1 ; Succinyl-CoA acetoacetate transferase deficiency; Sucrase-isomaltase deficiency; Sudden infant death syndrome; Sulfite oxidase deficiency, isolated; Supravalvar aortic stenosis; Surfactant metabolism dysfunction,
  • nani Lenz type Syndactyly type 3; Syndromic X-linked mental retardation 16; Talipes equinovarus; Tangier disease; TARP syndrome; Tay-Sachs disease, B l variant, Gm2-gangliosidosis (adult), Gm2- gangliosidosis (adult-onset); Temtamy syndrome; Tenorio Syndrome; Terminal osseous dysplasia; Testosterone 17-beta-dehydrogenase deficiency; Tetraamelia, autosomal recessive; Tetralogy of Fallot; Hypoplastic left heart syndrome 2; Truncus arteriosus; Malformation of the heart and great vessels; Ventricular septal defect 1; Thiel-Behnke corneal dystrophy; Thoracic aortic aneurysms and aortic dissections; Marfanoid habitus; Three M syndrome 2; Thrombocytopenia, platelet dysfunction, hemolysis, and imbalanced globin synthesis;
  • Thrombocytopenia X-linked; Thrombophilia, hereditary, due to protein C deficiency, autosomal dominant and recessive; Thyroid agenesis; Thyroid cancer, follicular; Thyroid hormone metabolism, abnormal; Thyroid hormone resistance, generalized, autosomal dominant; Thyrotoxic periodic paralysis and Thyrotoxic periodic paralysis 2; Thyrotropin- releasing hormone resistance, generalized; Timothy syndrome; TNF receptor-associated periodic fever syndrome (TRAPS); Tooth agenesis, selective, 3 and 4; Torsades de pointes; Townes-Brocks-branchiootorenal-like syndrome; Transient bullous dermolysis of the newborn; Treacher collins syndrome 1; Trichomegaly with mental retardation, dwarfism and pigmentary degeneration of retina; Trichorhinophalangeal dysplasia type I;
  • Trichorhinophalangeal syndrome type 3 Trimethylaminuria; Tuberous sclerosis syndrome; Lymphangiomyomatosis; Tuberous sclerosis 1 and 2; Tyrosinase-negative oculocutaneous albinism; Tyrosinase-positive oculocutaneous albinism; Tyrosinemia type I; UDPglucose-4- epimerase deficiency; Ullrich congenital muscular dystrophy; Ulna and fibula absence of with severe limb deficiency; Upshaw-Schulman syndrome; Urocanate hydratase deficiency; Usher syndrome, types 1, IB, ID, 1G, 2A, 2C, and 2D; Retinitis pigmentosa 39; UV- sensitive syndrome; Van der Woude syndrome; Van Maldergem syndrome 2; Hennekam lymphangiectasia-lymphedema syndrome 2; Variegate porphyria; Ventriculomegaly with cystic kidney disease; Verheij syndrome; Very long chain
  • Klein-Waardenberg syndrome Walker-Warburg congenital muscular dystrophy; Warburg micro syndrome 2 and 4; Warts, hypogammaglobulinemia, infections, and myelokathexis; Weaver syndrome; Weill-Marchesani syndrome 1 and 3; Weill- Marchesani-like syndrome; Weissenbacher-Zweymuller syndrome; Werdnig-Hoffmann
  • Such pathogenic G to A or C to T mutations may be corrected using the methods and compositions provided herein, for example by mutating the A to a G, and/or the T to a C, thereby restoring gene function.
  • Table 2 includes exemplary mutations that can be corrected using nucleobase editors provided herein.
  • Table 2 includes the gene symbol, the associated phenotype, the mutation to be corrected and exemplary gRNA sequences which may be used to correct the mutations.
  • the gRNA sequences provided in Table 2 are sequences that encode RNA that can direct Cas9, or any of the base editors provided herin, to a target site.
  • the gRNA sequences provided in Table 2 may be cloned into a gRNA expression vector, such as pFYF to encode a gRNA that targets Cas9, or any of the base editors provided herein, to a target site in order to correct a disease-related mutation. It should be appreciated, however, that additional mutations may be corrected to treat additional diseases associated with a G to A or C to T mutation. Furthermore, additional gRNAs may be designed based on the disclosure and the knowledge in the art, which would be
  • gRNA sequences in the table correspond to SEQ ID NOs:740-5526 from top to bottom.

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KR1020257021334A KR20250103795A (ko) 2016-08-03 2017-08-03 아데노신 핵염기 편집제 및 그의 용도
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EP17758315.0A EP3494215A1 (en) 2016-08-03 2017-08-03 Adenosine nucleobase editors and uses thereof
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CN201780061722.XA CN110214183A (zh) 2016-08-03 2017-08-03 腺苷核碱基编辑器及其用途
US15/791,085 US10113163B2 (en) 2016-08-03 2017-10-23 Adenosine nucleobase editors and uses thereof
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US18/174,569 US11999947B2 (en) 2016-08-03 2023-02-24 Adenosine nucleobase editors and uses thereof
IL308426A IL308426B1 (en) 2016-08-03 2023-11-09 Adenosine nuclear base editors and their uses
US18/641,299 US20250092382A1 (en) 2016-08-03 2024-04-19 Adenosine nucleobase editors and uses thereof
AU2024203284A AU2024203284A1 (en) 2016-08-03 2024-05-17 Adenosine nucleobase editors and uses thereof
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