PMID- 31991730 OWN - NLM STAT- MEDLINE DCOM- 20201105 LR - 20220323 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 3 DP - 2020 Jan 25 TI - RNA editing as a therapeutic approach for retinal gene therapy requiring long coding sequences. LID - 10.3390/ijms21030777 [doi] LID - 777 AB - RNA editing aims to treat genetic disease through altering gene expression at the transcript level. Pairing site-directed RNA-targeting mechanisms with engineered deaminase enzymes allows for the programmable correction of G>A and T>C mutations in RNA. This offers a promising therapeutic approach for a range of genetic diseases. For inherited retinal degenerations caused by point mutations in large genes not amenable to single-adeno-associated viral (AAV) gene therapy such as USH2A and ABCA4, correcting RNA offers an alternative to gene replacement. Genome editing of RNA rather than DNA may offer an improved safety profile, due to the transient and potentially reversible nature of edits made to RNA. This review considers the current site-directing RNA editing systems, and the potential to translate these to the clinic for the treatment of inherited retinal degeneration. FAU - Fry, Lewis E AU - Fry LE AD - Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK. AD - Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK. FAU - Peddle, Caroline F AU - Peddle CF AD - Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK. AD - Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK. FAU - Barnard, Alun R AU - Barnard AR AD - Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK. AD - Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK. FAU - McClements, Michelle E AU - McClements ME AD - Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK. AD - Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK. FAU - MacLaren, Robert E AU - MacLaren RE AD - Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK. AD - Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK. LA - eng GR - MC_PC_19049/MRC_/Medical Research Council/United Kingdom GR - NA/NIHR Oxford Biomedical Research Centre/ PT - Journal Article PT - Review DEP - 20200125 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (RNA-Binding Proteins) RN - EC 3.5.4.4 (Adenosine Deaminase) SB - IM MH - Adenosine Deaminase/metabolism MH - Animals MH - CRISPR-Cas Systems MH - Fluorescent Antibody Technique MH - *Gene Editing MH - Gene Targeting MH - Genetic Diseases, Inborn/genetics/therapy MH - *Genetic Therapy MH - Humans MH - *RNA Editing MH - RNA-Binding Proteins/metabolism MH - Retina/*metabolism/pathology MH - Retinal Diseases/genetics/therapy MH - *Transgenes PMC - PMC7037314 OTO - NOTNLM OT - ADAR OT - CRISPR OT - RNA editing OT - base editing OT - gene editing OT - gene therapy OT - genome engineering OT - inherited retinal degeneration OT - retinal disease OT - retinitis pigmentosa COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the manuscript. EDAT- 2020/01/30 06:00 MHDA- 2020/11/06 06:00 PMCR- 2020/02/01 CRDT- 2020/01/30 06:00 PHST- 2019/12/19 00:00 [received] PHST- 2020/01/20 00:00 [revised] PHST- 2020/01/21 00:00 [accepted] PHST- 2020/01/30 06:00 [entrez] PHST- 2020/01/30 06:00 [pubmed] PHST- 2020/11/06 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - ijms21030777 [pii] AID - ijms-21-00777 [pii] AID - 10.3390/ijms21030777 [doi] PST - epublish SO - Int J Mol Sci. 2020 Jan 25;21(3):777. doi: 10.3390/ijms21030777.