High-precision CRISPR-Cas9 base editors with minimized bystander and off-target mutations

Recently described base editor (BE) technology, which uses CRISPR-Cas9 to direct cytidine deaminase enzymatic activity to specific genomic loci, enables the highly efficient introduction of precise cytidine-to-thymidine (C [->] T) DNA alterations in many different cell types and organisms1-6. In contrast to genome-editing nucleases7-9, BEs avoid the need to introduce double-strand breaks or exogenous donor DNA templates and induce lower levels of unwanted variable-length insertion/deletion mutations (indels)1,2,10. However, existing BEs can also efficiently create unwanted C to T alterations when more than one C is present within the five base pair \"editing window\" of these proteins, a lack of precision that can cause potentially deleterious by ...