Cas9 nickase-mediated contraction of CAG/CTG repeats at multiple disease loci
Expanded CAG/CTG repeats cause at least 15 different neurodegenerative and neuromuscular diseases that all remain without an effective disease modifying treatment. Because the size of the repeat tract accounts for the majority of the variation in disease severity, contracting them presents an attractive therapeutic avenue. Here, we show that the CRISPR-Cas9 nickase targeted to the CAG/CTG repeat itself leads to efficient contractions in Huntington’s disease patient-derived neurons and astrocytes as well as in myotonic dystrophy type 1 patient-derived neurons. Using single-cell DNA sequencing a