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'Epigenetic' editing banishes hepatitis B virus

nature.com24 points0 comments
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Researchers developed an epigenetic-editing therapy that shuts down hepatitis B virus (HBV) DNA without cutting the genome. The treatment, called CRMA-1001, uses a catalytically inactive Cas9 guided by RNA to find viral sequences and recruit methyl groups that silence gene activity. Encapsulated in lipid nanoparticles and delivered by intravenous infusion, the approach targets both free-standing HBV mini-chromosomes (cccDNA) and viral sequences integrated into host chromosomes, preventing production of new viral particles while avoiding double-strand breaks that raise cancer risk.

Preclinical work showed strong antiviral effects in human liver cells and mice from a single injection, and only minimal, transient side effects in nonhuman primates. Those results supported rapid clinical translation: nChroma Bio has opened a multi-dose human trial in Hong Kong and New Zealand and treated a first participant this year. The work was reported in Nature Biomedical Engineering and is positioned as a significant advance because it directly silences the persistent genomic reservoirs that drive chronic HBV infection and relapse after conventional therapy.

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