Cas9-mediated allelic exchange repairs compound heterozygous recessive mutations in mice

Diseases caused by different mutations in the two alleles of a gene are treated in mice by Cas-9-induced allelic exchange. We report a genome-editing strategy to correct compound heterozygous mutations, a common genotype in patients with recessive genetic disorders. Adeno-associated viral vector delivery of Cas9 and guide RNA induces allelic exchange and rescues the disease phenotype in mouse models of hereditary tyrosinemia type I and mucopolysaccharidosis type I. This approach recombines non-mutated genetic information present in two heterozygous alleles into one functional allele without using donor DNA templates.