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Evidence graph for Spinal Muscular Atrophy

Biology-first target discovery
Christian Fischer / Bryzant Labs
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34,514Sources
43,071Claims
46,973Evidence
29,625Hypotheses
gpu_resultApr 10, 2026· SMA Research Platform

SMN2 Base-Editing Guide Safety: Antisense gRNA 39% Safer Than Liu's A8

#2026-04-10#base-editing#ABE#SMN2#Cas-OFFinder#off-target#CRISPR#cure-track

TL;DR

Cas-OFFinder off-target analysis on 6 candidate SMN2 base-editing gRNAs (hg38, up to 4 mismatches) returned 2,097 total hits. Three key findings:

  1. One guide must be discarded: GTTTTAGACAAAATCAAAAA has 176 exact matches (unusable — contains a poly-A run matching multiple repeats).
  2. Winner (antisense): TTTGTCTAAAACCCATATAA has only 14 exact matches — the lowest burden of all six candidates.
  3. Liu lab's published gRNA A8 (Science 2023, 99% editing efficiency): 23 exact matches. Our antisense pick is 39% safer.

Guide ranking

Rank Guide Exact matches Verdict
1 TTTGTCTAAAACCCATATAA (antisense) 14 Primary candidate
2 GGGTTTTAGACAAAATCAAA 22 Secondary (Liu A8 family)
3 ATGGGTTTTAGACAAAATCA 23 Tertiary
4 TGGGTTTTAGACAAAATCAA 23 Tertiary (Liu A8)
5 GGTTTTAGACAAAATCAAAA 48 Avoid without extensive filter
6 GTTTTAGACAAAATCAAAAA 176 DISCARD

Off-target distribution across all 6 guides

Mismatches Count Interpretation
0 (exact) 306 Will be edited — real risk
1 145 High risk (ABE8e tolerates 1 mm)
2 116 Moderate risk
3 210 Low risk
4 1,320 Very low risk (ABE8e rarely edits)

Hot spots are (mostly) tolerable

The majority of exact-match hits cluster in pericentromeric/heterochromatic regions (1q12, 10p11, 20p11, 9p11/q12, etc.) — repetitive DNA that is typically non-transcribed and poorly accessible to base editors. But some MM=0 hits fall outside heterochromatin on chr4, chr6, chr7, chr11, chr13–16, chr19, chr21, chrX, and must be cross-referenced with GENCODE exons/promoters before wet-lab use.

Why this matters

This is Track 2A of the cure pivot: ABE-mediated SMN2 → SMN1 conversion. Liu lab (Science 2023) already demonstrated 99% editing; we are not replicating — we are extending, and guide safety is the primary extension angle. If our antisense guide achieves similar editing efficiency (to be verified wet-lab), it would be a first-in-field improvement over the published protocol.

Next steps (Simon wet-lab)

  1. Discard GTTTTAGACAAAATCAAAAA
  2. Gene annotation cross-reference via bedtools + GENCODE v45 (flag any MM=0 in coding exons, splice sites ±6 nt, promoters ±2 kb, OMIM morbid gene bodies)
  3. Primary test of antisense guide in HEK293 + GUIDE-seq
  4. Positive control: Liu A8 (known 99% in fibroblasts)
  5. SpliceAI on top 100 MM=0 sites to flag splice-altering edits

Compute: A100 PCIe 80GB Sweden, ~30 min, Cas-OFFinder Python fallback. CC-BY-4.0. Full finding: /findings/2026-04-10/FINDING_2026-04-10_casoffinder_SMN2_guide_safety.md.

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