A landmark study published in Cell has shown that prime editing, a cutting-edge form of gene editing, can correct mutations causing Alternating Hemiplegia of Childhood (AHC) with a single in-brain injection. The research team fixed the most prevalent ATP1A3 gene mutations in mouse models, reducing symptoms and more than doubling survival, a first-of-its-kind success in treating a neurological disease directly in the brain. CRISPR-based gene editing was delivered through an harmless adeno-associated virus called AAV9. In parallel, patient-derived cells (iPSCs) responded similarly, reinforcing the method’s promise for human translation. Importantly, this success opens the door to targeting other genetic brain disorders previously deemed untreatable. Although results are preliminary, this study provides robust proof‑of‑concept for personalized gene editing in the brain and opens doors toward potential treatments for other intractable genetic neurological disorders.
Neuroblastoma, a highly aggressive childhood cancer, presents a high risk of relapse, making long-term disease control a significant challenge. A groundbreaking study published in Nature Medicine has demonstrated that GD2-directed CAR-T cell therapy can induce durable remissions, with one patient remaining cancer-free for over 18 years, the longest reported remission for a solid tumor treated with CAR-T cells. Between 2004 and 2009, 19 children were infused with CAR-T cells targeting GD2, a protein expressed in neuroblastoma cells, as part of a phase I clinical trial. Despite lacking modern co-stimulatory molecules, these first-generation CAR-T cells persisted for over five years in some patients. Among patients with active disease, 3 achieved complete responses, with 2 maintaining long-term remissions of 8+ and 18+ years, respectively. Immune profiling of long-term survivors revealed that CAR-T cells exhibited a mix of effector and memory-like properties, suggesting a key role in extended therapeutic effects. This study indicates the safety and durability of GD2 CAR-T therapy in neuroblastoma and paves the way for improved CAR-T strategies targeting solid tumors.