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Wednesday, May 21, 2025

Groundbreaking Gene Therapy Offers Hope for Rare Genetic Disorder in Infant

Groundbreaking Gene Therapy Offers Hope for Rare Genetic Disorder in Infant

KJ Muldoon, diagnosed with a life-threatening metabolic condition, becomes the first patient in the world to receive personalized gene therapy.
KJ Muldoon, a nine-month-old infant from the United States, has been reported as the world's first patient to receive personalized gene therapy for a rare and severe metabolic disorder known as CPS1 deficiency.

This disorder, resulting from mutations in a gene that encodes a crucial enzyme in liver function, hinders the body's ability to eliminate certain toxic metabolic waste products.

The announcement came from the medical team treating KJ at the Children’s Hospital of Philadelphia, igniting hopes for future treatments of similar conditions.

Diagnosed shortly after birth, KJ's condition posed dire prospects, with typical outcomes including either liver transplantation or severe health issues.

Nicole, KJ's mother, recounted that searching for information on CPS1 often results in dire predictions, underscoring the critical nature of the treatment options available to her son.

Faced with this alarming diagnosis, the medical team proposed a groundbreaking approach: a personalized treatment utilizing CRISPR-Cas9 gene editing technology, a method recognized with the Nobel Prize in Chemistry in 2020. The decision represented a crucial juncture for the family, as revealed by Kyle, KJ’s father, who described the intense pressure of choosing between a liver transplant and a novel treatment never before administered.

In February, KJ was administered the first of three infusions of the gene therapy specifically designed to target his unique genetic mutations.

Rebecca Ahrens-Nicklas, a pediatric geneticist involved in KJ’s care, explained that the therapy is custom-tailored to his genetic profile, making it a precisely engineered 'medicine.'

During the procedure, CRISPR components were introduced into KJ's liver cells, with the objective of modifying the defective gene.

Initial medical reports indicate promising results, as KJ is now able to tolerate a higher protein diet and requires fewer medications than before.

However, Ahrens-Nicklas emphasized the importance of long-term monitoring to thoroughly assess the treatment's safety and effectiveness.

The medical team published their findings in the New England Journal of Medicine, detailing KJ’s progress and the therapeutic implications of this tailored approach.

Ahrens-Nicklas expressed hope that this innovative treatment could enhance KJ's quality of life, potentially allowing him to lead a life with minimal or no medication.

Furthermore, the success of this case could pave the way for similar methodologies to be adapted for other patients facing genetic disorders.
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