In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system

Adeno-associated virus (AAV)-mediated delivery of the clustered regularly interspaced short palindromic repeat-CRISPR-associated protein 9 (CRISPR-Cas9) has shown promising results in preclinical models. However, the long-term expression of Cas9 mediated by AAV in the post-mitotic cells raises conce...

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Main Authors: Qian Li, Jing Su, Yi Liu, Xiu Jin, Xiaomei Zhong, Li Mo, Qingnan Wang, Hongxin Deng, Yang Yang
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050121000206
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author Qian Li
Jing Su
Yi Liu
Xiu Jin
Xiaomei Zhong
Li Mo
Qingnan Wang
Hongxin Deng
Yang Yang
author_facet Qian Li
Jing Su
Yi Liu
Xiu Jin
Xiaomei Zhong
Li Mo
Qingnan Wang
Hongxin Deng
Yang Yang
author_sort Qian Li
collection DOAJ
description Adeno-associated virus (AAV)-mediated delivery of the clustered regularly interspaced short palindromic repeat-CRISPR-associated protein 9 (CRISPR-Cas9) has shown promising results in preclinical models. However, the long-term expression of Cas9 mediated by AAV in the post-mitotic cells raises concerns with specificity and immunogenicity. Thus, it would be advantageous to limit the duration of Cas9 expression following delivery. In this study, we have engineered an all-in-one self-cleavage AAV-CRISPR-Cas9 system to restrict the expression of Cas9 nuclease, which consists of a Cas9 nuclease from Staphylococcus aureus (SaCas9), a chimeric single guide RNA (sgRNA) molecule targeting PCSK9, and flanking sites targeted by this sgRNA. The self-cleavage system generated a negative feedback loop where Cas9 cut both the target genomic locus and the AAV vector, thus self-limiting the expression of Cas9. We demonstrated that this system could reduce ∼60% expression of SaCas9 protein and had a 20-fold reduction in off-target activity at 24 weeks post-vector administration in vivo. Moreover, the on-target editing efficacy was not compromised and resulted in a stable reduction in circulating PCSK9 and serum cholesterol. The inclusion of this self-cleavage system in gene-editing approaches could increase the safety profile of AAV-delivered genome-editing nucleases and thereby promote its clinical transformation.
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spelling doaj.art-44c68dde0c7746e19a372bda5ec90f682022-12-21T23:26:06ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012021-03-0120652659In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR systemQian Li0Jing Su1Yi Liu2Xiu Jin3Xiaomei Zhong4Li Mo5Qingnan Wang6Hongxin Deng7Yang Yang8State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, ChinaState Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, China; Corresponding author: Yang Yang, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu 610041, China.Adeno-associated virus (AAV)-mediated delivery of the clustered regularly interspaced short palindromic repeat-CRISPR-associated protein 9 (CRISPR-Cas9) has shown promising results in preclinical models. However, the long-term expression of Cas9 mediated by AAV in the post-mitotic cells raises concerns with specificity and immunogenicity. Thus, it would be advantageous to limit the duration of Cas9 expression following delivery. In this study, we have engineered an all-in-one self-cleavage AAV-CRISPR-Cas9 system to restrict the expression of Cas9 nuclease, which consists of a Cas9 nuclease from Staphylococcus aureus (SaCas9), a chimeric single guide RNA (sgRNA) molecule targeting PCSK9, and flanking sites targeted by this sgRNA. The self-cleavage system generated a negative feedback loop where Cas9 cut both the target genomic locus and the AAV vector, thus self-limiting the expression of Cas9. We demonstrated that this system could reduce ∼60% expression of SaCas9 protein and had a 20-fold reduction in off-target activity at 24 weeks post-vector administration in vivo. Moreover, the on-target editing efficacy was not compromised and resulted in a stable reduction in circulating PCSK9 and serum cholesterol. The inclusion of this self-cleavage system in gene-editing approaches could increase the safety profile of AAV-delivered genome-editing nucleases and thereby promote its clinical transformation.http://www.sciencedirect.com/science/article/pii/S2329050121000206AAVCRISPR-Cas9PCSK9self-cleavage
spellingShingle Qian Li
Jing Su
Yi Liu
Xiu Jin
Xiaomei Zhong
Li Mo
Qingnan Wang
Hongxin Deng
Yang Yang
In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
Molecular Therapy: Methods & Clinical Development
AAV
CRISPR-Cas9
PCSK9
self-cleavage
title In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
title_full In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
title_fullStr In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
title_full_unstemmed In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
title_short In vivo PCSK9 gene editing using an all-in-one self-cleavage AAV-CRISPR system
title_sort in vivo pcsk9 gene editing using an all in one self cleavage aav crispr system
topic AAV
CRISPR-Cas9
PCSK9
self-cleavage
url http://www.sciencedirect.com/science/article/pii/S2329050121000206
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