A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model

Abstract Pig-to-human organ transplantation is a feasible solution to resolve the shortage of organ donors for patients that wait for transplantation. To overcome immunological rejection, which is the main hurdle in pig-to-human xenotransplantation, various engineered transgenic pigs have been devel...

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Main Authors: Nayoung Ko, Joohyun Shim, Hyoung-Joo Kim, Yongjin Lee, Jae-Kyung Park, Kyungmin Kwak, Jeong-Woong Lee, Dong-Il Jin, Hyunil Kim, Kimyung Choi
Format: Article
Language:English
Published: Nature Portfolio 2022-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-13536-z
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author Nayoung Ko
Joohyun Shim
Hyoung-Joo Kim
Yongjin Lee
Jae-Kyung Park
Kyungmin Kwak
Jeong-Woong Lee
Dong-Il Jin
Hyunil Kim
Kimyung Choi
author_facet Nayoung Ko
Joohyun Shim
Hyoung-Joo Kim
Yongjin Lee
Jae-Kyung Park
Kyungmin Kwak
Jeong-Woong Lee
Dong-Il Jin
Hyunil Kim
Kimyung Choi
author_sort Nayoung Ko
collection DOAJ
description Abstract Pig-to-human organ transplantation is a feasible solution to resolve the shortage of organ donors for patients that wait for transplantation. To overcome immunological rejection, which is the main hurdle in pig-to-human xenotransplantation, various engineered transgenic pigs have been developed. Ablation of xeno-reactive antigens, especially the 1,3-Gal epitope (GalT), which causes hyperacute rejection, and insertion of complement regulatory protein genes, such as hCD46, hCD55, and hCD59, and genes to regulate the coagulation pathway or immune cell-mediated rejection may be required for an ideal xenotransplantation model. However, the technique for stable and efficient expression of multi-transgenes has not yet been settled to develop a suitable xenotransplantation model. To develop a stable and efficient transgenic system, we knocked-in internal ribosome entry sites (IRES)-mediated transgenes into the α 1,3-galactosyltransferase (GGTA1) locus so that expression of these transgenes would be controlled by the GGTA1 endogenous promoter. We constructed an IRES-based polycistronic hCD55/hCD39 knock-in vector to target exon4 of the GGTA1 gene. The hCD55/hCD39 knock-in vector and CRISPR/Cas9 to target exon4 of the GGTA1 gene were co-transfected into white yucatan miniature pig fibroblasts. After transfection, hCD39 expressed cells were sorted by FACS. Targeted colonies were verified using targeting PCR and FACS analysis, and used as donors for somatic cell nuclear transfer. Expression of GalT, hCD55, and hCD39 was analyzed by FACS and western blotting. Human complement-mediated cytotoxicity and human antibody binding assays were conducted on peripheral blood mononuclear cells (PBMCs) and red blood cells (RBCs), and deposition of C3 by incubation with human complement serum and platelet aggregation were analyzed in GGTA1 knock-out (GTKO)/CD55/CD39 pig cells. We obtained six targeted colonies with high efficiency of targeting (42.8% of efficiency). Selected colony and transgenic pigs showed abundant expression of targeted genes (hCD55 and hCD39). Knocked-in transgenes were expressed in various cell types under the control of the GGTA1 endogenous promoter in GTKO/CD55/CD39 pig and IRES was sufficient to express downstream expression of the transgene. Human IgG and IgM binding decreased in GTKO/CD55/CD39 pig and GTKO compared to wild-type pig PBMCs and RBCs. The human complement-mediated cytotoxicity of RBCs and PBMCs decreased in GTKO/CD55/CD39 pig compared to cells from GTKO pig. C3 was also deposited less in GTKO/CD55/CD39 pig cells than wild-type pig cells. The platelet aggregation was delayed by hCD39 expression in GTKO/CD55/CD39 pig. In the current study, knock-in into the GGTA1 locus and GGTA1 endogenous promoter-mediated expression of transgenes are an appropriable strategy for effective and stable expression of multi-transgenes. The IRES-based polycistronic transgene vector system also caused sufficient expression of both hCD55 and hCD39. Furthermore, co-transfection of CRISPR/Cas9 and the knock-in vector not only increased the knock-in efficiency but also induced null for GalT by CRISPR/Cas9-mediated double-stranded break of the target site. As shown in human complement-mediated lysis and human antibody binding to GTKO/CD55/CD39 transgenic pig cells, expression of hCD55 and hCD39 with ablation of GalT prevents an effective immunological reaction in vitro. As a consequence, our technique to produce multi-transgenic pigs could improve the development of a suitable xenotransplantation model, and the GTKO/CD55/CD39 pig developed could prolong the survival of pig-to-primate xenotransplant recipients.
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spelling doaj.art-9af5897a9cd04f4cb6fd32739454dc652022-12-22T03:25:34ZengNature PortfolioScientific Reports2045-23222022-06-0112111110.1038/s41598-022-13536-zA desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation modelNayoung Ko0Joohyun Shim1Hyoung-Joo Kim2Yongjin Lee3Jae-Kyung Park4Kyungmin Kwak5Jeong-Woong Lee6Dong-Il Jin7Hyunil Kim8Kimyung Choi9Department of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and BiotechnologyDepartment of Animal Science and Biotechnology, Chungnam National UniversityDepartment of Transgenic Animal Research, Optipharm, Inc.Department of Transgenic Animal Research, Optipharm, Inc.Abstract Pig-to-human organ transplantation is a feasible solution to resolve the shortage of organ donors for patients that wait for transplantation. To overcome immunological rejection, which is the main hurdle in pig-to-human xenotransplantation, various engineered transgenic pigs have been developed. Ablation of xeno-reactive antigens, especially the 1,3-Gal epitope (GalT), which causes hyperacute rejection, and insertion of complement regulatory protein genes, such as hCD46, hCD55, and hCD59, and genes to regulate the coagulation pathway or immune cell-mediated rejection may be required for an ideal xenotransplantation model. However, the technique for stable and efficient expression of multi-transgenes has not yet been settled to develop a suitable xenotransplantation model. To develop a stable and efficient transgenic system, we knocked-in internal ribosome entry sites (IRES)-mediated transgenes into the α 1,3-galactosyltransferase (GGTA1) locus so that expression of these transgenes would be controlled by the GGTA1 endogenous promoter. We constructed an IRES-based polycistronic hCD55/hCD39 knock-in vector to target exon4 of the GGTA1 gene. The hCD55/hCD39 knock-in vector and CRISPR/Cas9 to target exon4 of the GGTA1 gene were co-transfected into white yucatan miniature pig fibroblasts. After transfection, hCD39 expressed cells were sorted by FACS. Targeted colonies were verified using targeting PCR and FACS analysis, and used as donors for somatic cell nuclear transfer. Expression of GalT, hCD55, and hCD39 was analyzed by FACS and western blotting. Human complement-mediated cytotoxicity and human antibody binding assays were conducted on peripheral blood mononuclear cells (PBMCs) and red blood cells (RBCs), and deposition of C3 by incubation with human complement serum and platelet aggregation were analyzed in GGTA1 knock-out (GTKO)/CD55/CD39 pig cells. We obtained six targeted colonies with high efficiency of targeting (42.8% of efficiency). Selected colony and transgenic pigs showed abundant expression of targeted genes (hCD55 and hCD39). Knocked-in transgenes were expressed in various cell types under the control of the GGTA1 endogenous promoter in GTKO/CD55/CD39 pig and IRES was sufficient to express downstream expression of the transgene. Human IgG and IgM binding decreased in GTKO/CD55/CD39 pig and GTKO compared to wild-type pig PBMCs and RBCs. The human complement-mediated cytotoxicity of RBCs and PBMCs decreased in GTKO/CD55/CD39 pig compared to cells from GTKO pig. C3 was also deposited less in GTKO/CD55/CD39 pig cells than wild-type pig cells. The platelet aggregation was delayed by hCD39 expression in GTKO/CD55/CD39 pig. In the current study, knock-in into the GGTA1 locus and GGTA1 endogenous promoter-mediated expression of transgenes are an appropriable strategy for effective and stable expression of multi-transgenes. The IRES-based polycistronic transgene vector system also caused sufficient expression of both hCD55 and hCD39. Furthermore, co-transfection of CRISPR/Cas9 and the knock-in vector not only increased the knock-in efficiency but also induced null for GalT by CRISPR/Cas9-mediated double-stranded break of the target site. As shown in human complement-mediated lysis and human antibody binding to GTKO/CD55/CD39 transgenic pig cells, expression of hCD55 and hCD39 with ablation of GalT prevents an effective immunological reaction in vitro. As a consequence, our technique to produce multi-transgenic pigs could improve the development of a suitable xenotransplantation model, and the GTKO/CD55/CD39 pig developed could prolong the survival of pig-to-primate xenotransplant recipients.https://doi.org/10.1038/s41598-022-13536-z
spellingShingle Nayoung Ko
Joohyun Shim
Hyoung-Joo Kim
Yongjin Lee
Jae-Kyung Park
Kyungmin Kwak
Jeong-Woong Lee
Dong-Il Jin
Hyunil Kim
Kimyung Choi
A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
Scientific Reports
title A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
title_full A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
title_fullStr A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
title_full_unstemmed A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
title_short A desirable transgenic strategy using GGTA1 endogenous promoter-mediated knock-in for xenotransplantation model
title_sort desirable transgenic strategy using ggta1 endogenous promoter mediated knock in for xenotransplantation model
url https://doi.org/10.1038/s41598-022-13536-z
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