Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies

Overexpression of SNCA has been implicated in the pathogenesis of synucleinopathies, particularly Parkinson’s disease (PD) and dementia with Lewy bodies (DLB). While PD and DLB share some clinical and pathological similarities, each disease presents distinct characteristics, including the primary af...

Full description

Bibliographic Details
Main Authors: Zhiguo Sun, Boris Kantor, Ornit Chiba-Falek
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Molecular Therapy: Nucleic Acids
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2162253123003025
_version_ 1797394907425406976
author Zhiguo Sun
Boris Kantor
Ornit Chiba-Falek
author_facet Zhiguo Sun
Boris Kantor
Ornit Chiba-Falek
author_sort Zhiguo Sun
collection DOAJ
description Overexpression of SNCA has been implicated in the pathogenesis of synucleinopathies, particularly Parkinson’s disease (PD) and dementia with Lewy bodies (DLB). While PD and DLB share some clinical and pathological similarities, each disease presents distinct characteristics, including the primary affected brain region and neuronal type. We aimed to develop neuronal-type-specific SNCA-targeted epigenome therapies for synucleinopathies. The system is based on an all-in-one lentiviral vector comprised of CRISPR-dSaCas9 and guide RNA (gRNA) targeted at SNCA intron 1 fused with a synthetic repressor molecule of Krüppel-associated box (KRAB)/ methyl CpG binding protein 2 (MeCp2) transcription repression domain (TRD). To achieve neuronal-type specificity for dopaminergic and cholinergic neurons, the system was driven by tyrosine hydroxylase (TH) and choline acetyltransferase (ChAT) promoters, respectively. Delivering the system into human induced pluripotent stem cell (hiPSC)-derived dopaminergic and cholinergic neurons from a patient with the SNCA triplication resulted in efficient and neuronal-type-specific downregulation of SNCA-mRNA and protein. Furthermore, the reduction in SNCA levels by the gRNA-dSaCas9-repressor system rescued disease-related cellular phenotypes including Ser129-phophorylated α-synuclein, neuronal viability, and mitochondrial dysfunction. We established a novel neuronal-type-specific SNCA-targeted epigenome therapy and provided in vitro proof of concept using human-based disease models. Our results support the therapeutic potential of our system for PD and DLB and provide the foundation for further preclinical studies in animal models toward investigational new drug (IND) enablement and clinical trials.
first_indexed 2024-03-09T00:26:34Z
format Article
id doaj.art-a9ee28d40a73477abb5a6c1f09997ea4
institution Directory Open Access Journal
issn 2162-2531
language English
last_indexed 2024-03-09T00:26:34Z
publishDate 2024-03-01
publisher Elsevier
record_format Article
series Molecular Therapy: Nucleic Acids
spelling doaj.art-a9ee28d40a73477abb5a6c1f09997ea42023-12-12T04:34:50ZengElsevierMolecular Therapy: Nucleic Acids2162-25312024-03-01351102084Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathiesZhiguo Sun0Boris Kantor1Ornit Chiba-Falek2CLAIRIgene, LLC, Durham, NC 27701, USAViral Vector Core, Department of Neurobiology, Duke University School of Medicine, Durham, NC 27710, USA; Corresponding author: Boris Kantor, Viral Vector Core, Department of Neurobiology, Duke University School of Medicine, Durham, NC 27710, USA.Division of Translational Brain Sciences, Department of Neurology, Duke University School of Medicine, Durham, NC 27710, USA; Center for Genomic and Computational Biology, Duke University School of Medicine, Durham, NC 27710, USA; Corresponding author: Ornit Chiba-Falek, Division of Translational Brain Sciences, Department of Neurology, Duke University School of Medicine, Durham, NC 27710, USA.Overexpression of SNCA has been implicated in the pathogenesis of synucleinopathies, particularly Parkinson’s disease (PD) and dementia with Lewy bodies (DLB). While PD and DLB share some clinical and pathological similarities, each disease presents distinct characteristics, including the primary affected brain region and neuronal type. We aimed to develop neuronal-type-specific SNCA-targeted epigenome therapies for synucleinopathies. The system is based on an all-in-one lentiviral vector comprised of CRISPR-dSaCas9 and guide RNA (gRNA) targeted at SNCA intron 1 fused with a synthetic repressor molecule of Krüppel-associated box (KRAB)/ methyl CpG binding protein 2 (MeCp2) transcription repression domain (TRD). To achieve neuronal-type specificity for dopaminergic and cholinergic neurons, the system was driven by tyrosine hydroxylase (TH) and choline acetyltransferase (ChAT) promoters, respectively. Delivering the system into human induced pluripotent stem cell (hiPSC)-derived dopaminergic and cholinergic neurons from a patient with the SNCA triplication resulted in efficient and neuronal-type-specific downregulation of SNCA-mRNA and protein. Furthermore, the reduction in SNCA levels by the gRNA-dSaCas9-repressor system rescued disease-related cellular phenotypes including Ser129-phophorylated α-synuclein, neuronal viability, and mitochondrial dysfunction. We established a novel neuronal-type-specific SNCA-targeted epigenome therapy and provided in vitro proof of concept using human-based disease models. Our results support the therapeutic potential of our system for PD and DLB and provide the foundation for further preclinical studies in animal models toward investigational new drug (IND) enablement and clinical trials.http://www.sciencedirect.com/science/article/pii/S2162253123003025MT: RNA/DNA editingsynucleinopathiesalpha-synucleinSNCAdementia with Lewy bodiesDLB
spellingShingle Zhiguo Sun
Boris Kantor
Ornit Chiba-Falek
Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
Molecular Therapy: Nucleic Acids
MT: RNA/DNA editing
synucleinopathies
alpha-synuclein
SNCA
dementia with Lewy bodies
DLB
title Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
title_full Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
title_fullStr Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
title_full_unstemmed Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
title_short Neuronal-type-specific epigenome editing to decrease SNCA expression: Implications for precision medicine in synucleinopathies
title_sort neuronal type specific epigenome editing to decrease snca expression implications for precision medicine in synucleinopathies
topic MT: RNA/DNA editing
synucleinopathies
alpha-synuclein
SNCA
dementia with Lewy bodies
DLB
url http://www.sciencedirect.com/science/article/pii/S2162253123003025
work_keys_str_mv AT zhiguosun neuronaltypespecificepigenomeeditingtodecreasesncaexpressionimplicationsforprecisionmedicineinsynucleinopathies
AT boriskantor neuronaltypespecificepigenomeeditingtodecreasesncaexpressionimplicationsforprecisionmedicineinsynucleinopathies
AT ornitchibafalek neuronaltypespecificepigenomeeditingtodecreasesncaexpressionimplicationsforprecisionmedicineinsynucleinopathies