Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing

Lesch-Nyhan syndrome (LNS) is inherited as an X-linked recessive genetic disorder caused by mutations in hypoxanthine-guanine phosphoribosyl transferase 1 (HPRT1). Patients with LNS show various clinical phenotypes, including hyperuricemia, gout, devastating behavioral abnormality, intellectual disa...

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Main Authors: Gayoung Jang, Ha Rim Shin, Hyo-Sang Do, Jiyeon Kweon, Soojin Hwang, Soyoung Kim, Sun Hee Heo, Yongsub Kim, Beom Hee Lee
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Molecular Therapy: Nucleic Acids
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S216225312300029X
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author Gayoung Jang
Ha Rim Shin
Hyo-Sang Do
Jiyeon Kweon
Soojin Hwang
Soyoung Kim
Sun Hee Heo
Yongsub Kim
Beom Hee Lee
author_facet Gayoung Jang
Ha Rim Shin
Hyo-Sang Do
Jiyeon Kweon
Soojin Hwang
Soyoung Kim
Sun Hee Heo
Yongsub Kim
Beom Hee Lee
author_sort Gayoung Jang
collection DOAJ
description Lesch-Nyhan syndrome (LNS) is inherited as an X-linked recessive genetic disorder caused by mutations in hypoxanthine-guanine phosphoribosyl transferase 1 (HPRT1). Patients with LNS show various clinical phenotypes, including hyperuricemia, gout, devastating behavioral abnormality, intellectual disability, and self-harm. Although uric acid overproduction can be modulated with the xanthine oxidase inhibitor allopurinol, there exists no treatment for behavioral and neurological manifestations of LNS. In the current study, CRISPR-mediated base editors (BEs) and prime editors (PEs) were utilized to generate LNS-associated disease models and correct the disease models for therapeutic approach. Cytosine BEs (CBEs) were used to induce c.430C>T and c.508C>T mutations in HAP1 cells, and then adenine BEs (ABEs) were used to correct these mutations without DNA cleavage. PEs induced a c.333_334ins(A) mutation, identified in a Korean patient with LNS, in HAP1 cells, which was corrected in turn by PEs. Furthermore, improved PEs corrected the same mutation in LNS patient-derived fibroblasts by up to 14% without any unwanted mutations. These results suggest that CRISPR-mediated BEs and PEs would be suggested as a potential therapeutic strategy of this extremely rare, devastating genetic disease.
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spelling doaj.art-eb6665589bc6414aa635932aaa3cb0f12023-03-02T04:59:16ZengElsevierMolecular Therapy: Nucleic Acids2162-25312023-03-0131586595Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editingGayoung Jang0Ha Rim Shin1Hyo-Sang Do2Jiyeon Kweon3Soojin Hwang4Soyoung Kim5Sun Hee Heo6Yongsub Kim7Beom Hee Lee8Department of Biomedical Sciences, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Stem Cell Immunomodulation Research Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Biomedical Sciences, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Stem Cell Immunomodulation Research Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaAsan Institute for Life Sciences, Asan Medical Center, Seoul, Republic of KoreaDepartment of Biomedical Sciences, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaAsan Institute for Life Sciences, Asan Medical Center, Seoul, Republic of KoreaAsan Institute for Life Sciences, Asan Medical Center, Seoul, Republic of KoreaDepartment of Biomedical Sciences, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Stem Cell Immunomodulation Research Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Corresponding author. Yongsub Kim, Department of Biomedical Sciences, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea; Medical Genetics Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea; Corresponding author. Beom Hee Lee, Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of Korea.Lesch-Nyhan syndrome (LNS) is inherited as an X-linked recessive genetic disorder caused by mutations in hypoxanthine-guanine phosphoribosyl transferase 1 (HPRT1). Patients with LNS show various clinical phenotypes, including hyperuricemia, gout, devastating behavioral abnormality, intellectual disability, and self-harm. Although uric acid overproduction can be modulated with the xanthine oxidase inhibitor allopurinol, there exists no treatment for behavioral and neurological manifestations of LNS. In the current study, CRISPR-mediated base editors (BEs) and prime editors (PEs) were utilized to generate LNS-associated disease models and correct the disease models for therapeutic approach. Cytosine BEs (CBEs) were used to induce c.430C>T and c.508C>T mutations in HAP1 cells, and then adenine BEs (ABEs) were used to correct these mutations without DNA cleavage. PEs induced a c.333_334ins(A) mutation, identified in a Korean patient with LNS, in HAP1 cells, which was corrected in turn by PEs. Furthermore, improved PEs corrected the same mutation in LNS patient-derived fibroblasts by up to 14% without any unwanted mutations. These results suggest that CRISPR-mediated BEs and PEs would be suggested as a potential therapeutic strategy of this extremely rare, devastating genetic disease.http://www.sciencedirect.com/science/article/pii/S216225312300029XMT: RNA/DNA EditingLesch-Nyhan syndromeLNSHPRT1, CRISPR-Casgene correctionbase editing
spellingShingle Gayoung Jang
Ha Rim Shin
Hyo-Sang Do
Jiyeon Kweon
Soojin Hwang
Soyoung Kim
Sun Hee Heo
Yongsub Kim
Beom Hee Lee
Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
Molecular Therapy: Nucleic Acids
MT: RNA/DNA Editing
Lesch-Nyhan syndrome
LNS
HPRT1, CRISPR-Cas
gene correction
base editing
title Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
title_full Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
title_fullStr Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
title_full_unstemmed Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
title_short Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing
title_sort therapeutic gene correction for lesch nyhan syndrome using crispr mediated base and prime editing
topic MT: RNA/DNA Editing
Lesch-Nyhan syndrome
LNS
HPRT1, CRISPR-Cas
gene correction
base editing
url http://www.sciencedirect.com/science/article/pii/S216225312300029X
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