Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD

<div>Duchenne muscular dystrophy (DMD) is the most prevalent inherited myopathy affecting children, caused by genetic loss of the gene encoding the dystrophin protein. Here we have investigated the use of the&nbsp;<em>Staphylococcus aureus</em>&nbsp;CRISPR-Cas9 system and a...

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Main Authors: Hanson, B, Stenler, S, Ahlskog, N, Chwalenia, K, Svrzikapa, N, Coenen-Stass, AML, Weinberg, MS, Wood, MJA, Roberts, TC
Format: Journal article
Language:English
Published: Cell Press 2022
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author Hanson, B
Stenler, S
Ahlskog, N
Chwalenia, K
Svrzikapa, N
Coenen-Stass, AML
Weinberg, MS
Wood, MJA
Roberts, TC
author_facet Hanson, B
Stenler, S
Ahlskog, N
Chwalenia, K
Svrzikapa, N
Coenen-Stass, AML
Weinberg, MS
Wood, MJA
Roberts, TC
author_sort Hanson, B
collection OXFORD
description <div>Duchenne muscular dystrophy (DMD) is the most prevalent inherited myopathy affecting children, caused by genetic loss of the gene encoding the dystrophin protein. Here we have investigated the use of the&nbsp;<em>Staphylococcus aureus</em>&nbsp;CRISPR-Cas9 system and a double-cut strategy, delivered using a pair of adeno-associated virus serotype 9 (AAV9) vectors, for dystrophin restoration in the severely affected dystrophin/utrophin double-knockout (dKO) mouse. Single guide RNAs were designed to excise&nbsp;<em>Dmd</em>&nbsp;exon 23, with flanking intronic regions repaired by non-homologous end joining. Exon 23 deletion was confirmed at the DNA level by PCR and Sanger sequencing, and at the RNA level by RT-qPCR. Restoration of dystrophin protein expression was demonstrated by western blot and immunofluorescence staining in mice treated via either intraperitoneal or intravenous routes of delivery. Dystrophin restoration was most effective in the diaphragm, where a maximum of 5.7% of wild-type dystrophin expression was observed. CRISPR treatment was insufficient to extend lifespan in the dKO mouse, and dystrophin was expressed in a within-fiber patchy manner in skeletal muscle tissues. Further analysis revealed a plethora of non-productive DNA repair events, including AAV genome integration at the CRISPR cut sites. This study highlights potential challenges for the successful development of CRISPR therapies in the context of DMD.</div>
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spelling oxford-uuid:03afaa03-91f3-43bd-a2f3-8e38c9f0ad1d2023-11-08T11:25:21ZNon-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMDJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:03afaa03-91f3-43bd-a2f3-8e38c9f0ad1dEnglishSymplectic ElementsCell Press2022Hanson, BStenler, SAhlskog, NChwalenia, KSvrzikapa, NCoenen-Stass, AMLWeinberg, MSWood, MJARoberts, TC<div>Duchenne muscular dystrophy (DMD) is the most prevalent inherited myopathy affecting children, caused by genetic loss of the gene encoding the dystrophin protein. Here we have investigated the use of the&nbsp;<em>Staphylococcus aureus</em>&nbsp;CRISPR-Cas9 system and a double-cut strategy, delivered using a pair of adeno-associated virus serotype 9 (AAV9) vectors, for dystrophin restoration in the severely affected dystrophin/utrophin double-knockout (dKO) mouse. Single guide RNAs were designed to excise&nbsp;<em>Dmd</em>&nbsp;exon 23, with flanking intronic regions repaired by non-homologous end joining. Exon 23 deletion was confirmed at the DNA level by PCR and Sanger sequencing, and at the RNA level by RT-qPCR. Restoration of dystrophin protein expression was demonstrated by western blot and immunofluorescence staining in mice treated via either intraperitoneal or intravenous routes of delivery. Dystrophin restoration was most effective in the diaphragm, where a maximum of 5.7% of wild-type dystrophin expression was observed. CRISPR treatment was insufficient to extend lifespan in the dKO mouse, and dystrophin was expressed in a within-fiber patchy manner in skeletal muscle tissues. Further analysis revealed a plethora of non-productive DNA repair events, including AAV genome integration at the CRISPR cut sites. This study highlights potential challenges for the successful development of CRISPR therapies in the context of DMD.</div>
spellingShingle Hanson, B
Stenler, S
Ahlskog, N
Chwalenia, K
Svrzikapa, N
Coenen-Stass, AML
Weinberg, MS
Wood, MJA
Roberts, TC
Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title_full Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title_fullStr Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title_full_unstemmed Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title_short Non-uniform dystrophin re-expression after CRISPR-mediated exon excision in the dystrophin/utrophin double-knockout mouse model of DMD
title_sort non uniform dystrophin re expression after crispr mediated exon excision in the dystrophin utrophin double knockout mouse model of dmd
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