Sangamo Therapeutics, 501 Canal Blvd., Suite A, Richmond, CA 94804, USA.
Sangamo Therapeutics, 501 Canal Blvd., Suite A, Richmond, CA 94804, USA.
Mol Ther. 2019 Apr 10;27(4):866-877. doi: 10.1016/j.ymthe.2019.03.003. Epub 2019 Mar 7.
It has previously been shown that engineered zinc finger nucleases (ZFNs) can be packaged into adeno-associated viruses (AAVs) and delivered intravenously into mice, non-human primates, and most recently, humans to induce highly efficient therapeutic genome editing in the liver. Lipid nanoparticles (LNPs) are synthetic delivery vehicles that enable repeat administration and are not limited by the presence of preexisting neutralizing antibodies in patients. Here, we show that mRNA encoding ZFNs formulated into LNP can enable >90% knockout of gene expression in mice by targeting the TTR or PCSK9 gene, at mRNA doses 10-fold lower than has ever been reported. Additionally, co-delivering mRNA-LNP containing ZFNs targeted to intron 1 of the ALB locus with AAV packaged with a promoterless human IDS or FIX therapeutic transgene can result in high levels of targeted integration and subsequent therapeutically relevant levels of protein expression in mice. Finally, we show repeat administration of ZFN mRNA-LNP after a single AAV donor dose results in significantly increased levels of genome editing and transgene expression compared to a single dose. These results demonstrate LNP-mediated ZFN mRNA delivery can drive highly efficient levels of in vivo genome editing and can potentially offer a new treatment modality for a variety of diseases.
先前已经证明,工程化锌指核酸酶(ZFNs)可以被包装到腺相关病毒(AAV)中,并通过静脉内给药递送至小鼠、非人类灵长类动物,最近还可以递送至人类,以在肝脏中诱导高效的治疗性基因组编辑。脂质纳米颗粒(LNPs)是一种合成的递送载体,能够进行重复给药,并且不受患者体内存在的中和抗体的影响。在这里,我们展示了通过靶向 TTR 或 PCSK9 基因,将编码 ZFN 的 mRNA 制成 LNP 能够使小鼠中的基因表达敲除率超过 90%,所需的 mRNA 剂量比之前报道的低 10 倍。此外,共递送靶向 ALB 基因内含子 1 的含有 ZFN 的 mRNA-LNP 与包装有无启动子的人 IDS 或 FIX 治疗性转基因的 AAV,可导致靶向整合的高水平,并随后在小鼠中产生具有治疗相关性的蛋白表达水平。最后,我们展示了单次 AAV 供体剂量后重复给予 ZFN mRNA-LNP 可导致基因组编辑和转基因表达水平显著增加,与单次剂量相比。这些结果表明,LNP 介导的 ZFN mRNA 递送可以驱动高效的体内基因组编辑水平,并可能为各种疾病提供一种新的治疗模式。
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