Program in Molecular Medicine, University of Massachusetts Medical School, Worcester, MA, 01605, USA.
University of Crete School of Medicine, Crete, 71003, Greece.
Nat Commun. 2021 Nov 26;12(1):6931. doi: 10.1038/s41467-021-27190-y.
Obesity and type 2 diabetes are associated with disturbances in insulin-regulated glucose and lipid fluxes and severe comorbidities including cardiovascular disease and steatohepatitis. Whole body metabolism is regulated by lipid-storing white adipocytes as well as "brown" and "brite/beige" adipocytes that express thermogenic uncoupling protein 1 (UCP1) and secrete factors favorable to metabolic health. Implantation of brown fat into obese mice improves glucose tolerance, but translation to humans has been stymied by low abundance of primary human beige adipocytes. Here we apply methods to greatly expand human adipocyte progenitors from small samples of human subcutaneous adipose tissue and then disrupt the thermogenic suppressor gene NRIP1 by CRISPR. Ribonucleoprotein consisting of Cas9 and sgRNA delivered ex vivo are fully degraded by the human cells following high efficiency NRIP1 depletion without detectable off-target editing. Implantation of such CRISPR-enhanced human or mouse brown-like adipocytes into high fat diet fed mice decreases adiposity and liver triglycerides while enhancing glucose tolerance compared to implantation with unmodified adipocytes. These findings advance a therapeutic strategy to improve metabolic homeostasis through CRISPR-based genetic enhancement of human adipocytes without exposing the recipient to immunogenic Cas9 or delivery vectors.
肥胖和 2 型糖尿病与胰岛素调节的葡萄糖和脂质通量紊乱以及严重的合并症有关,包括心血管疾病和脂肪性肝炎。全身代谢受储存脂质的白色脂肪细胞以及表达解偶联蛋白 1(UCP1)并分泌有利于代谢健康的因子的“棕色”和“米色/beige”脂肪细胞调节。将棕色脂肪植入肥胖小鼠可改善葡萄糖耐量,但由于人原代米色脂肪细胞丰度低,向人类的转化受到阻碍。在这里,我们应用从人体皮下脂肪组织的小样本中大量扩增人脂肪前体细胞的方法,然后通过 CRISPR 破坏产热抑制剂基因 NRIP1。体外递送的由 Cas9 和 sgRNA 组成的核糖核蛋白在高效 NRIP1 耗尽后被人细胞完全降解,没有可检测的脱靶编辑。与植入未修饰的脂肪细胞相比,将这种经过 CRISPR 增强的人类或小鼠棕色样脂肪细胞植入高脂肪饮食喂养的小鼠中,可减少脂肪组织和肝脏甘油三酯,同时改善葡萄糖耐量。这些发现推进了一种通过 CRISPR 增强人类脂肪细胞的基因治疗策略,而无需使接受者暴露于免疫原性 Cas9 或递送载体。