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通过载体置换和载体插入事件在人类囊性纤维化跨膜传导调节因子基因座中进行无缝基因校正。

Seamless Gene Correction in the Human Cystic Fibrosis Transmembrane Conductance Regulator Locus by Vector Replacement and Vector Insertion Events.

作者信息

Suzuki Shingo, Chosa Keisuke, Barillà Cristina, Yao Michael, Zuffardi Orsetta, Kai Hirofumi, Shuto Tsuyoshi, Suico Mary Ann, Kan Yuet W, Sargent R Geoffrey, Gruenert Dieter C

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, United States.

Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.

出版信息

Front Genome Ed. 2022 Apr 6;4:843885. doi: 10.3389/fgeed.2022.843885. eCollection 2022.

Abstract

Gene correction homology directed repair (HDR) in patient-derived induced pluripotent stem (iPS) cells for regenerative medicine are becoming a more realistic approach to develop personalized and mutation-specific therapeutic strategies due to current developments in gene editing and iPSC technology. Cystic fibrosis (CF) is the most common inherited disease in the Caucasian population, caused by mutations in the CF transmembrane conductance regulator (CFTR) gene. Since CF causes significant multi-organ damage and with over 2,000 reported mutations, CF patients could be one prominent population benefiting from gene and cell therapies. When considering gene-editing techniques for clinical applications, seamless gene corrections of the responsible mutations, restoring native "wildtype" DNA sequence without remnants of drug selectable markers or unwanted DNA sequence changes, would be the most desirable approach. The studies reported here describe the seamless correction of the mutation using CRISPR/Cas9 nickases (Cas9n) in iPS cells derived from a CF patient homozygous for the Class I mutation. In addition to the expected HDR vector replacement product, we discovered another class of HDR products resulting from vector insertion events that created partial duplications of the exon 23 region. These vector insertion events were removed intrachromosomal homologous recombination (IHR) enhanced by double nicking with CRISPR/Cas9n which resulted in the seamless correction of exon 23 in CF-iPS cells. We show here the removal of the drug resistance cassette and generation of seamless gene corrected cell lines by two independent processes: by treatment with the PiggyBac (PB) transposase in vector replacements or by IHR between the tandemly duplicated gene sequences.

摘要

由于基因编辑和诱导多能干细胞(iPSC)技术的当前发展,用于再生医学的患者来源的诱导多能干细胞(iPS)中的基因校正同源定向修复(HDR)正成为开发个性化和突变特异性治疗策略的更现实方法。囊性纤维化(CF)是白种人群中最常见的遗传性疾病,由CF跨膜传导调节因子(CFTR)基因突变引起。由于CF会导致严重的多器官损伤,且有超过2000种已报道的突变,CF患者可能是受益于基因和细胞疗法的一个突出群体。在考虑用于临床应用的基因编辑技术时,对致病突变进行无缝基因校正,恢复天然的“野生型”DNA序列,而不残留药物选择标记或不需要的DNA序列变化,将是最理想的方法。本文报道的研究描述了在来自一名I类突变纯合CF患者的iPS细胞中使用CRISPR/Cas9切口酶(Cas9n)对突变进行无缝校正。除了预期的HDR载体替换产物外,我们还发现了另一类由载体插入事件产生的HDR产物,这些事件导致了外显子23区域的部分重复。通过用CRISPR/Cas9n进行双切口增强的染色体内同源重组(IHR)去除了这些载体插入事件,从而在CF-iPS细胞中实现了外显子23的无缝校正。我们在此展示了通过两个独立过程去除耐药盒并生成无缝基因校正细胞系:在载体替换中用PiggyBac(PB)转座酶处理,或在串联重复的基因序列之间进行IHR。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/9019469/142bdcd5fd98/fgeed-04-843885-g001.jpg

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