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e-Article

In Situ Gene Therapy via AAV-CRISPR-Cas9-Mediated Targeted Gene Regulation
Document Type
article
Source
Molecular Therapy. 26(7)
Subject
Medical Biotechnology
Biomedical and Clinical Sciences
Regenerative Medicine
Neurosciences
Biotechnology
Gene Therapy
Genetics
Development of treatments and therapeutic interventions
5.2 Cellular and gene therapies
Animals
CRISPR-Cas Systems
Cell Line
Clustered Regularly Interspaced Short Palindromic Repeats
Dependovirus
Gene Editing
Gene Expression Regulation
Genetic Engineering
Genetic Therapy
Genetic Vectors
HEK293 Cells
Humans
Mice
Mice
Inbred C57BL
Retinal Cone Photoreceptor Cells
Retinal Rod Photoreceptor Cells
Retinitis Pigmentosa
Transcription
Genetic
CRISPR-Cas9
gene therapy
retinitis pigmentosa
Biological Sciences
Technology
Medical and Health Sciences
Clinical sciences
Medical biotechnology
Language
Abstract
Development of efficacious in vivo delivery platforms for CRISPR-Cas9-based epigenome engineering will be critical to enable the ability to target human diseases without permanent modification of the genome. Toward this, we utilized split-Cas9 systems to develop a modular adeno-associated viral (AAV) vector platform for CRISPR-Cas9 delivery to enable the full spectrum of targeted in situ gene regulation functionalities, demonstrating robust transcriptional repression (up to 80%) and activation (up to 6-fold) of target genes in cell culture and mice. We also applied our platform for targeted in vivo gene-repression-mediated gene therapy for retinitis pigmentosa. Specifically, we engineered targeted repression of Nrl, a master regulator of rod photoreceptor determination, and demonstrated Nrl knockdown mediates in situ reprogramming of rod cells into cone-like cells that are resistant to retinitis pigmentosa-specific mutations, with concomitant prevention of secondary cone loss. Furthermore, we benchmarked our results from Nrl knockdown with those from in vivo Nrl knockout via gene editing. Taken together, our AAV-CRISPR-Cas9 platform for in vivo epigenome engineering enables a robust approach to target disease in a genomically scarless and potentially reversible manner.