A team of researchers from City University of Hong Kong (CityU) and Karolinska Institutet has recently developed a new protein that can help increase the targeting accuracy in the genome editing process. It is believed that it would be useful for future gene therapies in human which require high precision.

CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) -Cas9 is a promising gene-editing technology which could have wide applications, from curing many genetic diseases to developing drought-tolerant crops. Clinical trials of using CRISPR-Cas9 to treat cancers, blood disorders, and eye diseases are underway. 

Repairing the genetic defects on site

CRISPR-Cas9 is regarded as a powerful tool in gene editing because it has made gene modification or editing very simple. Unlike traditional gene therapy where additional copies of the normal gene are introduced into cells, CRISPR-Cas9 “repairs” the defects on site by removing the problematic DNA or correcting it to restore normal gene functions. 

 

During the process, the Cas9 enzyme is responsible for locating the problematic DNA throughout the genome before making modifications. But it is found that sometimes it may be not precise enough and modifications of DNA at unintended places in the genome may happen. Unintended modifications of the genomes could potentially lead to serious consequences, such as cancers, as it happened in the initial gene therapy trials years ago. Thus it is important to let CRISPR-Cas9 do the “molecular surgery” on the genome precisely.

Currently, there are two versions of Cas9, namely SpCas9 (meaning Cas9 nuclease from the bacteria Streptococcus pyogenes) and SaCas9 (Cas9 nuclease from Staphylococcus aureus), which are commonly used in CRISPR. Both of them have a certain level of imprecision or off-target effect. Researchers have already engineered SpCas9 variants, meaning modified SpCas9s, to improve SpCas9’s targeting precision. But it can be too large to fit in the small delivery vector named adeno-associated viral (AAV) vector that is commonly used for in vivo gene therapy. 

On the contrary, SaCas9 is much smaller than SpCas9 and can be easily packaged in the payload-limited AAV vectors for delivering gene-editing components in vivo. However, no SaCas9 variant with high genome-wide targeting accuracy is available.

SaCas9-HF dramatically improved genome-wide targeting accuracy

In a recent research led by Dr Zheng Zongli, Assistant Professor of the Department of Biomedical Sciences at CityU and the Ming Wai Lau Centre for Reparative Medicine of Karolinska Institutet in Hong Kong, and Dr Shi Jiahai, Assistant Professor of the Department of Biomedical Sciences at CityU, the team has successfully engineered SaCas9-HF, a CRISPR Cas9 variant which has high accuracy in genome-wide targeting in human cells without compromising on-target efficiency.

The research team’s finding was based on a rigorous evaluation of 24 targeted human genetic locations comparing the original unmodified (wild-type) SaCas9 and the new SaCas9-HF. For those targets having highly similar sequences in the genome and hence prone to off-target editing by the wild-type enzyme, SaCas9-HF reduced the off-target activity by about 90%. For many of those targets with relatively less off-target editing by the wild-type enzyme, SaCas9-HF yielded almost no detectable off-target activity.

 

An alternative to SaCas9 genome-editing applications

“Our development of this new SaCas9 provides an alternative to the wild-type Cas9 toolbox where highly precise genome editing is needed. It will be particularly useful for future gene therapy using AAV vectors to deliver genome editing ’drug’ in vivo, and would be compatible with the latest ‘prime editing’ CRISPR platform which can 'search-and-replace' the targeted genes,” said Dr Zheng.

The research findings were published in scientific journal Proceedings of the National Academy of Sciences (PNAS), titled "Rationally engineered Staphylococcus aureus Cas9 nucleases with high genome-wide specificity". Dr Shi and Dr Zheng are the corresponding authors of the paper. The first authors are PhD student Tan Yuanyan from CityU’s Department of Biomedical Sciences and Senior Research Assistant Dr Athena H. Y. Chu from Ming Wai Lau Centre for Reparative Medicine (MWLC) at Karolinska Institutet in Hong Kong.

Other research team members include CityU’s Dr Xiong Wenjun, Assistant Professor of Department of Biomedical Sciences, research assistant Bao Siyu (now at MWLC), PhD students Hoang Anh Duc and Firaol Tamiru Kebede, and Professor Ji Mingfang from the Zhongshan People's Hospital.

The study was supported by CityU, Ming Wai Lau Centre for Reparative Medicine, the National Natural Science Foundation of China, The Swedish Research Council, The Innovation and Technology Fund of Hong Kong Government, Hong Kong Health and Medical Research Fund, Hong Kong Research Grants Council, Shenzhen Science and Technology Innovation Fund, and Sanming Project of Medicine in Shenzhen, China.

DOI number: 10.1073/pnas.1906843116

 

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