CRISPR-Cpf1 correction of muscular dystrophy mutations in human cardiomyocytes and mice

Y Zhang, C Long, H Li, JR McAnally, KK Baskin… - Science …, 2017 - science.org
Y Zhang, C Long, H Li, JR McAnally, KK Baskin, JM Shelton, R Bassel-Duby, EN Olson
Science advances, 2017science.org
Duchenne muscular dystrophy (DMD), caused by mutations in the X-linked dystrophin gene
(DMD), is characterized by fatal degeneration of striated muscles. Dilated cardiomyopathy is
one of the most common lethal features of the disease. We deployed Cpf1, a unique class 2
CRISPR (clustered regularly interspaced short palindromic repeats) effector, to correct DMD
mutations in patient-derived induced pluripotent stem cells (iPSCs) and mdx mice, an animal
model of DMD. Cpf1-mediated genomic editing of human iPSCs, either by skipping of an out …
Duchenne muscular dystrophy (DMD), caused by mutations in the X-linked dystrophin gene (DMD), is characterized by fatal degeneration of striated muscles. Dilated cardiomyopathy is one of the most common lethal features of the disease. We deployed Cpf1, a unique class 2 CRISPR (clustered regularly interspaced short palindromic repeats) effector, to correct DMD mutations in patient-derived induced pluripotent stem cells (iPSCs) and mdx mice, an animal model of DMD. Cpf1-mediated genomic editing of human iPSCs, either by skipping of an out-of-frame DMD exon or by correcting a nonsense mutation, restored dystrophin expression after differentiation to cardiomyocytes and enhanced contractile function. Similarly, pathophysiological hallmarks of muscular dystrophy were corrected in mdx mice following Cpf1-mediated germline editing. These findings are the first to show the efficiency of Cpf1-mediated correction of genetic mutations in human cells and an animal disease model and represent a significant step toward therapeutic translation of gene editing for correction of DMD.
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