[HTML][HTML] A self-deleting AAV-CRISPR system for in vivo genome editing

A Li, CM Lee, AE Hurley, KE Jarrett, M De Giorgi… - … Therapy-Methods & …, 2019 - cell.com
A Li, CM Lee, AE Hurley, KE Jarrett, M De Giorgi, W Lu, KS Balderrama, AM Doerfler…
Molecular Therapy-Methods & Clinical Development, 2019cell.com
Adeno-associated viral (AAV) vectors packaging the CRISPR-Cas9 system (AAV-CRISPR)
can efficiently modify disease-relevant genes in somatic tissues with high efficiency. AAV
vectors are a preferred delivery vehicle for tissue-directed gene therapy because of their
ability to achieve sustained expression from largely non-integrating episomal genomes.
However, for genome editizng applications, permanent expression of non-human proteins
such as the bacterially derived Cas9 nuclease is undesirable. Methods are needed to …
Adeno-associated viral (AAV) vectors packaging the CRISPR-Cas9 system (AAV-CRISPR) can efficiently modify disease-relevant genes in somatic tissues with high efficiency. AAV vectors are a preferred delivery vehicle for tissue-directed gene therapy because of their ability to achieve sustained expression from largely non-integrating episomal genomes. However, for genome editizng applications, permanent expression of non-human proteins such as the bacterially derived Cas9 nuclease is undesirable. Methods are needed to achieve efficient genome editing in vivo, with controlled transient expression of CRISPR-Cas9. Here, we report a self-deleting AAV-CRISPR system that introduces insertion and deletion mutations into AAV episomes. We demonstrate that this system dramatically reduces the level of Staphylococcus aureus Cas9 protein, often greater than 79%, while achieving high rates of on-target editing in the liver. Off-target mutagenesis was not observed for the self-deleting Cas9 guide RNA at any of the predicted potential off-target sites examined. This system is efficient and versatile, as demonstrated by robust knockdown of liver-expressed proteins in vivo. This self-deleting AAV-CRISPR system is an important proof of concept that will help enable translation of liver-directed genome editing in humans.
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