Correction of recessive dystrophic epidermolysis bullosa by homology-directed repair-mediated genome editing

Genome-editing technologies that enable the introduction of precise changes in DNA sequences have the potential to lead to a new class of treatments for genetic diseases. Epidermolysis bullosa (EB) is a group of rare genetic disorders characterized by extreme skin fragility. The recessive dystrophic...

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Veröffentlicht in:Molecular therapy 2021-06, Vol.29 (6), p.2008-2018
Hauptverfasser: Bonafont, Jose, Mencía, Angeles, Chacón-Solano, Esteban, Srifa, Wai, Vaidyanathan, Sriram, Romano, Rosa, Garcia, Marta, Hervás-Salcedo, Rosario, Ugalde, Laura, Duarte, Blanca, Porteus, Matthew H., Del Rio, Marcela, Larcher, Fernando, Murillas, Rodolfo
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container_end_page 2018
container_issue 6
container_start_page 2008
container_title Molecular therapy
container_volume 29
creator Bonafont, Jose
Mencía, Angeles
Chacón-Solano, Esteban
Srifa, Wai
Vaidyanathan, Sriram
Romano, Rosa
Garcia, Marta
Hervás-Salcedo, Rosario
Ugalde, Laura
Duarte, Blanca
Porteus, Matthew H.
Del Rio, Marcela
Larcher, Fernando
Murillas, Rodolfo
description Genome-editing technologies that enable the introduction of precise changes in DNA sequences have the potential to lead to a new class of treatments for genetic diseases. Epidermolysis bullosa (EB) is a group of rare genetic disorders characterized by extreme skin fragility. The recessive dystrophic subtype of EB (RDEB), which has one of the most severe phenotypes, is caused by mutations in COL7A1. In this study, we report a gene-editing approach for ex vivo homology-directed repair (HDR)-based gene correction that uses the CRISPR-Cas9 system delivered as a ribonucleoprotein (RNP) complex in combination with donor DNA templates delivered by adeno-associated viral vectors (AAVs). We demonstrate sufficient mutation correction frequencies to achieve therapeutic benefit in primary RDEB keratinocytes containing different COL7A1 mutations as well as efficient HDR-mediated COL7A1 modification in healthy cord blood-derived CD34+ cells and mesenchymal stem cells (MSCs). These results are a proof of concept for HDR-mediated gene correction in different cell types with therapeutic potential for RDEB. [Display omitted] By using CRISPR-Cas9 delivered as a ribonucleoprotein complex in combination with donor DNA templates delivered by adeno-associated viral vectors, Bonafont and colleagues describe highly efficient HDR-mediated gene correction in recessive dystrophic epidermolysis bullosa patient cells. This advanced therapy method opens the way to genome-editing treatments for genetic skin disease.
doi_str_mv 10.1016/j.ymthe.2021.02.019
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Epidermolysis bullosa (EB) is a group of rare genetic disorders characterized by extreme skin fragility. The recessive dystrophic subtype of EB (RDEB), which has one of the most severe phenotypes, is caused by mutations in COL7A1. In this study, we report a gene-editing approach for ex vivo homology-directed repair (HDR)-based gene correction that uses the CRISPR-Cas9 system delivered as a ribonucleoprotein (RNP) complex in combination with donor DNA templates delivered by adeno-associated viral vectors (AAVs). We demonstrate sufficient mutation correction frequencies to achieve therapeutic benefit in primary RDEB keratinocytes containing different COL7A1 mutations as well as efficient HDR-mediated COL7A1 modification in healthy cord blood-derived CD34+ cells and mesenchymal stem cells (MSCs). These results are a proof of concept for HDR-mediated gene correction in different cell types with therapeutic potential for RDEB. [Display omitted] By using CRISPR-Cas9 delivered as a ribonucleoprotein complex in combination with donor DNA templates delivered by adeno-associated viral vectors, Bonafont and colleagues describe highly efficient HDR-mediated gene correction in recessive dystrophic epidermolysis bullosa patient cells. 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[Display omitted] By using CRISPR-Cas9 delivered as a ribonucleoprotein complex in combination with donor DNA templates delivered by adeno-associated viral vectors, Bonafont and colleagues describe highly efficient HDR-mediated gene correction in recessive dystrophic epidermolysis bullosa patient cells. 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Epidermolysis bullosa (EB) is a group of rare genetic disorders characterized by extreme skin fragility. The recessive dystrophic subtype of EB (RDEB), which has one of the most severe phenotypes, is caused by mutations in COL7A1. In this study, we report a gene-editing approach for ex vivo homology-directed repair (HDR)-based gene correction that uses the CRISPR-Cas9 system delivered as a ribonucleoprotein (RNP) complex in combination with donor DNA templates delivered by adeno-associated viral vectors (AAVs). We demonstrate sufficient mutation correction frequencies to achieve therapeutic benefit in primary RDEB keratinocytes containing different COL7A1 mutations as well as efficient HDR-mediated COL7A1 modification in healthy cord blood-derived CD34+ cells and mesenchymal stem cells (MSCs). These results are a proof of concept for HDR-mediated gene correction in different cell types with therapeutic potential for RDEB. [Display omitted] By using CRISPR-Cas9 delivered as a ribonucleoprotein complex in combination with donor DNA templates delivered by adeno-associated viral vectors, Bonafont and colleagues describe highly efficient HDR-mediated gene correction in recessive dystrophic epidermolysis bullosa patient cells. This advanced therapy method opens the way to genome-editing treatments for genetic skin disease.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33609734</pmid><doi>10.1016/j.ymthe.2021.02.019</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6771-3561</orcidid><oa>free_for_read</oa></addata></record>
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subjects AAV
Cell Line
Collagen Type VII - genetics
CRISPR
CRISPR-Cas Systems
Dependovirus - genetics
epidermolysis
Epidermolysis Bullosa Dystrophica - genetics
Epidermolysis Bullosa Dystrophica - therapy
Gene Editing - methods
Gene Expression
gene therapy
Gene Transfer Techniques
Genes, Recessive
Genetic Therapy - methods
Genetic Vectors - genetics
genome editing
HDR
Humans
Keratinocytes - metabolism
Mutation
Original
RDEB
Recombinational DNA Repair
skin
title Correction of recessive dystrophic epidermolysis bullosa by homology-directed repair-mediated genome editing
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