1. In vivo genome editing restores haemostasis in a mouse model of haemophilia.
- Author
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Li H, Haurigot V, Doyon Y, Li T, Wong SY, Bhagwat AS, Malani N, Anguela XM, Sharma R, Ivanciu L, Murphy SL, Finn JD, Khazi FR, Zhou S, Paschon DE, Rebar EJ, Bushman FD, Gregory PD, Holmes MC, and High KA
- Subjects
- Animals, Base Sequence, Cell Line, Tumor, DNA Breaks, Double-Stranded, Endonucleases chemistry, Endonucleases genetics, Endonucleases metabolism, Exons genetics, Factor IX analysis, Factor IX genetics, Genetic Vectors genetics, HEK293 Cells, Hemophilia B physiopathology, Humans, Introns genetics, Liver metabolism, Liver Regeneration, Mice, Mice, Inbred C57BL, Mutation genetics, Phenotype, Sequence Homology, Zinc Fingers, DNA Repair genetics, Disease Models, Animal, Gene Targeting methods, Genetic Therapy methods, Genome genetics, Hemophilia B genetics, Hemostasis
- Abstract
Editing of the human genome to correct disease-causing mutations is a promising approach for the treatment of genetic disorders. Genome editing improves on simple gene-replacement strategies by effecting in situ correction of a mutant gene, thus restoring normal gene function under the control of endogenous regulatory elements and reducing risks associated with random insertion into the genome. Gene-specific targeting has historically been limited to mouse embryonic stem cells. The development of zinc finger nucleases (ZFNs) has permitted efficient genome editing in transformed and primary cells that were previously thought to be intractable to such genetic manipulation. In vitro, ZFNs have been shown to promote efficient genome editing via homology-directed repair by inducing a site-specific double-strand break (DSB) at a target locus, but it is unclear whether ZFNs can induce DSBs and stimulate genome editing at a clinically meaningful level in vivo. Here we show that ZFNs are able to induce DSBs efficiently when delivered directly to mouse liver and that, when co-delivered with an appropriately designed gene-targeting vector, they can stimulate gene replacement through both homology-directed and homology-independent targeted gene insertion at the ZFN-specified locus. The level of gene targeting achieved was sufficient to correct the prolonged clotting times in a mouse model of haemophilia B, and remained persistent after induced liver regeneration. Thus, ZFN-driven gene correction can be achieved in vivo, raising the possibility of genome editing as a viable strategy for the treatment of genetic disease., (©2011 Macmillan Publishers Limited. All rights reserved)
- Published
- 2011
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