1. AAV-CRISPR Gene Editing Is Negated by Pre-existing Immunity to Cas9
- Author
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Alexandria M. Doerfler, Christine Beeton, Kelsey E Jarrett, Ang Li, Marco De Giorgi, Mark R. Tanner, William R. Lagor, Timothy H. Davis, Ciaran M. Lee, Gang Bao, and Ayrea Hurley
- Subjects
AAV-CRISPR ,Genetic enhancement ,pre-existing immunity ,adeno-associated virus ,Biology ,liver ,medicine.disease_cause ,Genome ,immune response ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Genome editing ,Drug Discovery ,Genetics ,medicine ,CRISPR ,Clustered Regularly Interspaced Short Palindromic Repeats ,Gene and molecular therapy ,Molecular Biology ,Adeno-associated virus ,030304 developmental biology ,Gene Editing ,Pharmacology ,0303 health sciences ,Cas9 ,somatic genome editing ,SaCas9 ,gene therapy ,Virology ,Liver regeneration ,030220 oncology & carcinogenesis ,Molecular Medicine ,Original Article ,hepatocytes ,CRISPR-Cas Systems ,CD8+ T cell - Abstract
Adeno-associated viral (AAV) vectors are a leading candidate for the delivery of CRISPR-Cas9 for therapeutic genome editing in vivo. However, AAV-based delivery involves persistent expression of the Cas9 nuclease, a bacterial protein. Recent studies indicate a high prevalence of neutralizing antibodies and T cells specific to the commonly used Cas9 orthologs from Streptococcus pyogenes (SpCas9) and Staphylococcus aureus (SaCas9) in humans. We tested in a mouse model whether pre-existing immunity to SaCas9 would pose a barrier to liver genome editing with AAV packaging CRISPR-Cas9. Although efficient genome editing occurred in mouse liver with pre-existing SaCas9 immunity, this was accompanied by an increased proportion of CD8+ T cells in the liver. This cytotoxic T cell response was characterized by hepatocyte apoptosis, loss of recombinant AAV genomes, and complete elimination of genome-edited cells, and was followed by compensatory liver regeneration. Our results raise important efficacy and safety concerns for CRISPR-Cas9-based in vivo genome editing in the liver., Graphical Abstract, Li and colleagues demonstrated that pre-existing immunity to Cas9 poses a significant barrier to liver-directed genome editing with AAV-CRISPR. They found that AAV expression of Cas9 elicited a robust CD8+ T cell response, resulting in elimination of edited hepatocytes. This raises important safety and efficacy concerns for in vivo editing with CRISPR-Cas9.
- Published
- 2020
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