1. Mutant allele knockout with novel CRISPR nuclease promotes myelopoiesis in ELANE neutropenia
- Author
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Peter Sabo, Vahagn Makaryan, Yosef Dicken, Lital Povodovski, Liat Rockah, Tzlil Bar, Matan Gabay, Dalia Elinger, Ella Segal, Ora Haimov, Maya Antoshvili, Anat London Drori, Tanoya Poulsen, Asael Herman, Rafi Emmanuel, and David C. Dale
- Subjects
ELANE ,neutropenia ,CRISPR ,gene editing ,allele-specific editing ,neutrophils ,Genetics ,QH426-470 ,Cytology ,QH573-671 - Abstract
Severe congenital neutropenia (SCN) is a life-threatening marrow failure disorder, usually caused by heterozygous mutations in ELANE. Potential genetic treatment strategies include biallelic knockout or gene correction via homology-directed repair (HDR). Such strategies, however, involve the potential loss of the essential function of the normal allele product or limited coverage of diverse monogenic mutations within the patient population, respectively. As an alternative, we have developed a novel CRISPR-based monoallelic knockout strategy that precisely targets the heterozygous sites of single-nucleotide polymorphisms (SNPs) associated with most ELANE mutated alleles. In vitro studies demonstrate that patients’ unedited hematopoietic CD34+ cells have significant abnormalities in differentiation and maturation, consistent with the hematopoietic defect in SCN patients. Selective knockout of the mutant ELANE allele alleviated these cellular abnormalities and resulted in about 50%–70% increase in normally functioning neutrophils (p
- Published
- 2022
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