In vivo genome editing rescues photoreceptor degeneration via a Cas9/RecA-mediated homology-directed repair pathway

Sci Adv. 2019 Apr 17;5(4):eaav3335. doi: 10.1126/sciadv.aav3335. eCollection 2019 Apr.

Abstract

Although Cas9-mediated genome editing has been widely used to engineer alleles in animal models of human inherited diseases, very few homology-directed repair (HDR)-based genetic editing systems have been established in postnatal mouse models for effective and lasting phenotypic rescue. Here, we developed an HDR-based Cas9/RecA system to precisely correct Pde6b mutation with increased HDR efficiency in postnatal rodless (rd1) mice, a retinitis pigmentosa (RP) mutant model characterized by photoreceptor degeneration and loss of vision. The Cas9/RecA system incorporated Cas9 endonuclease enzyme to generate double-strand breaks (DSBs) and bacterial recombinase A (RecA) to increase homologous recombination. Our data revealed that Cas9/RecA treatment significantly promoted the survival of both rod and cone photoreceptors, restored the expression of PDE6B in rod photoreceptors, and enhanced the visual functions of rd1 mice. Thus, this study provides a precise therapeutic strategy for RP and other genetic diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CRISPR-Cas Systems / genetics*
  • Cyclic Nucleotide Phosphodiesterases, Type 6 / genetics
  • DNA Repair*
  • Electroporation
  • Gene Editing / methods*
  • Humans
  • Mice
  • Mice, Inbred C57BL
  • RNA, Guide, CRISPR-Cas Systems
  • Rec A Recombinases / metabolism*
  • Retinal Degeneration / therapy
  • Retinal Rod Photoreceptor Cells / metabolism

Substances

  • Rec A Recombinases
  • Cyclic Nucleotide Phosphodiesterases, Type 6
  • Pde6b protein, mouse