Lung and liver editing by lipid nanoparticle delivery of a stable CRISPR-Cas9 ribonucleoprotein

Nat Biotechnol. 2025 Sep;43(9):1445-1457. doi: 10.1038/s41587-024-02437-3. Epub 2024 Oct 16.

Abstract

Lipid nanoparticle (LNP) delivery of clustered regularly interspaced short palindromic repeat (CRISPR) ribonucleoproteins (RNPs) could enable high-efficiency, low-toxicity and scalable in vivo genome editing if efficacious RNP-LNP complexes can be reliably produced. Here we engineer a thermostable Cas9 from Geobacillus stearothermophilus (GeoCas9) to generate iGeoCas9 variants capable of >100× more genome editing of cells and organs compared with the native GeoCas9 enzyme. Furthermore, iGeoCas9 RNP-LNP complexes edit a variety of cell types and induce homology-directed repair in cells receiving codelivered single-stranded DNA templates. Using tissue-selective LNP formulations, we observe genome-editing levels of 16‒37% in the liver and lungs of reporter mice that receive single intravenous injections of iGeoCas9 RNP-LNPs. In addition, iGeoCas9 RNPs complexed to biodegradable LNPs edit the disease-causing SFTPC gene in lung tissue with 19% average efficiency, representing a major improvement over genome-editing levels observed previously using viral or nonviral delivery strategies. These results show that thermostable Cas9 RNP-LNP complexes can expand the therapeutic potential of genome editing.

MeSH terms

  • Animals
  • CRISPR-Associated Protein 9* / genetics
  • CRISPR-Associated Protein 9* / metabolism
  • CRISPR-Cas Systems* / genetics
  • Gene Editing* / methods
  • Humans
  • Lipids / chemistry
  • Liposomes
  • Liver* / metabolism
  • Lung* / metabolism
  • Mice
  • Nanoparticles* / chemistry
  • Ribonucleoproteins* / genetics
  • Ribonucleoproteins* / metabolism

Substances

  • Ribonucleoproteins
  • CRISPR-Associated Protein 9
  • Lipid Nanoparticles
  • Lipids
  • Liposomes