Refined DNA repair manipulation enables a universal knock-in strategy in mouse embryos

Nat Commun. 2025 Jul 15;16(1):6502. doi: 10.1038/s41467-025-61696-z.

Abstract

The design and screening of sgRNA in CRISPR-dependent gene knock-in is always laborious. Therefore, a universal and highly efficient knock-in strategy suitable for different sgRNA target sites is necessary. In our mouse embryo study, we find that the knock-in efficiency guided by adjacent sgRNAs varies greatly, although similar indel frequency. MMEJ-biased sgRNAs usually lead to high knock-in efficiency, whereas NHEJ-biased sgRNAs result in low knock-in efficiency. Blocking MMEJ repair by knocking down Polq can enhance knock-in efficiency, but inhibiting NHEJ repair shows variable effects. We identify a compound, AZD7648, that can shift DSBs repair towards MMEJ. Finally, by combining AZD7648 treatment with Polq knockdown, we develop a universal and highly efficient knock-in strategy in mouse embryos. This approach is validated at more than ten genomic loci, achieving up to 90% knock-in efficiency, marking a significant advancement toward predictable and highly efficient CRISPR-mediated gene integration.

MeSH terms

  • Animals
  • CRISPR-Cas Systems / genetics
  • DNA Breaks, Double-Stranded
  • DNA End-Joining Repair / genetics
  • DNA Repair* / genetics
  • DNA-Directed DNA Polymerase / genetics
  • DNA-Directed DNA Polymerase / metabolism
  • Embryo, Mammalian* / metabolism
  • Female
  • Gene Editing / methods
  • Gene Knock-In Techniques* / methods
  • Mice
  • RNA, Guide, CRISPR-Cas Systems / genetics

Substances

  • RNA, Guide, CRISPR-Cas Systems
  • DNA-Directed DNA Polymerase