CRISPR Interference-Potential Application in Retinal Disease

Caroline F Peddle1, Lewis E Fry1,2, Michelle E McClements1

  • 1Nuffield Laboratory of Ophthalmology, Nuffield Department of Clinical Neurosciences & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX3 9DU, UK.

Insights

CRISPR interference offers a precise and reversible method to silence disease-causing genes in inherited retinal diseases. This gene-editing tool shows promise for developing safer therapies by avoiding permanent genomic alterations.

Area of Science:

  • Genetics
  • Ophthalmology
  • Molecular Biology

Background:

  • Dominantly inherited retinal diseases necessitate silencing of pathogenic alleles.
  • Current gene silencing methods like RNA interference have off-target effects, and CRISPR-mediated gene disruption causes permanent genomic changes.

Purpose of the Study:

  • To review the potential of CRISPR interference (CRISPRi) as a therapeutic strategy for autosomal dominant inherited retinal diseases.
  • To discuss the advantages of CRISPRi over existing gene silencing techniques and address challenges for clinical translation.

Main Methods:

  • CRISPR interference utilizes a catalytically inactive 'dead' Cas9 protein guided by RNA to block gene transcription without DNA alteration.
  • Review of pre-clinical studies demonstrating CRISPRi's efficacy in gene silencing both in vivo and ex vivo.

Main Results:

  • CRISPRi is highly specific and potentially reversible, offering a safer therapeutic profile.
  • Pre-clinical studies show CRISPRi's versatility for gene silencing in various contexts, including iPSC modification for transplantation.

Conclusions:

  • CRISPR interference presents a promising, targeted approach for treating autosomal dominant inherited retinal diseases.
  • Further in vivo studies are needed to overcome challenges and advance CRISPRi towards clinical application in ophthalmology.

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