Exon skipping induced by CRISPR-directed gene editing regulates the response to chemotherapy in non-small cell lung

Kelly Banas1, Shirin Modarai1, Natalia Rivera-Torres1

  • 1Gene Editing Institute, ChristianaCare, Newark, DE, USA.

Gene Therapy
|March 22, 2022
PubMed

Insights

CRISPR gene editing for non-small cell lung cancer (NSCLC) disrupts NRF2, but causes unintended exon skipping. This leads to varied transcript and protein products, impacting chemotherapy effectiveness and requiring careful guide RNA design.

Area of Science:

  • Oncology
  • Molecular Biology
  • Gene Editing

Background:

  • Non-small cell lung carcinoma (NSCLC) cells utilize Nuclear Factor Erythroid 2-Related Factor 2 (NRF2) for survival against therapies.
  • Disrupting NRF2 is a strategy to enhance anti-cancer drug efficacy.

Purpose of the Study:

  • To investigate the consequences of CRISPR-mediated NRF2 disruption in NSCLC.
  • To characterize the resulting transcript and protein variations.
  • To assess the impact on therapeutic response.

Main Methods:

  • CRISPR-directed gene editing targeting NRF2 in NSCLC cells.
  • Transcriptome analysis to identify and characterize diverse RNA populations.
  • Protein analysis to detect truncated forms.
  • Investigation of splicing regulatory elements like Exonic Splicing Enhancers (ESEs).

Main Results:

  • NRF2 disruption induced CRISPR-mediated exon skipping, creating heterogeneous transcripts.
  • Exon skipping resulted in variable functional domains and truncated proteins.
  • A single nucleotide change influenced exon skipping by reorganizing ESEs.
  • CRISPR activity generated diverse clones with altered gene expression patterns.

Conclusions:

  • CRISPR-mediated NRF2 disruption in NSCLC can cause unintended exon skipping, leading to variable therapeutic responses.
  • Careful guide RNA design is crucial to avoid unintended genetic alterations and ensure consistent treatment outcomes.
  • Understanding these off-target effects is vital for the clinical application of CRISPR in solid tumor therapy.

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