DNA double-strand break-free CRISPR interference delays Huntington's disease progression in mice

Jung Hwa Seo1,2, Jeong Hong Shin2,3, Junwon Lee4

  • 1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Communications Biology
|April 28, 2023
PubMed

Insights

CRISPR interference (CRISPRi) offers a novel therapeutic approach for Huntington's disease (HD) by suppressing mutant huntingtin (mHTT) gene expression without causing DNA damage. This DNA-double-strand-break-free method shows promise in delaying disease progression and protecting neurons.

Area of Science:

  • Neuroscience
  • Genetics
  • Molecular Biology

Background:

  • Huntington's disease (HD) is a neurodegenerative disorder caused by a CAG repeat expansion in the huntingtin (HTT) gene.
  • CRISPR-Cas9 nuclease technology, while effective for gene editing, can induce toxic DNA double-strand breaks (DSBs).
  • CRISPR interference (CRISPRi) utilizes a deactivated Cas9 (dCas9) to suppress gene expression without causing DSBs.

Purpose of the Study:

  • To investigate the efficacy of CRISPRi in suppressing mutant huntingtin (mHTT) expression in Huntington's disease models.
  • To evaluate the safety and therapeutic potential of CRISPRi as a DNA double-strand-break-free approach for HD.
  • To compare the effects of CRISPRi and CRISPR-Cas9 on mHTT levels and disease progression in HD.

Main Methods:

  • Delivery of dCas9-sgRNA targeting the CAG repeat region in HEK293T cells and human HD fibroblasts.
  • Assessment of mHTT and wild-type HTT expression levels.
  • Evaluation of behavioral changes and striatal neuron survival in HD mouse models following dCas9 and Cas9 treatments.

Main Results:

  • CRISPRi successfully reduced mHTT expression while preserving wild-type HTT in human HD fibroblasts.
  • Both dCas9 and Cas9 targeting the CAG repeat region reduced mHTT.
  • CRISPRi treatment in HD mice delayed behavioral deterioration and protected striatal neurons from cell death.

Conclusions:

  • CRISPRi is a viable DNA double-strand-break-free therapeutic strategy for Huntington's disease.
  • CRISPRi effectively suppresses mHTT, delays disease progression, and offers neuroprotection in HD models.
  • CRISPRi presents a potential advantage over CRISPR-Cas9 by avoiding DNA damage for HD therapy.