Lung SORT LNPs enable precise homology-directed repair mediated CRISPR/Cas genome correction in cystic fibrosis

Tuo Wei1,2,3, Yehui Sun1,2,3, Qiang Cheng1,2,3

  • 1Department of Biomedical Engineering, Program in Genetic Drug Engineering, The University of Texas Southwestern Medical Center, Dallas, TX, USA.

Nature Communications
|November 11, 2023
PubMed

Insights

New lipid nanoparticles efficiently deliver gene editing tools to correct Cystic Fibrosis (CF) gene mutations. This breakthrough offers hope for patients with CF transmembrane conductance regulator (CFTR) gene defects, advancing CRISPR/Cas gene correction therapies.

Area of Science:

  • Biotechnology and Genetic Engineering
  • Nanomedicine
  • Pulmonary Medicine

Background:

  • Cystic Fibrosis (CF) affects approximately 10% of patients with CF transmembrane conductance regulator (CFTR) gene nonsense mutations, who currently lack effective treatments.
  • Efficient delivery of CRISPR/Cas gene editing components to target organs remains a significant hurdle for developing gene correction therapies for CF.

Purpose of the Study:

  • To develop and optimize Lung Selective Organ Targeting Lipid Nanoparticles (SORT LNPs) for efficient delivery of CRISPR/Cas components.
  • To demonstrate the efficacy of gene correction therapy using SORT LNPs in preclinical models of Cystic Fibrosis.

Main Methods:

  • Development of optimized Lung SORT LNPs capable of delivering Cas9 mRNA, sgRNA, and donor ssDNA templates.
  • In vivo delivery of mRNA to lung basal cells in Ai9 reporter mice using optimized Lung SORT LNPs.
  • Assessment of homology-directed repair-mediated gene correction in CFTR mutations in homozygous G542X mice and patient-derived bronchial epithelial cells.

Main Results:

  • Optimized Lung SORT LNPs successfully delivered mRNA to target lung cells.
  • SORT LNP treatment achieved precise correction of CFTR mutations in both mouse models and human cells.
  • Restoration of CFTR protein expression and chloride transport function was observed post-treatment.

Conclusions:

  • This study presents a proof-of-concept for using advanced SORT LNPs for CRISPR/Cas-mediated gene correction in Cystic Fibrosis.
  • The developed delivery system shows significant potential for advancing mRNA LNP-based therapies for CF patients with specific genetic mutations.

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