Cryo-shocked tumor cells deliver CRISPR-Cas9 for lung cancer regression by synthetic lethality

Feng Liu1,2, Minhang Xin1, Huiheng Feng1,2

  • 1National Key Laboratory of Advanced Drug Delivery and Release Systems, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.

Science Advances
|March 29, 2024
PubMed

Insights

Cryo-shocked tumor cells deliver CRISPR-Cas9 to edit the cyclin-dependent kinase 4 (CDK4) gene in KRAS-mutant lung cancer. This novel delivery system enhances tumor targeting and triggers synthetic lethality, improving survival in mice.

Area of Science:

  • Oncology
  • Gene Therapy
  • Nanomedicine

Background:

  • CRISPR-Cas9 gene editing shows potential for cancer therapy but faces challenges in tumor targeting and off-target effects.
  • KRAS-mutant non-small cell lung cancer (NSCLC) is a significant clinical challenge requiring novel therapeutic strategies.

Purpose of the Study:

  • To develop a novel delivery system for CRISPR-Cas9 to target lung tumors and induce synthetic lethality in KRAS-mutant NSCLC.
  • To evaluate the efficacy of cryo-shocked tumor cells as a delivery vehicle for CRISPR-Cas9 mediated CDK4 gene editing.

Main Methods:

  • Lung tumor cells were cryo-shocked using liquid nitrogen to eliminate pathogenicity while preserving structural and surface receptor integrity.
  • The cryo-shocked cells were loaded with CRISPR-Cas9 targeting the cyclin-dependent kinase 4 (CDK4) gene.
  • The delivery system's efficacy was assessed in a NSCLC mouse model, comparing lung drug accumulation and CDK4 downregulation against lipofectamine nanoparticles.

Main Results:

  • Cryo-shocked tumor cells effectively delivered CRISPR-Cas9 to lung tumors, with a fourfold increase in lung drug accumulation compared to lipofectamine nanoparticles.
  • Intratumoral CDK4 expression was significantly downregulated following treatment with the engineered tumor cell delivery system.
  • CRISPR-Cas9 mediated CDK4 ablation induced synthetic lethality in KRAS-mutant NSCLC, leading to prolonged survival in treated mice.

Conclusions:

  • Cryo-shocked tumor cells represent a promising and effective delivery system for CRISPR-Cas9 gene editing in NSCLC.
  • This strategy overcomes tumor targeting limitations and off-target effects, offering a new therapeutic avenue for KRAS-mutant lung cancer.
  • The induction of synthetic lethality via CDK4 gene editing demonstrates significant therapeutic potential and improved survival outcomes.