Toward a CRISPR-based mouse model of Vhl-deficient clear cell kidney cancer: Initial experience and lessons learned

Laura A Stransky1, Wenhua Gao1, Laura S Schmidt2,3

  • 1Division of Molecular and Cellular Oncology, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02215.

Insights

CRISPR technology enables new mouse cancer models. Researchers created a clear cell renal cell carcinoma (ccRCC) model using CRISPR gene editing, which partially mimics human tumors and responds to axitinib treatment.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Background:

  • Clear cell renal cell carcinoma (ccRCC) is the most common kidney cancer.
  • VHL gene inactivation drives ccRCC, leading to excessive HIF2 activity.
  • There is a need for immunocompetent mouse models of human ccRCC.

Purpose of the Study:

  • To develop a robust immunocompetent mouse model of human ccRCC using CRISPR-Cas9 somatic gene editing.
  • To investigate the efficacy of targeting multiple tumor suppressor genes in ccRCC development.
  • To assess the response of the developed ccRCC model to standard-of-care treatment.

Main Methods:

  • Adenovirus-associated viruses (AAVs) encoding sgRNAs against VHL and other ccRCC-associated genes were injected into mouse kidneys.
  • Cas9 expression was controlled by kidney-specific promoters (Cdh16 or Pax8).
  • Tumor development, transcriptome, cell of origin, and response to axitinib were analyzed.

Main Results:

  • Targeting VHL, Pbrm1, Keap1, and Tsc1 reproducibly induced macroscopic ccRCCs in mice.
  • The generated ccRCC tumors partially resembled human ccRCC in transcriptome and cell of origin.
  • The mouse ccRCC model responded to the standard-of-care agent axitinib.
  • The developed ccRCC tumors were HIF2 independent.

Conclusions:

  • CRISPR-mediated somatic gene editing can create a relevant immunocompetent mouse model for ccRCC.
  • This model partially recapitulates human ccRCC characteristics and treatment response.
  • The model's HIF2 independence highlights a difference from typical human ccRCC pathogenesis.