Optimized genomic editing of a common Duchenne muscular dystrophy mutation in patient-derived muscle cells and a new

Mateusz Z Durbacz1,2, Yu Zhang1,2,3, Hui Li1,2

  • 1Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.

Insights

CRISPR gene editing successfully restored dystrophin protein in a Duchenne muscular dystrophy (DMD) mouse model. This approach shows promise for treating DMD by correcting the genetic defect and improving muscle function.

Area of Science:

  • Biotechnology
  • Genetics
  • Molecular Biology

Background:

  • Duchenne muscular dystrophy (DMD) is a fatal X-linked genetic disorder.
  • Mutations in the DMD gene, such as exon 52 deletion, prevent functional dystrophin production, leading to muscle degeneration.
  • Restoring the dystrophin open reading frame is a potential therapeutic strategy.

Purpose of the Study:

  • To investigate the efficacy of single-cut CRISPR gene editing using Staphylococcus aureus Cas9 (SpCas9)-LRVQR.
  • To restore dystrophin expression in patient-derived induced pluripotent stem cells (iPSCs) and a humanized DMD mouse model.
  • To compare adeno-associated virus serotype 9 (AAV9) delivery routes for gene editing components in neonatal mice.

Main Methods:

  • Utilized single-cut CRISPR-Cas9 gene editing technology.
  • Employed adeno-associated virus serotype 9 (AAV9) for delivering gene-editing components.
  • Administered AAV9 via intraperitoneal (IP) and facial vein (FV) injections in neonatal mice.
  • Assessed dystrophin restoration and amelioration of DMD hallmarks in a humanized mouse model.

Main Results:

  • Efficient restoration of dystrophin protein expression was observed in multiple skeletal muscles and the heart.
  • The AAV9-mediated CRISPR single-cut approach ameliorated key DMD hallmarks.
  • Histopathological phenotypes, impaired grip strength, and elevated serum creatine kinase levels were improved.
  • Facial vein injection showed efficient delivery of gene-editing components.

Conclusions:

  • Optimized CRISPR gene editing strategies effectively restore dystrophin in a relevant DMD mouse model.
  • This approach holds promise as a potential therapeutic strategy for Duchenne muscular dystrophy patients with exon 52 deletions.
  • Further development of AAV9-mediated delivery and CRISPR editing could advance DMD treatment options.