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Single-stranded DNA with internal base modifications mediates highly efficient knock-in in primary cells using CRISPR-Cas9

Title: Single-stranded DNA with internal base modifications mediates highly efficient knock-in in primary cells using CRISPR-Cas9
Authors: Kanke, Karen L; Rayner, Rachael E; Bozik, Jack; Abel, Eli; Venugopalan, Aparna; Suu, Ma; Nouri, Reza; Stack, Jacob T; Guo, Gongbo; Vetter, Tatyana A; Cormet-Boyaka, Estelle; Hester, Mark E; Vaidyanathan, Sriram
Contributors: National Heart, Lung, and Blood Institute; Cystic Fibrosis Foundation; Center for Clinical and Translational Science; Ohio State University; Nationwide Children's Hospital; Comprehensive Transplant Center Human Tissue Biorepository, OSU Wexner Medical Center; National Institute of Diabetes, Digestive and Kidney Diseases
Source: Nucleic Acids Research ; volume 52, issue 22, page 13561-13576 ; ISSN 0305-1048 1362-4962
Publisher Information: Oxford University Press (OUP)
Publication Year: 2024
Description: Single-stranded DNA (ssDNA) templates along with Cas9 have been used for knocking-in exogenous sequences in the genome but suffer from low efficiency. Here, we show that ssDNA with chemical modifications in 12–19% of internal bases, which we denote as enhanced ssDNA (esDNA), improve knock-in (KI) by 2–3-fold compared to end-modified ssDNA in airway basal stem cells (ABCs), CD34 + hematopoietic cells (CD34 + cells), T-cells and endothelial cells. Over 50% of alleles showed KI in three clinically relevant loci (CFTR, HBB and CCR5) in ABCs using esDNA and up to 70% of alleles showed KI in the HBB locus in CD34 + cells in the presence of a DNA-PKcs inhibitor. This level of correction is therapeutically relevant and is comparable to adeno-associated virus-based templates. The esDNA templates did not improve KI in induced pluripotent stem cells (iPSCs). This may be due to the absence of the nuclease TREX1 in iPSCs. Indeed, knocking out TREX1 in other cells improved KI using unmodified ssDNA. esDNA can be used to modify 20–30 bp regions in primary cells for therapeutic applications and biological modeling. The use of this approach for gene length insertions will require new methods to produce long chemically modified ssDNA in scalable quantities.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/nar/gkae1069
Availability: https://doi.org/10.1093/nar/gkae1069; https://academic.oup.com/nar/article-pdf/52/22/13561/60777649/gkae1069.pdf
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.B23A05C7
Database: BASE