Key result
A single AAV vector delivering optimized CRISPRi components decreased Pcsk9 mRNA and serum protein levels by 30% in vivo.
Why the study?
Delivery of CRISPRi for clinical applications is limited by packaging constraints of adeno-associated virus, as existing constructs exceed the ∼4.7 kb limit.
Does a single AAV vector delivering optimized CRISPRi components reduce Pcsk9 expression in liver cells and in vivo models?
Does a single AAV vector delivering optimized CRISPRi components reduce Pcsk9 expression in liver cells and in vivo models?
Effect estimate: 30% decrease
An optimized single AAV CRISPRi system successfully reduced Pcsk9 expression in vivo, demonstrating a potentially translatable method for targeted gene knockdown.
Animal data extend AAV-CRISPRi feasibility for Pcsk9; leaves open human translation and safety.
The power of CRISPRi to decrease targeted gene expression for clinical applications has been inhibited by delivery challenges. Existing constructs are too large to fit within the ∼4.7 kb packaging size limitation of adeno-associated virus (AAV), the only FDA approved viral vector for clinical use. Therefore, we optimized CRISPRi components to generate a single AAV vector that contains all functional elements and effectively knocks down expression of an endogenous gene in vivo. First, we increased nuclear targeting of Staphylococcus aureus deactivated Cas9 (SadCas9) 4-fold by using a helical linker and the c-Myc nuclear localization signal. Second, we identified an amino-terminal Krüppel associated box (KRAB) construct as the most effective in decreasing expression of target genes in vitro. Third, we optimized promoters for guide RNA and evaluated mini-promoters for expression of KRAB-SadCas9 in liver cells. Our final construct decreased protein convertase subtilisin/kexin type 9 (Pcsk9) mRNA and secreted protein 5-fold in vitro. The corresponding AAV2/8 vector was localized in nuclei of liver cells and decreased Pcsk9 mRNA and serum protein levels by 30% in vivo. This single AAV approach provides a potential clinically translatable method for decreasing targeted gene transcription by CRISPRi in vivo.
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Backstrom et al. (2020) studied this question. Single AAV vector with optimized CRISPRi components was evaluated on Pcsk9 mRNA and serum protein levels (30% decrease). A single AAV vector delivering optimized CRISPRi components decreased Pcsk9 mRNA and serum protein levels by 30% in vivo.
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