Key result
Ex vivo analysis identifies 22 SaCas9-derived peptides that stimulate CD4+ T-cell proliferation via MHC-II.
Why the study?
Pre-existing immune responses to Cas9 may have implications for clinical development of CRISPR-Cas9 mediated gene therapy.
The identification of 22 immunodominant SaCas9 peptides presented by MHC-II that stimulate CD4+ T-cells provides a foundation for assessing pre-existing immunogenicity risks in CRISPR-Cas9 gene therapy.
CRISPR–Cas9 mediated genome editing offers unprecedented opportunities for treating human diseases. There are several reports that demonstrate pre-existing immune responses to Cas9 which may have implications for clinical development of CRISPR-Cas9 mediated gene therapy. Here we use 209 overlapping peptides that span the entire sequence of Staphylococcus aureus Cas9 (SaCas9) and human peripheral blood mononuclear cells (PBMCs) from a cohort of donors with a distribution of Major Histocompatibility Complex (MHC) alleles comparable to that in the North American (NA) population to identify the immunodominant regions of the SaCas9 protein. We also use an MHC Associated Peptide Proteomics (MAPPs) assay to identify SaCas9 peptides presented by MHC Class II (MHC-II) proteins on dendritic cells. Using these two data sets we identify 22 SaCas9 peptides that are both presented by MHC-II proteins and stimulate CD4 + T-cells.
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Simhadri et al. (2021) studied Healthy volunteers (n=21). SaCas9-derived peptides vs. Unstimulated cells was evaluated on Identification of SaCas9 peptides presented by MHC-II proteins that stimulate CD4+ T-cells. An ex vivo analysis identified 22 SaCas9-derived peptides that are naturally processed by dendritic cells, presented by MHC-II molecules, and capable of stimulating CD4+ T-cell proliferation.
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