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December 8, 2021Nature Communications290 citationsOpen Access

Low immunogenicity of LNP allows repeated administrations of CRISPR-Cas9 mRNA into skeletal muscle in mice

EKEriya KenjoHHHiroyuki HozumiYMYukimasa Makita

Key Result

LNP-mediated delivery of CRISPR-Cas9 mRNA and sgRNA allowed for repeated administrations, inducing stable genomic exon skipping and restoring dystrophin protein in a DMD mouse model.

Structured PICO

Does a chemically defined LNP system delivering CRISPR-Cas9 mRNA and sgRNA restore dystrophin protein in a DMD mouse model?

P
Population
Preclinical study using a humanized DMD mouse model and patient-derived iPS cells to evaluate LNP-mediated delivery of CRISPR-Cas9 for exon 45 skipping.
I
Intervention
Chemically defined lipid nanoparticle (LNP) system delivering Cas9 mRNA and sgRNA via repeated intramuscular injections or limb perfusion
O
Outcome
Genomic exon skipping and restoration of dystrophin proteinsurrogate

A novel LNP delivery system enables repeated administration of CRISPR-Cas9 to skeletal muscle, successfully restoring dystrophin in a DMD mouse model.

Limitations

  • Transient and mild LNP-related inflammation and liver damage
  • Muscle phenotype of the humanized mouse model is mild
  • Difficult to cover all skeletal muscle tissues by a single treatment

Abstract

Genome editing therapy for Duchenne muscular dystrophy (DMD) holds great promise, however, one major obstacle is delivery of the CRISPR-Cas9/sgRNA system to skeletal muscle tissues. In general, AAV vectors are used for in vivo delivery, but AAV injections cannot be repeated because of neutralization antibodies. Here we report a chemically defined lipid nanoparticle (LNP) system which is able to deliver Cas9 mRNA and sgRNA into skeletal muscle by repeated intramuscular injections. Although the expressions of Cas9 protein and sgRNA were transient, our LNP system could induce stable genomic exon skipping and restore dystrophin protein in a DMD mouse model that harbors a humanized exon sequence. Furthermore, administration of our LNP via limb perfusion method enables to target multiple muscle groups. The repeated administration and low immunogenicity of our LNP system are promising features for a delivery vehicle of CRISPR-Cas9 to treat skeletal muscle disorders.

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Cite This Study

Kenjo et al. (2021) studied Duchenne muscular dystrophy. LNP-CRISPR (Cas9 mRNA and sgRNA) vs. AAV-CRISPR, ASO, or PBS was evaluated on Exon skipping efficiency and dystrophin protein restoration. LNP-mediated delivery of CRISPR-Cas9 mRNA and sgRNA allowed for repeated administrations, inducing stable genomic exon skipping and restoring dystrophin protein in a DMD mouse model.

synapsesocial.com/papers/6a6e98305d37378ac1dbfd7fhttps://doi.org/10.1038/s41467-021-26714-w
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