[PDF][PDF] Spell checking nature: versatility of CRISPR/Cas9 for developing treatments for inherited disorders

D Wojtal, DU Kemaladewi, Z Malam, S Abdullah… - The American Journal of …, 2016 - cell.com
D Wojtal, DU Kemaladewi, Z Malam, S Abdullah, TWY Wong, E Hyatt, Z Baghestani
The American Journal of Human Genetics, 2016cell.com
Clustered regularly interspaced short palindromic repeat (CRISPR) has arisen as a
frontrunner for efficient genome engineering. However, the potentially broad therapeutic
implications are largely unexplored. Here, to investigate the therapeutic potential of
CRISPR/Cas9 in a diverse set of genetic disorders, we establish a pipeline that uses readily
obtainable cells from affected individuals. We show that an adapted version of
CRISPR/Cas9 increases the amount of utrophin, a known disease modifier in Duchenne …
Clustered regularly interspaced short palindromic repeat (CRISPR) has arisen as a frontrunner for efficient genome engineering. However, the potentially broad therapeutic implications are largely unexplored. Here, to investigate the therapeutic potential of CRISPR/Cas9 in a diverse set of genetic disorders, we establish a pipeline that uses readily obtainable cells from affected individuals. We show that an adapted version of CRISPR/Cas9 increases the amount of utrophin, a known disease modifier in Duchenne muscular dystrophy (DMD). Furthermore, we demonstrate preferential elimination of the dominant-negative FGFR3 c.1138G>A allele in fibroblasts of an individual affected by achondroplasia. Using a previously undescribed approach involving single guide RNA, we successfully removed large genome rearrangement in primary cells of an individual with an X chromosome duplication including MECP2. Moreover, removal of a duplication of DMD exons 18–30 in myotubes of an individual affected by DMD produced full-length dystrophin. Our findings establish the far-reaching therapeutic utility of CRISPR/Cas9, which can be tailored to target numerous inherited disorders.
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