CRISPR

Explore the fascinating world of CRISPR technology

CRISPR: Short for “clustered regularly interspaced short palindromic repeats”, CRISPR is a groundbreaking technique used by scientists to edit the DNA of living organisms with precision. This technology holds great potential for therapeutic gene correction in Lesch-Nyhan Syndrome.

Diagram showing the CRISPR-Cas9 process: Step 1, Cas9 enzyme scans DNA for PAM. Step 2, Cas9 checks for sequence match, moves to next PAM if no match. Step 3, Cas9 gRNA hybridizes to matching DNA. Step 4, Cas9 cuts the DNA at the target site.

Research Articles

March 14, 2023

Therapeutic gene correction for Lesch-Nyhan syndrome using CRISPR-mediated base and prime editing

Abstract

Lesch-Nyhan syndrome (LNS) is inherited as an X-linked recessive genetic disorder caused by mutations in hypoxanthine-guanine phosphoribosyl transferase 1 (HPRT1). Patients with LNS show various clinical phenotypes, including hyperuricemia, gout, devastating behavioral abnormality, intellectual disability, and self-harm. Although uric acid overproduction can be modulated with the xanthine oxidase inhibitor allopurinol, there exists no treatment for behavioral and neurological manifestations of LNS. In the current study, CRISPR-mediated base editors (BEs) and prime editors (PEs) were utilized to generate LNS-associated disease models and correct the disease models for therapeutic approach. Cytosine BEs (CBEs) were used to induce c.430C>T and c.508C>T mutations in HAP1 cells, and then adenine BEs (ABEs) were used to correct these mutations without DNA cleavage. PEs induced a c.333_334ins(A) mutation, identified in a Korean patient with LNS, in HAP1 cells, which was corrected in turn by PEs. Furthermore, improved PEs corrected the same mutation in LNS patient-derived fibroblasts by up to 14% without any unwanted mutations. These results suggest that CRISPR-mediated BEs and PEs would be suggested as a potential therapeutic strategy of this extremely rare, devastating genetic disease.

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