Research Square. 2020 Sep 9
Li-Na He, Yi Yang, Yi Cheng, Han Wu, Shou-Heng Lin, Bing Song, Neng-Qing Liu, Di-Yu Chen, Dian Lu, Ying-Hong Yang, Juan Zeng, Yong Fan, Sun Xiaofang
Products used in the paper Details Operation
ssAAV-MCS plasmid AAV vector plasmids were cloned in the ssAAV-MCS plasmid (PackGene Biotech) containing inverted terminal repeats (ITRs) from AAV serotype 2 (AAV2) using Gibson Assembly Mastermix (New England Biolabs). Request Quote

Research Field: Beta-Thalassemia Gene Therapy

Keywords: Epigenetics & Genomics, β-thalassemia, CRISPR/Cas9, hematopoietic stem and progenitor cells, rAAV6

AAV Serotype: AAV6

Animal or cell line strain: HSPCs were cultured in three phases for differentiation 4 days after electroporation and transduction with AAV6.


Background: Engineered nuclease-mediated gene targeting through homology-directed repair (HDR) in autologous hematopoietic stem and progenitor cells (HSPCs) has the potential to cure β-thalassemia (β-thal). Although previous studies have precisely corrected site-specific HBB mutations by HDR in vitro and in vivo, targeting the various HBB mutations in β-thal is still challenging. Here, we devised a universal strategy to achieve repaired most types of HBB mutations through the CRISPR/Cas9 and the rAAV6 donor.

Methods: Using cord blood-derived HSPCs from health donors, we tested the strategy to achieved highly efficient targeted integration by optimizing design and delivery parameters of a ribonucleoprotein (RNP) complex comprising Cas9 protein and modified single guide RNA, together with a rAAV6 donor. We assessed the edited HSPCs function in vitro by methylcellulose colonies assay, CFU assay, differentiation experiment and Wright-Giemsa staining. Edited HSPCs transplanted into NSI mice to assess the long-term reconstitution in vivo. Whole-genome sequencing was used to analysis the off-target mutagenesis of edited HSPCs.

Results: Edited HSPCs exhibited normal multilineage formation and erythroid differentiation abilities without off-target mutagenesis and retained the ability to engraft. Moreover, we used the strategy to efficiently correct the β-CD41/42 mutation of patient-derived HSPCs, erythrocytes differentiation from which expressed more HBB mRNA than uncorrected cells.

Conclusion: This strategy demonstrated a universal approach to correct most types of HBB gene mutations in β-thal.

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