Abstract

Prolonged expression of the CRISPR-Cas9 nuclease and gRNA from viral vectors may cause off-target mutagenesis and immunogenicity. Thus, a transient delivery system is needed for therapeutic genome editing applications. Here, we develop an extracellular nanovesicle-based ribonucleoprotein delivery system named NanoMEDIC by utilizing two distinct homing mechanisms. Chemical induced dimerization recruits Cas9 protein into extracellular nanovesicles, and then a viral RNA packaging signal and two self-cleaving riboswitches tether and release sgRNA into nanovesicles. We demonstrate efficient genome editing in various hard-to-transfect cell types, including human induced pluripotent stem (iPS) cells, neurons, and myoblasts. NanoMEDIC also achieves over 90% exon skipping efficiencies in skeletal muscle cells derived from Duchenne muscular dystrophy (DMD) patient iPS cells. Finally, single intramuscular injection of NanoMEDIC induces permanent genomic exon skipping in a luciferase reporter mouse and in mdx mice, indicating its utility for in vivo genome editing therapy of DMD and beyond.

Highlights

  • Prolonged expression of the Clustered regularly interspaced short palindromic repeat (CRISPR)-Cas[9] nuclease and gRNA from viral vectors may cause off-target mutagenesis and immunogenicity

  • Lyn mystoylation (LM)-FKBP12-EGFP was selected as a candidate because of its ability to target the plasma membrane of cells and potential to be passively packaged into budding extracellular vesicles (EVs)

  • The second utilizes an HIV Ψ packaging signal to direct sgRNA flanked by HH and hepatitis delta virus (HDV) selfcleaving ribozymes into NanoMEDIC through an interaction with

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Summary

Introduction

Prolonged expression of the CRISPR-Cas[9] nuclease and gRNA from viral vectors may cause off-target mutagenesis and immunogenicity. CRISPR-Cas[9] has been reported as an efficient tool for inducing exon skipping in iPSCs5 and in vivo animal DMD models[6,7,8,9] to restore dystrophin protein expression. Adeno-associated viruses (AAV) have been the leading tool for in vivo gene delivery, and utilized to treat DMD animal models by delivering the CRISPR-Cas[9] system[6,7,8,9]. Ribonucleoprotein (RNP) delivery of CRISPR-Cas[9] offers several advantages over DNA delivery[19] It facilitates potent ontarget cleavage while reducing unwanted off-target effects, as RNP is rapidly degraded in cultured cells compared with DNA plasmid expression vectors[20]. There is a need for active incorporation machinery for Cas[9] protein and sgRNA, which does not involve direct fusion of Cas[9] protein with Gag

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