Abstract
Two well‐characterized carbohydrate epitopes are absent in humans but present in other mammals. These are galactose‐α1,3‐galactose (αGal) and N‐glycolylneuraminic acid (Neu5Gc) which are introduced by the activities of two enzymes including α(1,3) galactosyltransferase (encoded by the GGTA1 gene) and CMP‐Neu5Gc hydroxylase (encoded by the CMAH gene) that are inactive in humans but present in cattle. Hence, bovine‐derived products are antigenic in humans who receive bioprosthetic heart valves (BHVs) or those that suffer from red meat syndrome. Using programmable nucleases, we disrupted (knockout, KO) GGTA1 and CMAH genes encoding for the enzymes that catalyse the synthesis of αGal and Neu5Gc, respectively, in both male and female bovine fibroblasts. The KO in clonally selected fibroblasts was detected by polymerase chain reaction (PCR) and confirmed by Sanger sequencing. Selected fibroblasts colonies were used for somatic cell nuclear transfer (SCNT) to produce cloned embryos that were implanted in surrogate recipient heifers. Fifty‐three embryos were implanted in 33 recipients heifers; 3 pregnancies were carried to term and delivered 3 live calves. Primary cell cultures were established from the 3 calves and following molecular analyses confirmed the genetic deletions. FACS analysis showed the double‐KO phenotype for both antigens confirming the mutated genotypes. Availability of such cattle double‐KO model lacking both αGal and Neu5Gc offers a unique opportunity to study the functionality of BHV manufactured with tissues of potentially lower immunogenicity, as well as a possible new clinical approaches to help patients with red meat allergy syndrome due to the presence of these xenoantigens in the diet.
Highlights
Two well‐characterized antigens are absent in humans but present in mammals and include galactose‐α1,3‐galactose and N‐gly‐ colylneuraminic acid (Neu5Gc) whose synthesis are catalysed by α(1,3) galactosyltransferase[1,2] and CMP‐Neu5Gc hydroxylase[3,4,5] respec‐ tively
Ensemble database was analysed to obtain the Reference genome sequences for the GGTA1 (ENSBTAG00000012090) and of the CMAH (ENSBTAG00000003892) genes. These sequences were studied in silico to identify possible target sequences, and the se‐ lected regions were amplified by polymerase chain reaction (PCR) and analysed with Sanger se‐ quencing to exclude polymorphisms in male and female fibroblast cell lines selected for the genome editing
We targeted two well‐known xenoantigens identified as such from pig xenotransplantation studies that are expressed in cattle
Summary
Two well‐characterized antigens are absent in humans but present in mammals and include galactose‐α1,3‐galactose (αGal) and N‐gly‐ colylneuraminic acid (Neu5Gc) whose synthesis are catalysed by α(1,3) galactosyltransferase (encoded by the GGTA1 gene)[1,2] and CMP‐Neu5Gc hydroxylase (encoded by the CMAH gene)[3,4,5] respec‐ tively. Pig‐ and cattle‐derived products are a major source of pro‐ teins for human consumption, and cattle are the major source of dairy products Such products can become allergenic for some patients or infants consuming baby milk replacers. Availability of DKO cattle line offers the opportunity to explore the potential of such animals to provide low immunogenic cattle‐derived prod‐ ucts for clinical purposes as well as for the food industry and human consumption
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