Abstract

Clustered regularly interspaced short palindromic repeat (CRISPR) RNAs and their associated effector (Cas) enzymes are being developed into promising therapeutics to treat disease. However, CRISPR-Cas enzymes might produce unwanted gene editing or dangerous side effects. Drug-like molecules that can inactivate CRISPR-Cas enzymes could help facilitate safer therapeutic development. Based on the requirement of guide RNA and target DNA interaction by Cas enzymes, we rationally designed small nucleic acid-based inhibitors (SNuBs) of Streptococcus pyogenes (Sp) Cas9. Inhibitors were initially designed as 2′-O-methyl-modified oligonucleotides that bound the CRISPR RNA guide sequence (anti-guide) or repeat sequence (anti-tracr), or DNA oligonucleotides that bound the protospacer adjacent motif (PAM)-interaction domain (anti-PAM) of SpCas9. Coupling anti-PAM and anti-tracr modules together was synergistic and resulted in high binding affinity and efficient inhibition of Cas9 DNA cleavage activity. Incorporating 2′F-RNA and locked nucleic acid nucleotides into the anti-tracr module resulted in greater inhibition as well as dose-dependent suppression of gene editing in human cells. CRISPR SNuBs provide a platform for rational design of CRISPR-Cas enzyme inhibitors that should translate to other CRISPR effector enzymes and enable better control over CRISPR-based applications.

Highlights

  • The discovery of gene editing and programmable genomic control by clustered regularly interspaced short palindromic repeat (CRISPR) RNAs and their CRISPR-associated (Cas) proteins [1,2,3,4,5] holds tremendous promise for future therapeutics and curing genetic diseases [6,7,8,9,10,11]

  • Inhibitor modules were designed to compete with a target DNA sequence, the repeat sequence of the crRNA that pairs to transactivating crRNA, or the protospacer adjacent motif (PAM) motif and flanking duplex DNA of a target (Fig. 1A, B)

  • Molecules with the potential to inhibit CRISPR activity and be developed into drugs would significantly improve the safety of CRISPR-based therapeutics

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Summary

Introduction

The discovery of gene editing and programmable genomic control by clustered regularly interspaced short palindromic repeat (CRISPR) RNAs (crRNAs) and their CRISPR-associated (Cas) proteins [1,2,3,4,5] holds tremendous promise for future therapeutics and curing genetic diseases [6,7,8,9,10,11]. Despite their potential, CRISPR enzymes are not optimal for therapeutic applications [9,10,12,13,14]. Vitamin K and prothrombin complex concentrate are used as antidotes to reverse adverse reactions or overdoses from anticoagulants like warfarin [23], and protamine sulfate reverses anticoagulation by heparin [24]

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