Cited by 8CRISPR and Genetic EngineeringRNA regulation and diseaseVirus-based gene therapy research

Generation and immunofluorescent validation of gene knockouts in adult human colonic organoids using multi-guide RNA CRISPR-Cas9

Open access
Chan, Dedrick Kok Hong, Collins, Scott David, Buczacki, Simon James Alexander·2023·STAR Protocols

Abstract

While readily achieved in cell lines, the application of CRISPR-Cas9 gene editing in human-derived organoids suffers from limited efficacy and complex protocols. Here, we describe a multi-guide RNA CRISPR-Cas9 gene-editing protocol which efficiently achieves complete gene knockout in adult human colonic organoids. This protocol also describes crucial steps including how to harvest patient tissue to maximize gene-editing efficacy and a technique to validate gene knockout following editing with immunofluorescent staining of the organoids against the target protein.

AI snapshot

Written from the paper’s full text.

TL;DR

This STAR Protocols article describes a multi-guide RNA CRISPR-Cas9 ribonucleoprotein electroporation protocol that achieves high-efficiency gene knockout in adult human colonic organoids, using FBXW7 as an example. It includes steps for tissue harvest, organoid culture, electroporation, and immunofluorescent validation of knockout.

Key findings

  • Multi-guide RNA RNP electroporation generated knockout efficacies of 75%–100% by ICE analysis, with complete gene knockout in adult human colonic organoids; the protocol can be completed in 2–3 weeks from biopsy, compared with 2–3 months for lentiviral transduction.
  • FBXW7 knockout was validated by western blot, with FBXW7 protein expression relative to GAPDH (n = 3, p = 0.0015), and by immunofluorescent staining with DAPI, F-actin, and FBXW7.
  • The protocol uses three gRNAs per target and a Cas9:multi-guide RNA molar ratio of 1:4; Neon electroporation settings are 1,350 V, 2 ms, 2 pulses.

Methods

  • Protocol for adult human colonic organoids derived from normal colonic tissue (a 1 × 1 cm surgical specimen is sufficient for harvesting tens of thousands of crypts), with informed consent and ethics approval 16/YH/0247.
  • Multi-guide RNA CRISPR-Cas9 RNP electroporation targeting FBXW7, with organoids dissociated to single cells and electroporated using the Neon Transfection System.
  • Main analysis: ICE for editing efficacy; western blot with n = 3 and p = 0.0015; immunofluorescent staining against FBXW7.

Limitations

  • Stated: edited cells are not isogenic; generating isogenic knockout clones requires single-cell cloning of organoids, described using FACS sorting.
  • Stated: adult human intestinal organoids tend to senesce after about eight passages, requiring repeated generation and gene editing, which could cause batch effects between samples.
  • Evident: electroporation settings were optimized for adult human intestinal organoids and may need optimization for other cell types; troubleshooting notes low knockout efficacy (<50%) can occur, and a second round of editing risks nonspecific gene editing and reduced viability.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.xpro.2022.101978

Cites

4 of 4 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

4 of 6 cited sources checked · 1 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    CRISPR-Cas9 genome engineering via lentiviral transduction requires multiple time-consuming steps including cloning a single guide RNA into a plasmid vector, generation of lentivirus particles and transduction of the target cell.

    “CRISPR-Cas9 genome engineering via lentiviral transduction is an effective method but requires multiple time-consuming steps including cloning a single guide RNA (sgRNA) into a plasmid vector, generation of lentivirus particles and transduction of the target cell, commonly taking 2–3 months in total.2”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [2] Lin, 2022, Generation of CRISPR-Cas9-mediated genetic knockout human intestinal tissue-derived enteroid lines by lentivirus transduction and single-cell cloning, Nat. Protoc. source

      The Procedure (Parts 1–3) describes cloning an sgRNA into a lentiviral vector, producing lentivirus, and transducing human intestinal enteroids. The Timing and Procedure sections also show that establishing and verifying a knockout enteroid line takes weeks, but they do not establish that lentiviral genome engineering commonly takes 2–3 months across target-cell types; that timing includes selection and single-cell cloning in this specific protocol. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Findingown data

    Western blot of FBXW7 protein shows knockout.

    “Western blot of FBXW7 protein showing knockout.”
    Quote in the paperSubstantial claim
  • Findingnone given

    This protocol can be performed within a short period of 2-3 weeks from the time a surgical biopsy specimen is obtained.

    “can be performed within a short period of 2–3 weeks from the time a surgical biopsy specimen is obtained.”
    Quote in the paperSubstantial claim
  • Findingnone given

    Knockout efficacies from 75% - 100% have been generated using this protocol.

    “Knockout efficacies from 75% – 100% have been generated using this protocol.”
    Quote in the paperSubstantial claim
  • Findingown data

    The loss of cystic phenotype and expandability in adult colonic organoids usually occurs from passage number 8 and beyond.

    “This usually occurs from passage number 8 and beyond (Figure 1).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. 32
  • May combine two claims. 9
  • The quote only partly states this claim. 2
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CRISPR-Cas9 genome engineering via lentiviral transduction commonly takes 2-3 months in total.

    “CRISPR-Cas9 genome engineering via lentiviral transduction is an effective method but requires multiple time-consuming steps including cloning a single guide RNA (sgRNA) into a plasmid vector, generation of lentivirus particles and transduction of the target cell, commonly taking 2–3 months in total.2”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [2] Lin, 2022, Generation of CRISPR-Cas9-mediated genetic knockout human intestinal tissue-derived enteroid lines by lentivirus transduction and single-cell cloning, Nat. Protoc. source

      The Timing sections describe sgRNA-vector preparation, lentivirus packaging and transduction, followed by weeks of selection, single-cell cloning and clone verification—consistent with a roughly 2–3-month process for knockout human intestinal enteroid lines. The source does not establish that CRISPR–Cas9 engineering by lentiviral transduction commonly takes that long across other cell types or protocols. The indexed passages have no page numbers. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Generating isogenic knockout clones requires single-cell cloning of the organoids, and has been described using FACS sorting.

    “Generating isogenic knockout clones requires single-cell cloning of the organoids, and has been described using FACS sorting.4”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [4] Fujimichi, 2019, An efficient intestinal organoid system of direct sorting to evaluate stem cell competition in vitro, Sci. Rep. source

      The Discussion (OFP; page unavailable) describes FACS-based sorting of one stem cell per well and says a single stem cell forms an organoid through clonal proliferation. It does not address isogenic knockout clones or establish that generating them requires single-cell cloning. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CRISPR-Cas9 genome engineering via lentiviral transduction is an effective method.

    “CRISPR-Cas9 genome engineering via lentiviral transduction is an effective method but requires multiple time-consuming steps including cloning a single guide RNA (sgRNA) into a plasmid vector, generation of lentivirus particles and transduction of the target cell, commonly taking 2–3 months in total.2”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [2] Lin, 2022, Generation of CRISPR-Cas9-mediated genetic knockout human intestinal tissue-derived enteroid lines by lentivirus transduction and single-cell cloning, Nat. Protoc. source
  • Probably not a substantial claim: may not pass S4 (based).

    Findingnone given

    The combination of three gRNAs targeting a region in proximity ensures a large knockout is generated.

    “This combination ensures a large knockout is generated.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    A 1 × 1 cm surgical specimen of normal colonic tissue is sufficient for harvesting tens of thousands of crypts.

    “A 1 × 1 cm surgical specimen of normal colonic tissue is sufficient for harvesting tens of thousands of crypts.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Findingnone given

    The addition of FBS provides serum support to the tissue before plating and improves culture efficiencies compared to PBS alone.

    “The addition of FBS provides serum support to the tissue before plating and improves culture efficiencies compared to PBS alone.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Findingnone given

    Early passage organoids should enable expansion by 1:3 easily, whereas late passage organoids may only be expanded 1:1.5 to 1:2.

    “early passage organoids should enable expansion by 1:3 easily, whereas late passage organoids may only be expanded 1:1.5 to 1:2.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. The quote only partly states this claim.

    Findingown data

    Immunofluorescent validation of FBXW7 wild-type and knockout with DAPI, F-actin and FBXW7 shows knockout.

    “Immunofluorescent validation of FBXW7 wild-type and knockout with DAPI (blue), F-actin (red) and FBXW7 (green).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Findingnone given

    Over exposure to primary antibodies leads to nonspecific staining of sample and poor image quality.

    “over exposure to primary antibodies will lead to nonspecific staining of sample and poor image quality.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Findingnone given

    Cystic organoids have the best growth potential and are required to perform gene editing with high efficacy.

    “Cystic organoids have the best growth potential and are required to perform gene editing with high efficacy.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Staining should remain visible under a fluorescence microscope for weeks.

    “Staining should remain visible under a fluorescence microscope for weeks.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Adult human intestinal organoids have a tendency to senesce after about eight passages.

    “Another limitation of adult human intestinal organoids is their tendency to senesce after about eight passages.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Multi-guide CRISPR-Cas9 gene editing cannot be repeated too many times as cells begin to lose their viability when subjected to multiple rounds of electroporation.

    “this cannot be repeated too many times as cells begin to lose their viability when subjected to multiple rounds of electroporation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    In our experience, there is some variation in the organoid-forming capacity for different specimens.

    “In our experience, there is some variation in the organoid-forming capacity for different specimens.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Overly aggressive dissolution of organoids can lead to increased cell death.

    “overly aggressive dissolution of organoids can lead to increased cell death.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingreasoning

    Performing multi-guide CRISPR-Cas9 gene editing twice on the same cell sample can increase efficacy.

    “Another solution is to perform multi-guide CRISPR-Cas9 gene editing twice on the same cell sample.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingnone given

    Adult colonic organoids become less cystic at advanced passages and their ability to be expanded between passages decreases.

    “Adult colonic organoids become less cystic at advanced passages and their ability to be expanded between passages decreases.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    FBXW7 protein expression relative to GAPDH is reduced in knockout (n = 3, p = 0.0015).

    “FBXW7 protein expression relative to GAPDH (n = 3) (p = 0.0015).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Performing multi-guide CRISPR-Cas9 gene editing twice could lead to non-specific gene editing.

    “Note that this could lead to non-specific gene editing.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    In our experience, 4 wells in a 24-well plate of fully confluent organoid domes constitutes one reaction.

    “In our experience, 4 wells in a 24-well plate of fully confluent organoid domes constitutes one reaction.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingown data

    A Cas9 to multi-guide RNA molar ratio of 1:4 optimizes transfection efficacy with the amount of reagents utilized.

    “The corresponding volumes give a molar ratio of 1:4, which in our experience, optimizes transfection efficacy with the amount of reagents utilized.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Cells need to be in a single-cell suspension at the time of RNP electroporation to improve efficacy.

    “Cells need to be in a single-cell suspension at the time of RNP electroporation to improve efficacy.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Background signal in immunofluorescent imaging can be caused by autofluorescence and nonspecific binding of antibodies.

    “Background signal can be caused by autofluorescence and nonspecific binding of antibodies.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisereasoning

    The ribonucleoprotein (RNP) electroporation approach is a more time-efficient method of CRISPR-Cas9 genome editing than lentiviral transduction.

    “The ribonucleoprotein (RNP) electroporation approach is a more time-efficient method of CRISPR-Cas9 genome editing but suffers from low knockout (KO) efficacy, as the RNP complex is transient and degraded within 24–48 h.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Organoids will need to be repeatedly generated and gene edited.

    “Consequently, organoids will need to be repeatedly generated, and gene edited.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Informed consent was obtained from all patients from whom tissue was obtained.

    “Informed consent was obtained from all patients from whom tissue was obtained.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationreasoning

    Batch effects will need to be accounted for in downstream analyses.

    “This could result in batch effects occurring between samples, and will need to be accounted for in downstream analyses.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The Neon device settings have been optimized for adult human intestinal organoids and may need to be optimized for other cell types.

    “The above settings have been optimized for adult human intestinal organoids and may need to be optimized for other cell types.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Application of CRISPR-Cas9 gene editing in human-derived organoids suffers from limited efficacy and complex protocols.

    “While readily achieved in cell lines, the application of CRISPR-Cas9 gene editing in human-derived organoids suffers from limited efficacy and complex protocols.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The protocol serves as an adjunct which can be used in tandem with other FACS sorting protocols.

    “Our protocol therefore serves as an adjunct which can be used in tandem with other FACS sorting protocols.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    The protocol may be applied to any other gene for which there is no selection media available.

    “FBXW7 has been chosen as the target gene, but this protocol may be applied to any other gene for which there is no selection media available.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: RNP electroporation for mutations which lack defined selection media suffers from low transfection efficacy.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Genome engineering of canonical driver mutations in colorectal cancer such as APC, KRAS, SMAD4 and TP53 may be performed using a plasmid electroporation approach.

    “While genome engineering of canonical driver mutations in colorectal cancer such as APC, KRAS, SMAD4 and TP53 may be performed using a plasmid electroporation approach ,3 this is greatly aided by the presence of selection media which only permits successfully edited cells to survive.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [3] Matano, 2015, Modeling colorectal cancer using CRISPR-Cas9-mediated engineering of human intestinal organoids, Nat. Med. source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisereasoning

    Cells which have not been edited will continue to possess the guide RNA binding sites, which will allow for a second round of gene editing.

    “Cells which have not been edited will continue to possess the guide RNA binding sites, which will allow for a second round of gene editing”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All experiments in this study were approved by the University of Oxford - Translation Gastroenterology Unit (16/YH/0247).

    “All experiments in this study were approved by the University of Oxford – Translation Gastroenterology Unit (16/YH/0247).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    Repeated generation and gene editing of organoids could result in batch effects occurring between samples.

    “This could result in batch effects occurring between samples, and will need to be accounted for in downstream analyses.”
    Quote in the paperNot a substantial claim
35 of 35
  • The paper relies on this without support.

    The RNP complex is transient and degraded within 24–48 h.

    “as the RNP complex is transient and degraded within 24–48 h.”
  • The paper relies on this without support.

    RNP electroporation for mutations which lack defined selection media suffers from low transfection efficacy.

    “RNP electroporation for mutations which lack such defined selection media suffers from low transfection efficacy.”
  • The paper relies on this without support.

    Late-passage organoids lose gene editing efficacy.

    “Late-passage organoids also lose gene editing efficacy.”
  • The paper relies on this without support.

    Using fresh biopsy specimens for each gene editing attempt maximizes efficacy.

    “We recommend using fresh biopsy specimens for each gene editing attempt to maximize efficacy”
  • The paper relies on this without support.

    The majority of crypts will not survive the first few days.

    “The majority of crypts will not survive the first few days.”
  • The paper relies on this without support.

    Plating too few crypts reduces the number of viable organoids generated, and plating too many crypts leads to competition between organoids for nutrients in the media.

    “Plating too few crypts reduces the number of viable organoids generated. Plating too many crypts leads to competition between organoids for nutrients in the media”
  • The paper relies on this without support.

    Organoid harvesting solution depolymerizes the BME while leaving organoids intact.

    “Organoid harvesting solution depolymerizes the BME while leaving organoids intact.”
  • The paper relies on this without support.

    Y27632 helps to prevent anoikis related cellular death.

    “Y27632 has been added to media as this reagent helps to prevent anoikis related cellular death.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Cas9-to-guide molar ratio does not match the stated concentrations and volumes

    Major

    The table specifies 1.2 μL of 25 μM Cas9 and 1.6 μL of 100 μM multi-guide RNA. These amounts give a Cas9-to-guide molar ratio of 30:160, or 1:5.33, not the stated 1:4.

1 of 1

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Authors
Chan, D. K. H., Collins, S. D., & Buczacki, S. J. A.
Affiliations
University of Oxford (GB)
Corresponding author
Buczacki, Simon James Alexander
Venue
STAR Protocols
Publisher
Elsevier BV
Published
2023-03
Volume
4
Issue
1
Pages
101978
ISSN
2666-1667 (ISSN-L)
OpenAlex
W4313488863
Cited by
8
References
4
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 4
FWCI
0.60
Type
journal article
Language
en
Open access
Locations
  • STAR Protocols (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion, cc-by-nc-nd)
  • National University of Singapore (submittedVersion, cc-by-nc-nd)
  • National University of Singapore (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Cancer Research UK (C14094 / A27178)
  • National Medical Research Council (MOH-FLWSHP10may-0001)
  • Ministry of Health -Singapore
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA regulation and disease
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
Keywords
CRISPR/Cas9, gene knockout, colonic organoids, genome editing efficiency
MeSH terms
Gene Editing, Adult, Coloring Agents, Humans, Organoids, RNA, Gene Knockout Techniques, CRISPR-Cas Systems

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