Cited by 782CRISPR and Genetic EngineeringVirus-based gene therapy researchCAR-T cell therapy research

The DOI matches its Crossref record; 73 of the 74 references it cites were found in a registry or an index; 29 of the 37 sources its claims cite were checked for support.

A high-fidelity Cas9 mutant delivered as a ribonucleoprotein complex enables efficient gene editing in human hematopoietic stem and progenitor cells

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Abstract

Translation of the CRISPR–Cas9 system to human therapeutics holds high promise. However, specificity remains a concern especially when modifying stem cell populations. We show that existing rationally engineered Cas9 high-fidelity variants have reduced on-target activity when using the therapeutically relevant ribonucleoprotein (RNP) delivery method. Therefore, we devised an unbiased bacterial screen to isolate variants that retain activity in the RNP format. Introduction of a single point mutation, p.R691A, in Cas9 (high-fidelity (HiFi) Cas9) retained the high on-target activity of Cas9 while reducing off-target editing. HiFi Cas9 induces robust AAV6-mediated gene targeting at five therapeutically relevant loci (HBB, IL2RG, CCR5, HEXB, and TRAC) in human CD34+ hematopoietic stem and progenitor cells (HSPCs) as well as primary T cells. We also show that HiFi Cas9 mediates high-level correction of the sickle cell disease (SCD)-causing p.E6V mutation in HSPCs derived from patients with SCD. We anticipate that HiFi Cas9 will have wide utility for both basic science and therapeutic genome-editing applications. A bacterial screen yields a Cas9 variant that retains high on-target activity when delivered in the RNP format. As proof of principle, this Cas9 variant enables high-level correction of the sickle cell disease mutation in patient-derived HSPCs.

Overview

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Crossref · 10.1038/s41591-018-0137-0

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73 of 73 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Vakulskas, C. A., Dever, D. P., Rettig, G. R., Turk, R., Jacobi, A. M., Collingwood, M. A., Bode, N. M., McNeill, M. S., Yan, S., Camarena, J., Lee, C. M., Park, S. H., Wiebking, V., Bak, R. O., Gomez-Ospina, N., Pavel-Dinu, M., Sun, W., Bao, G., Porteus, M. H., & Behlke, M. A.
Affiliations
  • Integrated DNA Technologies (United States) (US)
  • Stanford Medicine (US)
  • Rice University (US)
  • Aarhus University (DK)
Corresponding author
  • Porteus, Matthew H.
  • Behlke, Mark A.
Venue
Nature Medicine
Published
2018-08
Volume
24
Issue
8
Pages
1216-1224
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2886819502
Cited by
782
References
74
Citations by year
2026: 66 · 2025: 92 · 2024: 91 · 2023: 86 · 2022: 116 · 2021: 113 · 2020: 116 · 2019: 92 · 2018: 9
FWCI
29.32
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Amon G. Carter Foundation
  • Lundbeckfonden (R238‐2016‐3349)
  • National Institutes of Health (5r01ai120766-02, R01-AI120766, AI120766)
  • National Institute of Allergy and Infectious Diseases (R01-AI120766, R01AI097320)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
  • Health Sciences › Medicine › Oncology › CAR-T cell therapy research
Keywords
ribonucleoprotein delivery, CRISPR/Cas9 genome editing, hematopoietic stem and progenitor cells, sickle cell disease, off-target editing, HBB, IL2RG, CCR5, HEXB, TRAC, T cells
MeSH terms
Gene Editing, CRISPR-Associated Protein 9, Anemia, Sickle Cell, Base Sequence, Escherichia coli, Hematopoietic Stem Cells, Humans, Mutation, Ribonucleoproteins, Antigens, CD34, HEK293 Cells

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