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Long-term correction of haemophilia B through CRISPR/Cas9 induced homology-independent targeted integration

Research Abstract

CRISPR/Cas9-mediated site-specific insertion of exogenous genes holds potential for clinical applications. However, it is still infeasible because homologous recombination (HR) is inefficient, especially for non-dividing cells. To overcome the challenge, we report that a homology-independent targeted integration (HITI) strategy is used for permanent integration of high-specificity-activity Factor IX variant (F9 Padua, R338L) at the albumin (Alb) locus in a novel haemophilia B (HB) rat model. The knock-in efficiency reaches 3.66%, as determined by droplet digital PCR (ddPCR). The clotting time is reduced to a normal level 4 weeks after treatment, and the circulating FIX level is gradually increased up to 52% of the normal level over 9 months even after partial hepatectomy, demonstrating the amelioration of haemophilia. Through primer-extension-mediated sequencing (PEM-seq), no significant off-target effect is detected. This study not only provides a novel model for haemophilia B but also identifies a promising therapeutic approach for rare inherited diseases.

Research Authors
XiChena, XuranNiua, YangLiu, RuiZheng, LeiYang, JianLu, ShumingYin, YuWei, JiahaoPan, AhmedSayed, XueyunMa, MeizhenLiu, FengxiangJing, MingyaoLiu, JiazhiHu, LirenWang, DaliLi
Research Date
Research Department
Research Journal
Journal of Genetics and Genomics
Research Publisher
ELSEVIER
Research Website
https://www.sciencedirect.com/science/article/abs/pii/S167385272200159X?v=s5
Research Year
2022