Table 1.
HDR-mediated genome editing in HSPCs for inherited disorders.
Disease | Study | HSPC Source | Gene Editing System | Editing Efficiency at Target Locus | Ref. |
---|---|---|---|---|---|
SCD | In vitro | BM, SCD subjects | ZFN mRNA + IDLV | 18.4% HBB | [74] |
BM, SCD subjects | Cas9 mRNA + IDLV | 20% HBB | [75] | ||
Blood, SCD subjects | Cas9 RNP + ssODN | 25% HBB | [27] | ||
mPB, SCD subjects | Cas9 RNP + AAV6 | 50% HBB | [79] | ||
In vivo | CB, healthy subjects | ZFN mRNA + IDLV | 0.21% HBB (1° NSG BM) 0.27% HBB (1° NSG spleen) |
[74] | |
mPB, healthy subjects | Cas9 RNP + ssODN | 2.3% HBB (1° NSG BM) | [27] | ||
mPB, healthy subjects | Cas9 RNP + AAV6 | 90% HBB (1° NSG BM + selection) 3.5% HBB (1° NSG BM-selection) |
[79] | ||
SCID-X1 | In vitro | CB, SCID-X1 subject | ZFN mRNA + IDLV | >20% IL2RG | [80] |
ZFN mRNA + AAV6 | >50% IL2RG | ||||
mPB/CB, healthy subjects | Cas9 RNP + AAV6 | 45% IL2RG | [81] | ||
mPB, SCID-X1 subjects | Cas9 RNP + AAV6 | 44.5% IL2RG | |||
In vivo | CB, SCID-X1 subject | ZFN mRNA + IDLV | 5% IL2RG (1° NSG BM HSPCs) | [80] | |
ZFN mRNA + AAV6 | >25% IL2RG (1° NSG BM HSPCs) | ||||
CB, healthy subjects | Cas9 RNP + AAV6 | 25.5% IL2RG (1° NSG BM) 9.5% to 20% IL2RG (2° NSG BM) |
[81] | ||
mPB, SCID-X1 subjects | Cas9 RNP + AAV6 | Corrected IL2RG (1° NSG spleen) | |||
X-CGD | In vitro | mPB, X-CGD subjects | ZFN mRNA + AAV6 | 15% AAVS1, gp91ph°x expression in HSPC-derived myeloid cells | [82] |
mPB, X-CGD subjects | Cas9 mRNA + ssODN | 31% AAVS1, gp91ph°x expression in HSPC-derived myeloid cells | [71] | ||
In vivo | mPB, X-CGD subjects | ZFN mRNA + AAV6 | 10.7% AAVS1, gp91ph°x (1° NSG BM) | [82] | |
mPB, X-CGD subjects | Cas9 mRNA + ssODN | 15.6% AAVS1, gp91ph°x (1° NSG PB) 16.5% AAVS1, gp91ph°x (1° NSG BM) |
[71] | ||
XHIM | In vitro | mPB, XHIM subjects | TALEN + AAV6 | 13.2% CD40LG, 5′ UTR | [83] |
Cas9 mRNA + AAV6 | 16.2% CD40LG, 5′ UTR | ||||
Cas9 RNP + AAV6 | 20.8% CD40LG, 5′ UTR | ||||
In vivo | mPB, XHIM subjects | TALEN + AAV6 ± adeno helper protein | Average of all editing strategies: 4.4% CD40LG (1° NSG BM). No increased editing with addition of adeno helper protein |
[83] | |
Cas9 RNP + AAV6 ± adeno helper protein | |||||
SCN | In vitro | mPB, healthy subjects | Cas9 RNP + AAV6 | 30% ELANE (exon 4 gRNA) | [84] |
BM, SCN subjects | Cas9 RNP + AAV6 | 30% ELANE (exon 4 gRNA) 20% ELANE (L172P gRNA) |
|||
In vivo | BM, SCN subjects | Cas9 RNP + AAV6 | 3.1% ELANE-corrected neutrophils (1° NOG-EXL BM) |
[84] | |
WAS | In vitro | mPB, healthy subjects | Cas9 RNP + AAV6 | 69% WAS, bulk CD34 + cells 67.3% WAS, sorted HSCs (day 7) 58.8% WAS, sorted HSCs (day 14) |
[85] |
mPB/BM, WAS subjects | Cas9 RNP + AAV6 | 46.4% WAS, CD34 + cells (ddPCR) 45.5% WAS, CD34 + cells (flow) |
|||
In vivo | mPB/BM, WAS subjects | Cas9 RNP + AAV6 | 36.8% WAS (1° NSG BM) 16% WAS (2° NSG BM) |
[85] | |
LSD | In vitro | CB/mPB, healthy subjects | Cas9 RNP + AAV6 | 28% CCR5 (PGK-IDUA) | [86] |
mPB/CB, healthy subjects | Cas9 RNP + AAV6 | ~50% HBA1 (LAL donor) | [87] | ||
In vivo | mPB/CB, healthy subjects | Cas9 RNP + AAV6 | 5–6% CCR5, PGK-IDUA (1° NSG BM) | [86] | |
mPB/CB, healthy subjects | Cas9 RNP + AAV6 | ~8% HBA1 (1° NSG mice BM) | [87] |
Abbreviations: AAV6: adeno-associated virus 6; BM: bone marrow; PB: peripheral blood; IDLV: integration-deficient lentivirus; tNGFR: truncated nerve growth-factor receptor; ssODN: single-stranded oligonucleotide; RNP: ribonucleoprotein; IL2R: interleukin-2 receptor common gamma chain; CB:, cord blood; mPB: mobilized peripheral blood; UTR: untranslated region; NSG: NOD/SCID/IL-2rγnull; NOG: NOD.Cg-Prkdcscid Il2rgtm1Sug/JicTac; NOG-EXL: NOD.Cg-Prkdcscid Il2rgtm1Sug Tg(SV40/HTLV-IL3, CSF2)10–7Jic/JicTac; HBB: beta-globin gene; CYBB: cytochrome B-245 beta chain; CD40LG: CD40 ligand; CCR5: C-C chemokine receptor type 5; IDUA: alpha-L-iduronidase; LAL: lysosomal acid lipase; SCD: sickle cell disease; ZFN: zinc-finger nuclease; TALEN: transcription-activator like effector nuclease; SCID-X1: X-linked severe combined immuno-deficiency; X-CGD: X-linked chronic granulomatous disorder; XHIM: X-linked hyper immunoglobulin (Ig)M syndrome; SCN: severe congenital neutropenia; WAS: Wiskott–Aldrich syndrome; LSD: lysosomal storage disorders; HSPCs: hematopoietic stem/progenitor cells; HBA1: hemoglobin A1; PGK: phosphoglycerate kinase; ELANE: elastase, neutrophil expressed.