Highly efficient correction of engrafting X-CGD HSPCs by SpCas9/sg
mRNA/ODN donor with i53. (A) Peripheral blood (PB) from mice
transplanted with X-CGD HSPCs GE with ODN or AAV (CYBB E7-13pA) analyzed
at weeks 8, 12, and 26 for engraftment (hCD45+). (B)
Percentages of gp91phox+ cells in hCD45+
PB. (C) FACS showing human CD45+ engraftment in mice
bone marrow (BM) 18 to 26 weeks after transplant with ODN
mutation-repaired X-CGD HSPCs (n = 3 patients). (D)
Gp91phox expression in myeloid-differentiated BM human
CD45+ cells from NSG transplanted with ODN
mutation–repaired X-CGD HSPCs (3 patients). (E) DHR assay showing
ROS production in the myeloid-differentiated cells in panel D. (F)
Lineage (CD33+ and CD19+) composition in
BM, PB, and spleen of transplanted mice. (G) Gp91phox
expression in CD33+ myeloid cells in
myeloid-differentiated BM and PB. (H) Percentages of
gp91phox+ before (in vitro) and after transplant
(BM) with ODN-treated cells using Cas9 RNA (±i53) vs RNP (n
= 4 experiments; 3 X-CGD patients, 11 mice). (I) Correction rates
(% corrected alleles) before (input, 5 days post-electroporation, blue)
vs after transplant (red) (n = 3 X-CGD patients).
**P < .001.