Could this approach work with
dystrophin exon skipping?
Not exact matches
In the study, researchers worked with a mouse model that has a debilitating mutation on one of the
exons of the
dystrophin gene.
The exact mutation varies from patient to patient but in 65 percent of cases, the
dystrophin gene is missing large sections of DNA called
exons, which carry the instructions for protein production.
The team led by biomedical engineering professor Charles A. Gersbach used a mouse model suffering from a mutated
exon of the
dystrophin gene, programming CRISPR / CAS9 — a bacterial - protein derived process of cutting and pasting DNA portions — to snip out the defective
exon.
Researchers demonstrate how CRISPR / Cas9 - mediated
exon skipping, or myoediting, may rescue
dystrophin function in a majority of Duchenne muscular dystrophy patients
Correction of
dystrophin expression in cells from Duchenne muscular dystrophy patients through genomic excision of
exon 51 by zinc finger nucleases.
In a subsequent study, they used CRISPR with two gRNAs to delete
exon 51 or
exons 45 - 55 in patient myoblasts; when injected into DMD mice, these cells expressed functional
dystrophin.
They observed a 13 % removal rate of
exon 51, which resulted in appropriately localized
dystrophin.
Within the mutational hotspot for
dystrophin,
exons 45 - 55, there are multiple common deletions that maintain the protein's reading frame, leading to the production of a smaller, but at least partially functional protein.
The
dystrophin gene is very large (79
exons), but much of the sequence appears to be nonessential.
Although Nelson et al. observed only 2 % genome editing in one experiment, they found the
exon - skipped transcript constituted 59 % of total
dystrophin mRNA, similar to the 39 % observed by Tabebordbar et al..
Clinical trials have used oligonucleotide
exon skipping (OEN) to remove mutated
exons from the
dystrophin transcript.
If any one
exon gets a debilitating mutation, the chain does not get built.Without
dystrophin providing support, muscle tends to shred and slowly deteriorate.Duchenne affects one in 5,000 newborn males.