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Répression du gène SpCas9 avec Hara-Kiri moléculaire

Hara-Kiri moléculaire

Jean-Paul Iyombe-Engembe1, Benjamin Duchêne1, Joël Rousseau1, Dominique Ouellet1, Khadija Cherif1, Antoine Guyon1 and Jacques P. Tremblay1

Contribution de chaque auteur

J’ai réalisé une partie des expériences in vitro et in vivo décrites dans le présent article. Benjamin Duchenne et Khadija Cherif ont réalisé une autre partie des analyses in vitro. Joël Rousseau a réalisé une autre partie des analyses in vivo. Antoine Guyon a fait l’analyse des résultats de séquençage à haut débit.

Dominique Ouellet a corrigé le manuscrit.

J’ai rédigé l’article sous la supervision de Jacques P Tremblay.

L’article a été soumis à Molecular Therapy pour la publication

Résumé

Le système CRISPR / Cas9 est actuellement une révolution majeure dans le domaine de la biologie. En raison de sa simplicité par rapport aux autres endonucléases, ce système est expérimenté dans divers domaines. Cependant, un inconvénient majeur est la toxicité liée à l'expression prolongée de Cas9. Dans la présente étude, nous présentons une approche permettant de supprimer efficacement l'expression du gène de

Streptococcus pyogenes Cas9 (SpCas9). Cette approche, que nous appelons la méthode moléculaire Hara-

Kiri, implique deux ARNsg ciblant deux séquences du gène SpCas9. L'enzyme SpCas9 se lie aux motifs adjacents Protospacer en suivant les deux séquences ciblées par les sgRNA et induit deux cassures double- brin (DSB) dans son propre gène (Hara-Kiri). La séquence située entre les DSB est alors supprimée. La plupart du temps, le gène SpCas9 est réparé par Non-Homologus End Joining (NHEJ) sans INDEL. En sélectionnant de manière adéquate les séquences ciblées, la jonction des résidus du gène SpCas9 génère un codon d'arrêt de type TAA au sein de ce gène tronqué pour supprimer efficacement son expression. Cela entraine une diminution spectaculaire de la protéine SpCas9 in vitro et in vivo. Une étude des mutations hors cible avec la méthode Guide-Seq est en cour.

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Efficient in vitro and in vivo self-repression of

SpCas9 gene using a molecular Hara-Kiri method.

Jean-Paul Iyombe-Engembe1, Benjamin Duchêne1, Joël Rousseau1, Dominique Ouellet1, Khadija Cherif1, Antoine Guyon1 and Jacques P. Tremblay1

1Département de Médecine Moléculaire, Université Laval Axe Neuroscience du Centre de Recherche du Centre Hospitalier Universitaire de Québec. Correspondence should be addressed to: JPT

(jacques-p.tremblay@crchudequebec.ulaval.ca)

Abstract

The CRISPR/Cas9 system is currently a major revolution in the field of biology. Because of its simplicity compared to other endonucleases, this system is being experimented in diverse fields. However, a major disadvantage is the toxicity linked to sustained Cas9 expression. In the present study, we present an approach to effectively suppress the expression of the Streptococcus pyogenes Cas9 (SpCas9) gene. This approach that we call the molecular Hara-Kiri method, involves two sgRNAs targeting two sequences in the SpCas9 gene. The SpCas9 enzyme binds to the Protospacer Adjacent Motifs following the two sequences targeted by the sgRNAs and induces two Double Strand Breaks (DSBs) in its own gene (Hara-Kiri). The sequence located between the DSBs is then deleted. Most of the time, the SpCas9 gene is repaired by Non Homologous End Joining without INDELs. By adequately selecting the targeted sequences, the junction of the SpCas9 gene residues generates a TAA type stop codon within this truncated gene to effectively suppress its expression. This results in dramatic decrease of the SpCas9 protein in vitro and in vivo. A study of off-target mutations with the Guide-Seq method ongoing.

Introduction

The CRISPR/Cas9 (Clustered Regularly Interspaced Short Palindromic Repeat / CRISPR-associated 9) system is a real revolution in genome editing [176] [177] [178] [179] [103]. The great interest in this approach among scientists is explained by its simplicity compared to other genome editing methods such as Meganucleases (MGNs) [180], Zinc Finger Nucleases (ZFNs) [109] and Transcription Activator-Like Effector Nucleases (TALENs) [181]. The first and most often used CRISPR/Cas enzyme for editing the genome in several organisms is type II Streptococcus pyogenes (SpCas9). The CRISPR/Cas9 system requires a single guided RNA (sgRNA), which matches an 18 to 20 nucleotides target sequence in DNA, which is followed by an

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adequate NGG Protospacer Adjacent Motif (PAM). This PAM recruits the SpCas9 nuclease to generate a double-strand break (DSB) at exactly at three nucleotides from it towards the 5' end of the target sequence [129] [149]. Other Cas enzymes, derived from other bacteria, require different PAMs and induce a DSB at different sites relative to the PAM [145] [149] [182].

Several studies have shown the high efficacy of the CRISPR/Cas9 system in vitro and in vivo [183] [184] [18] [80, 185] [79] [186]. However, one disadvantage of this system is the toxicity linked to the sustained expression of the SpCas9 gene [187] [162] [161]. It has unfortunately been confirmed that SpCas9 generates unwanted DSBs in the coding and non-coding regions of the genome [188] [1]. This difficulty considerably limits the possible use of using SpCas9 in therapeutic approaches in humans. To overcome this difficulty, several avenues have been explored. One of them aims to improve the specificity of the SpCas9 nuclease. Some authors have indeed shown that modifying a few SpCas9 amino acids reduced the non-specific interactions of the Cas9 protein with DNA and thus reduced the number of off-target DSBs [189] [190] [165] [166]. The sustained expression of SpCas9 favors off-target DSBs and thus increases its toxicity. Thus other methods aim to reduce the duration of its expression, one of them is to use the SpCas9 mRNA or the SpCas9 protein rather than the SpCas9 gene inserted in a plasmid or viral vector [191-193]. By using the SpCas9 mRNA, the synthesis of the protein is limited in time and thus it is possible to reduce the off-target cuts.

The use of SpCas9 mRNA or protein is however not possible for in vivo gene editing requiring a systemic delivery. This is a serious handicap for the treatment of diseases such as Duchenne Muscular Dystrophy (DMD), which affects all skeletal muscles and the heart. Paradoxically, among the solutions proposed above to resolve the problem posed by SpCas9 toxicity, there is very little research on how to limit the duration of expression of the SpCas9 gene in vitro or in vivo [168] [101] [169] [194] [170]. A previous study has shown that DSBs generated by SpCas9, given its high efficacy, occur within only a few hours after transfection [168]. This means that the expression beyond this time of the SpCas9 gene inserted in plasmid or viral vector is not necessary for efficient genome editing. It has also been demonstrated, as noted above, that the toxicity was related to prolonged expression of the SpCas9 gene.

Our results show that the transient expression of the SpCas9 gene inserted in a plasmid or a viral vector is sufficient to generate DSBs in the intended target sequence but also in the SpCas9 gene itself to prevent additional unwanted DSBs occurring during a sustained expression. To this end, we have built two sgRNAs that target the SpCas9 gene. The SpCas9 protein was recruited at these two PAMs to generate two DSBs resulting in the deletion of part of the SpCas9 gene sequence located between the two cleavage sites. The junction of the SpCas9 gene residues by Non-Homologous End Joining (NHEJ), most of the time without micro-insertions or micro-deletions (INDELs), generated a frame shift resulting in a stop TAA codon within the truncated SpCas9 gene, thus repressing its expression

.

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Results

In vitro repression of the SpCas9-FLAG gene

We initially identified the PAMs in the SpCas9-FLAG gene present in the pX458 plasmid and selected a pair of sgRNAs (sgRNA1SpCas9 and sgRNA2SpCas9), which permitted to not only delete a part of the SpCas9-FLAG gene but also to generate a TAA stop codon at the junction site of the remaining fragments (Figure 1 and supplementary Figure 1). To repress the expression of the SpCas9-FLAG gene, HEK 293T cells were thus transfected with the pX458 plasmid and co-transfected either immediately or with a delay with the pBSU61-2- SpCas9 plasmid coding for this pair of sgRNAs.

a) Early in vitro repression of the SpCas9-FLAG gene

Detection of the truncated SpCas9 gene

HEK 293T cells were transfected with two plasmids: the pX458 and the pBSU61-50/5-54 coding for two sgRNAs targeting exons 50 (sgRNADMD1-50) and 54 (sgRNADMD5-54) of the DMD gene. Some cells were also simultaneously transfected with the pBSU61-2-SpCas9 plasmid. The cell DNA was extracted 12, 24, and 48 and 72 hours after the transfections and the SpCas9-FLAG gene was PCR amplified with the primers FWSpCas9 and RVSpCas9. In the cells transfected only with pX458 and the pBSU6-1-50/5-54, a 1633 bp amplicon was detected (Figure 2A, lines 2, 4, 6 and 8) corresponding to the expected non-truncated SpCas9 gene. However, a 658 bp amplicon was detected in cells transfected with the 3 plasmids (Figure 2A, lines 3, 5, 7 and 9) corresponding with the expected SpCas9-FLAG gene truncated following cuts by the two sgRNAs. At short intervals after transfection (i.e., 12 and 24 hr), only some of the SpCas9-FLAG genes were truncated, thus two different SpCas9-FLAG gene amplicons were obtained (1633 bp and of 658 bp (Figure 2A, lines 3 and 5) whereas only the 658 bp amplicon was detected after 48 or 72 hours showing that the SpCas9-FLAG gene was completely repressed (Figure 2A, lines 7 and 9).

The amplicons illustrated in the figure 2A lines 6 (1633 bp) and 7 (658 bp) were cloned into pMiniT and sequenced. The full and truncated SpCas9-FLAG sequences obtained were identical to the expected theoretical sequences (Supplementary Figures 2A and 2B), except for one clone in which there was an insertion of one nucleotide resulting in a frame shift of the SpCas9-FLAG gene (Supplementary Figure 2C).

Detection of the hybrid exon 50-54 in the DMD gene

In this experiment, the DMD gene was also targeted by two sgRNA reacting with exons 50 and 54 to produce the hybrid exon 50-54. This hybrid exon was detected by PCR amplification with primers FWint49DMD and

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RVint54DMD targeting respectively the end of intron 49 and the beginning of intron 54. The expected amplicon of 540 bp was obtained. This band was stronger in the samples from unrepressed SpCas9 control (Figure 2B, lines 3, 5, 7 and 9) and lower in those with a repression of the SpCas9-FLAG gene (Figure 2B, lines 2, 4, 6 and 8).

Demonstration of repression of the SpCas9-FLAG gene in vitro

The deletion of a part of SpCas9-FLAG gene and the generation of the stop codon resulted in a strong reduction of the SpCas9-FLAG protein band. The PAGE-Coomassie results showed a dramatically decrease of the SpCas9-FLAG protein in the cell wells transfected with the plasmids pBSU6-1-50/5-54, pX458 and pBSU61- 2SpCas9 (Figure 2C, lines 3, 5, 7 and 9). There was a stronger expression of the SpCas9-FLAG gene in the cell wells transfected with only the plasmids pBSU6--50/5-54 and pX458 (unrepressed SpCas9-FLAG gene) (Figure 2C, lines 4, 6 and 8). A western blot with an anti-FLAG mouse monoclonal antibody coupled to HRP confirmed this result (Figure 2D).

b) Delayed in vitro repression of the SpCas9-FLAG gene

Detection of the truncated SpCas9 gene

The previous experiment was repeated with the modification that the third plasmid pBSU61-2-SpCas9 was transfected in the cells either simultaneously or 12 or 24 hours later. DNA was extracted from the cells at different times (24, 48 and 72 hours) after the initial transfection and the SpCas9-FLAG gene was PCR amplified as above. Two amplicons (1633 and 658 bp) were present (Figure 3A). The truncated SpCas9-FLAG band (658 bp) was initially present at low intensity in the sample obtained 24 hours after the initial transfection. In these samples, the full-length band (1633 bp) was reduced in intensity in the samples with a delayed administration of the pBSU61-2SpCas9. However, 72 hours after the initial transfection, only truncated SpCas9-FLAG amplicon was detected in the samples in which the pBSU61-2SpCas9 plasmid was transfected at time 0. No truncated SpCas9-FLAG gene band (i.e., 658 bp) was detected in the samples not transfected with pBSU61-2SpCas9. The results showed that the band intensity of the truncated SpCas9-FLAG gene depends on the length of time since the targeting of this gene with the two sgRNAs.

Demonstration of repression of the SpCas9 gene

A western blot for the SpCas9-FLAG protein showed a dramatic decrease of this protein in the samples from the cell wells with simultaneous transfection of the sgRNAs targeting that gene (i.e., transfected with pBSU61- 2SpCas9 at time 0). There was a higher expression of the SpCas9-FLAG protein in the samples transfected with pBSU61-2SpCas9 with a 12 or 24 hours delay and the strongest expression of the SpCas9-FLAG protein was observed in the samples that were not transfected with pBSU61-2SpCas9 (Figure 3B lines 5 and 12).

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Detection of the hybrid DMD exon 50-54

This second experiment also aimed to determine the effects of the delayed transfection of pBSU61-2SpCas9 on the formation of the hybrid DMD exon 50-54. The hybrid DMD exon 50-54 band (at 540 bp) intensity was strong, medium and low in the samples respectively not transfected, transfected with a delay or transfected simultaneously with pBSU61-2SpCas9 (Figure 3C).

1. In vivo experiments

a) In vivo detection of the truncated SpCas9 gene

Transgenic hDMD52/mdx mice containing the human DMD gene with a deletion of exon 52 were used for the in vivo experiments. This deletion changes the reading frame of the DMD gene and thus prevents the expression of the human dystrophin protein under the sarcolemma. Some hDMD52/mdx mice were injected i.v. simultaneously with AAV9SpCas9 (coding for the SpCas9 gene under the CMV promoter) and with AAV9sgRNA1-50/5-54 (coding for two sgRNAs targeting exons 50 and 54 of the DMD gene) (Figure 4A). Twenty- four hours later the mouse M2 was injected i.v. with the AAV9sgRNA1-2-SpCas9. All mice were sacrificed four weeks later. To detect the wild type and the truncated SpCas9, PCR amplifications were performed with DNA samples from the TA, heart and diaphragm. No SpCas9 amplicon was detected in the organs of the negative control mouse (Figure 4B, M1). In the mouse M3 treated with AAV9SpCas9 and AAV9sgRNA1-50/5-54, only the wild type SpCas9 amplicon (1633 bp) was detected in the different organs (Figure 4B). As expected, the truncated SpCas9 amplicon (658 bp) was amplified in the all organs of only the mouse M2 treated with the three AAV9.

b) Repression of the SpCas9 gene

To detect the repression of the SpCas9 gene, western blots were performed with the proteins extracted from the TA, heart and diaphragm. No 150 kDa band was detected in the proteins extracted from the negative control mouse M1 that was not infected with an AAV9SpCas9 (Figure 4C). There was a very low intensity 150 kDa band in the proteins extracted from the mouse M2 treated with three AAV9 (AAV9SpCas9, AAV9sgRNA1- 50/5-54 and AAV9sgRNA1-2SpCas9) but a very strong band was present in the mouse M3 treated with only two AAV9 (AAV9SpCas9 and AAV9sgRNA1-50/5-54) (Figure 4C).

c) Detection of the hybrid exon 50-54 in the DMD gene in vivo

PCR amplification of genomic DNA extracted from TA muscle, the heart and the diaphragm of all three mice was performed by using FWint49DMD and RVint54DMD primers. In the negative control mouse (M1), no hybrid DMD exon 50-54 band of 540 bp was detected in the all DNA samples. The 540 bp amplicon due to the presence of the hybrid DMD exon 50-54 was detected in the samples from the mice threated with AAV9sgRNA1-50/5-54,

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AAV9SpCas9 and AAV9sgRNA1-2SpCas9 (M2) or with AAV9sgRNA1-50/5-54 and AAV9SpCas9 (M3). The intensity of the band due to DMD hybrid exon 50-54 was slightly stronger in the samples from the mouse M3 than in those from the mouse M2 (Figures 4D).

2. Insertion of a short oligonucleotide at the DSB sites in Cas9 and DMD genes

We used Guide-Seq method to detect the presence of off-target mutations. HEK 239T cells were thus transfected with plasmids coding for the SpCas9-FLAG, the sgRNAs targeting exons 50 and 54 of the DMD gene and with a 34 bp double stranded oligonucleotide (dsODN) with phosphothiorate linkages at the 5′ and 3′ ends of both strands. For the PCR amplification, we used a forward primer binding to the DMD intron 49 (FWint49DMD) and a reverse primer reacting with the dsODN (RVdsODN). A second PCR used a forward primer binding to the dsODN (FWdsODN) and a reverse primer binding to DMD intron 50 antisense strand (RVint50DMD). Both PCR produced amplicons with the expected theoretical size thus showing the insertion of the dsODN into the cleavage site located in exon 50 of DMD gene. These amplicons were not amplified in the negative control (Figure 5A line 1). Similar results were also obtained using primers to amplify DMD exon 54 using a forward primer reacting with intron 53 (FWint53DMD) and a reverse primer (RVdsODN) reacting with the dsODN producing a 824 nucleotides amplicon and with a second PCR using forward primers reacting with the dsODN (FWdsODN) and a reverse primer reacting with DMD intron 54 (RVint54DMD) producing a 414 nucleotides amplicon

. Both PCR demonstrated the insertion of the dsODN into the cleavage site of the

exon 54 DMD (Figure 5B).

To detect the insertion of the dsODN into the cleavage sites of the SpCas9-FLAG gene, two different PCR were done. The first PCR used a forward primer reacting with the SpCas9 gene (FWSpCas9) and a reverse primer reacting with the dsODN (RVdsODN). The second PCR used a forward primer reacting with the dsODN (FWdsOND) and a reverse primer reacting with the Cas9 gene (RVSpCas9). As for genomic DNA, the amplicons obtained confirm the insertion of the dsODN into the cleavage sites generated in the SpCas9-FLAG gene by Hara-Kiri (Figure 5C1).

4. Amplification of truncated SpCas9-FLAG gene after insertion of the dsODN

The SpCas9-FLAG gene was amplified with primers FWSpCas9 and RVSpCas9 from DNA extracted from HEK 293T cells that received different treatments: transfected or not with the plasmids inducing Hara-Kiri (pBSU61-2- SpCas9) and co-transfected or not with the dsODN. Paradoxically, the intensity of the truncated SpCas9-FLAG amplicon bands in the wells co-transfected with the Hara-Kiri plasmids and the dsODN was lower than in the wells transfected with the Hara-Kiri plasmids without the dsODN (Figure 5C1, lines 7, 7 and 11). To find out if there has been any repression of SpCas9-FLAG in the wells transfected with the dsODN, a western blot with

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anti-FLAG was performed. The western blot confirmed the repression of the SpCas9 expression with Hara-Kiri despite the low intensity of the truncated SpCas9-FLAG gene amplicon band (Figure 5C4, lines 3, 7 and 11)

4. Guide-Seq data

The results of high-throughput sequencing are summarized in Table 5. They include the percentages on target and off target reads obtained following the transfection of 293T cells as indicated in materials and methods. The on target reads include insertion of the dsODN in the SpCas9 gene in the R samples transfected with the gRNAs targeting that gene (data not shown). The off-target reads were higher percentages of total reads in the NR samples (lines 1, 3 and 5 respectively 25%, 26% and 18% of all reads) in which the SpCas9 gene was not repressed than in the R samples (lines 2, 4 and 6 respectively 4%, 5% and 6% of all reads) in which the SpCas9 gene was repressed by two gRNAs (Hara-Kiri).

It is important to note that all off target sites identified by the Guide-Seq procedure were those that have been identified in silico with the mit.educ platform. Off target with a high score in silico were also those for which we have identified a larger number of reads. This is particularly true for gRNA1-50 and off target at chromosome 12. More than half of the off target mutations for this gRNA are located at that predicted site. Similar results were also obtained with gRNAs5-54 and 1-50 / 5-54.

The Hara-Kiri repression drastically reduced the percentage of off target mutations. The remains of reads that were highlighted by deep sequencing are those that were most represented in the NR samples. Transfection of plasmid pBSU61-2SpCas9 coding for two gRNAs targeting the SpCas9 gene did not induced mutations at new off-target sites.

Discussion

The molecular Hara-Kiri method aims to suppress the expression of SpCas9 using the CRISPR induced deletion (CinDel) approach, that we developed previously [84]. Here, instead of creating a new in frame codon, this approach used two sgRNAs targeting two sites of the SpCas9-FLAG gene located either in the pX458 expression plasmid (Figure 1A, 1B) or the SpCas9 gene present in the AAVSpCas9 vector (Figure 4B). DSBs occurred at two selected sites of the SpCas9 gene when the Cas9 protein was recruited at the PAM