2020
DOI: 10.1126/sciadv.aba5614
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A gene therapy for inherited blindness using dCas9-VPR–mediated transcriptional activation

Abstract: Catalytically inactive dCas9 fused to transcriptional activators (dCas9-VPR) enables activation of silent genes. Many disease genes have counterparts, which serve similar functions but are expressed in distinct cell types. One attractive option to compensate for the missing function of a defective gene could be to transcriptionally activate its functionally equivalent counterpart via dCas9-VPR. Key challenges of this approach include the delivery of dCas9-VPR, activation efficiency, long-term expression of the… Show more

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Cited by 38 publications
(26 citation statements)
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“…CRISPR-based synthetic transcriptional control may lay the basis for personalized and precision medicine. Efficient transcription regulation mediated by CRISPR-mediated gene activation (CRISPRa) systems was demonstrated in vivo in the brain, liver, kidney and skeletal muscle as well as mouse model of human diseases including muscle dystrophy, diabetes, kidney and brain diseases using different delivery methods (84)(85)(86)(87). Preclinical models using dCas9-targeted transcription factor regulation have shown great promise for treating disorders such as Duchenne's muscular dystrophy, type 1 diabetes, acute kidney disease and retinitis pigmentosa (84,85,88).…”
Section: Crispr-mediated Control Of Transcription In Preclinical Modelsmentioning
confidence: 99%
“…CRISPR-based synthetic transcriptional control may lay the basis for personalized and precision medicine. Efficient transcription regulation mediated by CRISPR-mediated gene activation (CRISPRa) systems was demonstrated in vivo in the brain, liver, kidney and skeletal muscle as well as mouse model of human diseases including muscle dystrophy, diabetes, kidney and brain diseases using different delivery methods (84)(85)(86)(87). Preclinical models using dCas9-targeted transcription factor regulation have shown great promise for treating disorders such as Duchenne's muscular dystrophy, type 1 diabetes, acute kidney disease and retinitis pigmentosa (84,85,88).…”
Section: Crispr-mediated Control Of Transcription In Preclinical Modelsmentioning
confidence: 99%
“…In addition to using CRISPR/Cas9 for gene editing, there are several alternative approaches that utilize a dead (d)Cas9/gRNA to target a transcriptional regulator to the appropriate place in the genome. A recent exciting study used this approach to target the VPR transcriptional activator (dCas9-VPR) to the M-opsin gene ( Opn1mw ) with an Opn1mw -specific gRNA where it activates gene transcription ( Bohm et al, 2020 ). When dCas9-VPR/ Opn1mw -gRNA under the control of the rhodopsin promoter was delivered to the Rho ± retina, researchers observed expression of M-opsin in rods, and importantly, improvements in scotopic vision and retinal structure.…”
Section: Gene Therapy In the Retina And Cochleamentioning
confidence: 99%
“…Alternatively, HSF4 mutants that lead to defective gene function can be restored by using CRISPR-activation (CRISPRa) approach. Such a technique has been successfully carried out in treating other inherited blindness [ 119 ]. The study showed that transactivation of photoreceptor-specific M-opsin (Opn1mw) resulted in prolonged retinal function and delayed retinal degradation in a mouse model.…”
Section: Future Perspectives and Concluding Remarksmentioning
confidence: 99%