Despite enormous advances in translational biomedical research, there remains a growing demand for improved animal models of human disease. This is particularly true for diseases where rodent models do not reflect the human disease phenotype. Compared to rodents, pig anatomy and physiology are more similar to humans in cardiovascular, immune, respiratory, skeletal muscle, and metabolic systems. Importantly, efficient and precise techniques for genetic engineering of pigs are now available, facilitating the creation of tailored large animal models that mimic human disease mechanisms at the molecular level. In this article, the benefits of genetically engineered pigs for basic and translational research are exemplified by a novel pig model of Duchenne muscular dystrophy and by porcine models of cystic fibrosis. Particular emphasis is given to potential advantages of using these models for efficacy and safety testing of targeted therapies, such as exon skipping and gene editing, for example, using the clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated system. In general, genetically tailored pig models have the potential to bridge the gap between proof-of-concept studies in rodents and clinical trials in patients, thus supporting translational medicine.Keywords pig, disease model, Duchenne muscular dystrophy, cystic fibrosis, exon skipping, genome editing, CRISPR/Cas
Genetically Engineered Pig Models of Human Monogenic DiseasesRare monogenic diseases are an attractive market for the pharmaceutical industry, since they provide-once the underlying mutation is identified-validated targets for drug development (Brinkman et al. 2006) or genetic treatment approaches (O'Connor and Crystal 2006). Development of drugs for these orphan diseases frequently has higher success rates and shorter times to approval and may-in spite of much smaller target patient populations-generate potential lifetime revenues comparable to nonorphan drugs (Fagnan et al. 2014). Currently the molecular etiology for more than half of the estimated 7,000 rare monogenic human diseases is known, and marked acceleration of disease gene discovery is expected from the dramatic improvements in DNA-sequencing technologies and associated analyses (Boycott et al. 2013). Model organisms are required to dissect the biological consequences of a particular mutation and to provide proof of concept for therapeutic intervention. The mouse is the most widely used model organism in mammalian genetics, and powerful platforms/networks for large-scale systematic mutagenesis and standardized phenotyping have been established (Bradley et al. 2012;Infrafrontier Consortium 2015). However, mutant mouse models do not always reflect the phenotypes of the corresponding human genetic diseases.Moreover, translation of findings in mouse models into clinical studies and applications may be difficult. Thus, large animal models mimicking human anatomy and physiology more closely are additionally needed. In this respect, the pig as a monogastri...