Pseudoknot-targeting Cas13b combats SARS-CoV-2 infection by suppressing viral replication

Mol Ther. 2023 Jun 7;31(6):1675-1687. doi: 10.1016/j.ymthe.2023.03.018. Epub 2023 Mar 21.

Abstract

CRISPR-Cas13-mediated viral genome targeting is a novel strategy for defending against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants. Here, we generated mRNA-encoded Cas13b targeting the open reading frame 1b (ORF1b) region to effectively degrade the RNA-dependent RNA polymerase gene. Of the 12 designed CRISPR RNAs (crRNAs), those targeting the pseudoknot site upstream of ORF1b were found to be the most effective in suppressing SARS-CoV-2 propagation. Pseudoknot-targeting Cas13b reduced expression of the spike protein and attenuated viral replication by 99%. It also inhibited the replication of multiple SARS-CoV-2 variants, exhibiting broad potency. We validated the therapeutic efficacy of this system in SARS-CoV-2-infected hACE2 transgenic mice, demonstrating that crRNA treatment significantly reduced viral titers. Our findings suggest that the pseudoknot region is a strategic site for targeted genomic degradation of SARS-CoV-2. Hence, pseudoknot-targeting Cas13b could be a breakthrough therapy for overcoming infections by SARS-CoV-2 or other RNA viruses.

Keywords: anti-SARS-CoV-2 drug; mRNA-encoded CRISPR-Cas13 system; pseudoknot region; viral frameshifting site.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • COVID-19*
  • Mice
  • RNA, Viral / genetics
  • RNA, Viral / metabolism
  • SARS-CoV-2 / genetics
  • Virus Replication

Substances

  • RNA, Viral

Supplementary concepts

  • SARS-CoV-2 variants