In Vivo Ovarian Cancer Gene Therapy Using CRISPR-Cas9

Hum Gene Ther. 2018 Feb;29(2):223-233. doi: 10.1089/hum.2017.209.

Abstract

Clustered regularly interspaced short palindromic repeats (CRISPR)-caspase 9 (Cas9) genome editing technology holds great promise for the field of human gene therapy. However, a lack of safe and effective delivery systems restricts its biomedical application. Here, a folate receptor-targeted liposome (F-LP) was used to deliver CRISPR plasmid DNA co-expressing Cas9 and single-guide RNA targeting the ovarian cancer-related DNA methyltransferase 1 (DNMT1) gene (gDNMT1). F-LP efficiently bound the gDNMT1 plasmid and formed a stable complex (F-LP/gDNMT1) that was safe for injection. F-LP/gDNMT1 effectively mutated endogenous DNMT1 in vitro, and then expressed the Cas9 endonuclease and downregulated DNMT1 in vivo. The tumor growth of both paclitaxel-sensitive and -resistant ovarian cancers were inhibited by F-LP/gDNMT1, which shows fewer adverse effects than paclitaxel injection. Therefore, CRISPR-Cas9-targeted DNMT1 manipulation may be a potential therapeutic regimen for ovarian cancer, and lipid-mediated delivery systems represent promising delivery vectors of CRISPR-Cas9 technology for precise genome editing therapeutics.

Keywords: CRISPR; DNA methyltransferase; gene delivery; ovarian cancer; targeted therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • CRISPR-Cas Systems / genetics
  • Cell Proliferation / drug effects
  • DNA (Cytosine-5-)-Methyltransferase 1 / genetics*
  • DNA (Cytosine-5-)-Methyltransferase 1 / therapeutic use
  • Drug Resistance, Neoplasm / genetics
  • Female
  • Folate Receptor 1 / genetics
  • Folate Receptor 1 / therapeutic use
  • Gene Editing
  • Gene Expression Regulation, Neoplastic
  • Gene Transfer Techniques*
  • Genetic Therapy*
  • Humans
  • Liposomes / administration & dosage
  • Liposomes / chemistry
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / genetics*
  • Ovarian Neoplasms / pathology
  • Paclitaxel / administration & dosage
  • Paclitaxel / adverse effects

Substances

  • Folate Receptor 1
  • Liposomes
  • DNA (Cytosine-5-)-Methyltransferase 1
  • DNMT1 protein, human
  • Paclitaxel