Efficient gene editing of human long-term hematopoietic stem cells validated by clonal tracking

Nat Biotechnol. 2020 Nov;38(11):1298-1308. doi: 10.1038/s41587-020-0551-y. Epub 2020 Jun 29.

Abstract

Targeted gene editing in hematopoietic stem cells (HSCs) is a promising treatment for several diseases. However, the limited efficiency of homology-directed repair (HDR) in HSCs and the unknown impact of the procedure on clonal composition and dynamics of transplantation have hampered clinical translation. Here, we apply a barcoding strategy to clonal tracking of edited cells (BAR-Seq) and show that editing activates p53, which substantially shrinks the HSC clonal repertoire in hematochimeric mice, although engrafted edited clones preserve multilineage and self-renewing capacity. Transient p53 inhibition restored polyclonal graft composition. We increased HDR efficiency by forcing cell-cycle progression and upregulating components of the HDR machinery through transient expression of the adenovirus 5 E4orf6/7 protein, which recruits the cell-cycle controller E2F on its target genes. Combined E4orf6/7 expression and p53 inhibition resulted in HDR editing efficiencies of up to 50% in the long-term human graft, without perturbing repopulation and self-renewal of edited HSCs. This enhanced protocol should broaden applicability of HSC gene editing and pave its way to clinical translation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Base Sequence
  • Cell Lineage
  • Cell Tracking*
  • Clone Cells
  • Dependovirus / metabolism
  • G2 Phase
  • Gene Editing*
  • HEK293 Cells
  • Hematopoietic Stem Cells / cytology*
  • Humans
  • Mice
  • Recombinational DNA Repair
  • Reproducibility of Results
  • S Phase
  • Transcription, Genetic
  • Transplantation, Heterologous
  • Tumor Suppressor Protein p53 / metabolism
  • Up-Regulation
  • Viral Proteins / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Tumor Suppressor Protein p53
  • Viral Proteins