How mRNA and CRISPR-Cas9 could treat muscle atrophy


Researchers use mRNA to introduce the gene editor CRISPR-Cas9 into human muscle stem cells. These cells fused into multinucleated myotubes following mRNA-mediated CRISPR-Cas9 gene editing. A myosin heavy chain is seen in green and the nuclei in blue. Photo: Spuler Lab

A team of researchers from Experimental and Clinical Research Center (ECRC) has introduced the gene editor CRISPR-Cas9 into human muscle stem cells for the first time using messenger RNA (mRNA), potentially discovering a method suitable for therapeutic applications. 

The researchers are aiming to discover if this tool can repair mutations that lead to muscle atrophy in humans, and they are one step closer after finding that the method worked in mice suffering from the condition. But the method had a catch, ECRC researcher Helena Escobar says.  

“We introduced the genetic instructions for the gene editor into the stem cells using plasmids – which are circular, double-stranded DNA molecules derived from bacteria.” But plasmids could unintentionally integrate into the genome of human cells, which is also double stranded, and then lead to undesirable effects that are difficult to assess. “That made this method unsuitable for treating patients,” Escobar says.   

Getting mRNA Into Stem Cells

So the team set out to find a better alternative. They found it in the form of mRNA, a single-stranded RNA molecule that recently gained acclaim as a key component of two Covid-19 vaccines. 

To get the mRNA into the stem cells, the researchers used a process called electroporation, which temporarily makes cell membranes more permeable to larger molecules. “With the help of mRNA containing the genetic information for a green fluorescent dye, we first demonstrated that the mRNA molecules entered almost all the stem cells,” explains Christian Stadelmann, a doctoral student at ECRC.  

In the next step, the team used a deliberately altered molecule on the surface of human muscle stem cells to show that the method can be used to correct gene defects in a targeted manner.   

Paving the Way for a Clinical Trial 

Finally, the team tried out a tool similar to the CRISPR-Cas9 gene editor that does not cut the DNA, but only tweaks it at one spot with accuracy. In petri dish experiments, Stadelmann and his team were able to show that the corrected muscle stem cells are just as capable as healthy cells of fusing with each other and forming young muscle fibers. 

Their latest paper, which is appearing in the journal Molecular Therapy Nucleic Acids, paves the way for a clinical trial for patients with hereditary muscle atrophy. The team expects to enroll five to seven patients toward the end of the year. 

“Of course we cannot expect miracles,” says Simone Spuler, head of the Myology Lab at ECRC. “Sufferers who are in wheelchairs won’t just get up and start walking after the therapy. But for many patients, it is already a big step forward when a small muscle that is important for grasping or swallowing functions better again.” 

Read the source article here.

One thought on “How mRNA and CRISPR-Cas9 could treat muscle atrophy

  1. Most of the human genes contain exons and introns. The numbers of intron in one gene are varying from the others. All genes have to be expressed in order to function. The first step in expression is transcription of the gene into complementary RNA strand. Some genes contain introns and therefore transcript the primary RNA transcript with introns. Those introns are removed from RNA transcript by the process of splicing. Most splicing occurs between exons on a single RNA transcript but occasionally trans-splicing occurs in which exon of different pre-mRNA are ligated together. The splicing process occurs in cellular machinery called spliceosomes in which the snRNPs are found along with additional proteins.

    Human genome contains 26,564 annotated genes, 233,785 are exons whereas 207,344 are introns. On average, there are 8.8 exons and 7.8 introns pergene. There is about 80% of the exons on each chromosome are <200bp in length, whereas <0.01% of introns are<20bp in length and <10% of introns are 11,000bp in length. These results suggest constraints on the splicing to splice out very long or very short introns. The similar phenomenon was seen in CRISTPR-Cas9 technology, long intron sequences and high numbers of introns in one gene may hinder the efficiency of editing tool. Prokaryotes only has exon in their genome and therefore CRISTPR-Cas9 has high efficiency of gene, editing in these models. Hence, human gene without intron or least introns may substantially improve the efficiency of gene editing. Both DNA-based editing tool and mRNA-mediated delivery of SpCas9 may easily off target in gene constitutes long intron sequences or high numbers of introns. As a result, edited gene product containing intron or uncorrected version of protein are hallmarks of health risk issues to the patients with cell-based transplanted genetic modifying approach. Although experimental study proved that mRNA-mediated delivery ABE7.10 results in highly efficiency mRNA nucleofection, selection-free base editing and maintain biological properties of myogenic characteristic. The expression of the cloned gene may have a harmful effect on the host cell, even if the translation product itself is not toxic. The energy and molecular drain caused by the rapid expression of a cloned gene may put recombinant MuSc at a selective disadvantage, in terms of growth rate and cell stability, when compared with a non-recombinant cell.

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