Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.

Genetic medicines, including CRISPR/Cas technologies, extend tremendous promise for addressing unmet medical need in inherited retinal disorders and other indications; however, there remain challenges for the development of therapeutics. Herein, we evaluate genome editing by engineered Cas9 ribonucl...

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Main Authors: Spencer C Wei, Aaron J Cantor, Jack Walleshauser, Rina Mepani, Kory Melton, Ashil Bans, Prachi Khekare, Suhani Gupta, Jonathan Wang, Craig Soares, Radwan Kiwan, Jieun Lee, Shannon McCawley, Vihasi Jani, Weng In Leong, Pawan K Shahi, Jean Chan, Pierre Boivin, Peter Otoupal, Bikash R Pattnaik, David M Gamm, Krishanu Saha, Benjamin G Gowen, Mary Haak-Frendscho, Mary J Janatpour, Adam P Silverman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317387
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author Spencer C Wei
Aaron J Cantor
Jack Walleshauser
Rina Mepani
Kory Melton
Ashil Bans
Prachi Khekare
Suhani Gupta
Jonathan Wang
Craig Soares
Radwan Kiwan
Jieun Lee
Shannon McCawley
Vihasi Jani
Weng In Leong
Pawan K Shahi
Jean Chan
Pierre Boivin
Peter Otoupal
Bikash R Pattnaik
David M Gamm
Krishanu Saha
Benjamin G Gowen
Mary Haak-Frendscho
Mary J Janatpour
Adam P Silverman
author_facet Spencer C Wei
Aaron J Cantor
Jack Walleshauser
Rina Mepani
Kory Melton
Ashil Bans
Prachi Khekare
Suhani Gupta
Jonathan Wang
Craig Soares
Radwan Kiwan
Jieun Lee
Shannon McCawley
Vihasi Jani
Weng In Leong
Pawan K Shahi
Jean Chan
Pierre Boivin
Peter Otoupal
Bikash R Pattnaik
David M Gamm
Krishanu Saha
Benjamin G Gowen
Mary Haak-Frendscho
Mary J Janatpour
Adam P Silverman
author_sort Spencer C Wei
collection DOAJ
description Genetic medicines, including CRISPR/Cas technologies, extend tremendous promise for addressing unmet medical need in inherited retinal disorders and other indications; however, there remain challenges for the development of therapeutics. Herein, we evaluate genome editing by engineered Cas9 ribonucleoproteins (eRNP) in vivo via subretinal administration using mouse and pig animal models. Subretinal administration of adenine base editor and double strand break-inducing Cas9 nuclease eRNPs mediate genome editing in both species. Editing occurs in retinal pigmented epithelium (RPE) and photoreceptor cells, with favorable tolerability in both species. Using transgenic reporter strains, we determine that editing primarily occurs close to the site of administration, within the bleb region associated with subretinal injection. Our results show that subretinal administration of BE-eRNPs in mice mediates base editing of up to 12% of the total neural retina, with an average rate of 7% observed at the highest dose tested. In contrast, a substantially lower editing efficiency was observed in minipigs; even with direct quantification of only the treated region, a maximum base editing rate of 1.5%, with an average rate of <1%, was observed. Our data highlight the importance of species consideration in preclinical studies for the development of genetic medicines targeting the eye and provide an example of a lack of translation between small and larger animal models in the context of subretinal administration of Cas9 eRNPs.
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spelling doaj-art-8b17b71bf6384e7eb8b7c60e32f9518b2025-07-10T05:31:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e031738710.1371/journal.pone.0317387Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.Spencer C WeiAaron J CantorJack WalleshauserRina MepaniKory MeltonAshil BansPrachi KhekareSuhani GuptaJonathan WangCraig SoaresRadwan KiwanJieun LeeShannon McCawleyVihasi JaniWeng In LeongPawan K ShahiJean ChanPierre BoivinPeter OtoupalBikash R PattnaikDavid M GammKrishanu SahaBenjamin G GowenMary Haak-FrendschoMary J JanatpourAdam P SilvermanGenetic medicines, including CRISPR/Cas technologies, extend tremendous promise for addressing unmet medical need in inherited retinal disorders and other indications; however, there remain challenges for the development of therapeutics. Herein, we evaluate genome editing by engineered Cas9 ribonucleoproteins (eRNP) in vivo via subretinal administration using mouse and pig animal models. Subretinal administration of adenine base editor and double strand break-inducing Cas9 nuclease eRNPs mediate genome editing in both species. Editing occurs in retinal pigmented epithelium (RPE) and photoreceptor cells, with favorable tolerability in both species. Using transgenic reporter strains, we determine that editing primarily occurs close to the site of administration, within the bleb region associated with subretinal injection. Our results show that subretinal administration of BE-eRNPs in mice mediates base editing of up to 12% of the total neural retina, with an average rate of 7% observed at the highest dose tested. In contrast, a substantially lower editing efficiency was observed in minipigs; even with direct quantification of only the treated region, a maximum base editing rate of 1.5%, with an average rate of <1%, was observed. Our data highlight the importance of species consideration in preclinical studies for the development of genetic medicines targeting the eye and provide an example of a lack of translation between small and larger animal models in the context of subretinal administration of Cas9 eRNPs.https://doi.org/10.1371/journal.pone.0317387
spellingShingle Spencer C Wei
Aaron J Cantor
Jack Walleshauser
Rina Mepani
Kory Melton
Ashil Bans
Prachi Khekare
Suhani Gupta
Jonathan Wang
Craig Soares
Radwan Kiwan
Jieun Lee
Shannon McCawley
Vihasi Jani
Weng In Leong
Pawan K Shahi
Jean Chan
Pierre Boivin
Peter Otoupal
Bikash R Pattnaik
David M Gamm
Krishanu Saha
Benjamin G Gowen
Mary Haak-Frendscho
Mary J Janatpour
Adam P Silverman
Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
PLoS ONE
title Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
title_full Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
title_fullStr Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
title_full_unstemmed Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
title_short Evaluation of subretinally delivered Cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines.
title_sort evaluation of subretinally delivered cas9 ribonucleoproteins in murine and porcine animal models highlights key considerations for therapeutic translation of genetic medicines
url https://doi.org/10.1371/journal.pone.0317387
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