Site-specific gene correction of a point mutation in human iPS cells derived from an adult patient with sickle cell disease

J Zou, P Mali, X Huang, SN Dowey… - Blood, The Journal of …, 2011 - ashpublications.org
J Zou, P Mali, X Huang, SN Dowey, L Cheng
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
Human induced pluripotent stem cells (iPSCs) bearing monogenic mutations have great
potential for modeling disease phenotypes, screening candidate drugs, and cell
replacement therapy provided the underlying disease-causing mutation can be corrected.
Here, we report a homologous recombination-based approach to precisely correct the sickle
cell disease (SCD) mutation in patient-derived iPSCs with 2 mutated β-globin alleles (β s/β
s). Using a gene-targeting plasmid containing a loxP-flanked drug-resistant gene cassette to …
Abstract
Human induced pluripotent stem cells (iPSCs) bearing monogenic mutations have great potential for modeling disease phenotypes, screening candidate drugs, and cell replacement therapy provided the underlying disease-causing mutation can be corrected. Here, we report a homologous recombination-based approach to precisely correct the sickle cell disease (SCD) mutation in patient-derived iPSCs with 2 mutated β-globin alleles (βss). Using a gene-targeting plasmid containing a loxP-flanked drug-resistant gene cassette to assist selection of rare targeted clones and zinc finger nucleases engineered to specifically stimulate homologous recombination at the βs locus, we achieved precise conversion of 1 mutated βs to the wild-type βA in SCD iPSCs. However, the resulting co-integration of the selection gene cassette into the first intron suppressed the corrected allele transcription. After Cre recombinase-mediated excision of this loxP-flanked selection gene cassette, we obtained “secondary” gene-corrected βsA heterozygous iPSCs that express at 25% to 40% level of the wild-type transcript when differentiated into erythrocytes. These data demonstrate that single nucleotide substitution in the human genome is feasible using human iPSCs. This study also provides a new strategy for gene therapy of monogenic diseases using patient-specific iPSCs, even if the underlying disease-causing mutation is not expressed in iPSCs.
ashpublications.org