背景:近年来,一种称为成簇规则间隔短回文重复序列(CRISPR)/Cas9的基因编辑技术已经被开发出来,并正在逐步进入临床试验.虽然目前的抗病毒治疗无法消除乙型肝炎病毒(HBV),它是CRISPR/Cas9技术的主要目标。这项研究的目的是提高CRISPR/Cas9抑制HBV复制的疗效,降低HBsAg和HBeAg水平,并消除共价闭合环状DNA(cccDNA)。
方法:为了增强CRISPR/Cas9的抗HBV有效性,我们的研究深入研究了双向导RNA(gRNA)策略。在评估有效阻碍HBV复制的多个gRNA的抗病毒活性后,我们鉴定了3种特定的gRNA-即10,4和21.选择这些gRNA以靶向HBV基因组内不同但保守的区域。
结果:在HBV稳定细胞系中,即HepAD38和HepG2-NTCP细胞的HBV感染模型,我们的调查显示,在CRISPR/Cas9系统内,gRNA-10与gRNA-4或gRNA-21的共同应用表现出增强的功效,阻碍HBV复制,降低HBsAg的水平,HBeAg,和cccDNA水平,与使用单个gRNA相比,HBsAg清除更明显的促进。
结论:采用双gRNA的CRISPR/Cas9系统已被证明在抑制HBV复制和促进HBsAg清除方面非常有效。这个有希望的结果表明,它有可能成为实现HBV感染患者的功能治愈的新方法。
BACKGROUND: In recent years, a gene-editing technology known as clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9 has been developed and is progressively advancing into clinical trials. While current antiviral therapies are unable to eliminate the Hepatitis B virus (HBV), it stands as a prime target for the CRISPR/Cas9 technology. The objective of this study was to enhance the efficacy of CRISPR/Cas9 in suppressing HBV replication, lowering HBsAg and HBeAg levels, and eliminating covalently closed circular DNA (cccDNA).
METHODS: To enhance the anti-HBV effectiveness of CRISPR/Cas9, our study delved into a dual-guide RNA (gRNA) strategy. After evaluating the antiviral activities of multiple gRNAs that effectively impeded HBV replication, we identified three specific gRNAs-namely 10, 4, and 21. These gRNAs were selected for their targeting of distinct yet conserved regions within the HBV genome.
RESULTS: In HBV-stable cell lines, namely HepAD38, and HBV infection models of HepG2-NTCP cells, our investigation revealed that the co-application of gRNA-10 with either gRNA-4 or gRNA-21 within the CRISPR/Cas9 system demonstrated heightened efficacy in impeding HBV replication, reducing the levels of HBsAg, HBeAg, and cccDNA levels, along with a more pronounced promotion of HBsAg clearance when compared to the use of a single gRNA.
CONCLUSIONS: The CRISPR/Cas9 system employing dual gRNAs has proven highly effective in both suppressing HBV replication and facilitating HBsAg clearance. This promising outcome suggests that it holds potential to emerge as a novel approach for achieving the functional cure of patients with HBV infection.