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Focus Feature on Gene Editing: Catching up on CRISPR

A roundup of recent CRISPR gene editing R&D news, plus a Q&A and two commentaries from experts in the field
| 16 min read

Focus Feature: CRISPR Gene Editing

Catching up on CRISPR

A roundup of recent CRISPR R&D news, beginning with a COVID-19 test from UCSF and Mammoth

By Jeffrey Bouley

Scientists at the University of California, San Francisco (UCSF)—along with researchers at Mammoth Biosciences—have developed what they say is an inexpensive new test that can rapidly diagnose COVID-19 infections.

The partners say that the new test—officially named the SARS-CoV-2 DETECTR—is easy to implement and to interpret, and requires no specialized equipment, which could make the test more widely available than the current crop of COVID-19 test kits, if it were to receive regulatory approval—UCSF researchers are clinically validating the test in an effort to fast-track the approval through the emergency use authorization path.

“The introduction and availability of CRISPR technology will accelerate deployment of the next generation of tests to diagnose COVID-19 infection,” said Dr. Charles Chiu, a professor of laboratory medicine at UCSF and co-lead developer of the new test, which is described in a paper published April 16, 2020, in the journal Nature Biotechnology.

The new SARS-CoV-2 DETECTR assay is among the first to use CRISPR gene-targeting technology to test for the presence of the novel coronavirus. Since CRISPR can be modified to target any genetic sequence, the test kit’s developers “programmed” it to home in on two target regions in the genome of the novel coronavirus. One of these sequences is common to all “SARS-like” coronaviruses, while the other is unique to SARS-CoV-2, which causes COVID-19. Testing for the presence of both sequences ensures that the new DETECTR tool can distinguish between SARS-CoV-2 and closely related viruses.

Much like the diagnostic kits currently in use, the new test can detect the novel coronavirus in samples obtained from respiratory swabs. However, the new test is able to provide a diagnosis much more quickly. While the widely used tests based on polymerase chain reaction (PCR) techniques take about four hours to produce a result from a respiratory sample, the new DETECTR test takes only 45 minutes, rapidly accelerating the pace of diagnosis.

Another key advantage of the new DETECTR test is that it can be performed in virtually any lab, using off-the-shelf reagents and common equipment. This stands in stark contrast to PCR-based tests, which require expensive, specialized equipment.

CRISPR plays key role in new brain cancer model

Sticking with university-based research and the UC system in California—this time in San Diego—we have news from early in the year from researchers at the UC San Diego School of Medicine. Using genetically engineered human pluripotent stem cells, they created a new type of cancer model to study in vivo how glioblastoma, the most common and aggressive form of brain cancer, develops and changes over time.

“We have developed stem cell models that are CRISPR-engineered to have tumor-associated driver mutations in glioblastoma, which harbor essentially all features of patient-derived tumors, including extrachromosomal DNA amplification,” said co-senior author Dr. Frank B. Funari, a professor in the Department of Pathology at the medical school and head of the Laboratory of Tumor Biology in the San Diego branch of the Ludwig Institute for Cancer Research.

“These models, or avatars as we call them, enable us to study human tumor development over long periods in vivo, which has not been feasible with patient-derived tissue samples which already harbor other genetic changes.”

Reporting in the Jan. 28 issue of Nature Communications, researchers used CRISPR editing to make precise mutations in an otherwise “normal” genome to create the genetic conditions that enable tumor development. The resulting avatars are unique in that they behave like a grade 4 glioma—a fast-growing type of tumor that starts in the glial cells of the brain.

“The addition of single-cell RNA sequencing and computational tools enabled efficient analysis of big data to truly evaluate the surprising intra-tumor heterogeneity present in our avatars which replicates what is seen in patients samples,” noted co-senior author Dr. Gene W. Yeo, a professor in the Department of Cellular and Molecular Medicine and the Institute for Genomic Medicine at UC San Diego and faculty member in the Sanford Consortium for Regenerative Medicine.

Existing mouse models work for testing drugs for specific mutations, but do not account for the diverse ways that tumors can develop. Human tissue samples do not allow for standardization in testing. This new avatar modeling system, according to the authors, provides a platform for standardized studies on tumor biology and evolution.

“We can now test which mutations predicted by cancer genome projects are truly tumor-driving, and how they become invasive,” remarked Yeo. “More importantly, these cancer avatars provide systematic, well-controlled opportunities for drug discovery.”

First trial for a CRISPR bacteriophage therapy

Moving on to North Carolina and the more commercial side of CRISPR R&D, Research Triangle Park-based Locus Biosciences announced earlier this year that it was enrolling patients for a Phase 1b clinical trial evaluating LBP-EC01, a CRISPR/Cas3-enhanced bacteriophage (crPhage) product that will target Escherichia coli bacteria causing urinary tract infections (UTIs). As the world’s first controlled clinical trial for a recombinant bacteriophage therapy, this trial represents a significant milestone for the field, the company noted.

LBP-EC01 is a bacteriophage cocktail that has been engineered with a CRISPR/Cas3 construct targeting the E. coli genome. The product works through a unique dual mechanism of action utilizing both the natural lytic activity of the bacteriophage along with the DNA-targeting activity of CRISPR/Cas3. This dual mechanism reportedly makes LBP-EC01 significantly more effective at killing E. coli cells than corresponding natural bacteriophages, as shown both in laboratory tests and in small animal models of urinary tract infection.

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