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OR02

CRISPR-Cas9 globin editing can induce megabase-scale copy-neutral losses of heterozygosity in hematopoietic cells leading to imprinting defects

J Rosier ¹ ²   J Boutin ¹ ² ⁴   D Cappellen ¹ ² ⁴   I Lamrissi-Garcia ¹ ²   V Guyonnet-Duperat ¹ ³   S Dabernat ¹ ²   F Moreau-Gaudry ¹ ² ³ ⁴   A Bedel ¹ ² ⁴

1: Université Bordeaux    2: INSERM U1035    3: INSERM US 005 vectorology platform    4: chu Bordeaux

CRISPR-Cas9 is a powerful tool with tremendous potential for the treatment of hereditary diseases. However, in addition to the well-described off-target genotoxicity, an on-target genotoxicity can occur when generating a targeted double strand break. This kind of genotoxicity induced by CRISPR-Cas9 nuclease is less known and needs to be further investigated. When targeting the globin genes, we discovered that genome editing could induces megabase-scale losses of heterozygosity from globin cut site to the telomere (5.2Mb). In HEK293T cells, CRISPR-Cas9 nuclease lead to the truncation of the terminal chromosome 11p region. In clinically relevant primary hematopoietic progenitor/stem cells, we detected clones with acquired megabase copy-neutral LOH induced by CRISPR-Cas9 leading to 11p15.5 partial paternal uniparental disomy. These clones presented imprinting defects and impaired transcriptional expression of genes located in the 11p15.5 region. This genotoxicity could be a safety concern for the development of gene therapy protocols but also an opportunity to model CN-LOH for genetic diseases and cancers.

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