PMID- 27573176 OWN - NLM STAT- MEDLINE DCOM- 20171228 LR - 20240104 IS - 1748-7838 (Electronic) IS - 1001-0602 (Print) IS - 1001-0602 (Linking) VI - 26 IP - 10 DP - 2016 Oct TI - Genome editing with CRISPR/Cas9 in postnatal mice corrects PRKAG2 cardiac syndrome. PG - 1099-1111 LID - 10.1038/cr.2016.101 [doi] AB - PRKAG2 cardiac syndrome is an autosomal dominant inherited disease resulted from mutations in the PRKAG2 gene that encodes gamma2 regulatory subunit of AMP-activated protein kinase. Affected patients usually develop ventricular tachyarrhythmia and experience progressive heart failure that is refractory to medical treatment and requires cardiac transplantation. In this study, we identify a H530R mutation in PRKAG2 from patients with familial Wolff-Parkinson-White syndrome. By generating H530R PRKAG2 transgenic and knock-in mice, we show that both models recapitulate human symptoms including cardiac hypertrophy and glycogen storage, confirming that the H530R mutation is causally related to PRKAG2 cardiac syndrome. We further combine adeno-associated virus-9 (AAV9) and the CRISPR/Cas9 gene-editing system to disrupt the mutant PRKAG2 allele encoding H530R while leaving the wild-type allele intact. A single systemic injection of AAV9-Cas9/sgRNA at postnatal day 4 or day 42 substantially restores the morphology and function of the heart in H530R PRKAG2 transgenic and knock-in mice. Together, our work suggests that in vivo CRISPR/Cas9 genome editing is an effective tool in the treatment of PRKAG2 cardiac syndrome and other dominant inherited cardiac diseases by selectively disrupting disease-causing mutations. FAU - Xie, Chang AU - Xie C AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Zhang, Ya-Ping AU - Zhang YP AD - Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China. FAU - Song, Lu AU - Song L AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Luo, Jie AU - Luo J AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. FAU - Qi, Wei AU - Qi W AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Hu, Jialu AU - Hu J AD - Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China. FAU - Lu, Danbo AU - Lu D AD - Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China. FAU - Yang, Zhen AU - Yang Z AD - Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China. FAU - Zhang, Jian AU - Zhang J AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Xiao, Jian AU - Xiao J AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. FAU - Zhou, Bin AU - Zhou B AD - Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Du, Jiu-Lin AU - Du JL AD - Institute of Neuroscience and State Key Laboratory of Neuroscience, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Jing, Naihe AU - Jing N AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Liu, Yong AU - Liu Y AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. FAU - Wang, Yan AU - Wang Y AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. FAU - Li, Bo-Liang AU - Li BL AD - The State Key Laboratory of Molecular Biology, Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yue-Yang Road, Shanghai 200031, China. FAU - Song, Bao-Liang AU - Song BL AD - Hubei Key Laboratory of Cell Homeostasis, College of Life Sciences, Wuhan University, Wuhan 430072, China. FAU - Yan, Yan AU - Yan Y AD - Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China. LA - eng PT - Journal Article DEP - 20160830 PL - England TA - Cell Res JT - Cell research JID - 9425763 RN - 0 (RNA, Guide, CRISPR-Cas Systems) RN - EC 2.7.11.1 (PRKAG2 protein, human) RN - EC 2.7.11.1 (PRKAG2 protein, mouse) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/deficiency/*genetics/metabolism MH - Adenoviridae/genetics MH - Adolescent MH - Adult MH - Aged MH - Alleles MH - Animals MH - CRISPR-Cas Systems/*genetics MH - Child MH - Child, Preschool MH - Female MH - *Gene Editing MH - Heart/physiopathology MH - Homozygote MH - Humans MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mice, Transgenic MH - Middle Aged MH - Myocardium/metabolism/pathology MH - Polymorphism, Single Nucleotide MH - RNA, Guide, CRISPR-Cas Systems/metabolism MH - Wolff-Parkinson-White Syndrome/genetics/pathology/*therapy MH - Young Adult PMC - PMC5113300 EDAT- 2016/08/31 06:00 MHDA- 2017/12/29 06:00 PMCR- 2017/10/01 CRDT- 2016/08/31 06:00 PHST- 2016/06/19 00:00 [received] PHST- 2016/07/10 00:00 [revised] PHST- 2016/07/11 00:00 [accepted] PHST- 2016/08/31 06:00 [pubmed] PHST- 2017/12/29 06:00 [medline] PHST- 2016/08/31 06:00 [entrez] PHST- 2017/10/01 00:00 [pmc-release] AID - cr2016101 [pii] AID - 10.1038/cr.2016.101 [doi] PST - ppublish SO - Cell Res. 2016 Oct;26(10):1099-1111. doi: 10.1038/cr.2016.101. Epub 2016 Aug 30.