PMID- 34406033 OWN - NLM STAT- MEDLINE DCOM- 20220111 LR - 20220111 IS - 2573-1602 (Electronic) IS - 2573-1599 (Linking) VI - 4 IP - 4 DP - 2021 Aug TI - CRISPR-Cas9 Technology as a Tool to Target Gene Drivers in Cancer: Proof of Concept and New Opportunities to Treat Chronic Myeloid Leukemia. PG - 519-535 LID - 10.1089/crispr.2021.0009 [doi] AB - Chronic myeloid leukemia (CML) is a hematopoietic malignancy produced by a unique oncogenic event involving the constitutively active tyrosine-kinase (TK) BCR/ABL1. TK inhibitors (TKI) changed its prognosis and natural history. Unfortunately, ABL1 remains unaffected by TKIs. Leukemic stem cells (LSCs) remain, and resistant mutations arise during treatment. To address this problem, we have designed a therapeutic CRISPR-Cas9 deletion system targeting BCR/ABL1. The system was efficiently electroporated to cell lines, LSCs from a CML murine model, and LSCs from CML patients at diagnosis, generating a specific ABL1 null mutation at high efficiency and allowing the edited leukemic cells to be detected and tracked. The CRISPR-Cas9 deletion system triggered cell proliferation arrest and apoptosis in murine and human CML cell lines. Patient and murine-derived xenografts with CRISPR-edited LSCs in NOD SCID gamma niches revealed that normal multipotency and repopulation ability of CRISPR edited LSCs were fully restored. Normal hematopoiesis was restored, avoiding myeloid bias. To the best of our knowledge, we show for the first time how a CRISPR-Cas9 deletion system efficiently interrupts BCR/ABL1 oncogene in primary LSCs to bestow a therapeutic benefit. This study is a proof of concept for genome editing in all those diseases, like CML, sustained by a single oncogenic event, opening up new therapeutic opportunities. FAU - Vuelta, Elena AU - Vuelta E AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Servicio de Transgenesis, NUCLEUS, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Ordonez, Jose Luis AU - Ordonez JL AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - IBSAL, Instituto de Investigacion Biomedica de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Alonso-Perez, Veronica AU - Alonso-Perez V AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - IBSAL, Instituto de Investigacion Biomedica de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Mendez, Lucia AU - Mendez L AD - Servicio de Transgenesis, NUCLEUS, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Hernandez-Carabias, Patricia AU - Hernandez-Carabias P AD - Servicio de Transgenesis, NUCLEUS, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Saldana, Raquel AU - Saldana R AD - Servicio de Hematologia, Hospital de Jerez, Cadiz, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Sevilla, Julian AU - Sevilla J AD - Hospital Infantil Universitario Nino Jesus, Madrid, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Sebastian, Elena AU - Sebastian E AD - Hospital Infantil Universitario Nino Jesus, Madrid, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Muntion, Sandra AU - Muntion S AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Hospital Infantil Universitario Nino Jesus, Madrid, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - RETIC TerCel y CIBERONC, ISCIII, Madrid, Spain; and Hospital Universitario de Salamanca, Salamanca, Spain. AD - Servicio de Hematologia, Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Sanchez-Guijo, Fermin AU - Sanchez-Guijo F AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Hospital Infantil Universitario Nino Jesus, Madrid, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - RETIC TerCel y CIBERONC, ISCIII, Madrid, Spain; and Hospital Universitario de Salamanca, Salamanca, Spain. AD - Servicio de Hematologia, Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Hernandez-Rivas, Jesus Maria AU - Hernandez-Rivas JM AD - Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - IBSAL, Instituto de Investigacion Biomedica de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Servicio de Hematologia, Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Garcia-Tunon, Ignacio AU - Garcia-Tunon I AD - Unidad de Diagnostico Molecular y Celular del Cancer, Instituto Biologia Molecular y Celular del Cancer (USAL/CSIC), Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - IBSAL, Instituto de Investigacion Biomedica de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. FAU - Sanchez-Martin, Manuel AU - Sanchez-Martin M AD - Departamento de Medicina, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - Servicio de Transgenesis, NUCLEUS, Universidad de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. AD - IBSAL, Instituto de Investigacion Biomedica de Salamanca, Salamanca, Spain; Hospital Universitario de Salamanca, Salamanca, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - CRISPR J JT - The CRISPR journal JID - 101738191 RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Animals MH - *CRISPR-Cas Systems MH - Cell Line, Tumor MH - Disease Models, Animal MH - Fusion Proteins, bcr-abl/genetics MH - *Gene Editing MH - Gene Expression MH - Gene Targeting/methods MH - Gene Transfer Techniques MH - *Genetic Therapy/methods MH - Hematopoiesis/genetics MH - Hematopoietic Stem Cell Transplantation MH - Hematopoietic Stem Cells/cytology/metabolism MH - Heterografts MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics/therapy MH - Mice MH - Neoplastic Stem Cells/metabolism MH - *Oncogenes MH - Proof of Concept Study EDAT- 2021/08/19 06:00 MHDA- 2022/01/12 06:00 CRDT- 2021/08/18 12:15 PHST- 2021/08/18 12:15 [entrez] PHST- 2021/08/19 06:00 [pubmed] PHST- 2022/01/12 06:00 [medline] AID - 10.1089/crispr.2021.0009 [doi] PST - ppublish SO - CRISPR J. 2021 Aug;4(4):519-535. doi: 10.1089/crispr.2021.0009.