Team:SUSTC-Shenzhen/Project

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       title=Cell Line Construction|
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       title=Project Description|
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       subtitle= Brief summary of cell line construction!}}
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       subtitle=a small overview to the whole big ideas}}
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<center><font size=6>'''Human CRISPR/Cas system against HIV''' </font></center>
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<center><font size=6>'''with gRNA delivered by ''' </font></center>
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<center><font size=6>'''A-B toxin-based shuttle''' </font></center>
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<center>'''SUSTC-Shenzhen, iGEM 2014'''</center>
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=Introduction=
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In this project, we intended to establish a synthetic biology-based effective HIV-curing system with less side effects. The key goal is to integrate CRISPR/Cas system into human blood system to protect CD4+ cells against viral infection. The gRNA is designed to target the relative conserved regions in HIV viral genome and inactivate its biological activity. Since viral vectors seem to be of limited use in gene therapy strategies (e.g., potential pathogenicity), there is in dire need of a simple, efficient system for cell-specific delivery of nucleic acids. By using non-viral DNA delivery system such as A-B-toxin-GAL4 fusion protein, we can deliver plasmids encoding gRNA into the CD4+ cells and readily attack multiple HIV genome sites simultaneously with the most up-to-date knowledge of HIV epidemic.
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=Background=
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==HIV (Human immunodeficiency virus)==
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'''HIV''' is the trigger of the lethal disease '''AIDS'''. It replicates in and kills '''T cells''', weakens human immune system and allows life-threatening opportunistic infection and cancer to thrive. HIV infects vital cells in the human immune system such as helper T cells (especially CD4+ T cells), macrophages, and dendritic cells. As a retrovirus, HIV reverse transcribes its genome and integrated it into the host cell genome after infection. Figure 1 illustrates the schematic structure of HIV virus (Source: Wikipedia).
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==Introduction==
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<center>{{SUSTC-Image|wiki/images/9/9a/SUSTC-Shenzhen-Project-HIV.png}}</center>
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The fancy idea to equip human cells with an intracellular self-protecting immune system against lentivirus especially HIV is about to realize by introducing Cas9 protein into the genome.
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<center>Figure 1. Schematic demonstration of HIV</center>
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However, does Cas9 protein have sufficient efficiency to disrupt targeted virus DNA sequence and disable it to free patient from lentivirus caused disease. Does the side effect acceptable. These still remain unknown questions, need more experiments to determine.
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Our strategy to cure and prevent AIDS is to integrate Cas9 gene into hematopoietic stem cells. When HIV infects human, plasmid encoding appropriate gRNA sequence targeting HIV sequence will be introduced into the transformed stem cells, then HIV genome will be cut off by Cas9 protein.
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Traditional therapies such as drug treatment can control the development of the disease but not eradicate the virus. The chronic inflammation and immune dysfunction caused by long-term chemotherapy and radiotherapy may also lead to non-AIDS morbidity and mortality (Kiem, Jerome, Deeks, & McCune, 2012). The process of reverse transcription is extremely error-prone, and the resulting mutations may lead to drug resistance or allow the virus to evade the body's immune system.
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==Experiment Design==
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==CRISPR/Cas system==
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'''CRISPR/Cas''' (Clustered regularly interspaced short palindromic repeats/CRISPR-associated system) is originally a self-protecting mechanism in bacteria against external DNA such as virus genome or plasmids. It uses '''CAS complex''' to '''cut the external viral or plasmid DNA''' and integrating a short DNA segment into the CRISPR loci in the bacteria genome. This short DNA segment will be transcribed into pre-crRNA and bind to another CAS endonuclease called Cas9 with the help of tracrRNA. The Cas9 endonuclease cuts the external DNA in the existence of not only crRNA but also a special recognizing sequence at the 3’ end of the target DNA called PAM (Protospacer Adjacent Motif). When the same external DNA invades next time, the Cas9-tracrRNA-crRNA complex will recognize and cut it in order to destroy its biological activity.
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Figure 2 illustrates the mechanism of Type II CRISPR/Cas system in bacteria (Mali, Esvelt, & Church, 2013). The laboratories of Dr. George Church (Mali, Yang, et al., 2013) and Dr. Feng Zhang (Cong et al., 2013) have successfully developed the Type II CRISPR-Cas system for human cells, which lay the foundation for this project.
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Will it works?
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<center>{{SUSTC-Image|wiki/images/2/20/SUSTC-Shenzhen-Project-CRISPR-1.png}}</center>
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To verify we design 3 steps of experiments.
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<center>{{SUSTC-Image|wiki/images/e/ed/SUSTC-Shenzhen-Project-CRISPR-2.png}}</center>
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<center>Figure 2. Mechanism of Type II CRISPR/Cas system in bacteria</center>
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===The first step:===
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==PiggyBac (PB) transposon system==
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We use HeLa cells and EGFP to simplify the experiment because using hematopoietic stem cells and HIV is impractical for us. We will test the idea in HeLa cells which is a common used immortal human cell line (wikipedia) and the EGFP gene will be a substitute of HIV gene firstly. Both Cas9 gene and EGFP gene are stably transfected into HeLa cells, which mimics that the hematopoietic stem cell equipped with Cas9 are infected by HIV. Then the plasmid encoding gRNA targeting EGFP gene is introduced into the cells to measure the efficiency of the Cas9 protein to cut off the targeted sequence with the guide of gRNA.
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'''PiggyBac (PB) transposon''' is a mobile genetic element that '''efficiently transposes between vectors and chromosomes''' via a '''"cut and paste"''' mechanism but leave no '''“footprint”'''. PB transposase in this system recognizes the transposon-specific inverted terminal repeat sequence (PB5 & PB3 in Figure 5) located on both end of transposon vector and efficiently moves the contents from the original sites and efficiently integrates them into TTAA chromosomal sites. Figure 4 illustrates the working mechanism of PB transposon system (Source: Wikipedia; Author: Transposagenbio).
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<center>{{SUSTC-Image|wiki/images/0/06/SUSTC-Shenzhen-Project-PiggyBac-transposon.png}}</center>
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<center>Figure 3. Mechanism of PiggyBac transposon system</center>
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===The second step:===
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==A-B toxin==
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Whether the targeted sequences of HIV screened out by our team can be efficiently disrupted and safety of our target sequence will be tested. To make the result easier to detect and measure quantitatively, the virus sequences will be inserted into EGFP gene by locating the sequence before or on the both ends of the EGFP gene. Then the plasmid encoding gRNA to target virus sequence will be introduced into the cells to see whether the virus sequence can be disrupted or eradicated successfully.  
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A-B toxinare two-component exotoxin secreted by a number of pathogenic bacteria. The complexes contain two subunits called A and B. A subunit is the active portion that is poisonous to host cells. B subunit has a translocation domain and cell receptor binding domain, which '''helps the A subunit going into the cell through endosomes'''. Figure 4 shows how Anthrax toxin (a kind of A-B toxin) enters into human cells (Source: Wikipedia; Author: Y tambe).
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===The third step:===
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https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/Stably_transfect_cell_with_target-sequence_EGFP
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The third part is A-B toxin delivery, to respond to the high mutation rate of HIV. In other words, different gRNAs will be delivered into the helper T cells of the patient whose hematopoietic stem cells have been equipped with Cas9 gene. A safety In vitro delivery of DNA into targeted cells specifically is needed. In our project, two fusion proteins TEG and GD5 which contain a domain mimics bacteria A-B toxin are used for DNA delivery.
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==The construction of HeLa cell line stably transfected with EGFP gene and Cas9 gene.==
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<center>{{SUSTC-Image|wiki/images/4/49/SUSTC-Shenzhen-Project-A-B_toxin.png}}</center>
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<center>Figure 4. Model of Anthrax toxin entering into human cells</center>
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To obtain a cell line with EGFP gene and Cas9 gene integrated in, we used PiggyBac transposon system to stably transfect. Then expand mono-clones and population expressing resistance  into cell line.
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=Experiment design=
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<center>{{SUSTC-Image|wiki/images/0/06/SUSTC-Shenzhen-Project-PiggyBac-transposon.png}}</center>
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<html>
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Figure 1. Mechanism of PiggyBac transposon system
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<a href="/Team:SUSTC-Shenzhen/Project/Plasmid" class="btn btn-success btn-lg" style="color:#fff">See the full list of plasmids we used.</a>
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</html>
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It is estimated that only part of the transfected cells will be integrated with Cas9 gene and EGFP gene. Resistance screening we have used to get a pure cell pool of transfected cells. Plasmid Cas9-TetOn expressing Cas9 under the control of Tet-ON 3G using Piggybac transposon system encodes puromycin resistance, and plasmid PB-EGFP to stably express EGFP in host cells using Piggybac transposon system encodes blasticidin resistance.<html><a href="https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/PB5-TetOn-Cas9-PB3-plasmid-construction">Detail about plasmid construction</a></html>
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==Constructing EGFP-Cas9 expressing cell lines==
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The program aims to endow the human cell the capacity of resisting the infection of HIV by '''introducing the CRISPR/Cas9 system into the human cell'''. To test the efficiency of the Cas9 and explore the optimal conditions of the system, we need a reporter to indicate whether the Cas9 functions and the targeted sites are cut off and destructed. So a cell line integrated with EGFP and Cas9 gene is firstly constructed in a similar way. We use PiggyBac transposon to transfect Hela cell for '''permanently expressing Cas9 protein'''. Once the proper gRNA is delivered into these cells, Cas9 binds to the gRNA and start to cut the complementary DNA strand. The vector design is based on Feng Zhang lab’s and Wei Huang lab’s plasmids.
<center>{{SUSTC-Image|wiki/images/1/17/SUSTC-Shenzhen-Project-PB-TetON-Cas9.jpg}}</center>
<center>{{SUSTC-Image|wiki/images/1/17/SUSTC-Shenzhen-Project-PB-TetON-Cas9.jpg}}</center>
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Figure 2. PB-TetON-Cas9 plasmid, PB5-PB3 are transposon, Puro is resistance gene.
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<center>Figure 5. PB-TetON-Cas9 plasmid</center>
<center>{{SUSTC-Image|wiki/images/7/73/SUSTC-Shenzhen-Project-PB-EGFP.png}}</center>
<center>{{SUSTC-Image|wiki/images/7/73/SUSTC-Shenzhen-Project-PB-EGFP.png}}</center>
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Figure 3. PB-EGFP plasmid, PB5-PB3 are transposon, Bla is resistance gene.
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<center>Figure 6. PB-EGFP plasmid</center>
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<html>
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<a href="/Team:SUSTC-Shenzhen/Project/Cell_Line_Construction" class="btn btn-success btn-lg" style="color:#fff">Result Page for Cell Line Construction</a>
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</html>
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==Transfecting the cell line with gRNA-encoding plasmid==
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Cas9 uses gRNA, a 23nt short RNA fragment which binds to its complementary target and 'guide' Cas9 to cut the target DNA. We first check the efficiency of this system. We construct a plasmid based on Zhang Feng Lab’s pX330 plasmid that encodes a chimeric guide RNA scaffold and mCherry reporter gene followed by a NLS (nucleus leading sequence). It also contains 0, 2, 5 or 7 repeats of UAS sequences which are necessary for the vehicle’s recognition and binding (See Future applications – A-B toxin based gRNA shuttle for details).
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<center>{{SUSTC-Image|wiki/images/b/b2/SUSTC-Shenzhen-Project-gRNA-mCherry-UAS-backbone.jpg}}</center>
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<center>Figure 7. Constructed plasmid to express gRNA in host cells</center>
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The chimeric guide RNA scaffold is used to insert gRNA. We acquired the gRNA for EGFP from Wei Huang’s lab and put it into our constructed plasmid. Figure 8 shows the design of chimeric guide RNA scaffold (Cong et al., 2013).
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<center>{{SUSTC-Image|wiki/images/4/4f/SUSTC-Shenzhen-Project-gRNA_insertion_and_BbsI_site_design.png}}</center>
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<center>Figure 8. Mechanism of gRNA insertion into pX330-derived plasmid backbone</center>
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In this way, with the ratio of reduced green fluorescence and the quantity of red fluorescence we can roughly obtain the efficiency of the CRISPR-Cas system we created. And finally, we reconstruct the plasmid but this time with the gRNA targeting HIV and test its efficacy.
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<html>
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<a href="/Team:SUSTC-Shenzhen/Project/gRNA-mCherry-UAS_Carried_Plasmids_Design_and_Construction" class="btn btn-success btn-lg" style="color:#fff">See how we design and construct our powerful gRNA-mCherry-UAS plasmids</a>
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</html>
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==Deliver gRNA plasmids by A-B toxin-based shuttle==
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CRISPR/Cas system needs two essential parts for normal function: Cas9 and gRNA. Traditional methods usually transfect the cell with Cas9 and gRNA together (Hu et al., 2014). However, this limits the usage of this system because HIV has high mutated rate, which needs to update gRNA. So we decided to use a flexible nucleic acid delivery system.
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We choose a non-viral DNA delivery system which is based on a modified A-B toxin. The chimeric fusion protein mainly comprises 3 parts: target cell-specific binding domain, a translocation domain and a nucleic acid binding domain. The target cell-specific binding domain recognizes the EGF (epidermal growth factor) receptors on the cell surface. The translocation domain enhances nucleic acid escape from the cellular vesicle system and thus to augment nucleic acid transfer. The nucleic acid binding domain, which derives from the yeast GAL4 transcription factor, can carry plasmids with UAS (Upstream Activation Sequence) sequences into cells in vivo. Several research groups (Gaur, Gupta, Goyal, Wels, & Singh, 2002) (Chen et al., 2000) (Fominaya, Uherek, & Wels, 1998) have achieved this goal. Prof. Wels was kindly enough to provide his TEG vehicle for us to deliver DNA into Hela for this project. Figure 7 shows the schematic representation of the TEG fusion gene in the E.coli expression plasmid pWF47-TEG (Wels, Winfried 63110 Rodgau (DE)). A-B toxin delivery system for various human immune cells will need to be developed in the future.
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<center>{{SUSTC-Image|wiki/images/b/b5/SUSTC-Shenzhen-Project-TEG_fusion_protein.png}}</center>
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<center>Figure 9. Schematic representation of the TEG fusion gene</center>
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<center>{{SUSTC-Image|wiki/images/8/89/SUSTC-Shenzhen-Project-GD5_fusion_protein.png}}</center>
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<center>Figure 10. Schematic representation of the TEG fusion gene</center>
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<html>
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<a href="/Team:SUSTC-Shenzhen/Project/A-B_toxin" class="btn btn-success btn-lg" style="color:#fff">See how we get our A-B toxin-based shuttle</a>
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</html>
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=gRNA design=
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gRNA is a 23nt short RNA fragment (not include tracrRNA) which binds to its complementary target and 'guide' Cas9 to cut the target DNA. Since we would like to destroy the HIV virus inside human body, a gRNA sequence that matched part of HIV conserved region but have few off-target matches in the human genome is desired. However, designing a gRNA for a human-infective virus is difficult due to the very large difference in the genome size. For virus like HIV, it is even more difficult because HIV can mutate in a very high rate. So we change our goal to finding a group of specific quasi-conservative sequences (gRNA) which are able to target one or more species of HIV.
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Our search for the sequence roughly followed the process described in George M. Church's paper (Mali, Yang, et al., 2013). We modified it slightly to fit our own purpose. We first used bioinformatics method to find the quasi-conservative regions in the HIV-1 whole genome reference library by NIH. From the candidates, we selected the region around 720bp from beginning of the genome (aligned), in the less-selected region slightly off the LTR. We then used the online tools of Feng Zhang's Lab at MIT to find our desired gRNA composition. We also did some calculation based on phenomenological energy calculation to estimate the stability and effectiveness of our gRNA sequences (Hsu et al., 2013). The tool shows that almost no off-target binding will occur. BLAST was used to further confirm the results. We also analyzed the structure of the resulted gRNA, which shows an approximate free energy of -1.4kJ (Zuker, 2003). For detailed information, see our gRNA design page.
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<html>
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<a href="/Team:SUSTC-Shenzhen/gRNA_Design" class="btn btn-success btn-lg" style="color:#fff">See how we design our gRNA.</a>
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</html>
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=Modeling=
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Our project is intended to treat retrovirus diseases.So we want to know how effective the CRISPR/Cas9 system is. In our model, we discuss about dynamic changes of different cells in a person’s body using Matlab and we take HIV for exmple.
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After theoretical analysis, symbol description, formula derivation and Matlab analysis, we can see how the system works and the influence the CRISPR/Cas system produces by the change of virus and cells in this model. It will help us to forecast the future applications of our project.If the environment doesn't change, we can stimulate the situation in Matlab for a short time. The result is that the CRISPR/Cas9 system will take effect.
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<center>{{SUSTC-Image|wiki/images/5/58/SUSTC-Shenzhen-2014-model-w1.png }}</center>
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<center>Figure 12. The relationship between HIV copies and CD4 counts over the average course of untreated HIV infection </center>
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<html>
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<a href="/Team:SUSTC-Shenzhen/Modeling" class="btn btn-success btn-lg" style="color:#fff">See how we do the modeling.</a>
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</html>
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=Safety=
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Our system has several built-in design to reduce the potential safety risks of the system utilization.
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<html>
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<a href="/Team:SUSTC-Shenzhen/Safety" class="btn btn-success btn-lg" style="color:#fff">See how we concerned about the Safety.</a>
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</html>
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=Future Perspectives=
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To determine the minimum usage level of puromycin and blasticidin in culture medium to inhibit the growth of normal HeLa cell, we culture cells in medium with gradient concentration in different wells of cell culture plate. We found that the minimum efficient concentration of bla(blasticidin) is 2.8μg/mL <html><a href="https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/Determining-the-appropriate-concentration-of-blasticidin-for-cell-selection" style="color:999">(More Details)</a></html>and puro(puromycin) is 2.0μg/mL.<html><a href="https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/Determining-the-appropriate-concentration-of-puromycin-for-cell-selection" style="color:999">(More Details)</a></html>
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==In vivo establishment and validation of the system==
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Currently all our experiment design is based on in vitro conditions. However, our ultimate goal is to fight against HIV in vivo. A recent published paper in PNAS, sharing the similar design with our project, presented strong evidence for the effect of this system in other cell lines (Hu et al., 2014). So one of our important further works is to establish an in vivo system to test and improve our design. We plan to transplant the engineered Hela cell to immune deficient mice such as Nude or NOD/SCID mice. We will then optimize the dynamics of inducing of Cas9 of the transplanted cell by feeding the mice with Dox. The effect can be monitored in live mice in real time is we conjugate a luciferase gene to Cas9 gene and imaging its activate in the live mice. We will then optimize the delivery method and dosage of the A-B toxin-gRNA plasmid complex and monitor the changing in GFP expression of transplant cell using either biopsy or intravital fluorescent imaging.
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After about one month selection, the percentage of HeLa cells expressing EGFP was about 95% (Figure 4 & 5).  
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==Permanent implanting Cas9 gene into hematopoietic stem cells==
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Hematopoietic stem cells are the progenitor of all blood cells, including CD4+ T/B cells. It’s very difficult to extract all CD4+ T/B cells from the human blood system, doing the gene modification and then sent them back. Also, these cells can’t replicate, which means regularly gene modification should be done, which is unrealistic. Instead, one of our team members called Lin Le suggested to modify hematopoietic stem cells because all the offspring of the modified hematopoietic stem cells, including CD4+ T/B cells, carries our system, and it won’t loss since the renewal of CD4+ T/B cell will continue if the modified hematopoietic stem cells are still alive. The field of gene therapy has help accumulated a lot of knowledge in this area but it was partially hindered by the viral vectors used. The recent developed high efficient genome editing method including CRISPR/Cas9, Transcription activator-like effector nuclease(TALEN) and zinc-finger nucleases (ZFNs) might provide a safer approach.  A recent report (Holt et al., 2010) using engineered ZFNs to eliminate CCR5 in human CD34+ hematopoietic stem /progenitor cells (HSPCs) revealed the possibility to manipulate hematopoietic stem cells. Mouse model used in the report shows positive results after genome editing by ZFNs, indicating promising future for CRISPR/Cas9 mediated genome editing.
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<center>{{SUSTC-Image|wiki/images/b/b7/SUSTC-Shenzhen-G1-before-freeze.png|G1 pool before freezing}}</center>
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==Using CRISPR/Cas system to integrate Cas9 into human cells==
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Figure 4. Pool cells transfected with EGFP gene before freezing.
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Our current project uses Piggybac transposon system to deliver Cas9 into human cells for proof-of-principle studies. However, the integration site of Piggybac is non-specific, and it also has preferences for active transcribing sites, which may be normal or oncogene sites. Thus it is not ideal for clinical usage. However, the genome editing tool we used in this project (CRISPR/Cas system) has strong specificity for its target and the target can be designed to non-coding regions on human genome by carefully designed gRNA. One of the possible solutions is to integrate homologous recombinant sites around Cas9. By transient transfect the cell with the Cas9 encoding plasmid shown in Figure 13 and the gRNA expression plasmid shown in Figure 7 and use doxycycline to induce the expression of Cas9, we expect to insert our system into the locus which does no harm to normal gene functions.
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<center>{{SUSTC-Image|wiki/images/c/ca/SUSTC-Shenzhen-G3-before-freeze.png|G3 pool before freezing}}</center>
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<center>{{SUSTC-Image|wiki/images/0/09/SUSTC-Shenzhen-Project-CRISPR-TetON-Cas9.jpg}}</center>
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Figure 5. Pool cells transfected with EGFP gene and Cas9 gene before freezing
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<center>Figure 13. Possible design of CRISPR-based Cas9 integration plasmid.</center>
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Monoclonal cells are supposed to have the same insertion sites and copy number which make the system start with fewer variables. Moreover, monoclonal cells with low copy number of EGFP gene is preferred and constant copy number of Cas9 gene. Cells with high copies of EGFP gene may conceal the damage of part of them caused by Cas9 and therefore underestimate the efficiency of Cas9 protein and gRNA.
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==Using HIV-modified vector to specifically deliver Cas9 gene or gRNA plasmid into CD4+ cells==
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One of the main limitations of our transfection system is non-directional, especially for A-B toxin based gRNA delivery because its target receptor is widely distributed on many cell types. However, the main group our system intends to protect is CD4+ cells because they are most susceptible to HIV. Interestingly, a paper published in 2009 reported a clinical trial that 2 X-linked adrenoleukodystrophy (ALD) patients received very positive treatment effect after gene therapy by using HIV-based lentivirus vector to transfect hematopoietic stem/progenitor cells (HSPCs) ex vivo (Cartier et al., 2009). So we will utilize the targeting capability of lentiviral vector while disarm its genome integration function to enable transient expression of the gRNA in the proper cells in vivo without the side effects of random genome insertion. There’s a saying in Chinese which is ‘Like cures like’. We think it explicitly expressed the idea of this approach.
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So we have also cultured some monoclonal cells whose fluorescence intensity appeared to be lower. Comparing with the pool of the cells stably transfected with EGFP gene and Cas9 gene, the monoclonal cells has a smaller EGFP intensity range. Then the several monoclonal cells are transfected with plasmid encoding the gRNA for EGFP. On the whole, the percentage of the cells with EGFP signal in all clones transfected with plasmid encoding gRNA decline dramatically, decline from 91%- 99% to 50%-79%(Table 1, Figure6).<html>
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==Application in other retroviral diseases==
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<a href="https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/The_quality_test_of_the_clones_of_G3%26G4" style="color:999">(More Details)</a></html>
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The system designed by us can also be applied in treating other retrovirus diseases, such as Hepatitis B. We’ve designed gRNA for HBV and constructed target sequence plasmids to test its effectiveness.
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<center>{{SUSTC-Image|wiki/images/1/1c/SUSTC-Shenzehn-clone_4-2_and_G3_cytometry_change.png|G3 4-2 flow cytometry}}</center>
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<html>
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Figure 6. Flow cytometry reading pool cells(G3) and monoclones(4-2).
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<a href="/Team:SUSTC-Shenzhen/gRNA_Design" class="btn btn-success btn-lg" style="color:#fff">See how we design gRNA for HBV</a>
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</html>
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<html><div class="table-responsive"></html>
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=References=
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{| class="table"
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Cartier, N., Hacein-Bey-Abina, S., Bartholomae, C. C., Veres, G., Schmidt, M., Kutschera, I., . . . Aubourg, P. (2009). Hematopoietic stem cell gene therapy with a lentiviral vector in X-linked adrenoleukodystrophy. Science, 326(5954), 818-823. doi: 10.1126/science.1171242
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|+ style="font-size:18px; font-weight:bold"|Summary of the data of flow cytometry
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! Clones
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! The change of the percentage EGFP signal
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! The change of the mean of the intensity of the EGFP signal of the positive cells
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|-
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| A1
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| 91% to 79%
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| 34 to 40
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|-
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| A2
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| 91% to 79%
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| 35 to 18
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|-
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| B5
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| 97% to 57%
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| 33 to 19
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|-
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| C5
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| 99% to 67%
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| 34 to 17
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|-
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| 4-2
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| 98% to 64%
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| 28 to 20
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|-
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| G3 pool
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| 98% to 67%
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| 53 to 39
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|}
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<html></div></html>
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Table 1. The summary of the data of flow cytometry, reading monoclones integrated with Cas9 and EGFP gene.  
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==The construction of HeLa cell line stably transfected with modified EGFP==
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Chen, T. Y., Hsu, C. T., Chang, K. H., Ting, C. Y., Whang-Peng, J., Hui, C. F., & Hwang, J. (2000). Development of DNA delivery system using Pseudomonas exotoxin A and a DNA binding region of human DNA topoisomerase I. Applied Microbiology and Biotechnology, 53(5), 558-567.
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To test Cas9 cleave viral DNA, and to screen the result of cleavage, we designed 3 plasmid. Insert target sequence is near the original EGFP sequence between poly A and promoter, so it will be transcripted into mRNA. The target sequence is in the reading frame in synthesis protein. The consequence of lost base pair leads to frame shift mutation, thus disfunction the protein.
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Clontech. Tet-On 3G Inducible Expression Systems User Manual. http://www.clontech.com/TW/Products/Inducible_Systems/Tetracycline-Inducible_Expression/ibcGetAttachment.jsp?cItemId=17569&fileId=6832390&sitex=10021:22372:US.  
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{{SUSTC-Image|wiki/images/6/60/SUSTC-Shenzhen-PB-EGFP-HIV1.png|}}
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Cong, L., Ran, F. A., Cox, D., Lin, S. L., Barretto, R., Habib, N., . . . Zhang, F. (2013). Multiplex Genome Engineering Using CRISPR/Cas Systems. Science, 339(6121), 819-823. doi: DOI 10.1126/science.1231143
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Figure 7. Plasmid of EGFP+HIV1 viral sequence
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{{SUSTC-Image|wiki/images/5/52/SUSTC-Shenzhen-PB-EGFP-HBV12.png|}}
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Figure 8. Plasmid of EGFP+HBV1.2 viral sequence
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{{SUSTC-Image|wiki/images/2/2a/SUSTC-Shenzhen-PB-EGFP-HBV2.png|}}
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Figure 9. Plasmid of EGFP+HBV2 viral sequence
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After Cas9 cleave the target sequence, it is easy to be repair by error-prone Non-Homologous-Recombination(NHR)(F Ann Ran et al., 2013), which is easy to leave a scar and cause protein frame-shift mutation.(Prashant et al., 2013) Targeting the viral sequence and induce EGFP mutation mimics Cas9 targeting viral genome in human cells, and silence the expression of crucial protein of virus. When Cas9 cut the viral DNA the double cleave of DNA would cause NHR, so that the DNA sequence is easily mutated.  
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Fominaya, J., Uherek, C., & Wels, W. (1998). A chimeric fusion protein containing transforming growth factor-alpha mediates gene transfer via binding to the EGF receptor. Gene Ther, 5(4), 521-530. doi: 10.1038/sj.gt.3300614
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We used the way of construct cell line expressing EGFP to construct cell line with EGFP+target sequence. Before wiki due day, we still do not finish the selection of cell-line. But we still introduced plasmid encoding gRNA targeting viral sequence. <html><a href="https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/Stably_transfect_cell_with_target-sequence_EGFP">For details</a></html>
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Gaur, R., Gupta, P. K., Goyal, A., Wels, W., & Singh, Y. (2002). Delivery of nucleic acid into mammalian cells by anthrax toxin. Biochemical and Biophysical Research Communications, 297(5), 1121-1127. doi: Pii S0006-291x(02)02299-4 Doi 10.1016/S0006-291x(02)02299-4
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We have read the result Oct.16th 11days after transfection by flow cytometry.
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Holt, N., Wang, J., Kim, K., Friedman, G., Wang, X., Taupin, V., . . . Cannon, P. M. (2010). Human hematopoietic stem/progenitor cells modified by zinc-finger nucleases targeted to CCR5 control HIV-1 in vivo. Nature Biotechnology, 28(8), 839-847. doi: 10.1038/nbt.1663
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{{SUSTC-Image|wiki/images/c/c7/SUSTC-Shenzhen-target-sequence-cell-line-construct-figure10.png|Flow Cytometry result}}
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Hsu, P. D., Scott, D. A., Weinstein, J. A., Ran, F. A., Konermann, S., Agarwala, V., . . . Zhang, F. (2013). DNA targeting specificity of RNA-guided Cas9 nucleases. Nature Biotechnology, 31(9), 827-+. doi: Doi 10.1038/Nbt.2647
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Figure 10.
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<html><div class="table-responsive"></html>
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Hu, W., Kaminski, R., Yang, F., Zhang, Y., Cosentino, L., Li, F., . . . Khalili, K. (2014). RNA-directed gene editing specifically eradicates latent and prevents new HIV-1 infection. Proc Natl Acad Sci U S A. doi: 10.1073/pnas.1405186111
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{| class="table"
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|+ style="font-size:18px; font-weight:bold"|Summary of the data of flow cytometry
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! Clones
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! Ratio of positive
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| HIV1
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| 60%
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| HBV1.2
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| 1.11%
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| HBV2
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| 63%
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|}
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<html></div></html>
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table 2. Summary of flow cytometry result. The fraction of postive is very low in group HBV1.2, because the NLS is disfunctioned by two inserted viral sequence.
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Kiem, H. P., Jerome, K. R., Deeks, S. G., & McCune, J. M. (2012). Hematopoietic-stem-cell-based gene therapy for HIV disease. Cell Stem Cell, 10(2), 137-147. doi: 10.1016/j.stem.2011.12.015
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==The A-B toxin transfection==
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Mali, P., Esvelt, K. M., & Church, G. M. (2013). Cas9 as a versatile tool for engineering biology. Nat Methods, 10(10), 957-963. doi: 10.1038/nmeth.2649
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The Cas9 and gRNA system has been proved to disrupt the targeted EGFP gene efficiently. It comes out to our final part: to deliver plasmids encoding gRNA into cells. In this part two fusion proteins TEG and GD5 will be used to do transfection. TEG is a fusion protein designed for intracellular delivery of DNA by binding to the EGF receptor on human cells. It incorporates GAL4 which can bind to plasmids with UAS sequence, TGF-α which is a ligand of human EGF receptor and sequences encoding the translocation domain of Pseudomonas exotoxin A. GD-5 is another fusion protein similar to TEG and it mediates the DNA transfection by binding to ErbB2 receptor on human cells.  
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The proteins are expressed in E.coli, purified and renatured. It is a challenge work. The two proteins were purified and renatured several times and so was the cells transfection with the two fusion proteins. We were very excited when the first batch of TEG protein renatured was obtained and the transfection is carried out soon. The procedure of the transfection is designed mainly according to the two original paper of the two fusion proteins. 0.5 nM DNA, 25nM and 50-160 nM poly-lysine HBr are the final concentration suggested. DNA and protein solution are mixed and poly-lysine HBr is slowly added to condensate DNA-protein complex. The UAS plasmids encoding both gRNA and mCherry were transfected into the cells using TEG protein. The protocol is basically consist with the method suggested. However, we failed to observe the mcherry signal under the fluorescence microscope. Then we used new batches of proteins obtained to do transfection. And the transfection procedure was improved by increasing the amount of DNA and protein. What’s more, considering the EGF in the FBS may antagonize the TEG protein and GD5 protein, this time part of cells transfected are cultured in DMEM without FBS during transfection. And different cell density is also tried. To increase the sensitivity of mCherry signal detection, the cells transfected were also read by a flow cytometry in addition to the observation under fluorescence microscope. Unfortunately, we have not found valid mCherry signal in the transfected cells (figures).  
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Mali, P., Yang, L., Esvelt, K. M., Aach, J., Guell, M., DiCarlo, J. E., . . . Church, G. M. (2013). RNA-guided human genome engineering via
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Cas9. Science, 339(6121), 823-826. doi: 10.1126/science.1232033
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{{SUSTC-Image|wiki/images/0/00/SUSTC-Shenzhen-target-sequence-cell-line-construct-figure11.png|Figure 11.}}
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Zuker, M. (2003). Mfold web server for nucleic acid folding and hybridization prediction. Nucleic Acids Res, 31(13), 3406-3415. doi: Doi 10.1093/Nar/Gkg595
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{{SUSTC-Image|wiki/images/8/8f/SUSTC-Shenzhen-A-B-Toxin-figure12.jpg|Figure 12.}}
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Latest revision as of 03:59, 18 October 2014

Team SUSTC-Shenzhen

Project Description

a small overview to the whole big ideas

Human CRISPR/Cas system against HIV


with gRNA delivered by


A-B toxin-based shuttle


SUSTC-Shenzhen, iGEM 2014

Introduction

In this project, we intended to establish a synthetic biology-based effective HIV-curing system with less side effects. The key goal is to integrate CRISPR/Cas system into human blood system to protect CD4+ cells against viral infection. The gRNA is designed to target the relative conserved regions in HIV viral genome and inactivate its biological activity. Since viral vectors seem to be of limited use in gene therapy strategies (e.g., potential pathogenicity), there is in dire need of a simple, efficient system for cell-specific delivery of nucleic acids. By using non-viral DNA delivery system such as A-B-toxin-GAL4 fusion protein, we can deliver plasmids encoding gRNA into the CD4+ cells and readily attack multiple HIV genome sites simultaneously with the most up-to-date knowledge of HIV epidemic.

Background

HIV (Human immunodeficiency virus)

HIV is the trigger of the lethal disease AIDS. It replicates in and kills T cells, weakens human immune system and allows life-threatening opportunistic infection and cancer to thrive. HIV infects vital cells in the human immune system such as helper T cells (especially CD4+ T cells), macrophages, and dendritic cells. As a retrovirus, HIV reverse transcribes its genome and integrated it into the host cell genome after infection. Figure 1 illustrates the schematic structure of HIV virus (Source: Wikipedia).

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Figure 1. Schematic demonstration of HIV

Traditional therapies such as drug treatment can control the development of the disease but not eradicate the virus. The chronic inflammation and immune dysfunction caused by long-term chemotherapy and radiotherapy may also lead to non-AIDS morbidity and mortality (Kiem, Jerome, Deeks, & McCune, 2012). The process of reverse transcription is extremely error-prone, and the resulting mutations may lead to drug resistance or allow the virus to evade the body's immune system.

CRISPR/Cas system

CRISPR/Cas (Clustered regularly interspaced short palindromic repeats/CRISPR-associated system) is originally a self-protecting mechanism in bacteria against external DNA such as virus genome or plasmids. It uses CAS complex to cut the external viral or plasmid DNA and integrating a short DNA segment into the CRISPR loci in the bacteria genome. This short DNA segment will be transcribed into pre-crRNA and bind to another CAS endonuclease called Cas9 with the help of tracrRNA. The Cas9 endonuclease cuts the external DNA in the existence of not only crRNA but also a special recognizing sequence at the 3’ end of the target DNA called PAM (Protospacer Adjacent Motif). When the same external DNA invades next time, the Cas9-tracrRNA-crRNA complex will recognize and cut it in order to destroy its biological activity. Figure 2 illustrates the mechanism of Type II CRISPR/Cas system in bacteria (Mali, Esvelt, & Church, 2013). The laboratories of Dr. George Church (Mali, Yang, et al., 2013) and Dr. Feng Zhang (Cong et al., 2013) have successfully developed the Type II CRISPR-Cas system for human cells, which lay the foundation for this project.

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Figure 2. Mechanism of Type II CRISPR/Cas system in bacteria

PiggyBac (PB) transposon system

PiggyBac (PB) transposon is a mobile genetic element that efficiently transposes between vectors and chromosomes via a "cut and paste" mechanism but leave no “footprint”. PB transposase in this system recognizes the transposon-specific inverted terminal repeat sequence (PB5 & PB3 in Figure 5) located on both end of transposon vector and efficiently moves the contents from the original sites and efficiently integrates them into TTAA chromosomal sites. Figure 4 illustrates the working mechanism of PB transposon system (Source: Wikipedia; Author: Transposagenbio).

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Figure 3. Mechanism of PiggyBac transposon system

A-B toxin

A-B toxinare two-component exotoxin secreted by a number of pathogenic bacteria. The complexes contain two subunits called A and B. A subunit is the active portion that is poisonous to host cells. B subunit has a translocation domain and cell receptor binding domain, which helps the A subunit going into the cell through endosomes. Figure 4 shows how Anthrax toxin (a kind of A-B toxin) enters into human cells (Source: Wikipedia; Author: Y tambe).

https://2014.igem.org/Team:SUSTC-Shenzhen/Notebook/HeLaCell/Stably_transfect_cell_with_target-sequence_EGFP


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Figure 4. Model of Anthrax toxin entering into human cells

Experiment design

See the full list of plasmids we used.

Constructing EGFP-Cas9 expressing cell lines

The program aims to endow the human cell the capacity of resisting the infection of HIV by introducing the CRISPR/Cas9 system into the human cell. To test the efficiency of the Cas9 and explore the optimal conditions of the system, we need a reporter to indicate whether the Cas9 functions and the targeted sites are cut off and destructed. So a cell line integrated with EGFP and Cas9 gene is firstly constructed in a similar way. We use PiggyBac transposon to transfect Hela cell for permanently expressing Cas9 protein. Once the proper gRNA is delivered into these cells, Cas9 binds to the gRNA and start to cut the complementary DNA strand. The vector design is based on Feng Zhang lab’s and Wei Huang lab’s plasmids.

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Figure 5. PB-TetON-Cas9 plasmid
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Figure 6. PB-EGFP plasmid


Result Page for Cell Line Construction

Transfecting the cell line with gRNA-encoding plasmid

Cas9 uses gRNA, a 23nt short RNA fragment which binds to its complementary target and 'guide' Cas9 to cut the target DNA. We first check the efficiency of this system. We construct a plasmid based on Zhang Feng Lab’s pX330 plasmid that encodes a chimeric guide RNA scaffold and mCherry reporter gene followed by a NLS (nucleus leading sequence). It also contains 0, 2, 5 or 7 repeats of UAS sequences which are necessary for the vehicle’s recognition and binding (See Future applications – A-B toxin based gRNA shuttle for details).

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Figure 7. Constructed plasmid to express gRNA in host cells

The chimeric guide RNA scaffold is used to insert gRNA. We acquired the gRNA for EGFP from Wei Huang’s lab and put it into our constructed plasmid. Figure 8 shows the design of chimeric guide RNA scaffold (Cong et al., 2013).

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Figure 8. Mechanism of gRNA insertion into pX330-derived plasmid backbone

In this way, with the ratio of reduced green fluorescence and the quantity of red fluorescence we can roughly obtain the efficiency of the CRISPR-Cas system we created. And finally, we reconstruct the plasmid but this time with the gRNA targeting HIV and test its efficacy.

See how we design and construct our powerful gRNA-mCherry-UAS plasmids

Deliver gRNA plasmids by A-B toxin-based shuttle

CRISPR/Cas system needs two essential parts for normal function: Cas9 and gRNA. Traditional methods usually transfect the cell with Cas9 and gRNA together (Hu et al., 2014). However, this limits the usage of this system because HIV has high mutated rate, which needs to update gRNA. So we decided to use a flexible nucleic acid delivery system. We choose a non-viral DNA delivery system which is based on a modified A-B toxin. The chimeric fusion protein mainly comprises 3 parts: target cell-specific binding domain, a translocation domain and a nucleic acid binding domain. The target cell-specific binding domain recognizes the EGF (epidermal growth factor) receptors on the cell surface. The translocation domain enhances nucleic acid escape from the cellular vesicle system and thus to augment nucleic acid transfer. The nucleic acid binding domain, which derives from the yeast GAL4 transcription factor, can carry plasmids with UAS (Upstream Activation Sequence) sequences into cells in vivo. Several research groups (Gaur, Gupta, Goyal, Wels, & Singh, 2002) (Chen et al., 2000) (Fominaya, Uherek, & Wels, 1998) have achieved this goal. Prof. Wels was kindly enough to provide his TEG vehicle for us to deliver DNA into Hela for this project. Figure 7 shows the schematic representation of the TEG fusion gene in the E.coli expression plasmid pWF47-TEG (Wels, Winfried 63110 Rodgau (DE)). A-B toxin delivery system for various human immune cells will need to be developed in the future.


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Figure 9. Schematic representation of the TEG fusion gene
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Figure 10. Schematic representation of the TEG fusion gene


See how we get our A-B toxin-based shuttle

gRNA design

gRNA is a 23nt short RNA fragment (not include tracrRNA) which binds to its complementary target and 'guide' Cas9 to cut the target DNA. Since we would like to destroy the HIV virus inside human body, a gRNA sequence that matched part of HIV conserved region but have few off-target matches in the human genome is desired. However, designing a gRNA for a human-infective virus is difficult due to the very large difference in the genome size. For virus like HIV, it is even more difficult because HIV can mutate in a very high rate. So we change our goal to finding a group of specific quasi-conservative sequences (gRNA) which are able to target one or more species of HIV.

Our search for the sequence roughly followed the process described in George M. Church's paper (Mali, Yang, et al., 2013). We modified it slightly to fit our own purpose. We first used bioinformatics method to find the quasi-conservative regions in the HIV-1 whole genome reference library by NIH. From the candidates, we selected the region around 720bp from beginning of the genome (aligned), in the less-selected region slightly off the LTR. We then used the online tools of Feng Zhang's Lab at MIT to find our desired gRNA composition. We also did some calculation based on phenomenological energy calculation to estimate the stability and effectiveness of our gRNA sequences (Hsu et al., 2013). The tool shows that almost no off-target binding will occur. BLAST was used to further confirm the results. We also analyzed the structure of the resulted gRNA, which shows an approximate free energy of -1.4kJ (Zuker, 2003). For detailed information, see our gRNA design page.


See how we design our gRNA.

Modeling

Our project is intended to treat retrovirus diseases.So we want to know how effective the CRISPR/Cas9 system is. In our model, we discuss about dynamic changes of different cells in a person’s body using Matlab and we take HIV for exmple. After theoretical analysis, symbol description, formula derivation and Matlab analysis, we can see how the system works and the influence the CRISPR/Cas system produces by the change of virus and cells in this model. It will help us to forecast the future applications of our project.If the environment doesn't change, we can stimulate the situation in Matlab for a short time. The result is that the CRISPR/Cas9 system will take effect.

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Figure 12. The relationship between HIV copies and CD4 counts over the average course of untreated HIV infection


See how we do the modeling.

Safety

Our system has several built-in design to reduce the potential safety risks of the system utilization.

See how we concerned about the Safety.

Future Perspectives

In vivo establishment and validation of the system

Currently all our experiment design is based on in vitro conditions. However, our ultimate goal is to fight against HIV in vivo. A recent published paper in PNAS, sharing the similar design with our project, presented strong evidence for the effect of this system in other cell lines (Hu et al., 2014). So one of our important further works is to establish an in vivo system to test and improve our design. We plan to transplant the engineered Hela cell to immune deficient mice such as Nude or NOD/SCID mice. We will then optimize the dynamics of inducing of Cas9 of the transplanted cell by feeding the mice with Dox. The effect can be monitored in live mice in real time is we conjugate a luciferase gene to Cas9 gene and imaging its activate in the live mice. We will then optimize the delivery method and dosage of the A-B toxin-gRNA plasmid complex and monitor the changing in GFP expression of transplant cell using either biopsy or intravital fluorescent imaging.

Permanent implanting Cas9 gene into hematopoietic stem cells

Hematopoietic stem cells are the progenitor of all blood cells, including CD4+ T/B cells. It’s very difficult to extract all CD4+ T/B cells from the human blood system, doing the gene modification and then sent them back. Also, these cells can’t replicate, which means regularly gene modification should be done, which is unrealistic. Instead, one of our team members called Lin Le suggested to modify hematopoietic stem cells because all the offspring of the modified hematopoietic stem cells, including CD4+ T/B cells, carries our system, and it won’t loss since the renewal of CD4+ T/B cell will continue if the modified hematopoietic stem cells are still alive. The field of gene therapy has help accumulated a lot of knowledge in this area but it was partially hindered by the viral vectors used. The recent developed high efficient genome editing method including CRISPR/Cas9, Transcription activator-like effector nuclease(TALEN) and zinc-finger nucleases (ZFNs) might provide a safer approach. A recent report (Holt et al., 2010) using engineered ZFNs to eliminate CCR5 in human CD34+ hematopoietic stem /progenitor cells (HSPCs) revealed the possibility to manipulate hematopoietic stem cells. Mouse model used in the report shows positive results after genome editing by ZFNs, indicating promising future for CRISPR/Cas9 mediated genome editing.

Using CRISPR/Cas system to integrate Cas9 into human cells

Our current project uses Piggybac transposon system to deliver Cas9 into human cells for proof-of-principle studies. However, the integration site of Piggybac is non-specific, and it also has preferences for active transcribing sites, which may be normal or oncogene sites. Thus it is not ideal for clinical usage. However, the genome editing tool we used in this project (CRISPR/Cas system) has strong specificity for its target and the target can be designed to non-coding regions on human genome by carefully designed gRNA. One of the possible solutions is to integrate homologous recombinant sites around Cas9. By transient transfect the cell with the Cas9 encoding plasmid shown in Figure 13 and the gRNA expression plasmid shown in Figure 7 and use doxycycline to induce the expression of Cas9, we expect to insert our system into the locus which does no harm to normal gene functions.

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Figure 13. Possible design of CRISPR-based Cas9 integration plasmid.

Using HIV-modified vector to specifically deliver Cas9 gene or gRNA plasmid into CD4+ cells

One of the main limitations of our transfection system is non-directional, especially for A-B toxin based gRNA delivery because its target receptor is widely distributed on many cell types. However, the main group our system intends to protect is CD4+ cells because they are most susceptible to HIV. Interestingly, a paper published in 2009 reported a clinical trial that 2 X-linked adrenoleukodystrophy (ALD) patients received very positive treatment effect after gene therapy by using HIV-based lentivirus vector to transfect hematopoietic stem/progenitor cells (HSPCs) ex vivo (Cartier et al., 2009). So we will utilize the targeting capability of lentiviral vector while disarm its genome integration function to enable transient expression of the gRNA in the proper cells in vivo without the side effects of random genome insertion. There’s a saying in Chinese which is ‘Like cures like’. We think it explicitly expressed the idea of this approach.

Application in other retroviral diseases

The system designed by us can also be applied in treating other retrovirus diseases, such as Hepatitis B. We’ve designed gRNA for HBV and constructed target sequence plasmids to test its effectiveness.

See how we design gRNA for HBV

References

Cartier, N., Hacein-Bey-Abina, S., Bartholomae, C. C., Veres, G., Schmidt, M., Kutschera, I., . . . Aubourg, P. (2009). Hematopoietic stem cell gene therapy with a lentiviral vector in X-linked adrenoleukodystrophy. Science, 326(5954), 818-823. doi: 10.1126/science.1171242

Chen, T. Y., Hsu, C. T., Chang, K. H., Ting, C. Y., Whang-Peng, J., Hui, C. F., & Hwang, J. (2000). Development of DNA delivery system using Pseudomonas exotoxin A and a DNA binding region of human DNA topoisomerase I. Applied Microbiology and Biotechnology, 53(5), 558-567.

Clontech. Tet-On 3G Inducible Expression Systems User Manual. http://www.clontech.com/TW/Products/Inducible_Systems/Tetracycline-Inducible_Expression/ibcGetAttachment.jsp?cItemId=17569&fileId=6832390&sitex=10021:22372:US.

Cong, L., Ran, F. A., Cox, D., Lin, S. L., Barretto, R., Habib, N., . . . Zhang, F. (2013). Multiplex Genome Engineering Using CRISPR/Cas Systems. Science, 339(6121), 819-823. doi: DOI 10.1126/science.1231143

Fominaya, J., Uherek, C., & Wels, W. (1998). A chimeric fusion protein containing transforming growth factor-alpha mediates gene transfer via binding to the EGF receptor. Gene Ther, 5(4), 521-530. doi: 10.1038/sj.gt.3300614

Gaur, R., Gupta, P. K., Goyal, A., Wels, W., & Singh, Y. (2002). Delivery of nucleic acid into mammalian cells by anthrax toxin. Biochemical and Biophysical Research Communications, 297(5), 1121-1127. doi: Pii S0006-291x(02)02299-4 Doi 10.1016/S0006-291x(02)02299-4

Holt, N., Wang, J., Kim, K., Friedman, G., Wang, X., Taupin, V., . . . Cannon, P. M. (2010). Human hematopoietic stem/progenitor cells modified by zinc-finger nucleases targeted to CCR5 control HIV-1 in vivo. Nature Biotechnology, 28(8), 839-847. doi: 10.1038/nbt.1663

Hsu, P. D., Scott, D. A., Weinstein, J. A., Ran, F. A., Konermann, S., Agarwala, V., . . . Zhang, F. (2013). DNA targeting specificity of RNA-guided Cas9 nucleases. Nature Biotechnology, 31(9), 827-+. doi: Doi 10.1038/Nbt.2647

Hu, W., Kaminski, R., Yang, F., Zhang, Y., Cosentino, L., Li, F., . . . Khalili, K. (2014). RNA-directed gene editing specifically eradicates latent and prevents new HIV-1 infection. Proc Natl Acad Sci U S A. doi: 10.1073/pnas.1405186111

Kiem, H. P., Jerome, K. R., Deeks, S. G., & McCune, J. M. (2012). Hematopoietic-stem-cell-based gene therapy for HIV disease. Cell Stem Cell, 10(2), 137-147. doi: 10.1016/j.stem.2011.12.015

Mali, P., Esvelt, K. M., & Church, G. M. (2013). Cas9 as a versatile tool for engineering biology. Nat Methods, 10(10), 957-963. doi: 10.1038/nmeth.2649

Mali, P., Yang, L., Esvelt, K. M., Aach, J., Guell, M., DiCarlo, J. E., . . . Church, G. M. (2013). RNA-guided human genome engineering via Cas9. Science, 339(6121), 823-826. doi: 10.1126/science.1232033

Zuker, M. (2003). Mfold web server for nucleic acid folding and hybridization prediction. Nucleic Acids Res, 31(13), 3406-3415. doi: Doi 10.1093/Nar/Gkg595

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