CRISPR/Cas9-based editing to treat recessive dystrophic epidermolysis bullosaOngoing
|Project lead||Prof. Alain Hovnanian|
|Organisation||INSERM UMR1163, Institut Imagine|
|Partner organizations & collaborators||Département de Génétique, Hôpital Necker-Enfants malades, Paris|
|Project budget||EUR 132,600.00 + EUR 77,000.00 extension|
|Start date / Duration||01. Sep 2018 / 40 months|
|Funder(s) / Co-Funder(s)||DEBRA Austria, MSAP/EBEP Recommended, DEBRA France|
|Research area||Molecular therapy, Cellular therapy|
Publications related to the projectsEmerging drugs for the treatment of epidermolysis bullosa
Short lay summary
The purpose of this pre-clinical research project is to investigate the therapeutic potential of gene editing to correct two frequent mutations in the gene that codes for the protein type VII collagen. Its primary goal is to set the stage for future therapeutic approaches that would ultimately restore adherence between epidermis and dermis in RDEB patients. To achieve this objective, researchers will develop two strategies in parallel. One will focus on correcting RDEB keratinocytes and fibroblasts directly isolated from patients. The second strategy involves the generation of induced pluripotent stem cells (iPSCs) from patients’ fibroblasts. In these experiments, the plan is to reprogram biopsied adult fibroblasts to become undifferentiated cells with the capacity to give rise to a diversity of cell types of interest. This step might help yield a higher correction efficiency, according to previous work. Once genetically corrected, iPSCs will be re-routed to become skin keratinocytes, fibroblasts and MSCs. Skin made out of functionally corrected cells will be then grown in culture dishes and grafted on mice. In parallel, gene-corrected fibroblasts will be locally injected into the dermis to treat grafted skin.
This research program aims at investigating the therapeutic potential of CRISPR/Cas9-mediated HDR to correct recurrent COL7A1 mutations (c.425A>G; p.Lys142Arg and c.6508C>T; p.Gln2170* in exon 3 and 80 respectively) in RDEB patient’s primary and IPSCs-derived keratinocytes, fibroblasts and MSCs respectively. Gene-edited RDEB cells will be used to demonstrate that restored type VII collagen is functional by grafting either gene-edited skin equivalents onto nude mice or by performing intradermal injections of primary or IPSCs-derived fibroblasts or MSCs into nude mice grafted with RDEB skin equivalents. The most efficient strategy will orientate future therapeutic choices towards clinical application.
This project novelty is manifold primarily because the targeted mutations are frequent in RDEB patients of European ancestry. Secondly, their correction will take place in a diversity of cell types, including adult primary fibroblasts and keratinocytes as well as iPSC. Additionally, alternative modes of delivery of the genetic material will be considered. Based on these two assets, this project has the potential to accelerate the clinical translation of gene-editing strategies for the treatment of RDEB patients.