Genome Editing in Drug Discovery

Genome Editing in Drug Discovery
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GENOME EDITING IN DRUG DISCOVERY A practical guide for researchers and professionals applying genome editing techniques to drug discovery In Genome Editing in Drug Discovery, a team of distinguished biologists delivers a comprehensive exploration of genome editing in the drug discovery process, with coverage of the technology’s history, current issues and techniques, and future perspectives and research directions. The book discusses techniques for disease modeling, target identification with CRISPR, safety studies, therapeutic editing, and intellectual property issues. The safety and efficacy of drugs and new target discovery, as well as next-generation therapeutics are also presented. Offering practical suggestions for practitioners and academicians involved in drug discovery, Genome Editing in Drug Discovery is a fulsome treatment of a technology that has become part of nearly every early step in the drug discovery pipeline. Selected contributions also include: A thorough introduction to the applications of CRISPRi and CRISPRa in drug discovery Comprehensive explorations of genome-editing applications in stem cell engineering and regenerative medicine Practical discussions of the safety aspects of genome editing with respect to immunogenicity and the specificity of CRISPR-Cas9 gene editing In-depth examinations of critical socio-economic and bioethical challenges in the CRISPR-Cas9 patent landscape Perfect for academic researchers and professionals in the biotech and pharmaceutical industries, Genome Editing in Drug Discovery will also earn a place in the libraries of medicinal chemists, biochemists, and molecular biologists.

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Группа авторов. Genome Editing in Drug Discovery

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Genome Editing in Drug Discovery

Preface

List of Abbreviations

List of Contributors

Part 1 Introduction to Drug Discovery and Genome Editing Methods

1 Genome Editing in Drug Discovery

1.1 Introduction

1.2 Genome Engineering

1.3 CRISPR/Cas9

1.4 Applications of CRISPR Cas9 in Drug Discovery

1.5 Concluding Comments

References

2 Historical Overview of Genome Editing from Bacteria to Higher Eukaryotes

2.1 Introduction

2.2 Bacterial DNA Engineering (Recombineering)

2.3 BAC Recombineering

2.4 Metabolic Engineering

2.5 Genetic Engineering in Higher Eukaryotes

2.6 Targeted Endonucleases

2.7 Novel Genome Editing Technologies

2.8 Conclusions

References

3 CRISPR Cas: From Bacterial Adaptive Immunity to the Swiss Army Knife of Drug Discovery

3.1 Introduction

3.2 CRISPR Biology in a Nutshell

3.3 The Diversity of CRISPR Systems

3.3.1 crRNA Biogenesis

3.3.2 Interference. 3.3.2.1 Class 1. 3.3.2.1.1 Type I

3.3.2.1.2 Type III

3.3.2.1.3 Type IV

3.3.2.2 Class 2

3.3.2.2.1 Type II

3.3.2.2.2 Type V

3.3.2.2.3 Type VI

3.3.3 Adaptation

3.4 CRISPR Systems as the Basis for New Tools in Drug Discovery

3.4.1 Cas Proteins for Gene Editing

3.4.1.1 Cas9 Variants

3.4.1.2 Cas9 Orthologs

3.4.1.3 The Use of Other Cas Proteins in Genome Editing

3.4.2 Application of Cas Proteins Beyond Genome Editing. 3.4.2.1 dCas9 Fusions

3.4.2.2 RNA Targeting

3.4.2.3 Biochemical Detection

3.5 Concluding Remarks

References

4 Commercially Available Reagents and Contract Research Services for CRISPR‐Based Studies

4.1 Introduction

4.2 CRISPR Resources and Reagents for Bespoke Editing and Genetic Screening. 4.2.1 Publicly Available Resources

4.2.2 Cas9 Enzymes

4.2.3 Cas9 Alternatives

4.2.4 Guide RNA Formats and Reagents

4.2.5 CRISPR Libraries: CRISPR KO, CRISPRa, CRISPRi

4.3 In vivo CRISPR Screening. 4.3.1 Pooled In vivo CRISPR Screening in Rodent Models

4.3.2 Considerations for Practice of in vivo CRISPR Screening

4.3.3 Next‐Generation in vivo CRISPR Screening

4.4 Working with Service Providers for Outsourcing CRISPR Studies

4.4.1 Critical Steps for Outsourcing

4.5 Considerations on Experimental Design and Controls Required when Outsourcing

4.5.1 Considerations on Selecting the Appropriate Cellular Host

4.5.2 Considerations on the Gene/Locus to be Edited

4.5.3 Controlling CRISPR Off‐Target Effects (OTEs) and Clonal Variations

4.5.4 Deciding on Specific Quality Control Experiments on Engineered Cells

4.5.4.1 Confirmation of Gene KO at Protein Level

4.5.4.2 Confirmation of Genetic Manipulation at RNA Level

4.6 Summary

Acknowledgments

References

5 Computational Tools for Target Design and Analysis

5.1 Introduction

5.2 Various Types of CRISPR Effectors

5.3 Computational Tools for Target Design

5.3.1 Web‐Based Tools for Generating Potential Off‐Target Sites

5.3.1.1 Cas‐OFFinder and Cas‐Designer

5.3.1.2 CHOPCHOP

5.3.1.3 CRISPR‐P 2.0

5.3.1.4 CRISPOR

5.3.1.5 CRISPRdirect

5.3.1.6 E‐CRISP

5.3.1.7 CCTop

5.3.2 Computational Tools for Predicting Editing Activity

5.3.2.1 DeepCpf1

5.3.2.2 DeepSpCas9

5.3.2.3 DeepHF

5.3.2.4 CINDEL

5.3.2.5 SSC

5.3.2.6 Prediction Web Tool by Doench et al. 2016

5.3.2.7 CRISPRscan

5.3.3 Computational Tools for Predicting Edited Outcomes After Gene Editing

5.3.3.1 Microhomology‐Predictor

5.3.3.2 FORECasT

5.3.3.3 inDelphi

5.3.4 Computational Tools for Assessing Editing Outcomes

5.3.4.1 TIDE

5.3.4.2 Cas‐Analyzer

5.3.4.3 CRISPResso2

5.3.4.4 CRISPRAnalyzeR

5.3.4.5 CRISPR‐Sub

5.3.5 Computational Tools for Base Editing and Prime Editing

5.3.5.1 BE‐Designer

5.3.5.2 PE‐Designer

5.3.5.3 PrimeDesign

5.3.5.4 DeepBaseEditor

5.3.5.5 DeepPE

5.3.5.6 BE‐Hive

5.3.5.7 BE‐Analyzer

5.3.5.8 PE‐Analyzer

5.4 Summary

Funding

References

Part 2 Genome Editing in Disease Modeling

6 Genome Editing in Cellular Disease Models

6.1 Gene Editing and Disease Models in Drug Discovery

6.1.1 Gene Editing Tools and the CRISPR Revolution

6.1.2 Disease Modeling in Drug Discovery

6.2 Variety of Cellular Disease Models and Their Improvement with Gene Editing

6.2.1 Cell Lines and Primary Cultures

6.2.2 Organoids: a Promising 3D Culture System

6.2.3 Human iPS Cells

6.3 Choosing and Designing a Relevant Genetically Engineered Cellular Disease Model

6.3.1 Criteria for an Educated Choice of Cellular System

6.3.2 Impact of Gene Editing Process on the Long‐Term Viability and Physiology of a Cellular Model

6.3.3 Disease Modeling Through Reproduction of Human Mutations in vitro

6.3.4 Alternative Cellular Models Relevant to Diseases’ Pathophysiology

6.4 Technical Considerations of Gene Editing in Cells

6.4.1 Technical Considerations Related to the in vitro System’s Characteristics

6.4.2 Critical Technical Aspects Linked to CRISPR Gene Editing Tool

6.5 Conclusion

References

7 Utilizing CRISPR/Cas9 Technologies for in vivo Disease Modeling and Therapy

7.1 Introduction to CRISPR/Cas9 and in vivo Modeling

7.2 CRISPR Editing to Alter Gene Expression. 7.2.1 Gene Knockout and Knockin to Introduce a Point Mutation or Therapeutic Gene Correction

7.2.2 Activation and Repression of Gene Expression by CRISPRa and CRISPRi

7.2.3 CRISPR Library Screens

7.2.4 Generation of Specific Chromosomal Rearrangements Using CRISPR/Cas9

7.3 Choice of Cas9 Species and/or Variant and Ortholog

7.4 Tissue‐Specific CRISPR/Cas9 Gene Editing. 7.4.1 Varying Delivery Vehicles and Choosing Different Routes of Administration

7.4.2 Tissue‐Specific Promoters, sgRNA Processing Systems, and miRNA Response Elements

7.5 Advantages/Disadvantages of Cas9 Expressing Systems

7.6 Limiting and Detecting Off‐Target Editing in vivo

7.7 Animal Species

7.7.1 Rodents and Small Animals. 7.7.1.1 Genetically Engineered Mouse Models (GEMMs)

7.7.2 Large Animal

7.7.3 Invertebrates

7.8 Delivery Systems of CRISPR/Cas9 Components in vivo

7.8.1 Delivery Vehicles for CRISPR Components. 7.8.1.1 Adenovirus (AdV)

7.8.1.2 Adeno‐Associated Virus (AAV)

7.8.1.3 Ribonucleoprotein (RNP) Complex

7.8.1.4 Lipid Nanoparticle (LNPs)

7.8.2 Delivery Routes for CRISPR/Cas9 Components in vivo

7.9 Concluding Remarks

References

Part 3 Genome Editing in Target Identification and Validation

8 Pooled CRISPR KO Screens for Target Identification

8.1 Introduction

8.2 Pooled CRISPR‐Cas Screens

8.3 Reagents

8.3.1 Library Design and Synthesis

8.3.2 Biological Systems for Screening

8.4 Library Transduction, Maintenance, and Next‐Generation Sequencing

8.4.1 Virus Production and Library Infection

8.4.2 Replicates

8.4.3 Positive vs Negative Selection Screen

8.5 Screen to Target Selection. 8.5.1 Statistical Analysis of CRISPR Screens

8.5.2 Gene List to Target Selection

8.6 In vivo CRISPR Screens

8.7 Advanced Functional Genomics Screens

8.8 Selected Applications of Pooled CRISPR‐Cas Screens. 8.8.1 Applications in Oncology. 8.8.1.1 Gene Essentiality Screens

8.8.1.2 Synthetic Lethal Screens

8.8.1.3 Drug Resistance and Synergy Screens

8.8.1.4 Immuno‐Oncology Screens for Cancer Immunotherapy

8.8.2 Applications Beyond Oncology. 8.8.2.1 Phenotypic Screens to Understand Gene Function and Regulation

8.8.2.2 Toxicology Applications

8.8.2.3 Microbiology Applications

8.9 Outlook

References

9 Functional Genomics: Arrayed CRISPR KO Screens

9.1 Introduction

9.2 Array Format Technologies

9.2.1 Genetic Perturbation Libraries

9.2.2 Non‐Genetic Perturbation Libraries

9.3 CRISPR Reagent Delivery Systems

9.4 PreClinical Models in Array Screening

9.5 Phenotypic Screening Readouts

9.6 Bioinformatic Pipeline

References

10 Applications of CRISPRi and CRISPRa in Drug Discovery

10.1 Introduction

10.2 Retooling CRISPR to Repress Gene Expression in Human Cells

10.3 Retooling CRISPR to Activate Gene Expression in Human Cells

10.4 Multiplexed CRISPRi/a Genetic Perturbations

10.5 CRISPRi/a Functional Genomics as a Discovery Modality

10.6 Identifying Gene Targets for the Treatment of Disease Using CRISPRi/a

10.7 Identification of Mechanisms of Response and Resistance to Drugs by CRISPRi and CRISPRa

10.8 CRISPRi/a Genetic Interaction Mapping for Drug Discovery

10.9 Conclusion

References

11 Sequence Diversification Screens with CRISPR‐Cas9‐Guided Base Editors

11.1 Introduction

11.2 CRISPR as a Genetic Screening Method

11.3 Conventional Genetic Loss‐ and Gain‐of‐Function Screens Using CRISPR. 11.3.1 CRISPRko Screens

11.3.2 CRISPRi and CRISPRa Screens

11.4 Sequence Diversification Screens Using CRISPR Base Editing. 11.4.1 A Short History of Base Editors

11.4.2 Base‐Editing Sequence Diversification Screens – CRISPR‐X and CRISPR‐TAM

11.4.3 Recent Developments in Base‐Editing Sequence Diversification

11.4.4 Single‐Cell Transcriptomic Read Out of Sequence Diversification Screens

11.4.5 Combining ABE and CBE Editors

11.4.6 Other CRISPR‐Based Sequence Diversification Methods

11.5 Applications for Base‐Editor Screening. 11.5.1 Studying Drug–Target Interactions (DTI)

11.5.2 Regulatory Elements

11.5.3 Alternative Splicing

11.5.4 Limitations

11.6 Conclusion

Acknowledgements

References

12 Single‐Cell Transcriptomics and Epigenomics for CRISPR‐Mediated Perturbation Studies

12.1 Introduction

12.2 CRISPR‐Based Genetic Screens with Single‐Cell Transcriptomics Readout

12.2.1 CRISP‐seq

12.2.2 Perturb‐seq

12.2.3 CROP‐seq

12.2.4 Mosaic‐seq

12.3 CRISPR‐Based Genetic Screens with Single‐Cell Epigenomics Readout

12.4 Future Perspectives

Acknowledgments

References

Part 4 Therapeutic Genome Editing

13 DNA Repair Pathways in the Context of Therapeutic Genome Editing

13.1 Reprogrammable Nucleases

13.2 DNA Double‐Strand Break Repair Pathways

13.2.1 Non‐Homologous End Joining (NHEJ)

13.2.2 Microhomology‐Mediated End Joining (MMEJ)

13.2.3 Single‐Strand Annealing (SSA)

13.2.4 Homology‐Directed Repair (HDR)

13.3 Strategies to Improve Knock‐In (KI)

13.3.1 Co‐Enrichment Strategies

13.3.2 Compound‐mediated Inhibition of Non‐Homologous End Joining (NHEJ)

13.3.3 Cell Cycle Manipulation

13.3.4 Modifications of sgRNA and HDR Donors

13.4 Genome Editing in Clinical Trials

13.4.1 Strategies Utilizing Non‐Homologous End Joining (NHEJ)

13.4.2 Strategies Engaging Homology‐Directed Repair (HDR)

13.5 Major Safety Considerations in TGE Clinical Trials

13.5.1 Activation of p53 upon Introduction of DNA Breaks

13.5.2 Off‐Target Activity, Large Deletions, and Complex Rearrangements

13.5.3 Pre‐Existing Immunity to Cas9 Variants

13.6 Conclusion

References

14 DNA Base Editing Strategies for Genome Editing

14.1 Introduction

14.2 Base Editor Architectures

14.3 Safety Considerations for Base Editing

14.3.1 Off‐Target DNA Editing

14.3.2 Off‐Target RNA editing

14.4 Improving Precision, Efficiency, and Specificity

14.4.1 Precision

14.4.2 Efficiency

14.4.3 Specificity

14.5 Prime Editing and Base Editing

14.6 Choosing the Right Editor

14.7 Therapeutic Uses of Base Editors

14.8 Conclusions

References

15 RNA Base Editing Technologies for Gene Therapy

15.1 Introduction

15.2 RNA Editing Technologies

15.2.1 Systems Employing Endogenous ADAR Proteins

15.2.1.1 GluR2‐ADAR

15.2.1.2 RESTORE

15.2.1.3 LEAPER

15.2.2 Systems Employing an Engineered Version of ADAR Protein

15.2.2.1 SNAP‐ADAR

15.2.2.2 λN‐ADAR

15.2.2.3 MCP‐ADAR

15.2.2.4 CIRTS

15.2.3 CRISPR‐Based RNA Editing Systems

15.3 Potential Clinical Applications of RNA Editing

15.3.1 Duchenne Muscular Dystrophy

15.3.2 Rett Syndrome

15.3.3 Hearing Loss

15.3.4 Inherited Retinal Degeneration

15.4 Challenges and Opportunities

15.5 Conclusions

References

16 Genome Editing Applications in Cancer T Cell Therapy

16.1 Introduction

16.2 CAR T Cells

16.2.1 Receptor Structure

16.2.2 Alternative Approaches

16.2.3 Clinical Perspectives

16.2.4 Challenges and Adverse Events

16.2.5 Manufacturing and Costs

16.3 Gene Editing in T Cells

16.3.1 Cassette Design and Gene Targeting Strategies

16.3.2 Delivery of Gene Editing Tools

16.3.3 Nuclease Delivery

16.3.4 Donor Template Delivery

16.3.5 Genetic Screens in T Cells

16.4 Gene Editing in T Cell Therapy. 16.4.1 Limiting GVHD and TCR Mispairing

16.4.2 Limit Immunosuppressive Signaling

16.4.3 Delaying Exhaustion of Intratumoral T Cells

16.4.4 Controlling T Cell Fate with Gene Editing

16.4.5 Broadening CAR Target Antigens in Blood Malignancies

16.4.6 Targeted Integration

16.5 Conclusion

References

17 Genome‐Editing Applications in Stem Cell Engineering and Regenerative Medicine

17.1 Introduction

17.2 Hematological Disorders

17.2.1 β‐hemoglobinopathies: Sickle Cell Disease and β‐thalassemia

17.2.1.1 Genetic Correction of the HBB Gene

17.2.1.2 Increasing γ‐globin Expression

17.2.2 Hemophilia

17.2.3 Human Immunodeficiency Virus

17.2.3.1 Genome Editing Using CCR5 as Target

17.2.3.2 Genome Editing Using CXCR4 as Target

17.3 Neurodegenerative Diseases

17.3.1 Parkinson's Disease

17.3.1.1 iPSCs Cell Therapy. 17.3.1.1.1 Healthy Donor Cell Therapy

17.3.1.1.2 Autologous Genetically Corrected Cell Therapy

17.3.2 Alzheimer's Disease

17.3.2.1 CRISPR/Cas9 Correction in Patient‐Derived iPSCs

17.3.3 Huntington's Disease

17.3.3.1 Haplotype‐Specific Approaches of Inactivating Dominant Mutant Allele

17.3.4 Cystic Fibrosis

17.4 Duchenne Muscular Dystrophy

17.4.1 Approaches to Enhance the Dystrophin Levels Using Genome Editing

17.4.1.1 Exon Deletion

17.4.1.2 Exon Skipping and NHEJ‐Derived Reframing

17.4.1.3 HDR‐Mediated Repairing

17.4.1.4 Base Editing

17.4.1.5 CRISPRa

17.4.2 Using iPSCs Toward DMD Treatment

17.5 Ocular Diseases

17.6 Inborn Errors of Metabolism

17.7 Lysosomal Storage Disorders (LSDs)

17.7.1 Hurler Syndrome Mucopolysaccharidosis Type I (MPS‐I)

17.7.2 Hunter Syndrome or Mucopolysaccharidosis Type II (MPS‐II)

17.8 Hereditary Tyrosinemia Type I (HT‐1)

17.9 Ornithine Transcarbamylase Deficiency (OTCD)

17.10 Primary Immune Deficiencies

17.11 Current Challenges in Therapeutic Genome Editing

17.12 Conclusions

Acknowledgements

References

18 Delivery and Formulation Methods for Therapeutic Genome Editing

18.1 Introduction

18.2 Payloads and Modalities

18.2.1 Plasmid DNA (pDNA)

18.2.2 RNA (mRNA and sgRNA)

18.2.3 Protein/Ribonucleoprotein Complex

18.3 Delivery Technologies

18.3.1 Viral Vectors

18.3.1.1 Production

18.3.1.2 Smaller Cas9 Variants

18.3.1.3 Split‐Constructs

18.3.1.4 Tissue Tropism

18.3.1.5 Chimeric/Hybrid Capsids and Designer Capsids

18.3.1.6 Site‐Specific Promoters and Inducible Expression

18.3.1.7 Summary

18.3.2 Lipid Nanoparticles (LNPs)

18.3.2.1 Ionizable Cationic Lipid for LNPs

18.3.2.2 PEG‐Lipids

18.3.2.3 Phospholipids and Cholesterol

18.3.2.4 Formulations with Microfluidic Mixing

18.3.2.5 ApoE Adsorption and Tissue Interaction

18.3.3 Non‐LNP‐Based Delivery Systems

18.4 In vivo Delivery Strategies

18.4.1 Clinically Feasible Delivery Strategies

18.5 Conclusion

References

19 Safety Aspects of Genome Editing : Immunogenicity

19.1 Introduction

19.2 Immunogenicity

19.2.1 Pre‐Existing Immunogenicity in Human Adults. 19.2.1.1 CRISPR/Cas9

19.2.1.2 Adeno‐Associated Virus (AAV)

19.2.2 Role of Antigen Presenting Cells (APCs)

19.2.3 Role of T Cells

19.3 Delivery‐Dependent Immunogenicity

19.3.1 Viral Delivery

19.3.1.1 New Antigen Formation Risk

19.3.2 NonViral Delivery

19.4 Methods to Study Cas9 Immunogenicity. 19.4.1 In vitro Assays: ELISA, ELISpot, FluoroSpot, Immunopeptidome

19.4.2 in vivo Strategies

19.5 Mitigation Strategies. 19.5.1 Targeting Immune‐Privileged Organs

19.5.1.1 Evasion from MHC Class I Recognition

19.6 Outlook

References

20 Specificity of CRISPR‐Cas9 Gene Editing

20.1 Introduction

20.2 Detecting Genome‐wide Off‐target Effects

20.2.1 In Silico Off‐target Detection Tools

20.2.2 Cell‐Based Off‐target Detection Methods

20.2.3 In Situ Off‐target Detection Methods

20.2.4 In vitro Off‐target Detection Methods

20.2.5 Detecting Off‐target Effects of CRISPR Tools that Do Not Induce DSBs

20.2.6 Off‐target Detection Method Choice

20.3 Reducing Genome‐wide Off‐target Effects

20.3.1 Improving the Specificity of Cas9 Target Recognition and Cleavage

20.3.1.1 Modification of gRNA Sequence and Chemistry

20.3.1.2 Engineered Cas9 Variants

20.3.2 Competitive Binding and Protein Inhibitors

20.3.3 Limiting Nuclease Exposure

20.4 Other Unwanted Effects: Translocations and Large Deletions

20.5 Clinical Implications and Future Directions

References

Note

Part 5 Intellectual Property Aspects and Future Prospects

21 Key Socio‐Economic and (Bio)Ethical Challenges in the CRISPR‐Cas9 Patent Landscape

21.1 Introduction

21.2 CRISPR‐Cas9 is Attracting Great Interest from Both the Business‐enterprise and Academic Sectors

21.3 The Business‐enterprise Sector is Ever More Interested in Using the New and Less Restrictive Forms of IPR for CRISPR‐Cas9

21.4 The Academic Research Sector has Created an Extremely Competitive CRISPR‐Cas9 Patent Landscape

21.5 Certain Socioeconomic and (Bio)ethical Concerns Connected with the CRISPR‐Cas9 Patent Landscape

21.6 Conclusion

References

22 Emerging Technologies for Genome Editing

22.1 Introduction

22.2 Improving and Expanding the Cas9 Toolbox

22.2.1 Engineering the Specificity of Cas9

22.2.2 Increasing the Targeting Scope of Cas9

22.2.3 The Search for Small Cas Proteins

22.2.4 Mitigating the Immunogenicity of Cas9

22.3 Prime Editing

22.4 Targeted Transposition and Beyond

References

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Edited by

Marcello Maresca

.....

Steve Rees Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK

Amélie Rezza genOway, Lyon, France

.....

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