Genome editing efficiency of AdV compared to plasmid transfection
The efficiency of genome editing using AdV was compared with that of commonly used plasmid transfection. After GFP-expressing AdV was used to infect Huh-7 cells, we confirmed by GFP expression that AdV was introduced into all cells. As the Cas9-plasmid, Cas9/gRNA-G-1, which has a Cas9 expression unit and a G1 guide RNA against GFP (Supplementary table S1) on the same molecule, was used to transfect cells. As the Cas9-AdV, Avec-Cas9, which expresses SpCas9 driven by the CBh promoter, was used to coinfect cells with gRNAG1-Cre AdV, which carries the same guide RNA as the plasmid (Fig. 1a). After six days, both cell samples were harvested, and the efficiency of genome editing was quantified by T7E1 assays after DNA extraction.
For the plasmid, cells transfected with 0.3 µg DNA showed the highest indel introduction efficiency at 9.3%. Cells transfected with 1.0 µg were observed to have cell damage and reduced efficiency of genome editing (Fig. 1b, lanes 6–8). In contrast, for AdV, cells infected at MOI 0.3 already showed 9.7% indel introduction, which was the maximum indel induction efficiency of the plasmid, and the efficiency continued to increase in a dose-dependent manner (Fig. 1b, lanes 2–5). These results confirmed that AdV is an excellent tool that can increase the efficiency of genome editing.
Induction of short-term and highly efficient genome editing by “Excisional” expression
Although AdV is classified as a transient gene expression vector, AdV genomes are relatively stable in cells compared to plasmid DNA36. Therefore, we applied an “Excisional” expression system that we developed and reported before37 and constructed an “Excisional Cas9” system, named Exci-Cas9 that expresses Cas9 protein strongly over a short period. This system by itself did not express Cas9 (Fig. 2a, bottom), because Cas9 cDNA was in front of the CBh promoter. However, when Cre was supplied from gRNA/Cre AdV (Fig. 2a, right), strong expression of Cas9 was induced, because Cas9 and the CBh promoter were joined in the normal order. So in this system, the Cas9 expression unit was present in the circular molecule excised by Cre (Fig. 2a, bottom). In other words, this method increases the transfection efficiency of the plasmid, and it can be expected that the Cas9 expression period will be shortened.
Therefore, we compared the expression period of Cas9 between a “Direct” expression system (Avec) (Fig. 2b), in which Cas9 is expressed directly from the CBh promoter and our “Excisional” expression system (Cre + Exci) (Fig. 2a). In this experiment, we used two gRNAs named G2 and G3 (Supplementary table S1) arranged in tandem. One day after infecting Huh-7 cells with GFP-AdV, gRNA-G2-3/Cre AdV (Cre) and Avec-Cas9 (Avec), or Cre and Exci-Cas9 (Cre + Exci) were each used for coinfection at MOI 7. -Cre is a control in which Cas9 expression units are not generated because Cre is not transduced, and Exci-Cas9 and control AdV (Ad1w1), which does not have an inserted gene, were used for coinfection. Infected cells were harvested one, three, five, and seven days after Cas9 transduction.
In this study, we used multiplex gRNAs to increase the efficiency of genome editing. When the indel (%) was quantitated by T7E1 assay, induced indels by AdV carrying a single gRNA were 11.5% for G2 and 23.5% for G3. However, with AdV that has multiplex gRNA G2-G3 (G2 and G3 on the same molecule), the indel percent was 57.3%, which was about twice that of a single gRNA (Supplementary Figure S1).
The amount of remaining DNA of Cas9 was calculated using a primer for Cas9 and a primer for the AdV backbone. In Fig. 2c, the amount of Cas9 DNA on each day is shown as the value when the ratio of the number of copies of Cas9 and AdV on day one was set as 1. That means that the value was the copy number of Cas9 DNA compared to that of AdV DNA on each day, and as a result, the decrease in AdV DNA due to cell division for example was corrected. In all groups, the amount of Cas9 DNA was similar to that of AdV from one to three days after transduction. The Cas9 DNA of Cre + Exci decreased from five days and was hardly detected at seven days after infection. In contrast, Cas9 DNA of -Cre during that period was mostly stable. Avec showed a two-fold increase in Cas9 DNA, suggesting that Cas9 mRNA might have remained after RNase treatment during DNA extraction.
Cas9 protein in Avec was detected from day one and was stably detected until seven days later (Fig. 2d, lanes 1–4). In -Cre, Cas9 was not detected at any time point (Fig. 2d, lanes 9–12). This result showed that there was no Cas9 leakage expression from the “Excisional” system unless Cre was introduced. While the Cas9 expression of Cre + Exci, which was coinfected with gRNA and Cre, was not detected on day one, Cas9 protein started to be detected at three days then decreased continually at five and seven days (Fig. 2d, lanes 5–8). From these results, we consider Exci-Cas9 to be a highly useful system for expressing Cas9 strongly in a short period as compared with Avec.
The efficiency of genome editing against GFP was compared between Avec-Cas9 and Exci-Cas9 (Fig. 2e). GFP expression increased over time in -Cre, because it did not express Cas9. In Avec, GFP expression was not found. In contrast, in Cre + Exci, GFP expression increased until day three, consistent with the result of western blotting, but no increase was observed thereafter.
The amount of GFP-DNA remaining without genome editing was quantified using a primer set designed for the DNA region between guide RNA G2 and guide RNA G3 (Fig. 2f) (Supplementary table S2). As with GFP expression, the amount of GFP-DNA remaining after genome editing decreased to 0.76 on day one in Avec and was not detected after day five. In Cre + Exci, GFP-DNA remained stable after day one and rapidly decreased to 0.37 after day three. However, GFP-DNA remained stable in -Cre. These results show that Exci-Cas9 is a short-term high expression system of Cas9 controlled with high accuracy by Cre and with high efficiency of genome editing.
Efficient editing of the HBV genome by both Avec and Exci-Cas9
In this study, as an example of genome editing by Exci-Cas9, we showed the efficiency of virus genome removal by targeting HBV, which is a DNA virus. Six guide RNAs for the HBV genome were designed (Fig. 3a). Two types AdVs carrying different gRNA sets and a Cre expression unit, namely gRNA H1-3-5/Cre AdV and gRNA H2-4-6/Cre AdV, were constructed (Fig. 3b, left). Detection of HBV genome replication was performed using a previously reported HBV103-AdV method 38.
Ax-CM103G-kS (Fig. 3b, left), which carries an HBV genome modified to not express the S gene, was used to infect HepG2 cells. The AdVs expressing guide RNAs against the HBV genome and Cre were prepared as gRNA H1-3-5/Cre AdV having gRNA 1, 3, and 5 inserted in tandem, and gRNA H2-4-6/Cre AdV with gRNA 2, 4, and 6 (Fig. 3b, right).
Supplementary Figure S2, because no band was detected one day after infection with Ax-CM103G-kS, shows that PCR using HBV primer sets (Supplementary table 3) did not detect the HBV genome of the AdV, but only detected the HBV genomes generated after HBV replication. The replicated HBV genomes containing cccDNA (named repHBV-DNA) began to be detected on day two and were stably detected after three days. Therefore, Avec-Cas9 or Exci-Cas9 as Cas9 expression units and AdVs having gRNAs and Cre were used for coinfection at MOI 10 three days after Ax-CM103G-kS infection. Infected cells were harvested, and total DNAs were extracted at six and nine days after Ax-CM103G-ks infection (Fig. 3c). A group infected with only gRNA-AdV was prepared as a control for genome editing (-Cas9).
PCR reactions were performed using same primer sets shown in Supplementary Figure S2 (Fig. 3d). After successful genome editing, repHBV-DNA was excised between gRNAs. New bands derived from the shortened HBV genome resulting from genome editing were detected at about 2.0 kb using 1-3-5 gRNA and at about 1.5 kb using 2-4-6 gRNA. As a result, in both Avec (Fig. 3d, lane 4 for 1-3-5 and lane 10 for 2-4-6) and Exci (Fig. 3d, lane 6 for 1-3-5 and lane 12 for 2-4-6), shortened repHBV-DNA resulting from genome editing was detected from day six, which was only three days after the introduction of Cas9. No difference depending on the gRNA was detected.
To quantify the amount of repHBV-DNA excised, the probe was set for the X gene coding region excised by Cas9, and quantitative PCR was performed. The residual amount of HBV-DNA after genome editing in each group is shown as a ratio when the Ct value of repHBV-DNA of the control, to which Cas9 was not added, was set as 1 (Fig. 3e). For Avec, the repHBV-DNA remaining on day six was 0.47 for g1-3-5 and 0.73 for g2-4-6, and on the ninth day it was 0.18 for g1-3-5 and 0.28 for g2-4-6. Similarly, for Exci-Cas9, the repHBV-DNA on day six was 0.58 for g1-3-5 and 0.64 for g2-4-6, and on the ninth day it was 0.08 for g1-3-5 and 0.20 for g2-4-6. This surprisingly showed that 80–90% of the HBV genome could be removed by not only Avec but also Exci-Cas9 at only six days after the introduction of Cas9. Between g1-3-5 and g2-4-6, g1-3-5 showed a slightly higher suppression rate, but no significant difference was observed.
Next, to show how much the expression of HBV protein was suppressed by genome editing using Avec or Exci-Cas9, HBV Core protein, which constitutes the virus particles, was detected by western blotting. We confirmed that both Avec and Exci-Cas9 efficiently suppressed the expression of Core protein (Fig. 3f).
Application of the Exci-Cas9 system to cell-specific genome editing
The activity of cell-specific promoters is generally weaker than that of commonly used promoters. Previously, to overcome the weakness of cell-specific promoters, we reported a method using Cre. It consists of a combination of a switch unit that expresses Cre showing extremely high recombination efficiency from a cell-specific promoter, and a target unit constructed to express a gene of interest in a Cre-dependent manner. With this method, it is possible to increase the expression of a gene of interest by about 50 times while maintaining cell specificity as compared with using a cell-specific promoter directly 37. Therefore, by applying Exci-Cas9, it may be possible to perform genome editing in a cell-specific manner.
We chose the albumin promoter, which is hepatocyte specific, as a cell-specific promoter. mAlu-GFP, which has GFP expressed by the mouse albumin (mAlu) promoter, and mAlu-Cre, which has Cre expressed by the mAlu promoter, were constructed with AdV. As a Cre-dependent expression unit, we used a target AdV in which a stuffer region having a neomycin resistance gene between loxPs inserted in the same direction was inserted between the EF1α promoter and GFP. Therefore, in this AdV, the expression of GFP depends on the expression of Cre (Fig. 4a).
In mAlu-GFP, the expression of GFP was barely seen at MOI 50. In contrast, in the target AdV with mAlu-Cre, sufficient GFP expression was seen even at MOI 10 (Fig. 4b). The GFP fluorescence intensity was quantified. As in a previous report, we found that the expression of GFP was more than 10 times higher in mAlu-Cre than in mAlu-GFP. In addition, regarding specificity, we clarified that the GFP intensity was below the detection limit in HeLa cells, which are not derived from hepatocytes (Fig. 4c).
Next, we prepared an AdV having mAlu-Cre and gRNA 2-4-6 against HBV (mAlu-Cre). The genome editing efficiency was compared between mAlu-Cre, which expresses Cre specifically in hepatocytes, and SR-Cre, which expresses Cre by the SRα promoter previously used in Exci-Cas9 (Fig. 4d) 39.
In SR-Cre, the repHBV-DNA remaining on day six was 0.61, and on day nine it was 0.13, which was almost the same as the results shown in Fig. 3. In mAlu-Cre, the repHBV-DNA on day six was 1.45, and no decrease of repHBV-DNA was detected. However, surprisingly, it was 0.10 on day nine, which was almost the same editing efficiency as SR-Cre (Fig. 4e). This difference between SR-Cre and mAlu-Cre was thought to be due to the difference in the amount of Cre expressed from the weak cell-specific promoter, especially on day six. However, from day nine, mAlu-Cre showed almost the same HBV genome editing effect as SR-Cre in Huh-7 cells.