CRISPR-enhanced human adipocyte 'browning' as cell therapy for metabolic disease [preprint]
Tsagkaraki, Emmanouela ; Nicoloro, Sarah M. ; DeSouza, Tiffany ; Solivan-Rivera, Javier ; Desai, Anand ; Shen, Yuefei ; Kelly, Mark ; Guilherme, Adilson L. ; Henriques, Felipe ; Ibraheim, Raed ... show 10 more
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Authors
Nicoloro, Sarah M.
DeSouza, Tiffany
Solivan-Rivera, Javier
Desai, Anand
Shen, Yuefei
Kelly, Mark
Guilherme, Adilson L.
Henriques, Felipe
Ibraheim, Raed
Amrani, Nadia
Luk, Kevin
Maitland, Stacy A.
Friedline, Randall H.
Tauer, Lauren
Hu, Xiaodi
Kim, Jason K
Wolfe, Scot A.
Sontheimer, Erik J.
Corvera, Silvia
Czech, Michael P.
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Keywords
CRISPR
cell therapy
obesity
Type 2 diabetes
brown adipocytes
Biochemical Phenomena, Metabolism, and Nutrition
Cellular and Molecular Physiology
Endocrine System Diseases
Endocrinology
Hormones, Hormone Substitutes, and Hormone Antagonists
Molecular Biology
Molecular, Cellular, and Tissue Engineering
Nutritional and Metabolic Diseases
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Abstract
Obesity and type 2 diabetes (T2D) are associated with poor tissue responses to insulin [1,2], disturbances in glucose and lipid fluxes [3-5] and comorbidities including steatohepatitis [6] and cardiovascular disease [7,8]. Despite extensive efforts at prevention and treatment [9,10], diabetes afflicts over 400 million people worldwide [11]. Whole body metabolism is regulated by adipose tissue depots [12-14], which include both lipid-storing white adipocytes and less abundant 'brown' and 'brite/beige' adipocytes that express thermogenic uncoupling protein UCP1 and secrete factors favorable to metabolic health [15-18]. Application of clustered regularly interspaced short palindromic repeats (CRISPR) gene editing [19,20] to enhance 'browning' of white adipose tissue is an attractive therapeutic approach to T2D. However, the problems of cell-selective delivery, immunogenicity of CRISPR reagents and long term stability of the modified adipocytes are formidable. To overcome these issues, we developed methods that deliver complexes of SpyCas9 protein and sgRNA ex vivo to disrupt the thermogenesis suppressor gene NRIP1 [21,22] with near 100% efficiency in human or mouse adipocytes. NRIP1 gene disruption at discrete loci strongly ablated NRIP1 protein and upregulated expression of UCP1 and beneficial secreted factors, while residual Cas9 protein and sgRNA were rapidly degraded. Implantation of the CRISPR-enhanced human or mouse brown-like adipocytes into high fat diet fed mice decreased adiposity and liver triglycerides while enhancing glucose tolerance compared to mice implanted with unmodified adipocytes. These findings advance a therapeutic strategy to improve metabolic homeostasis through CRISPR-based genetic modification of human adipocytes without exposure of the recipient to immunogenic Cas9 or delivery vectors.
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bioRxiv 2020.10.13.337923; doi: https://doi.org/10.1101/2020.10.13.337923. Link to preprint on bioRxiv.
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This article is a preprint. Preprints are preliminary reports of work that have not been certified by peer review.
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Now published in Nature Communications doi: 10.1038/s41467-021-27190-y