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TREATMENT OF AUTOSOMAL DOMINANT

HEARING LOSS BY IN VIVO DELIVERY OF


GENOME EDITING AGENTS.
Twanie Kifani Fergus
105025611
ABSTRACT

➤ A genome-editing approach
targets a dominantly inherited
form of deafness.
➤ Cationic lipid-mediated in-vivo
delivery of Cas9-guide RNA
complexes can improve hearing
loss in a mouse model of
human genetic deafness.
➤ Injection of Cas9-guide RNA-
lipid complexes targeting the
mutant TmcBth allele into the
cochlea of neonatal TmcBth/+
mice substantially reduce
progressive hear loss.
Method
1. Primary cell culture.
2. Delivery of proteins complexed with cationic lipids into the mouse fibroblasts.
3. GUIDE-seq and data analysis.
4. High-thoughput DNA sequencing of genomic DNA samples.
5. Microinjection into the inner ear of neonatal mice.
6. Microinjection into adult inner ear by canalstomy.
7. Acoustic testing.
8. Acoustic startle reflex.
9. Immunohistochemistry and histology.
10. Haircell transduction current recording.
11. Inner ear tissue dissection for HTS.
12. Hair cells solution for HTS.
13. Statistical analysis.
14. Code availability.
15. Data availability.
RESULTS
RESULTS CONTINUED
RESULTS CONTINUED
DISCUSSION
➤ Cas-9 based genome editing agents can mediate targeted gene disruption.
➤ Mutations in TMC1 have been linked to recessive and dominant genetic deafness in
humans.
➤ Three candidates sgRNAs that place the Bth mutation at position 11,12 and 15 of
the spacer were identified, this allowed the PAM to be counted as position 21-23.
➤ Lipid-mediated delivery of Cas-sgRNA RNP complexes into cultured primary
fibroblasts derived from wild type Tmc1Bth/Bth mice was used to evaluate the allele
specificity of genomic DNA modification in mouse cells.
➤ A significant decline in transduction current amplitudes in Tmc1Bth/ΔTmc2Δ/Δ mice was
observed following injection with Cas9-Tmc-mut3-lipid complexes, consistent with
the disruption of Tmc1Bth allele in sensory hair cells in vivo, but not with Cas-GFP
sgRNA-lipid complexes.
DISCUSSION CONTINUED
➤ Un-injected ears exhibited substantial loss of IHCs and partial degeneration of
OHCs compared with wild type ears. On the other hand in injected ears, survival
of IHCs and OHCs was enhanced significantly.
➤ In uninjected ears of the TmcBth/+ mice, profound attenuation of cochlear neural
responses, with ABR thresholds ranging from 70-90 dB at four weeks of age
compared with 30-50dB for wild-type C3H mice.
➤ No significant startle responses was detected following stimulation at 120dB in
the un-injected mice while in the injected mice a significant startle response was
detected.
➤ There were unambiguous indels at the Tmc1Bth locus in cochlear tissue from
treated mice.
LIMITATIONS

➤ Not every mice will react the


same to the genome editing.
➤ This experiment was done on
rodents, this means that it
would not necessarily work for
humans.
CONCLUSION
It was presented in this research that cationic lipid mediated
Cas9-sgRNA complex delivery in vivo can attain in allele-specific
gene disruption in a mouse model of a human genetic disease
(deafness) resulting in amelioration of the disease phenotype.

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