Gene Therapy Flashcards

Discuss the principle gene therapy using lentiviruses to treat neurodegenerative diseases in a symptomatic or disease-modifying manner

1
Q

When was CRISPR technology first published?

A

2012 by Jinek et al

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2
Q

What is CRISPR?

A

Clustered regulatory interspersed short palindromic repeats - unique DNA sequence segments transcribed into RNA identified in bacterial DNA in 1987

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3
Q

What is Cas9?

A

A RNA-DNA binding nuclease

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4
Q

Describe CRISPR-Cas adaptive immunity

A

During CRISPR administration, the injection of phage DNA into bacterial cells activates the Cas1-Cas2 adaptation proteins. These excise spacer-sized fragments of phage DNA and incorporate it into the CRISPR array, which is transcribed into RNA and cleaved, then processed at repeats to generate crRNAs. Individual crRNAS are found by Cas9. When a phage with DNA matching a CRISPR spacer enters, Cas9 finds and pairs the crRNA and DNA, destroying the phage

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5
Q

Describe the method of action of Cas9

A

Cas9 binds to tracer RNA, which recruits crRNA via homologous sequences. Cas9 loaded with both RNAs scans DNA for PAM sequences, then binds to PAM and opens its adjacent double helix to determine homology. When it finds homology, it becomes a nuclease and cleaves both strands of the RNA close to the PAM

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6
Q

Where is the PAM found?

A

In the phage DNA spacer - but not in the CRISPR array containing the spacers, allowing Cas9 to distinguish bacterial genome from invader phage DNA and only cleave RNA

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7
Q

How does interaction of Cas9 with RNA and DNA alter its function?

A

Cas binding to PAM changes its conformation (allosteric change) to make it a DNA denaturing enzyme. When it finds complete homology with crRNA, it becomes a DNA nuclease

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8
Q

How much homology with crRNA is required to activate Cas9 nuclease activity?

A

20 nucleotides

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9
Q

How many mitmatches with crRNA will prevent Cas9 cleavage?

A

1-2 are sufficient

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10
Q

Name 2 methods which mammalian chromosomes use to repair DNA after Cas9 cleavage

A

Non-homologous end-joining, homologous directed recombination

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11
Q

State a way in which Cas9 proteins can be modified

A

Mutated to become single-strand nucleases, nuclease activity deactivated (dCas9)

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12
Q

State a use of nuclease-deactivated Cas9

A

Fusing dCas9 to GFP allows fluorescent marking of DNA

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13
Q

Name some methods of delivery of CRISPR-Cas9

A

Microinjection, transfection, viral vectors, gold particles

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14
Q

Name some viral vectors

A

Lentiviruses, adenoviruses, adeno-associated viruses

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15
Q

State 3 current challenges around the therapeutic applications of gene editing

A

Delivery, controlling repair pathways, ethics

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