and Eric R. Lechman (elechman@uhnresearch.ca) regenerative therapies. Thus, LT-HSCs are essential for therapeutic genome editing to correct acquired and genetic hematopoietic disorders 3,4 . Furthermore, the pathogenesis of hematological malignancies like acute myeloid leukemia (AML) is associated with the presence of initiating mutations acquired in LT-HSCs, which lead to their competitive expansion 5,6 . Pre-leukemic LT-HSCs are a source of clonal evolution within blood malignancies and can act as a reservoir of relapse after chemotherapy treatment 7 . Thus, modeling and understanding the genetic complexity and cellular heterogeneity seen in human hematological malignancies requires novel methodologies that allow genome editing in LT-HSCs and their functional read-out 3,4 .Recently several studies have demonstrated efficient gene editing of bulk CD34 + populations that are enriched for human HSPCs [8][9][10][11][12][13][14][15][16] . Highly efficient non-homologous end joining (NHEJ) mediated gene disruption of up to 80-90% efficiency has been reported in CD34 + HSPCs 10,11,14,16 . In addition, homology-directed repair (HDR) mediated knock-ins, with or without selectable fluorescent reporter genes, have been established with an efficiency of up to 20% in CD34 + HSPCs 8,9,11,13,15 . Stable integration of a fluorescent reporter using rAAV6 combined with flow cytometrybased sorting enabled enrichment of CRISPR/Cas9 edited HSPCs 8,9,16 . Because LT-HSCs represent only 0.1 -1% of CD34 + populations, these studies did not address LT-HSC targeting in the most direct manner. Previous studies have reported long term engraftment of up to 16 weeks following xenotransplantation of CRISPR/Cas9 edited human CD34 + HSPCs 8,15,16 , suggesting that rare LT-HSCs within the CD34 +