Edited by Xiao-Fan Wang CRISPR/Cas9 is a powerful technology widely used for genome editing, with the potential to be used for correcting a wide variety of deleterious disease-causing mutations. However, the technique tends to generate more indels (insertions and deletions) than precise modifications at the target sites, which might not resolve the mutation and could instead exacerbate the initial genetic disruption. We sought to develop an improved protocol for CRISPR/Cas9 that would correct mutations without unintended consequences. As a case study, we focused on achondroplasia, a common genetic form of dwarfism defined by missense mutation in the Fgfr3 gene that results in glycine to arginine substitution at position 374 in mice in fibroblast growth factor receptor 3 (Fgfr3-G374R), which corresponds to G380R in humans. First, we designed a GFP reporter system that can evaluate the cutting efficiency and specificity of single guide RNAs (sgRNAs). Using the sgRNA selected based on our GFP reporter system, we conducted targeted therapy of achondroplasia in mice. We found that we achieved higher frequency of precise correction of the Fgfr3-G374R mutation using Cas9 protein rather than Cas9 mRNA. We further demonstrated that targeting oligos of 100 and 200 nucleotides precisely corrected the mutation at equal efficiency. We showed that our strategy completely suppressed phenotypes of achondroplasia and whole genome sequencing detected no off-target effects. These data indicate that improved protocols can enable the precise CRISPR/Cas9-mediated correction of individual mutations with high fidelity.CRISPR/Cas9 is a RNA-guided genome editing tool developed from a microbial adaptive immune defense system (1-3). Because of its high efficiency and easy-to-use nature, the CRISPR/Cas9 system is revolutionizing many research fields, Figure 4. Observation of gene corrected and mutant mice. A, whole mount skeleton staining of Fgfr3 G1120A/ϩ dwarf (left) and corrected mice (right) at 1 month of age. B, X-ray images and its statistical analysis (C) showing the length of femur of dwarf and corrected mice. D, comparison of body weight between dwarf mice, corrected mice, and knockout mice.
Correction of the Fgfr3-G374R related achondroplasia