CRISPR-Cas9 Editing of CEP290 Gene via AAV Vectors
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Solution Overview
Problem
Current treatments for Leber's Congenital Amaurosis 10 (LCA10), a severe inherited retinal degenerative disease, lack effective therapeutics despite advances in gene therapy, as controlling expression levels of therapeutic genes remains a challenge.
Innovation Solution
The use of CRISPR-Cas9 mediated genome editing systems, specifically delivering nucleic acids encoding Cas9 and guide RNAs targeted to the CEP290 gene via adeno-associated viral vectors for efficient transduction and editing in retinal cells, aiming to restore CEP290 function and alter the CEP290 gene sequence to address the underlying mutation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If gene augmentation therapy is used to treat LCA, then therapeutic gene expression can be achieved, but controlling expression levels of the therapeutic genes becomes difficult
Solution Approach 1:
The patent replaces the mechanical/vector-based gene delivery system (AAV vectors) with a CRISPR-Cas9 genome editing system that directly modifies the endogenous CEP290 gene. This substitution eliminates the need for external therapeutic gene expression control by instead repairing the patient's own gene, thereby resolving the contradiction between achieving therapeutic expression and controlling its levels.
2Manufacturing precision
If CRISPR-Cas9 genome editing is used to edit CEP290 gene, then precise gene sequence alteration can be achieved, but efficient delivery to retinal cells becomes challenging
Solution Approach 1:
The patent uses adeno-associated virus (AAV) vectors as intermediary carriers to deliver the CRISPR-Cas9 editing machinery into retinal cells. The AAV vector serves as a mediator that bridges the gap between the precise genome editing system and the difficult-to-transduce retinal tissue, thereby resolving the contradiction between editing precision and delivery efficiency.
Data Source
AI summary
Compositions and methods for treatment of CEP290 related diseases are disclosed.


