CRISPR-Cas9 SCN9A Editing for Precise Pain-Disorder Treatment

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Solution Overview

Problem

Current genome engineering technologies for treating SCN9A-related disorders lack precision and reproducibility, and there is a need for safe and effective treatments that can provide permanent changes to the genome with minimal intervention.

Innovation Solution

Utilizing CRISPR/Cas9 and Cpf1 endonucleases to introduce targeted single-strand or double-strand breaks in the SCN9A gene or its regulatory elements, enabling permanent insertions, deletions, or mutations to reduce or eliminate SCN9A gene expression, with methods including ex vivo and in vivo approaches using iPSCs and mesenchymal stem cells differentiated into neurons for administration.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of manufacture

If early random insertion technologies are used to insert transgenes, then the insertion process is simple, but the precision and reproducibility are poor leading to severe unwanted effects

Engineering Contradiction:
Improveease of insertionVSAvoidinsertion precision
Core Design Contradiction:
Ease of manufactureVSManufacturing precision

Solution Approach 1:

The patent employs guide RNA molecules as intermediaries that direct the Cas9 endonuclease to specific genomic locations. This mediator system enables precise targeting of the SCN9A gene without random insertion, resolving the contradiction between ease of manufacture and manufacturing precision by introducing a programmable guidance mechanism

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces the mechanical/random insertion process with a programmable molecular recognition system. The guide RNA sequence specifically binds to complementary DNA sequences through base pairing, substituting the non-specific mechanical insertion with a sequence-specific molecular recognition mechanism that achieves both precision and reproducibility

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Manufacturing precision

If zinc finger nucleases or TALENs are used to modify specific DNA areas, then the precision of alteration is increased, but the device complexity and treatment cost increase

Engineering Contradiction:
Improvealteration precisionVSAvoidsystem complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent employs a universal CRISPR-Cas9 system where a single Cas9 endonuclease can target any genomic location by simply changing the guide RNA sequence. This multi-functional platform replaces the need for different complex protein systems (ZFNs, TALENs) for different targets, reducing device complexity while maintaining high precision alteration capability

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent achieves different targeting specificities by changing the nucleotide sequence parameter of the guide RNA rather than changing the protein structure. This simple parameter change (RNA sequence) enables targeting of different genomic locations including the SCN9A gene, avoiding the complexity of designing different protein complexes for each target

Inventive Principle:
Principle #35Parameter changes

3Reliability

If multiple treatments are administered to address genetic disorders, then the treatment coverage is comprehensive, but the treatment duration and patient burden increase

Engineering Contradiction:
Improvetreatment effectivenessVSAvoidtreatment duration
Core Design Contradiction:
ReliabilityVSDuration of action of moving object

Solution Approach 1:

The patent performs preliminary action by introducing permanent genetic modifications to patient-specific induced pluripotent stem cells ex vivo before administration. This preliminary genetic editing ensures long-lasting therapeutic effects from a single treatment, reducing the need for repeated administrations and decreasing patient burden while maintaining treatment reliability

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent enables the edited stem cells to self-renew and differentiate into functional neurons that permanently express the corrected or knocked-out SCN9A gene. This self-service mechanism allows the treatment to maintain its effectiveness over time without requiring external intervention or repeated dosing, resolving the contradiction between treatment reliability and duration

Inventive Principle:
Principle #25Self-service

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Achieves permanent genomic alterations to treat SCN9A-related conditions by reducing or eliminating SCN9A gene products, potentially providing a single-treatment remedy for pain-related disorders with high specificity and efficiency.

Implementation Method 1

introducing into the cell one or more deoxyribonucleic acid (DNA) endonucleases to effect one or more single-strand breaks (SSBs) or double-strand breaks (DSBs) within or near the SCN9A gene

Methodology Applied
Scientific EffectEndonuclease cleavage: Enzyme

Data Source

PatentUS12442020B2Materials and methods for treatment of pain related disorders
Publication Date: 2025.10.14 VERTEX PHARMACEUTICALS INC
  • US12442020B2 patent drawing
  • US12442020B2 patent drawing
  • US12442020B2 patent drawing

AI summary

The present application provides materials and methods for treating a patient with one or more conditions associated with SCN9A whether ex vivo or in vivo. In addition, the present application provides materials and methods for editing and/or modulating the expression of SCN9A gene in a cell by genome editing.