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Template-jumping prime editing enables large insertion and exon rewriting in vivo

Chunwei Zheng, Bin Liu, Xiaolong Dong, Nicholas Gaston, Erik J. Sontheimer () and Wen Xue ()
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Chunwei Zheng: University of Massachusetts Chan Medical School
Bin Liu: University of Massachusetts Chan Medical School
Xiaolong Dong: University of Massachusetts Chan Medical School
Nicholas Gaston: University of Massachusetts Chan Medical School
Erik J. Sontheimer: University of Massachusetts Chan Medical School
Wen Xue: University of Massachusetts Chan Medical School

Nature Communications, 2023, vol. 14, issue 1, 1-9

Abstract: Abstract Targeted insertion of large DNA fragments holds promise for genome engineering and gene therapy. Prime editing (PE) effectively inserts short ( 400 bp) remains low and in vivo application has not been demonstrated. Inspired by the efficient genomic insertion mechanism of retrotransposons, we develop a template-jumping (TJ) PE approach for the insertion of large DNA fragments using a single pegRNA. TJ-pegRNA harbors the insertion sequence as well as two primer binding sites (PBSs), with one PBS matching a nicking sgRNA site. TJ-PE precisely inserts 200 bp and 500 bp fragments with up to 50.5 and 11.4% efficiency, respectively, and enables GFP (~800 bp) insertion and expression in cells. We transcribe split circular TJ-petRNA in vitro via a permuted group I catalytic intron for non-viral delivery in cells. Finally, we demonstrate that TJ-PE can rewrite an exon in the liver of tyrosinemia I mice to reverse the disease phenotype. TJ-PE has the potential to insert large DNA fragments without double-stranded DNA breaks and facilitate mutation hotspot exon rewriting in vivo.

Date: 2023
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DOI: 10.1038/s41467-023-39137-6

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