Critical steps within the protocol
The generation of genetically modified mice is known to be technically challenging. However, the protocol presented here is an optimized and simplified method that allows one to master and troubleshoot the technique in record time. There are two steps necessary for the successful completion of the technique. First, the synthesis of linear DNA templates (for the synthesis of sgRNAs) can be achieved without magnesium chloride (MgCl2). However, it is highly recommended to systematically add MgCl2 to the master mix because the partial hybridization of the forward primer is often prevented in the absence of MgCl2. In addition, it is critical for the targeted genomic sequence to not be present in any part of the donor template (in the case of targeted integration), otherwise the Cas9 nuclease will cut it, preventing the occurrence of HDR.
Modifications and troubleshooting
Although this protocol for generating genetically modified mice has been optimized and streamlined over the years, there are some considerations relating to the yield of good quality oocytes for microinjection and the plugging rate of foster females. The choice of the background strain is critical in regard to the number of live pups resulting from a microinjection session. C57BL/6 is the most commonly used background for mouse models of diseases. However, it is also one of the less efficient backgrounds in terms of resistance to microinjection20. Furthermore, the age of the female is also critical to yield a large number of oocytes; it is recommended to avoid mice 5-8 weeks of age, regardless of the background, as this is the least favorable period of response to hormonal stimulation21. In our experience, 3-to 4-week-old C57BL/6 mice reliably yield 20-30 eggs per female. It is important to note that a new technique (referred to as ultra-superovulation) has produced up to 100 eggs per female and has recently been used to generate oocytes for microinjection22. However, the use of ultra-superovulation for microinjection is generally hampered by the need to artificially fertilize (in vitro fertilization) such a large number of eggs.
To obtain plugged foster females suitable for reimplantation, female mice are mated with vasectomized males (the background of these mice is not critical). To increase the number of plugged recipients, careful examination of the stage of estrus and the selection of suitable females can be performed23. Synchronization of the females' cycles can also be induced by exposing the females to vasectomized males two days prior to mating (the so-called "Whitten effect")24.
Limitations of the technique
Once optimized, the procedure should reliably allow one to systematically generate genetically modified mice during each microinjection session. Nonetheless, there are two main limitations to the procedure that correlate with the size of the attempted genomic modification.
Very small genomic modifications, such as point mutations, are relatively easy to generate, but they are difficult to identify. When genotyping is performed, the PCR products are directly sequenced by Sanger sequencing. However, the direct microinjection of CRISPR components into mouse oocytes often generates mosaic animals because the Cas9 remains active for quite some time and different genomic modifications can occur after the first division of the oocyte. This confounding effect complicates the identification of discrete mutations among various alleles, and next-generation sequencing (NGS) can help with challenging readouts. Sensitive techniques, such as tetra-primer ARMS-PCR,25 can also help with genotyping the colony after the identification of the founders by sequencing.
Conversely, inserting large pieces of DNA in a targeted fashion remains challenging. The larger the exogenous DNA, the lesser the efficiency of HDR. Consequently, new strategies, such as the use of long ssOligos donors (in lieu of plasmids)26 or HDR-independent targeted integration27, are currently being developed.
Significance of the protocol
This protocol presents significant advances because the four main steps (i.e., preparation of the transgene or CRISPR components, microinjection, reimplantation, and genotyping) have been optimized, tested, and validated in our laboratory.
The random integration of transgenes is widely used for overexpression studies for two main reasons. First, to avoid the potential "position effect," the targeted integration of a transgene using CRISPR in "safe harbor" loci, such as the Rosa2628 and the Col1a29 loci, remains notoriously challenging, since the efficiency of HDR is low. Strategies to overcome this problem are forthcoming26,27, but random integration has so far proved more efficient. Besides, the generation of multiple transgenic lines overexpressing the same transgene with different levels of expression is of interest in studies involving treatment strategies to reverse a phenotype30. Plasmid-based transgenes are generated by mean of cloning, using ad hoc restriction enzymes to assemble essential fragments for the expression of a protein of interest. Generally, a transgene is made of at least three elements: a suitable promoter (enhancer regions are sometimes added); the coding sequence (cDNA), with or without intronic regions; and a PolyA tail to stabilize mRNA expression31.
Once assembled, the transgene is inserted into a plasmid containing bacterial replication elements and expanded in culture after transformation (typically heat-shock based). The purification method of the transgenes for microinjection is critical. This work describes the use of new-generation (low-toxicity) DNA stains for the more accurate visualization of the fragment of interest on the gel (compared to traditional crystal violet) and of a low mutagenic exposure (compared to ethidium bromide).
The non-cloning method described herein for gene targeting is very fast and allows for the synthesis of several sgRNAs in only 5-6 h. Only four steps are required: the identification of the targeted sequence, the synthesis of a linear DNA template containing a T7 promoter and the chosen target sequence, the synthesis of the sgRNA by in vitro transcription (IVT), and the purification of the sgRNA using spin columns.
In the early age of CRISPR mouse genome editing, the potential off-target effect was systematically assessed, although it has been showed to be very limited in mouse embryos32 and can easily be diluted out by mean of a breeding scheme wherein selected mice carry only the desired genomic modification. On-target activity was also systematically pre-assessed in vitro, using different guides and selecting the more active one(s)12. This practice is now less common, for several reasons. First, the on-target activity is assessed using transfection of immortalized mouse cell lines (typically N2a or NIH3T3) with CRISPR-encoding plasmids. This is a different method than the injection of CRISPR RNA components into mouse oocytes. Therefore, the results found in vitro do not always translate equally to oocytes. Furthermore, high-throughput experiments showed that most guides are active33. Consequently, on-target activity is not assessed, and thus far, there has been no evidence of a guide showing no activity in mouse oocytes. Together with the non-cloning method to synthesize sgRNAs, presented here, this greatly simplifies and streamlines the workflow, and multiple active guides can seamlessly be synthesized in one day.
CRISPR is considered a "disruptive technology," which is an innovation that changes the way techniques are performed. When microinjection was established, Brinster et al. showed that cytoplasmic transgenesis, although achievable, remained mostly inefficient7. Consequently, pronuclear microinjection remained the only common practice for almost 30 years, until the first demonstration of a successful CRISPR gene targeting in mice. This study showed that cytoplasmic microinjection could generate a similar or superior outcome compared with pronuclear delivery12. Obviously, because CRISPR components are typically made of RNA, it is evident that the cytoplasm is targeted. However, even when injected into the cytoplasm, donor templates can also successfully induce HDR. A high cytoplasmic concentration of templates enables their diffusion into the nucleus. Moreover, the use of piezo-driven cytoplasmic microinjection16 is not a requirement. A short incubation of the oocytes with a cytoskeleton inhibitor, such as Cytochalasin B, increases the survival of the oocytes34,35, making it sufficient to perform cytoplasmic injections without a piezo impact drive system. Likewise, the use of an improved culture medium, such as KSOMaa, decreases the blockage at the two-cell stage and improves the developmental capacities of the embryos compared to M16 medium36.
One-cell or two-cell (when cultivated overnight) embryos can be transferred to the oviduct. The conventional procedure is quite invasive, as it requires tearing the bursa that protects the ovary. It is also technically challenging, because the glass capillary needs to be inserted in the infundibulum15. The method presented here is much easier to learn, does not induce potential bleeding, and preserves the integrity of the ovary. It is based on work developed at Kumamoto University37.
Genotyping strategies and sequencing techniques are critical to identify potential founders. For random integration, the extraction of genomic DNA is based on a simple method adapted from Truett et al.38. Such a quick extraction method is sufficient to identify potential founders, since the primers are designed to hybridize with the transgene (often integrated as multiple copies). Conversely, gene targeting requires highly purified genomic DNA, since the PCR product encompasses the modified genomic region.
For gene knockout, the traditional method of injecting a single sgRNA generates small deletions (indels) or insertions, eventually knocking out the gene of interest12. These small modifications are difficult to identify and often require time-consuming, ligase-independent cloning and sequencing to confirm the nature of these mutations.
In this protocol, we took advantage of CRISPR multiplexing to develop the systematic co-injection of two sgRNAs encompassing the start codon of a gene of interest. This not only increases the likeliness of a gene knockout, but also the excision of a chunk of genomic DNA of a predefined size (100-300 bp), allowing for the easy identification of the founders by simple PCR. Of note, pups that do not carry the expected genomic excision could still be analyzed for small frameshift mutations, when only one sgRNA proved active. Likewise, in the case of gene editing, the systematic co-injection of two overlapping sgRNAs in opposite directions should increase the efficiency of HDR, since the cell repair mechanisms preferentially use one of the two strands39.
Future applications
The present protocol takes advantage of the latest developments in mouse embryology and gene targeting40 to simplify and streamline the process of generating various sophisticated mouse models of human conditions. These models play a pivotal role in helping to develop our understanding of pathomechanisms, ultimately aiding in the development of therapeutic strategies2. The optimization and streamlining of the reagents required for gene targeting or random integration are widely and readily applicable to any other mammalian species, such as rats, rabbits, and even to large animals like cattle.