$$\rightleftharpoonup{xx}$$
$$\longleftharp{xx}$$,
$$\longrightharp{xx}$$,
The CRISPR/Cas9 system has been used in a wide range of genome editing applications such as gene knockout and knock-in studies35,36, transcriptional regulation37,38, genetic engineering of various model organisms39,40,41,42,43,44 and gene therapy45,46. Here, we demonstrate the use of CRISPR/Cas9 to investigate the functional consequences of deleting an intronic silencer on the RUNX1 gene. The delivery of the CRISPR components in our approach did not rely on plasmid DNA, cloning of gRNA or virus but electroporation of preassembled Cas9/gRNA RNP complexes. It has been shown that the use of exogenous DNA can be associated with undesirable integration of foreign vector sequences into the host genome, increased toxicity and low efficiency25,47,48, whereas virus transduction methods are time-consuming. In addition, prolonged expression of Cas9 from plasmid DNA can augment off-target effects48. On the contrary, the direct RNP-based delivery approach has been established as the preferred method as it is fast and straightforward with improved editing efficiency, selectivity and cell viability. Indeed, a variety of methods such as lipofection49,50, electroporation25,51, nanoparticles52, cell-penetrating peptides53, iTOP54 and TRIAMF55 have been developed for efficient CRISPR/Cas9 delivery into diverse cell types as well as animal and plant species24,25,26,56,57,58,59,60,61,62,63. Since non-coding DNA sequences are hotspots of genetic variations64, checking the presence of common SNPs/indels in the target and neighboring PAM sequences is particularly relevant when designing gRNA that targets regulatory elements.
A bottleneck in CRISPR/Cas9 genome editing involves screening of desired mutant clones in a large number of samples. We employed fluorescent PCR coupled with capillary gel electrophoresis for the screening as the target mutation is a small genomic deletion of about 300 bp. This method is rapid and sensitive and can be performed in a high-throughput fashion. Also, this method allows accurate estimation of mutant levels and deletion sizes simultaneously. In addition, multiplex analysis of PCR fragments labeled with different fluorescent dyes is supported. We have been routinely using this technique to genotype small insertions/deletions in myeloid neoplasms65,66. In our experience, we can consistently detect fragment sizes that are differ by 4 bp with high precision and mutant burden down to ~3 %. However, it should be noted that this method has a fragment size limit of 1,200 bp, and thus it is not suitable for screening of large deletions. Also, base substitutions (resulting in unchanged fragment size) and potential off-target events in other genomic regions cannot be detected. For the latter, the costly whole genome sequencing is required to comprehensively profile global undesirable changes in the target clones. To adopt our current approach for investigation of large non-coding regulatory sequences (>1,000 bp), a detailed deletion and mutagenesis analyses of putative transcription factor binding sites using in vitro reporter gene assays can be performed beforehand to delineate the minimal functional region for CRISPR/Cas9 editing18.
As many genes contain more than one promoters3,4, it is important to be aware of the existence of alternative promoters in the target gene locus as manipulating regulatory elements may affect the promoters differentially. Thus, transcript variants derived from different promoters need to be measured individually to evaluate any promoter-specific responses. The use of TaqMan probe-based assays is preferred over SYBR Green because of better specificity and reproducibility. If the more advanced digital PCR system is available, transcript quantification can be performed more precisely without the need of standard curve construction.
An important consideration in performing CRISPR/Cas9 experiments in cancer cell lines is the ploidy and target gene copy number in the cells used as virtually all cancer cell lines harbor genetic alterations including structural and copy number variations. In our case, OCI-AML3 has a hyperdiploid karyotype with 45 to 50 chromosomes. Also, the cell line was found to carry a normal RUNX1 copy number as revealed from the Cancer Cell Line Encyclopedia67 and fluorescence in situ hybridization studies18. When targeting a gene with copy number gain, the delivery method may need to be optimized to provide sufficient levels of the CRISPR components for the editing. Also, more clones may need to be screened in order to identify the complete knockouts. Importantly, it has been shown that targeting at amplified genomic regions, particularly those caused by structural rearrangements, can trigger gene-independent antiproliferative responses in cancer cells, leading to false-positive results in gene functional studies68,69,70. In this regard, alternative approaches like RNA interference (RNAi) knockdown and/or cDNA overexpression should be employed to verify the CRISPR findings. Also, multiple cell lines should be used to avoid misinterpretation of cell line-specific but gene-independent CRISPR editing effects.
The CRISPR/Cas9 system has revolutionized basic and translational research by providing a simple and efficient means to genome editing. Here we demonstrate the ease of using CRISPR/Cas9 to disrupt an intronic silencer for transcriptional studies in a cancer cell line. This technique allows for the study of CREs at the DNA level and offers the opportunities to examine CRE functions in the endogenous context rather than the traditional heterologous reporter genes. Recently, a CRISPR-based RNA editing system has also been identified71 and may serve as a novel tool to study CREs by targeting RNA transcribed from the regulatory elements. By combining with chromosome conformation capture techniques, CRISPR/Cas9 will certainly help decipher the involvements of CREs in altered genome organization and gene expression linked to various health problems.