The successful use of this two-sgRNA exon replacement CRISPR approach is highlighted by the introduction and simple detection of a precise edit to engineer the LQTS-associated variant, R56Q, in the zkcnh6a gene in zebrafish. Figure 6 shows a representative 3 dpf larvae injected at the one-cell embryo stage with CRISPR components as described above. Figure 6A shows the presence of the YFP mVenus reporter gene expression in the eye lens as a positive reporter of successful template integration. Figure 6B,C show Sanger sequencing chromatograms obtained from genomic DNA isolated from tail clip samples of wild-type and reporter gene-positive fish, respectively. Reporter gene-positive fish were found to have the precise edit, G to A, which introduces the R56Q variant into zkcnh6a. Genotyping showed a 100% correlation between YFP reporter gene expression and the presence of the precise R56Q gene edit, validating this fluorescence screening tool.
Phenotyping of gene-edited zebrafish larvae was conducted at 3 dpf. Figure 7 shows representative results from wild-type and R56Q gene-edited larvae. Heart rate was detected by video capture as described above. An example of the measurement of pericardial dimensions as a ratio of eye area is shown (Figure 7A). Figure 7B plots heart rate against normalized pericardial dimensions, highlighting a trend of bradycardia with increasing pericardial edema, which is associated with disorders of cardiac repolarization in zebrafish8,38,39,40. Figure 7C shows a representative example of ECG recordings from 3 dpf larvae. Standard intervals (QT, QRS) were measured from averaged ECG signals.

Figure 1: Integration of HDR template into the zebrafish genome. Dark grey, homology arms; green, sgRNA guide targets with silent mutation to prevent Cas9 recutting; light grey, target exon of interest; red line, point mutation; yellow, mVenus YFP reporter gene under an α-crystallin promoter; dashed lines indicate homology. Here, the targeted precise edit was R56Q in exon 2 of the zkcnh6a gene. Abbreviations: HDR = homology-directed repair; sgRNA = single-guide RNA; YFP = yellow fluorescent protein; DSB = double-stranded break; WT = wild type. Please click here to view a larger version of this figure.

Figure 2: Summary of steps to engineer precise edits in zebrafish genes using the two-sgRNA CRISPR-Cas9 approach (related protocol step numbers are indicated in parentheses). Abbreviations: sgRNA = single-guide RNA; YFP = yellow fluorescent protein; gDNA = genomic DNA; ECG = electrocardiogram; dpf = days post fertilization; MS-222 = tricaine methane sulfonate. Please click here to view a larger version of this figure.

Figure 3: Preparation of exogenous template fragments and sgRNA guides. (A) Sequential digestion and ligation of template fragments upstream and downstream of the mVenus YFP reporter gene sequence in pKHR5. (B) Annealing of complementary sgRNA pairs with restriction overhang for ligation into DR274. Abbreviations: sgRNA = single-guide RNA; YFP = yellow fluorescent protein. Please click here to view a larger version of this figure.

Figure 4: Construction of HDR template. Dark grey, homology arms; green, sgRNA guide targets with silent mutation to prevent Cas9 recutting; light grey, target exon of interest; red line, point mutation; yellow, mVenus YFP reporter gene under an α-crystallin promoter; dark blue line, added restriction sites. The two template fragments are integrated into the pKHR5 plasmid donor. Abbreviations: HDR = homology-directed repair; sgRNA = single-guide RNA. Please click here to view a larger version of this figure.

Figure 5: Microinjection of single-cell zebrafish embryos with CRISPR-Cas9 components. Scale bar = 0.5 mm. Abbreviations: HDR = homology-directed repair; sgRNA = single-guide RNA. Please click here to view a larger version of this figure.

Figure 6: Easy detection of mVenus YFP reporter gene fluorescence indicates positive HDR exogenous template integration into the target gene. (A) Example of mVenus YFP expression in a zebrafish eye (arrow) in an edited zebrafish larva. (B) Successful edits are confirmed by sequencing chromatograms (left, WT; right, R56Q edit). Please click here to view a larger version of this figure.

Figure 7: Phenotypic analysis of cardiac consequences in 3 dpf zebrafish following the precise R56Q edit in the zkcnh6a target gene. (A) Image detection of pericardial dimensions relative to eye size using the polygon tool in ImageJ. The boundaries of the pericardial sac were marked by the user from a single recording frame based on changes in translucency and pigmentation. Examples of normal pericardial dimensions and pericardial effusion are shown. Scale bar = 0.5 mm. (B) Correlation between pericardial dimensions (relative to eye dimension) and heart rate, R2 = 0.33. (C) Example of ECG recording from a 3 dpf zebrafish larva heart (left) and averaged complexes (right). Heart rate, 131 bpm; heart rate-corrected QTc interval, 460 ms. Abbreviations: dpf = days post fertilization; ECG = electrocardiogram. Please click here to view a larger version of this figure.