Adeno-associated virus is a member of the Parvoviridae family and is known for its single-stranded DNA structure and small, non-enveloped capsid. Like other AAV serotypes, the genome of AAV8 contains approximately 4.7 kilobases and includes three major regions: the Rep (replication) region, the Cap (capsid) region, and the inverted terminal repeats (ITRs). The Rep region encodes proteins essential for viral replication, while the Cap region encodes structural proteins that form the viral capsid. The ITRs are essential for viral genome replication and packaging. Studies have shown that AAV8 can mediate efficient gene transfer and long-term expression in the liver, making it a leading candidate for the treatment of liver-related genetic diseases.
The "Cre" in Cre AAV serotype 8 refers to the Cre recombinase, which plays a vital role in site-specific recombination technology. This enzyme recognizes loxP sites and induces site-specific recombination between them, resulting in the deletion, insertion, or inversion of the DNA sequence between the sites. This property is particularly useful in creating conditional knockouts or activating genes in a controlled manner, allowing scientists to study genes that are otherwise essential or lethal.
Adeno-associated virus (AAV)-mediated gene delivery systems have been shown to be an effective tool for genetic manipulation of the inner ear. For example, hair cells (HCs) and a variety of other cell types can be transduced by local injection of AAV into the inner ear. However, the application of AAV-mediated CRISPR/Cas9 gene editing approaches to the inner ear of adult mice has not been studied. Here, the researchers studied several AAV serotypes in both newborn and adult mice and found that AAV8 had the highest efficiency for transducing inner HCs. They then tested the ability of Cre-expressing AAV8 to activate Cas9 in floxed-Cas9 knock-in mice and observed significant Cas9 activation in the inner ears of both newborn and adult animals. Neither the AAV8 virus itself nor the surgical procedure used to deliver it caused any damage to the HCs or compromised normal hearing. These studies demonstrate that local injection of AAV8-Cre can induce Cas9 activation, allowing for safe and efficient gene editing in the inner ear, expanding the range of gene editing tools for regulating inner ear gene expression as part of efforts to rescue inherited hearing loss, initiate HC regeneration, or develop gene therapy technologies.
In adult mice, almost all the IHCs, as well as many SGNs, were transduced 4 weeks after injection of 1 μl of AAV8-Cre through the PCSS (Figure 1). Adult mice showed a higher efficiency of IHCs transduction in the apical, middle, and basal turns compared with injected neonatal Cas9-KI mice. No evidence of obvious HC death (<5%) was observed in any of the three turns after AAV injection. In the apical turn, AAV8-Cre infected all the IHCs and outer phalangeal cells and a few Hensen's cells (Figure 1b, b'). In the middle turn, all the IHCs and few outer phalangeal cells were tdTomato positive (Figure 1e, e'). At the basal turn, all the IHCs were infected. A few infected cells in the stria vascularis were also observed (Figure 1h, h'). SGN-infection efficiency was very high in all three turns, but no infected OHCs were observed (Figure 1).
Figure 1. Inner ear cell subtypes infected by AAV8-Cre injected into adult Cas9-KI mice. (Kang W, et al., 2020)
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