CRISPR-Cas9 can cause stable, unintended changes at edited sites and other repaired breaks in human cells.
Evidence
This genome-editing and epigenomics study used high-coverage long-read native DNA sequencing in hESCs and colorectal cancer cells to measure haplotype-resolved variants and base-resolution methylation after targeted DSBs.
Caveat
The work is limited to in vitro cell systems and selected loci, so the frequency and consequences of these epigenetic disruptions in organisms or therapies remain uncertain.
Simplified
BACKGROUND: CRISPR-Cas9 genome editing enables precise genetic modifications by introducing targeted DNA (DSBs). While Cas9-induced DSBs are known to cause unintended on-target mutations, their impact on the epigenetic landscape remains unexplored.
RESULTS: Here, we investigate how Cas9-induced DSBs affect patterns in human embryonic stem cells (hESCs). We induce DSBs at differentially methylated regions of imprinted genomic loci and perform high-coverage, long-read native DNA sequencing to simultaneously obtain genetic variant and base-resolution methylation data in a haplotype-resolved manner. Our findings reveal that DSBs cause significant changes in DNA methylation at target sites through mechanisms including homologous recombination, large structural variations, or defective methylation maintenance during DNA repair. Notably, these epigenetic changes can occur either together with or independently of genetic alterations. Beyond imprinted loci, Cas9-induced DSBs significantly disrupt DNA methylation patterns of the MLH1 epimutation alleles in colorectal cancer cells, and hypermethylated heterochromatin loci in hESCs. Clonal analysis indicates that the aberrant methylation changes are stable during in vitro passaging. Intriguingly, significant changes in DNA methylation levels are also detected around endogenous deletions in unedited genomic regions, suggesting that methylation alterations are not unique to Cas9 nuclease activity but represent a general outcome of DSB repair in human cells.
CONCLUSIONS: This study underscores the importance of assessing and mitigating unintended epigenetic consequences in genome editing applications, as such changes can profoundly affect gene regulation and cellular function.
Key numbers
5mCpG 84.90%
Efficiency Change
efficiency at the SNRPN locus in Target-SNRPN sample vs. Non-target sample.
3,045×
Enrichment Fold
Enrichment efficiency achieved for the SNRPN locus.
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