Improved genome editing by delivering CRISPR-Cas9 protein complexes using sugar-based nanosponge carriers

The cytotoxicity of the Ppolys was evaluated using the MTT assay at various concentrations. CHO-K1 cells were cultured and treated with different concentrations of the nanosponges for 24 h. The results are shown in Figure 3. The cell viability of CHO-K1 cells to varying concentrations of the cyclodextrin nanosponges is as follows: 1200 µg/mL: 82.07%; 800 µg/mL: 83.24%; 600 µg/mL: 85.44%; 400 µg/mL: 86.74%; Control (untreated): 100%. Although not statistically significant, the lower concentrations of cyclodextrin nanosponges (400 µg/mL and 600 µg/mL) showed less cytotoxicity compared to higher concentrations (800 µg/mL and 1200 µg/mL). Remarkably, even at higher concentrations (800 µg/mL and 1200 µg/mL), the cellular viability remained above 80%, indicating that the Ppolys exhibit relatively low cytotoxicity. This demonstrates the potential of these nanocarriers for efficient delivery with minimal adverse effects on cell viability.

The qualitative analysis of RNP (comprising sgRNA and Cas9-GFP-NLS) entry into cells is presented in Figure 4A. The results are shown for two different N/P ratios: 1:20 and 1:40. In the left column, the result for the 1:20 ratio is displayed, while the right column shows the result for the 1:40 ratio. These images demonstrate the efficiency and localization of RNP entry into cells at different ratios, which is crucial for understanding the delivery and activity of the RNP complex in gene-editing experiments. Qualitatively, cells transfected at the 1:40 ratio appeared to show a stronger and more uniform Enhanced green fluorescent protein (EGFP) signal compared to the 1:20 condition, suggesting potentially more efficient uptake under these conditions.

The encapsulation efficiency of RNP with Ppoly was evaluated at different RNP:Ppoly ratios. The results, depicted in Figure 4B, demonstrate that as the concentration of the nanocarrier increases, the encapsulation efficiency of RNP also increases. These findings indicate that higher concentrations of Ppoly lead to better RNP encapsulation. Given the high solubility and low cytotoxicity of Ppoly observed in CHO-K1 cells at concentrations up to 1200 µg/mL, the N/P ratio of 1:40—corresponding to a working polymer concentration of approximately 800 µg/mL—was selected for further studies, as it falls within the biocompatible range. The increased encapsulation efficiency at higher concentrations suggests that Ppoly is an effective nanocarrier for RNP delivery, optimizing gene editing experiments by ensuring a high level of encapsulation.

The results from the 5′/3′ Junction PCR on the cell pool with stable GFP expression, using both Ppoly carrier and CRISPRMAX reagent, are shown in Figure 5B,C. The gel electrophoresis image displays DNA bands in five lanes labeled M, 1, 2, 3, and 4. The bands in these lanes correspond to the expected sizes for the 5′ junction (1440 bp) and the 3′ junction (1510 bp), indicating successful PCR amplification and correct band sizes. These results demonstrate the accurate amplification of the target regions, confirming the stable integration and expression of the GFP gene in the cell pool. The consistent band sizes across different lanes further validate the reliability and efficiency of both Ppoly and CRISPRMAX methods for gene delivery and stable expression in the cells.

The stable GFP-expressing cell pool was harvested 11 days after transfection, following 6 days of antibiotic selection applied every other day. This timeline ensured the elimination of transient expression and the enrichment of cells with stable genomic integration prior to clonal expansion.

A: Results using Ppoly carrier: After clonal selection, 55 single clones were obtained. Each clone underwent 3′ junction PCR and 5′ junction PCR using cell lysate. Clones with positive bands on both ends were considered successful inserts for calculating insertion efficiency. 5′ Junction PCR Results: Figure 6A present the results of 5′ junction PCR for the Ppoly carrier method. Clones 3, 14, 33, 43, and 49 had positive bands (1440 bp), but they were excluded from calculations due to the lack of bands on the 3′ end. 3′ Junction PCR Results: Figure 6B show the results of 3′ junction PCR for the Ppoly carrier method. Clones 8, 23, 27, 32, and 54 had positive bands (1510 bp), but since these clones lacked bands on the 5′ end, they were also excluded from further analysis. Overall, 27 out of 55 clones (1, 2, 5, 6, 9, 10, 11, 13, 15, 17, 18, 19, 20, 24, 25, 28, 29, 34, 35, 38, 40, 45, 46, 47, 52, 53, and 55) had correct and positive bands on both 5′ and 3′ ends, showing an insertion efficiency of 49%. This indicates a relatively high success rate for gene insertion using the Ppoly carrier method. These results demonstrate the effectiveness of the Ppoly carrier method for achieving successful gene insertion, with a significant number of clones showing positive results on both ends of the target gene integration site.

B: Results Using CRISPRMAX: 58 single clones were obtained after clonal selection. Each clone underwent 3′ junction PCR and 5′ junction PCR using cell lysate. Clones with positive bands on both ends were considered successful inserts for calculating insertion efficiency. 5′ Junction PCR Results: Figure 7A presents the 5′ junction PCR results for the CRISPRMAX method. Clones 4 and 55 had positive bands (1440 bp), but they were excluded from calculations due to the lack of bands on the 3′ end. 3′ Junction PCR Results: Figure 7B shows the results of 3′ junction PCR for the CRISPRMAX method. Clones 19, 32, 37, and 57 had positive bands (1510 bp), but since these clones lacked bands at the 5′ end, they were also excluded from further analysis. Thus, in the CRISPRMAX method, 8 out of 58 clones (21, 23, 24, 35, 41, 47, 54, and 56) had correct and positive bands on both 5′ and 3′ ends, showing an insertion efficiency of 13.7%. This indicates a lower success rate compared to the Ppoly carrier method, highlighting the importance of choosing the appropriate delivery system for gene editing experiments.

The intact and complete integration of the gene construct was evaluated using out-out PCR analysis for each double-positive single clone from both delivery methods. Primers that anneal to the genomic locus outside the homologous arms were used. The results in each group showed the predicted band of approximately 4.6 kb. Heterologous insertion in clones resulted in two bands (4.6 kb and 2.8 kb), while homologous insertion produced a single 4.6 kb band. Figure 8A shows the out-out PCR results for targeted insertion using the Ppoly nanocarrier method. Clones indicated in red had a single 2.8 kb band, indicating amplification of the CHO-K1 genome at the locus without amplification of the inserted transgene. This suggests incomplete integration of the construct, which can occur due to various molecular reasons within the cell. Clones 6, 13, 20, 24, 28, 40, and 55, which had two bands (4.6 kb and 2.8 kb), indicate single-copy heterologous insertion of the transgene. Clones 2, 5, 9, 11, 17, 18, 29, 34, 38, 45, 47, and 52, which showed a single 4.6 kb band, indicate double-copy homologous insertion. In the Ppoly method, 19 out of 27 double-positive clones (70%) were identified as positive for out-out PCR, while the remaining clones (indicated in red) were negative. Figure 8B shows the out-out PCR results for targeted insertion using the CRISPRMAX method. Clones indicated in red had a single 2.8 kb band, indicating amplification of the CHO-K1 genome at the locus without amplification of the inserted transgene. This suggests incomplete integration of the construct. Clones 21, 23, 47, and 56, which had two bands (4.6 kb and 2.8 kb), indicate single-copy heterologous insertion of the transgene. Clone 54, which showed a single 4.6 kb band, indicates double-copy homologous insertion. In the CRISPRMAX method, 5 out of 8 double-positive clones (62%) were identified as positive for out-out PCR, while the remaining clones (indicated in red) were negative.

These results demonstrate that while both Ppoly and CRISPRMAX achieved successful gene insertion, Ppoly achieved higher overall efficiency and accuracy, highlighting its potential advantages for more reliable gene integration.

To further validate the specificity of the KI events, we used a two-step validation strategy. First, 5′/3′ junction PCR confirmed that the sgRNA guided Cas9 to the correct genomic locus. Then, out-out PCR verified precise integration beyond the homology arms. Importantly, real-time PCR results were consistent with out-out PCR, supporting accurate copy number and on-target insertion. Together, these complementary methods provide strong evidence for specific, HDR-mediated integration, minimizing the likelihood of off-target effects.

To verify and confirm the copy number of inserted genes in clones that were positive for out-out PCR (heterologous or homologous), relative real-time PCR was performed. A clone with a single-copy GFP reporter gene (heterologously inserted into one allele) was used as a control, and other clones were compared to it. The 2^−ΔΔCt formula was used for calculations, with values ranging from 0.5 to 1.5 considered as single-copy clones, and values from 1.8 to 2.5 considered as double-copy (homologous insertion in both alleles). Figure 9 shows the relative GFP transgene copy number for single clones that tested positive in the Out-out PCR from each experimental group (transfected with Ppoly nanocarrier (Figure 9A,B) and CRISPRMAX reagent (Figure 9C)) using qRT-PCR. The error bars represent the standard deviation from two repetitions. These results provide a quantitative analysis of the copy number of inserted GFP genes in the selected clones, confirming the successful integration and expression of the transgene in the cell population. The relative real-time PCR results further validate the efficiency and reliability of both Ppoly and CRISPRMAX delivery systems in achieving accurate gene insertion.

To verify the fidelity of the 5′ and 3′ junctions, Sanger sequencing was conducted on three GFP-positive clones (Figure 10A). Among these, two clones (#6 and #34) were derived using the Ppoly method (denoted as nanosponge (NS) in the figure), and one clone (#47) was obtained using the CRISPRMAX method (represented as CM). Sequencing outcomes for both the 5′ and 3′ junctions revealed exceptional accuracy, as no insertions, deletions, or indels were detected, confirming the integrity of the junctions.

The stability of GFP expression across generations was evaluated via flow cytometry. Three clones from each group (Ppoly and CRISPRMAX) were examined at passages 0, 10, and 20 (Figure 10B). The analysis demonstrated consistent GFP expression in all selected clones, indicating that GFP stability was preserved over time, even in the absence of puromycin selection pressure.

The polymer was synthesized following the procedure described in our previous publication [60]. Briefly, the synthesis was initiated by dissolving 1.00 g (8.81 × 10⁻⁴ mol) of anhydrous β-Cyclodextrin (βCD) in 7.5 mL of dimethyl sulfoxide (DMSO) at room temperature. Once fully dissolved, 1.11 g (7.93 × 10⁻³ mol) of choline chloride and 1.14 g (7.05 × 10⁻³ mol) of CDI were added sequentially. The resulting transparent solution was subjected to continuous stirring at 90 °C for 120 min, during which an increase in viscosity was observed, indicating successful polymerization. The resultant polymer was subsequently precipitated and washed with acetone, followed by recovery via vacuum filtration. The dried polymer was then dissolved in distilled water and purified through ultrafiltration (cut-off 5 kDa) to remove unreacted reagents, byproducts, and residual solvents. The final product, obtained from the ultrafiltration cell and freeze-dried to yield a white powder, exhibited a mass balance of approximately 85% relative to the theoretical yield, accounting for the combined weights of βCD, choline chloride, and CDI.

The particle size using DLS and zeta-potential measurements were performed on a 90-plus particle sizer (Malvern Instrument Ltd., Worcester, UK). RNP–polymer complexes were prepared at varying N/P ratios, defined as the molar ratio of nitrogen atoms in the polymer (from cationic amines) to phosphate groups in the sgRNA. To achieve different N/P ratios (1:1, 1:5, 1:10, 1:20, 1:40), the amount of Ppoly added was adjusted accordingly, while the sgRNA/Cas9 amount was kept constant (240 ng sgRNA and 1250 ng Cas9 in 10 µL). Then, they were left at room temperature for 30 min to form the complexes, after which they were diluted to 1 mL with filtered distilled water. The particle size was measured at 25 °C in a glass cuvette.

Ppoly, RNP, and RNP-loaded Ppoly were analyzed by using FTIR spectroscopic studies (Bruker Optics GmbH, Ettlingen, Germany), in the region of 400–4000 cm⁻¹, with a resolution of 4 cm⁻¹, to find the existence of interactions between nucleic acids and Ppoly systems. KBr was mixed with the samples (the ratio of KBr to sample is 100:1); then, the KBr pellet was prepared by applying sufficiently high pressure to a homogeneous mixture of KBr and the sample until the pellet turned transparent.

The complex between Ppoly polymer and sgRNA was made before the transfection experiments. Different N/P ratios (average number of nitrogen atoms on the cyclodextrin core/number of phosphate groups of sgRNA) of sgRNA/Ppoly complexes were formed (1:1, 1:10, 1:20, 1:40) by mixing 10 µL of sgRNA solution and 10 µL of the polymer solution. To form the complexes, they were mixed, vortexed for 10 s, and incubated at room temperature for 30 min. Finally, the obtained solutions were mixed with loading buffer and loaded onto a 2% agarose gel for gel electrophoresis conducted in 1× TAE buffer (40 mmol/L Tris-acetate and 1 mmol/L EDTA) at 90 V for 45 min. DNA bands were visualized by a Gel Documentation System (Bio-Rad, Hercules, CA, USA). The N/P ratios were evaluated by using the following formulation:C=n×P×MX,n=NP where N was the concentration of nitrogen in cationic compounds (nmol/mL), P was the concentration of phosphorus sgRNA (nmol/mL), X was the number of nitrogen atoms in cationic compounds, M was the molecular weight of cationic compounds (g/mol), and C was the concentration of cationic compounds (ng/mL).

To check the encapsulation efficiency of nanoparticles for RNP, the ultracentrifugation method was used to determine the difference between the total amount of RNP added in the nanoparticle preparation buffer and the amount of free RNP remaining in the aqueous suspension by ultraviolet spectrophotometry at 260 nm. The Ppoly encapsulation efficiency of the process was calculated from equations as indicated below:EE%=a−b×dc−a−ba×100a: total amount of RNP, b: the free amount of RNP, c: nanoparticle weight, and d: the total amount of polymer.

The cellular toxicity of the nanocarriers was evaluated using the MTT assay according to the following protocol over a range of concentrations: After culturing and passaging CHO-K1 cells in a T25 flask, the cells were trypsinized and counted. In each well of a 96-well plate, 100 µL of complete culture medium was added, and 10,000 cells were seeded per well. One day later, the cells were ready for the MTT assay. Various concentrations of Ppoly were prepared, added to the cell wells (in triplicate), and incubated for 24 h in a CO₂ incubator at 37 °C under standard conditions. Three wells were used as controls (untreated CHO-K1 cells) in triplicate. After 24 h, an MTT solution (Thermo Fisher Scientific, Fair Lawn, NJ, USA) with a concentration of 0.5 mg/mL was prepared. The culture medium was removed from the cells, and 100 µL of MTT solution was added. The plate was then incubated for 4 h in a CO2 incubator at 37 °C under standard conditions. After 4 h, the MTT solution was removed, and 100 µL of DMSO was added to each well, which was then incubated for 2 h. Subsequently, the absorbance of the wells was read and analyzed using a microplate reader (Bio-Rad, CA, USA) at 550 and 570 nm.

The candidate phiC31 pseudo-attP sites are located intergenically on chromosomes 3 (GenBank accession no. APMK01032147.1, nucleotides 1609–3570) and 6 (GenBank accession no. APMK01089843.1, nucleotides 30096–32060) in CHO-K1 cells. The pseudo-attP site on chromosome 6 shares a 58% identity with the wild-type attP [61]. The CRISPOR bioinformatics tool (http://crispor.tefor.net/↗, accessed on 23 September 2023) [62] was employed to generate sequences for sgRNA targets, selecting high-score sgRNAs based on criteria of high specificity, predicted efficiency, and minimal off-target effects. The sgRNA (5′-AAACAGUUCGAGUACCACAG-3′) targets explicitly the phiC31 pseudo-attP intergenic site on chromosome 6 of the CHO-K1 genome (GenBank accession no. APMK01089843.1 from nucleotide 30096–32060).

A plasmid donor (GenBank accession no. OQ579020) containing GFP and puromycin expression cassettes (pSV40-GFP-2A-Puro-SV40pA), flanked by 1 kb left and right homology arms corresponding to the Chr6 pseudo-attP site, was used as the template in PCR reactions to create the linearized donor. To prevent double-strand re-cleavage by Cas9 after HDR, the donor plasmid includes two PAM mutations in its homology arms. Plasmids were extracted from transformants selected on LB agar plates with ampicillin. All constructs were validated by gel electrophoresis and purified using an endotoxin-free plasmid extraction kit (Qiagen, Venlo, The Netherlands) following the manufacturer's instructions.

The target oligonucleotides used to synthesize genome-targeting sgRNA were designed using the GeneArt™ Precision sgRNA Synthesis Kit (Thermo Fisher, Invitrogen™, Waltham, MA, USA). The oligonucleotides were synthesized by GeneScript (Nanjing, China). The subsequent steps of IVT and cleanup were carried out according to the GeneArt™ Precision sgRNA Synthesis Kit protocol.

CHO-K1 cells, obtained from the National Cell Bank of the Pasteur Institute of Iran (NCBI, Tehran, Iran), were cultured in DMEM/F12 medium supplemented with 10% fetal bovine serum (FBS) (Gibco, Grand Island, NE, USA) and 1% penicillin/streptomycin (Gibco, Grand Island, NE, USA). The cells were maintained at 37 °C in a humidified incubator (New Brunswick Scientific, NJ, USA) with 5% CO2 and were passaged into fresh media every three days. A day prior to transfection, CHO cells were seeded at a density of 7 × 10⁴ cells per well in 24-well plates. The puromycin (ABM Good, Richmond, BC, Canada) sensitivity was also determined.

To comparatively assess the efficiency of targeted integration using both the Ppoly delivery system and the commercial CRISPRMAX™ reagent, the media was replaced with penicillin/streptomycin-free media, and then 500 ng of the linearized donor was transfected into CHO-K1 cells using Lipofectamine 3000 reagent (Thermo Fisher, Invitrogen™, Waltham, MA, USA) in accordance with the manufacturer's protocol prior to delivering the RNPs. The control wells remained untreated.

Five hours post-transfection of the linearized donor, the media in the test wells was replaced with fresh, antibiotic-free media. For the Ppoly delivery method, RNPs were initially assembled in vitro by combining pre-synthesized sgRNA with Cas9 protein (Avan Bio Research, Karaj, Iran) in a 1:1 molar ratio along with the assembly buffer (10 mM Tris-HCl pH 7.5 at 37 °C, 100 mM NaCl, 1 mM EDTA, 1 mM DTT), then incubating the mixture in a 37 °C water bath for 15 min to form the RNP complex. Immediately following synthesis, the RNPs were mixed with the Ppoly nanoparticle at a 1:40 volume ratio, vortexed for 10 s, and incubated at room temperature for 30 min. The resulting mixture was then added to the cells in the test wells.

At the same time, for cell transfection using the commercial CRISPRMAX™ reagent, the RNP complex was prepared as follows: Two 1.5 mL microtubes were prepared. In the first tube, to form the RNP complex, 25 µL of Opti-MEM^®, 1250 ng of Cas9 protein, 240 ng of sgRNA, and 2.5 µg of Cas9 Plus™ Reagent were added. In the second tube, to dilute the CRISPRMAX™ reagent, 1.5 µL of the reagent was mixed with 25 µL of Opti-MEM^®. The contents of the first tube were then added to the second tube and incubated at room temperature for 10 min. Finally, the mixture was added to the cells in the test wells.

Seventy-two hours after the initial transfection, the cells were subjected to antibiotic pressure with 6 μg/mL of puromycin (ABM good, BC, Canada). This concentration of the antibiotic was predetermined through MIC testing. The transfected cells using both methods, as well as the control wells, were seeded at approximately 30% confluence in 6-well plates the day before. The culture medium was replaced every two days over a 14-day period until the control cells were eliminated entirely using the puromycin-containing medium.

After the expansion and proliferation of stable, puromycin-resistant clones, genomic DNA was extracted from the cell pool using a genomic DNA extraction kit (Qiagen, Hilden, Germany). The extracted DNA underwent PCR validation to amplify the 5′ and 3′ junctions of the targeted locus and transgene. This was performed using the 2X Taq DNA polymerase master mix (Ampliqon, Odense M, Denmark) following the PCR program: initial denaturation at 95 °C for 5 min, 32 cycles of 95 °C for 30 s, 57 °C for 30 s, and 72 °C for 1 min 30 s (5′ junction) or 1 min 25 s (3′ junction), with a final extension at 72 °C for 10 min. Additionally, following the clonal selection procedure, 5′/3′ junction PCR was performed on the recovered single clones to evaluate the KI efficiency and an out-out PCR was subsequently conducted utilizing genomic DNA of the 5′/3′ Junction PCR-positive clones and primers that target the outer regions of each homology arm to confirm complete transgene integration using the 2X SuperAdd Taq Master mix (Addbio Inc., Daejeon, Republic of Korea). The PCR protocol involved initial denaturation at 95 °C for 5 min, followed by 32 cycles of 95 °C for 30 s, 57 °C for 30 s, and 72 °C for 2 min and 30 s, with a final extension at 72 °C for 5 min. Specific primers, detailed in, were employed in the amplification process. The PCR products were subsequently visualized on a 1% agarose gel. Supplemental Table S1

A limiting dilution approach was employed to isolate individual clones from the cell pool. The cells were detached using trypsin and resuspended in an antibiotic-free medium containing 15% FBS. These cells were then plated at a density of one cell per well in 96-well plates. After an incubation period of approximately 14 days, each well containing single-cell clones was transferred to 24-well plates and subsequently expanded to 6-well plates for further analysis.

Following the clonal selection phase, genomic DNA was extracted from the recovered clones using the cell lysate protocol [63]. In summary, each clone's cell pellet was obtained through centrifugation at 1100 rpm for 5 min, then dissolved in 20 μL of 0.2 M NaOH. After a 10-min incubation at 75 °C, the reaction was neutralized by adding 180 μL of 0.04 M Tris-HCl buffer (pH 7.8), yielding the cell lysate. To evaluate and analyze KI efficiency, 2.5 μL of the resulting mixture was used as a template for performing 5′/3′ junction PCRs. The PCR results were then visualized on a 1% agarose gel using the gel documentation system (BioRad Gel Doc XR+ Imaging System, Temecula, CA, USA). The KI efficiency for each group was evaluated by examining single-cell clones obtained from stable cell pools. The efficiency was determined by calculating the percentage of clones positive for 5′/3′ junction PCR. Statistical significance was assessed using a two-sided Fisher's exact test, with p-values less than 0.05 being considered significant.

The copy number of the inserted GFP reporter gene was determined using relative real-time quantitative reverse transcription PCR (qRT-PCR) with 2X Real-Time PCR Master Green (Ampliqon, Odense M, Denmark) and an ABI 7500 Real-time PCR System (Thermo Fisher, Applied Biosystems™, Waltham, MA, USA). Tests were conducted in duplicate, with a no-template control (NTC) included. Primers targeting the GFP reporter gene and the ACTB (β-actin) reference gene were designed and subsequently validated using melting curve analysis and agarose gel electrophoresis. Amplification was performed on the genomic DNA of the selected positive clones under the following conditions: Initial denaturation at 95 °C for 15 min, followed by 40 cycles of 95 °C for 20 s and 60 °C for 35 s. The copy number was assessed using the cycle threshold (C_t) and quantified with the 2^−ΔΔCt method.

To assess potential mutations within the homology arm junctions and the target locus, the 5′ and 3′ junction PCR amplicons from selected clones were subjected to Sanger sequencing, employing the 5′ junction forward primer and the 3′ junction reverse primer, respectively.

To assess the clonal stability of GFP protein expression over a specified period, three positive clones from each studied group were selected and cultured in a 6-well plate without the antibiotic pressure of puromycin. These clones were passaged and maintained every 3–4 days (twice a week) for a total of 20 passages. A total of 1 × 10⁵ cells from each GFP-expressing clone were harvested and suspended in phosphate-buffered saline (PBS). Mean fluorescent intensity (MFI) and the percentage of GFP-positive cells were evaluated at passages 0, 10, and 20 using a flow cytometer (IndiaMART, Sysmex CyFlow Counter, Jammu Kashmir, India). Notably, non-treated wild-type CHO-K1 was used as a negative control, and the data were analyzed using FlowJo software v10.

All experiments were carried out in triplicate and repeated independently three times. Results are expressed as mean ± SD. Statistical analysis was performed using GraphPad Prism 10.2.3. Differences between groups were evaluated using one-way ANOVA followed by Tukey's post hoc test for continuous data, and Fisher's exact test for categorical data. p < 0.05 was considered statistically significant.