TALEN-Mediated Knockout of CCR5 Confers Protection Against Infection of Human Immunodeficiency Virus

J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):229-241. doi: 10.1097/QAI.0000000000001190.

Abstract

Transcription activator-like effector nuclease (TALEN) represents a valuable tool for genomic engineering due to its single-nucleotide precision, high nuclease activity, and low cytotoxicity. We report here systematic design and characterization of 28 novel TALENs targeting multiple regions of CCR5 gene (CCR5-TALEN) which encodes the co-receptor critical for entry of human immunodeficiency virus type I (HIV-1). By systemic characterization of these CCR5-TALENs, we have identified one (CCR5-TALEN-515) with higher nuclease activity, specificity, and lower cytotoxicity compared with zinc-finger nuclease (CCR5-ZFN) currently undergoing clinical trials. Sequence analysis of target cell line GHOST-CCR5-CXCR4 and human primary CD4 T cells showed that the double-strand breaks at the TALEN targeted sites resulted in truncated or nonfunctional CCR5 proteins thereby conferring protection against HIV-1 infection in vitro. None of the CCR5-TALENs had detectable levels of off-target nuclease activity against the homologous region in CCR2 although substantial level was identified for CCR5-ZFN in the primary CD4 T cells. Our results suggest that the CCR5-TALENs identified here are highly functional nucleases that produce protective genetic alterations to human CCR5. Application of these TALENs directly to the primary CD4 T cells and CD34 hematopoietic stem cells (HSCs) of infected individuals could help to create an immune system resistant to HIV-1 infection, recapitulating the success of "Berlin patient" and serving as an essential first step towards a "functional" cure of AIDS.

MeSH terms

  • Adult
  • CD4-Positive T-Lymphocytes / virology
  • Cells, Cultured
  • Gene Knockout Techniques / methods*
  • HIV-1 / growth & development
  • HIV-1 / physiology*
  • Humans
  • Receptors, CCR5 / deficiency*
  • Receptors, HIV / deficiency*
  • Sequence Deletion
  • Transcription Activator-Like Effector Nucleases / metabolism*

Substances

  • CCR5 protein, human
  • Receptors, CCR5
  • Receptors, HIV
  • Transcription Activator-Like Effector Nucleases