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Apr 20, 2017 - Mechanisms of Precise Genome Editing using Oligonucleotide Donors. 1. 2. 3. 4. Yinan Kan1, Brian Ruis2, Taylor Takasugi3 and Eric A.
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Mechanisms of Precise Genome Editing using Oligonucleotide Donors

Yinan Kan1, Brian Ruis2, Taylor Takasugi3 and Eric A. Hendrickson2, 4

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Minnesota Medical School, Minneapolis, MN 55455

Department of Biochemistry, Molecular Biology, and Biophysics, University of

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Avenue Louis Pasteur, Room 238, Boston, MA 02115.

Current Address:

Department of Genetics, New Research Building, 77

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333 Cedar St., New Haven, CT 06510.

Current Address:

Department of Medicine, Yale University Medical School,

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Minnesota Medical School, 6-155 Jackson Hall, 321 Church St., SE.

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Minneapolis, MN 55455. E-mail: [email protected].

Corresponding author: Eric A. Hendrickson, BMBB Department, University of

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Abstract

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The use of programmable meganucleases is transforming genome editing and

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functional genomics.

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genomic lesions could be introduced in vivo with unprecedented ease.

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presence of homology donors, these lesions facilitate high-efficiency precise

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genome editing (PGE) via homology-directed repair (HDR) pathways.

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However, the identity and hierarchy of the HDR (sub)pathways leading to the

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formation of PGE products remain elusive.

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blue fluorescent protein conversion system to systematically characterize

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oligodeoxynucleotide (ODN)-mediated PGE using Cas9 and its nickase

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variants in human cells. We demonstrate that, unlike double-stranded DNA

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(dsDNA) donors with central heterologies, ODNs generated short conversion

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tracts with Gaussian-like distributions. Interestingly, single nick-induced PGE

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using ODN donors produced conversion tracts biased either mostly uni- or

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bi-directional depending on the relative strandedness of the ODNs and the nick.

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Moreover, the ODNs were physically incorporated into the genome only in the

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bidirectional, but not in the unidirectional, conversion pathway.

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presence of double-stranded genomic lesions, the unidirectional conversion

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pathway was preferentially utilized even though the knock-in mutation could

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theoretically have been converted by both pathways.

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suggest that ODN-mediated PGE utilizes synthesis-dependent strand

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annealing and single-stranded DNA incorporation pathways.

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pathways generate short conversion tracts with Gaussian-like distributions.

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Although synthesis-dependent strand annealing is preferentially utilized, our

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work unequivocally establishes the existence of a single-stranded DNA

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incorporation pathway in human cells.

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HDR-mediated gene conversion and establishes guidelines for PGE in human

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cells.

CRISPR/Cas9 was developed such that targeted

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In the

Here we established a green to

In the

Collectively, our results

Both of these

This work extends the paradigms of

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Introduction

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Genome editing is the intentional alteration of the genetic information in living

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cells or organisms. Since Clustered Regularly Interspaced Short Palindromic

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Repeats/CRISPR-associated 9 (CRISPR/Cas9) (Jinek et al. 2012) was

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repurposed for genome editing (Cong et al. 2013; DiCarlo et al. 2013; Jinek et

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al. 2013), the speed of CRISPR methodology is quickly bridging the genotype

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and phenotype worlds and facilitating high-throughput reverse genetic studies

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(Wright et al. 2016). In the CRISPR age, targeted genomic lesions can be

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introduced with unprecedented ease, which facilitate either high-efficiency

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gene disruption by non-homologous end joining (NHEJ) or, in the presence of

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donor DNA, PGE by HDR (Carroll 2014).

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genotype can be expeditiously generated for most genetically-tractable

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organisms (Bassett et al. 2013; DiCarlo et al. 2013; Liu et al. 2014; Yang et al.

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2014; Reardon 2016), and within one round of subcloning of cultured cells

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(Ran et al. 2013b; Byrne et al. 2014). Although HDR is the more desirable

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pathway for genome editing and gene therapy, its activity is much lower than

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NHEJ and dependent on the cell cycle status in human cells (Mao et al. 2008b;

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Mao et al. 2008a; Lin et al. 2014; Orthwein et al. 2015). Thus, marker-free

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PGE still requires the laborious screening of hundreds of subclones, especially

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in hard-to-transfect cells or those with low HDR activity or limited tolerance of

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genomic lesions. Moreover, bi-allelic and multiplexed PGE is still challenging

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in human cells.

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Research models of the desired

Complicating our understanding of PGE is the fact that HDR has multiple

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sub-pathways in eukaryotic cells (San Filippo et al. 2008).

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sub-pathways can lead to PGE without significantly sacrificing genomic

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stability: the double-strand break repair (DSBR, aka, Holliday junction

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resolution) pathway (Orr-Weaver et al. 1981; Orr-Weaver and Szostak 1983),

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Holliday junction dissolution (Wu and Hickson 2003; Bizard and Hickson 2014;

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Four of these

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Swuec and Costa 2014), synthesis-dependent strand annealing (SDSA)

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(Strathern et al. 1982; Hastings 1988; Larocque and Jasin 2010) and

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single-strand DNA incorporation (ssDI, also sometimes referred to as

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single-strand assimilation) (Radecke et al. 2006b; Storici et al. 2006; Davis and

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Maizels 2014) pathways (Supplemental Fig. S1).

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fraction of HDR events leading to the conversion of desired knock-in mutations

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using exogenous homology donors. Importantly, the identity and hierarchy of

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usage of the HDR sub-pathways leading to the formation of PGE products

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remains a knowledge barrier that hinders the improvement of PGE.

PGE is defined by the

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In a previous study we demonstrated that in human somatic cells the

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introduction of large knock-in mutations with dsDNA donors (including

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transfected plasmids or viruses with dsDNA intermediates) preferentially

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engages the DSBR sub-pathway for PGE (Kan et al. 2014). Although ODNs

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probably do not serve as natural HDR donors, many laboratories have

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reported that PGE can be routinely obtained by exogenously transfecting ODN

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donors into cells (Chen et al. 2015; Richardson et al. 2016). Since ODN

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donors are likely unable to physically form Holliday junctions and therefore

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cannot engage DSBR, they must perforce utilize some form of the SDSA or

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ssDI pathways during PGE (Storici et al. 2006; Davis and Maizels 2014).

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the absence of a targeted meganuclease like Cas9, the ODN donors may use

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spontaneously occurring genomic lesions in order to perform PGE. Indeed, it

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was proposed that ODNs could be incorporated into the gaps generated by

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nucleotide excision repair (Faruqi et al. 2000; Kuan and Glazer 2004) or

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lagging strand synthesis during DNA replication (Ferrara and Kmiec 2004; Wu

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et al. 2005; Huen et al. 2006), although the specific mechanisms are still

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disputed (Suzuki 2008; Jensen et al. 2011).

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models involve the physical incorporation of the ODNs into the genome via an

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ssDI-like mechanism; a prediction that was later supported by experiments

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carried out by Radecke et al. (Radecke et al. 2006b). 4

In

Interestingly, both of these

Confusingly, however,

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the same group of authors also demonstrated that ODNs were not physically

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incorporated into the genome during double-strand break (DSB)-induced PGE,

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suggesting the existence of an alternative mechanism(s) (Radecke et al.

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2006a).

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single-strand nicks, it was proposed by Davis and Maizels that certain forms of

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the SDSA and the ssDI pathways could be utilized depending on the

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strandedness of the donor ODNs (Davis and Maizels 2011; Davis and Maizels

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2014), a hypothesis that was supported by recent work from the Corn

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laboratory (Richardson et al. 2016).

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conversion tracts and hierarchy of these pathways have remained elusive.

Finally, in the presence of meganuclease-induced targeted

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However, the exact mechanisms,

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Results

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The enhanced green fluorescent protein (EGFP) to blue fluorescent

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protein (BFP) conversion system

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To

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meganuclease-induced PGE using ODN donors, we established the EGFP to

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BFP conversion system (Fig. 1A).

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sequence similarity of EGFP and BFP.

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mutations into the chromophore domain, EGFP can be completely converted

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into BFP (Katada et al. 2008).

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adeno-associated virus (rAAV)-mediated PGE (Khan et al. 2011; Kan et al.

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2014), we introduced the CMV-EGFP-pA expression cassette into the

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hypoxanthine

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chromosome of human HCT116 cells, in both sense (S) and antisense (AS)

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directions with respect to the direction of the HPRT1 gene (Supplemental Fig.

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S2A, B).

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expression and the inactivation of the HPRT1 gene. After rAAV infection, the

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HPRT1-negative cells were enriched using 6-thioguanine selection, and

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individual subclones with bright EGFP expression were screened using

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designated primers (Supplemental Fig. S2A, B).

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precisely knocked into the HPRT1 gene in 1 out of 4 subclones in the sense

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orientation and 2 out of 4 subclones in the antisense orientation (Supplemental

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Fig. S2C, D). One individual subclone from each orientation was designated

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as HPRT1-EGFP (S) and (AS) cell lines, respectively, and used for

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subsequent studies. Targeted genomic lesions such as nicks and DSBs were

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subsequently introduced into these reporter cell lines within the chromophore

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sequence using Cas9 or nCas9 from S. pyogenes and sgRNAs in both S and

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AS orientations with respect to EGFP (Fig. 1A). In the presence of ODN

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donors bearing the SH mutations (ACCTAC to TCTCAT), EGFP could

systematically

investigate

the

molecular

mechanisms

of

This system takes advantage of the By introducing T65S and Y66H

To this end, using recombinant

phosphoribosyltransferase 1 (HPRT1) locus

on

the X

Targeted integration in either direction results in mono-allelic EGFP

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The EGFP cassette was

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efficiently be converted into BFP, which generated distinguishable spectra

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under flow cytometry (Supplemental Fig. S3B, C).

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ODNs stimulate efficient PGE in the presence of genomic lesions

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We first compared the efficiency of ODN-mediated PGE using nCas9 with

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ODNs (BFP_S160 and BFP_AS160, see Supplemental Fig. S10 for more

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details) and sgRNAs in both S and AS orientations with respect to EGFP.

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transfecting the HPRT1-EGFP cell lines with the nCas9 and sgRNA

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expression vectors and ODN donors all in a DNA format, we could routinely

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induce efficient EGFP to BFP conversion as quantitated using flow cytometry

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(Fig. 1; Supplemental Fig. S3). In contrast, the omission of the Cas9 and/or

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sgRNA resulted in 7 nt)

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resection of the 3’-end was required for PGE to occur and we believe that

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these two observations are connected given the sharp drop-off in the SDSA

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conversion tracts (Fig. 2A, B).

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that double-strand lesions in general loosen the local chromatin architecture

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more than single-strand nicks and thus permit relevant co-factors (such as

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resection nucleases) easier access to the 3’-end, which ultimately facilitates

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more vigorous homology searches.

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The only instance where

If this exception is illustrative, it may suggest

In our nick-induced PGE experiments, no significant strand bias for either

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the nick or the ODN donors was observed (Fig. 1B).

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were consistent with a previous report using zinc-finger nickases at three

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independent chromosomal loci (Ramirez et al. 2012) but inconsistent with a

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more recent one (Davis and Maizels 2014).

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explained by the fact that the recent report employed ODN donors with a large

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(17 bp) heterology flanking the genomic lesion (Davis and Maizels 2014).

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discussed above, a sizable heterology on both sides of the genomic lesion

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could strongly favor the use of ssDI as a bi-directional gene conversion

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pathway.

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resection of at least 8 to 9 nt would be required and that likely occurs at a much

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lower frequency.

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transactions such as transcription and DNA replication are unlikely to have a

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major influence on PGE mediated by nicks. With that said, it is important to

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note that while no strand-specific biases were noted in any of our experiments,

These observations

The latter difference might be

As

In contrast, in order to be converted by the SDSA pathway, 3’

Collectively, these observations suggest that strand-specific

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a significant 2- to 4-fold higher frequency of PGE was noted for the BFP

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reporter in the anti-sense orientation than in the sense orientation (Fig. 1 and

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Supplemental Fig. S3). The reason for this bias is not completely clear, but it

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is unlikely to be due to conflicting transcription between the EGFP reporter and

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the endogenous HPRT1 locus because EGFP expression was very high in

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these cells. Indeed, we believe the bias was technical (and not biological) in

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nature since the higher EGFP (and consequently BFP) expression may have

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simply allowed us to more easily isolate correctly targeted cells.

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also note that a strand bias was observed when PGE was mediated by nicks

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and same sense ODN donors in RPE+hTERT cells (Supplemental Fig. S8B).

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As discussed previously, we do not believe that this is related to transcription

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nor DNA replication issues, but to the fact that these cells are MMR proficient,

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which is especially inhibitory to the strand annealing step required for ssDI.

Finally, we

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PAM-in paired-nickases are significantly less effective in producing

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NHEJ-related mutations than their PAM-out counterparts, which has mainly

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been attributed to the steric hindrance of the nCas9 proteins in the PAM-in

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configuration and/or the displacement loops formed the by sgRNAs (Ran et al.

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2013a; Cho et al. 2014; Shen et al. 2014).

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additional or alternative explanation (Fig. 4A, 5A): PAM-out paired-nickases

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generate 5’-overhangs that are subject to exonuclease resection (Symington

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and Gautier 2011).

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normally engage the error-prone NHEJ pathway and produce deletions in

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between.

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may remain largely as separated nicks (Fig. 4B, 5B), which may be precisely

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repaired by standard single-strand nick repair without engaging the NHEJ

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pathway.

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at a comparable efficiency to their PAM-out counterparts (Fig. 1B), at least

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when the PAM sequences are placed far enough apart from each other to

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avoid steric hindrance.

Our results may provide an

The resection creates a double-strand gap that will

In contrast, the 3’ overhangs produced by PAM-in paired-nickases

Importantly, however, the PAM-in paired-nickases can induce PGE

Thus, we propose that PAM-in paired-nickases are 23

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less efficient in NHEJ-mediated gene disruption because the 3’ overhangs

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rarely form double-strand gaps due to the lack of 3’ to 5’ resection (Symington

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and Gautier 2011).

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often used for PGE, they may actually be advantageous because they may

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induce similar levels of HDR with less NHEJ mutations compared to their

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PAM-out counterparts.

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efficient generation of short 3’ overhangs with PAM-out sgRNAs, minimizing

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the effect of steric hindrance (Nishimasu et al. 2014).

Consequently, although PAM-in paired nickases are not

The use of the Cas9 N863A variant further allows the

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Although paired-nickases induced PGE with a higher frequency compared

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to a single nickase (Fig. 1B), we noticed that paired-nickases (in both PAM

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configurations) occasionally produced imprecise HDR products using ODN

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donors (Supplemental Tables S6 to S9).

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contained NHEJ-like mutations near the position of the distal nick with respect

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to the knock-in mutations. Since a single nickase can also generate NHEJ

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mutations (Davis and Maizels 2011; Davis and Maizels 2014), we propose that

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the imprecise HDR was generated by the repeated nicking of the distal nickase

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in the PGE products.

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the proximal nicks because, in our system, the conversion of the knock-in

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mutations would destroy the binding site of the proximal nickase and prevent

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further nicking in the PGE products. If this hypothesis is correct, an important

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guideline of ODN-mediated PGE would be to introduce an additional silent

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mutation in the PAM sequence of the ODN donors to prevent the further

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binding of Cas9 or nCas9 in the PGE products. Alternatively, these nicks

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might be converted to frank DSBs, which through canonical end joining might

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yield NHEJ-like mutations.

Most of the imprecise products

These mutations were not found near the position of

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Our conversion tract data also provides insight into a recent paradox:

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although SDSA is the more efficient form of meganuclease-induced HDR (Li et

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al. 2001; Heyer et al. 2010), the majority of the PGE products are actually

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generated by the DSBR pathway when dsDNA donors with long central 24

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heterologies are employed (Li and Baker 2000; Li et al. 2001; Langston and

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Symington 2004; Kan et al. 2014). Our results and other’s demonstrate that

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SDSA is apparently a short-tract gene conversion pathway using chromosomal

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(Elliott et al. 1998; Larocque and Jasin 2010) and ODN donors (Fig. 2A, B).

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Also, the Gaussian-like nature of the associated conversion tracts makes it

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extremely inefficient in producing gene conversions longer than 100 bp (Fig.

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2A, B).

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engage

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meganuclease-induced

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generated unidirectional long-tract gene conversion products (Elliott et al. 1998;

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Larocque and Jasin 2010), which were believed to be produced by

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break-induced replication (BIR) (Borts and Haber 1987; Kraus et al. 2001;

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Llorente et al. 2008). In the case of PGE, however, BIR using exogenous

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homology donors leads to the formation of chromosome:donor fusions and

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severely compromises genomic stability (Borts and Haber 1987; Kraus et al.

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2001; Llorente et al. 2008). In contrast, our previous work demonstrated that

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the DSBR pathway is a second (and precise) long-tract gene conversion

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pathway (Kan et al. 2014), which generates bi-directional conversion tracts

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with a linear distribution.

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SDSA is the more efficient HDR pathway for short-tract gene-conversion, the

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DSBR pathway is the predominant pathway of PGE using dsDNA donors with

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long central heterologies.

Thus, dsDNA donors with long central heterologies would perforce a

long-tract

gene

HDR

conversion

using

pathway.

chromosomal

donors

Notably, occasionally

Collectively, these results indicate that although

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dsDNA donors can mediate robust PGE. We can routinely achieve about

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20% marker-free PGE using Cas9-2A-GFP with associated FACS enrichment

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(Duda et al. 2014) and circular dsDNA donors with long central heterologies

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(data not shown).

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should be utilized in the presence of DSBs and/or paired-nicks for converting

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large knock-in mutations (Fig. 7). One of the reasons that these donors work

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so well is that they may have a longer half-life than ODN donors, which better

As a practical guideline, we propose that circular dsDNA

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coincides with the kinetics of the Cas9 expressed in a DNA format.

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contrast, ODN donors should be utilized for converting small modifications.

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Although ODN donors are optimally used for introducing SNPs, they can also

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be used to introduce more complex genomic lesions by producing slightly

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longer conversion tracts.

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knock-in mutation(s) needs to be placed within the effective conversion zones

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of the SDSA or ssDI pathways, or it will not be incorporated into the genome

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(Fig. 7).

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accommodate the shorter half-life of ODN donors and increase the efficiency

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of PGE.

In

Regardless, what is critical is that the desired

Cas9 expressed in mRNA or protein formats may be used to

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Finally, our results demonstrated that the ODN donors are not physical

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incorporated into the genome in the SDSA pathway, making this pathway

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particularly valuable for agricultural engineering.

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livestock containing CRISPR-mediated gene disruption are generally not

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categorized as genetically modified organisms (GMOs), PGE using exogenous

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HDR donors is under more stringent regulatory scrutiny (Wolt et al. 2016). An

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empirical distinction lies in whether the engineering process leads to the

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incorporation of foreign DNA into the genome (Wolt et al. 2016).

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established that when an nCas9 and ODNs complementary to the strand of the

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nick are used in combination, the genomic modification is introduced via the

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endogenous DNA repair process of SDSA, whereas the ODN donors merely

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serve as repair templates (Fig. 2, 4, 6). These findings extend the scope of

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non-GMO plants and livestock to ODN-mediated PGE.

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Although plants and

We

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Methods

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Nucleotide sequences

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All sgRNA targets, ODN donors, primers and the relevant plasmid sequences

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can be found in Supplemental Fig. S10.

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Cell culture

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All cell lines utilized in this study were purchased from the American Type

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Culture Collection.

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McCoy’s 5A medium supplemented with 10% FBS, 1% L-glutamine, 1%

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penicillin/streptomycin.

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Dulbecco’s modified Eagle medium supplemented with 10% FBS, and 1%

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penicillin/streptomycin. All cells were grown with 5% CO2 at 37 oC.

The human HCT116 and DLD-1 cell lines were cultured in

The human RPE+hTERT cell line was cultured in

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The HPRT1-EGFP cell lines

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The rAAV EGFP knock-in vectors were constructed using an unpublished

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method (Kan et al., manuscript in preparation).

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cassette was amplified from EGFP-N2 (Clontech), and the homology arms

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flanking

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(Supplementary Fig. S10).

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were ligated into a modified version of the pAAV-MCS vector in both sense and

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antisense orientations with respect to HPRT1. rAAV packaging and infections

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were performed as described (Khan et al. 2011).

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were seeded into 10 cm tissue culture dishes and selected with 5 μg/mL 6-TG

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for 14 days.

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under a fluorescence microscope, and subsequently screened by PCR using

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the indicated primers (Supplemental Fig. S2A, B). One of the targeted clones

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with EGFP in either sense or antisense directions in the HPRT1 locus were

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flow sorted for high EGFP expression using a FACSAria II cell sorter (BD

HPRT1

exon

3

were

amplified

Basically, the CMV-EGFP-pA

using

designated

primers

The CMV-EGFP-pA cassette and homology arms

The infected HCT116 cells

Individual colonies were initially scanned for EGFP expression

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Biosciences) and used for subsequent studies.

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The EGFP to BFP conversion system

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The EGFP reporter cells were seeded at ~50% confluency. The next day, 5 x

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105 cells were transfected with a Cas9 or nCas9 expression plasmid (10 μg;

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#41815 and #41816, respectively, Addgene), the MLM3636 plasmid containing

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the designated sgRNA expression cassette (10 μg; #43860, Addgene) and the

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relevant ODNs (10 μg) using a Neon Transfection System (Invitrogen).

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paired-nickases, cells were transfected with 7.5 μg of each sgRNA plasmid,

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the Cas9 expression plasmid and ODNs. All transfections were performed

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using 100 μL tips under elevated conditions compared to the manufacturer’s

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protocol: 1530V, a 10 msec pulse width, and 3 pulses.

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experiment, cells were transfected using ODNs without flanking SNPs

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(Supplementary Fig. 10), and the percentage of BFP-positive cells were

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quantitated 2 days after transfection using a LSRFortessa cell analyzer (BD

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Biosciences).

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using ODNs containing flanking SNPs.

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were combined, cultured for 2 days and sorted for BFP expression using a

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FACSAria II cell sorter (BD Biosciences).

For

For the PGE efficiency

For the conversion tracts experiment, cells were transfected Cells from 5 individual transfections

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Conversion tracts analysis

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The BFP-positive cells were single-cell subcloned into 96-well-plates at a

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concentration of 3 to 10 cells per well.

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trypsinized, transferred into new 96-well plates and grown to confluency.

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Genomic DNA was prepared using DirectPCR Lysis Reagent (Viagene).

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BFP fragments containing all the potential SNPs were amplified and confirmed

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by PCR using primers BFP_EF X BFP_ER and BFP_CF X BFP_ER,

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respectively.

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purification kit.

14 days later, single colonies were

The

The PCR products were purified using a Qiaquick PCR The retention of vector-borne SNPs was analyzed by Sanger 28

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sequencing.

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Statistics

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Kolmogorov-Smirnov tests were performed to determine the degree of

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symmetry around the central dinucleotides of the ODN donors for SNP

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retention curves induced by single-nicks. All reads from Sanger and Illumina

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sequencing were randomly divided into three groups.

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frequency of all SNPs with approximately equal distance to the central

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dinucleotides

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Kolmogorov-Smirnov equations in pairs.

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the corresponding graphs.

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the distributions around the Y-axis, which is the central heterology of the ODN

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donors.

was

compiled

in

each

group

and

The retention

entered

into

the

The resultant p-value is shown on

The p-value reflects the degree of symmetry of

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The PIGA conversion system

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0.5 million DLD-1 and RPE+hTERT cells were transfected with 15 μg

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PIGA_KO ODNs (Supplemental Fig. S6A, S8A, S9) and 15 μg Cas9

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D10A-2A-mCherry with the respective S or AS sgRNA expression cassette in

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one backbone (adapted from PX461).

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each sgRNA, recovered for 14 days, stained with the FLAER reagent

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(Pinewood Scientific Services) at a concentration of 5 X 10-9 M and FACS

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sorted for PIGA negativity.

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expression were collected for S and AS sgRNA, respectively, using a

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non-stringent gate (Supplemental Fig. S7).

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of HDR and NHEJ events and some wild type cells. Then the genomic DNA

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was prepared using DirectPCR lysis (Viagen), and the target locus was

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amplified using flanking Nextera compatible primers (NextF & NextR,

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Supplemental Fig. S10). The amplicons were gel purified and sequenced

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using Nextera amplicon sequencing (paired-end 2 x 125 bp).

10 transfections were combined for

5.6% and 6.5% of the cells with the lowest PIGA

29

These cells contain the majority

The HDR

Downloaded from genome.cshlp.org on April 20, 2017 - Published by Cold Spring Harbor Laboratory Press

792

products were characterized as the reads containing the central GT

793

dinucleotide.

794

retention frequency of flanking SNPs in the HDR products versus the position

795

of the SNPs in reference to the GT dinucleotide.

The SNP retention curves were compiled by plotting the

796 797

The biotin incorporation assay

798

The biotin incorporation assay was performed as described (Radecke et al.

799

2006b) with minor modifications. The EGFP reporter cells were transfected

800

with internal biotin-labeled ODNs (BFP_S90_Biotin) and flow sorted as

801

described above. The genomic DNA from 1 x 105 BFP-positive cells was

802

prepared using a Puregene Cell kit (Gentra) with a 60 min centrifugation step

803

after isopropanol precipitation.

804

completion with XhoI and XbaI restriction enzymes (New England Biolabs).

805

The biotinylated DNA fragments were isolated using a Dynabeads Kilobase

806

BINDER kit (Life Technologies) according to manufacturer’s protocol, except

807

that all reagents were supplemented with 0.1% BSA, and two additional

808

washes using 0.1 M NaOH and 0.05 M NaCl at room temperature and one

809

more rinse with 95 oC water were performed to remove the non-covalently

810

linked genomic fragments.

811

detected with a 40-cycle PCR using Phusion Hot Start II High-Fidelity DNA

812

polymerase (Thermo Scientific).

813

Dynabeads purification was used as control in a 25-cycle reaction.

The genomic DNA was digested to

The biotinylated genomic fragments were

The genomic DNA preparation prior to

814 815

Author’s contributions

816

Y. K. and E. A. H. designed the study, analyzed the data and wrote the

817

manuscript. Y. K. performed the bulk of the experiments and T. T. and B. R.

818

assisted during the latter stages of the project.

819

30

Downloaded from genome.cshlp.org on April 20, 2017 - Published by Cold Spring Harbor Laboratory Press

820

Acknowledgements

821

We thank Drs. Feng Zhang, Keith Joung and George Church for sharing

822

plasmids through Addgene.

823

University of Minnesota Flow Cytometry Core for cell sorting.

824

supported by grants from the National Institutes of General Medical Sciences

825

(GM088351) and the National Cancer Institute (CA154461 and CA190492).

We thank Jason Motl and Nisha Shah at This work was

826 827

Competing Interests

828

E.A.H. declares that he is a member of the scientific advisory boards of

829

Horizon Discovery, Ltd. and Intellia Therapeutics, companies that specialize in

830

applying gene editing technology to basic research and therapeutics.

831

31

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832 833

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using CRISPR/Cas-mediated genome engineering. Nat Protoc 9:

1027

1956-1968.

1028

38

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1029

Figure Legends

1030

Figure 1.

1031

antisense cell line. (A) Schematics of the EGFP to BFP conversion system in

1032

the HPRT1-EGFP antisense cell line. An EGFP expression cassette was

1033

knocked into the HPRT1 locus of the HCT116 cell line (only the antisense

1034

orientation is diagrammed here for the sake of ease of presentation).

1035

Genomic lesions could then be introduced near the chromophore (TY residues)

1036

of the EGFP sequence using CRISPR/Cas9 cleavase, nickases or dual

1037

nickases.

1038

the sequence of the SH residues leads to the conversion of EGFP to BFP.

1039

The ODN donors also contained synonymous SNPs that could be

1040

co-converted with the sequence of the SH residues. Schematic elements:

1041

EGFP, green boxes; BFP, blue boxes; HPRT1, inverted yellow boxes;

1042

sequences of the chromophore residues, TY and SH; the cytomegalovirus

1043

promoter, CMV; the polyadenylation sequence, pA; Cas9 variants, red ovals

1044

with scissors; genomic lesions, lightning bolts; ODN donors, horizontal red

1045

lines; synonymous SNPs, vertical blue hashmarks.

1046

conversion in the HPRT1-EGFP antisense cell line.

1047

D10A variant are labeled as Cas9 and nCas9, respectively.

1048

strandedness (S, sense; AS, antisense) of the sgRNA and ODNs (for this

1049

experiment without synonymous SNPs) are labeled with respect to the coding

1050

sequence of EGFP.

1051

complementary to that of the sgRNA. All data are shown as the mean ± SEM

1052

of three biological replicates.

1053

images of each bar shown in (B).

The EGFP to BFP conversion system in the HPRT1-EGFP

HDR repair of the genomic lesions using ODN donors containing

(B) The efficiency of BFP The wildtype Cas9 and The

Note that the Cas9 D10A variant nicks the strand

(C) Single representative flow cytometry

1054 1055

Figure 2. Conversion tracts of single-nick and DSB-induced HDR using ODN

1056

donors.

(A-E) The conversion tracts of single-nick-induced HDR using ODN

39

Downloaded from genome.cshlp.org on April 20, 2017 - Published by Cold Spring Harbor Laboratory Press

1057

donors complementary to (A, B) or the same strand of (C, D) the nick, and

1058

DSB-induced HDR (E).

1059

the retention frequency of each SNP in both 6SNP_A and 6SNP_B donors.

1060

The positions of the SNPs and predicted genomic lesions are labeled in

1061

reference to the center of the chromophore sequence. Schematic elements

1062

are colored as follows: genomic DNA, black; genomic lesions, orange; ODNs,

1063

red; chromophore sequences, TY and SH; SNPs on the 6SNP_A ODNs, blue;

1064

SNPs on the 6SNP_B ODNs, green; homology regions, dashed silver crosses;

1065

strandedness of DNA, S and AS.

1066

synonymous SNPs.

1067

the tri-nucleotides in the S orientation, and the distance between the SNPs and

1068

the center of the SH sequence (TCTCAT) is labeled. Because the last T in

1069

the SH sequence is a wobble nucleotide it could be used as SNP as well and is

1070

represented as the ATG at position +3. ODNs with six distributed or clustered

1071

SNPs are labeled as 6SNP_A (a) and 6SNP_B (b), respectively.

1072

sequences shown at the bottom of the panel emphasize that the S nick is

1073

made at position -1 and the AS nick at position -2.

1074

the ODNs can be found in Supplemental Fig. S8.

The conversion tracts were compiled by overlaying

(F) Schematics of the ODN donors with

The SNPs are represented as the central nucleotide of

The

The actual sequences of

1075 1076

Figure 3.

1077

Repair of complementary strand nicks via SDSA. (B) Repair of nicks on the

1078

same strand via ssDI. Schematic elements are labeled as follows: Top —

1079

genomic DNA, black; genomic lesions and DNA ends, hatched orange lines;

1080

ODNs, red; knock-in mutations, green; resection nucleases, yellow PAC

1081

ManTM; base pairing, purple vertical lines; DNA synthesis, red dashed arrows;

1082

processing nucleases, yellow lightning bolts; Bottom — predicted SNP

1083

retention curves, red dashed line; predicted position of genomic lesions,

1084

orange vertical dashed line; position of the knock-in mutation selected for,

1085

green vertical solid line; regions with more than 50% co-conversion frequency,

Mechanisms of single-nick-induced PGE using ODN donors.

40

(A)

Downloaded from genome.cshlp.org on April 20, 2017 - Published by Cold Spring Harbor Laboratory Press

1086

black double-headed arrows, strandedness of DNA, S and AS; orientations of

1087

the DNA ends, 5’ and 3’.

1088 1089

Figure 4. The conversion tracts of paired-nicks-induced HDR.

1090

conversion tracts of paired-nicks-induced HDR using S (A, B) and AS ODNs (C,

1091

D).

1092

frequency of each SNP in both 6SNP_A and 6SNP_B donors (Fig. 2F).

1093

positions of the SNPs and predicted genomic lesions are labeled in reference

1094

to the center of the chromophore sequence.

1095

colored as in the legend of Fig. 2.

(A-D) The

The conversion tracts were compiled by overlaying the retention The

All schematic elements are

1096 1097

Figure 5.

1098

Repair of the PAM-out double nicks via SDSA.

1099

double nicks via ssDI. All schematic elements are colored and defined as in

1100

the legend to Fig. 3.

Mechanisms of paired-nick-induced PGE using the S ODNs.

(A)

(B) Repair of the PAM-in

1101 1102

Figure 6. The biotin pull-down assay. (A, B) Schematic illustration of the

1103

biotin pull-down assay via the SDSA (A) and ssDI (B) pathways. In the case

1104

of ssDI (B) the biotinylated ODN is predicted to be incorporated into the target

1105

genomic locus whereas in SDSA (A) it should not.

1106

digested genomic fragments covalently linked to biotin can be enriched using

1107

streptavidin beads under denaturing conditions.

1108

BFP_QR can specifically amplify these genomic fragments with ODN

1109

incorporation but not free ODN donors.

1110

orange ovals; genomic DNA, black lines; ODN sequence, solid red lines; DNA

1111

synthesis, dashed red lines; chromophore sequence, TY and SH; genomic

1112

lesions, hatched yellow lines; homology regions, dashed silver crosses;

1113

restriction sites, XhoI and XbaI; PCR primers, horizontal arrows.

1114

of the biotin pull-down assay.

The XhoI and XbaI

The primers BFP_QF and

Biotin, yellow circle; streptavidin,

(C) Results

After transfecting with biotinylated ODNs 41

Downloaded from genome.cshlp.org on April 20, 2017 - Published by Cold Spring Harbor Laboratory Press

1115

(BFP_S90_Biotin; Supplemental Fig. S8), the BFP-positive cells were

1116

enriched using FACS sorting.

1117

was digested with XhoI and XbaI.

1118

were pulled down with streptavidin beads in denaturing conditions, PCR

1119

amplified using one internal primer and one flanking primer of the ODN donors

1120

(BFP_QF and BFP_QR; Supplemental Fig. S8) and detected on an agarose

1121

gel.

The genomic DNA of the BFP-positive cells The fragments covalently linked to biotin

1122 1123

Figure 7.

1124

PGE is defined as the fraction of HDR leading to the conversion of the desired

1125

knock-in mutations using exogenous homology donors.

1126

retrospectively, the hierarchy of the HDR pathway is determined primarily by

1127

the types of homology donors and secondarily by the genomic lesions.

1128

dsDNA donors containing a sizable central heterology must be converted via

1129

the DSBR model, which generates long conversion tracts with a linear

1130

distribution.

1131

depending on the strandedness of the ODNs and the relative position of the

1132

knock-in mutation to the genomic lesion.

1133

conversion tracts in normal distributions.

1134

presence of double-stranded genomic lesions when both pathways can

1135

convert the knock-in mutation effectively.

The hierarchy of meganuclease-induced HDR leading to PGE.

In the PGE products,

ODN donors can utilize both SDSA and ssDI pathways,

42

These pathways generate short

SDSA is preferentially utilized in the

CMV

HP

B

HP

TY CY EGFP EGFP CY TY

pA

RT

HP

RT

CMV

HP

TY CY pA EGFP RT EGFP CY TY Sense nickase nCas9

RT

nCas9 Antisense nickase Sense oligonucleotides CMV (synonymous SNPs) SH

HP

RT

HP

3

Single nick DSB Paired nicks

2

1

TY CY EGFP pA RT EGFP CY TY 0 (synonymous SNPs) SH Antisense oligonucleotides Cas9: nCas9 nCas9 nCas9 nCas9 Cas9 Cas9 nCas9 nCas9 nCas9 nCas9 CMV sgRNA*: S SH AS S AS S AS PAM- PAM- PAM- PAMCY out in out in pA BFP RT EGFP CY ODNs: S S AS AS AS AS S S AS AS SH *nCas9 (D10A) nicks com plem entary to the strand of the sgRNA Conversion tracts

HP

HP

BFP conversion efficiency (%)

A

RT

A

BS

SH

S

TY

S AS

TY

AS

SH

AS

TCTCAT

100

TCTCAT

ATG

CGC

80 TCA CAC

-60

-40

-20

0

20

40

60

Distance to the central heterology (bp)

C

80

-80

-60

D

-40

-20

CGC

80 TCC

60 TCA

-80

E

-60

-40

-20

100

40

TCA

-80

TCTCAT

100

-60

ATG

80 TCA 60 CAC TCC AAC AAT

-60

0

20

40

SH

(21 bp) GTC

TCTCAT(G) (0 bp) (3 bp)

TCC

GTT GTC CTG AAC CTG

0

20

40

60

Distance to the central heterology (bp)

80

60

6SNP_A (-19 bp) CAC

AAC (42 bp)

6SNP_B

TCC

40 20

-20

-20

(-31 bp) (-7 bp) (9 bp) (30 bp)

(-2 bp)

-40

-40

Distance to the central heterology (bp)

AAC (-40 bp)

DSB 6SNP_A 6SNP_B

GTC CTG AAC CTG

(-2 bp)

F

S AS

-80

AAT

(-61 bp) AAT

CGC

GTT

20

AAC

80

80

TCC

40

TCC

SH

S

60

CAC

60

60

Nick 6SNP_A 6SNP_B

80

CTG

20

ATG

CGC

AAC

0

40

TY

Nick 6SNP_A 6SNP_B

Distance to the central heterology (bp)

20

TCTCAT

GTC CTG

CAC 20 TCC AAT AAC (-1 bp)

CTG

SH

GTT

40

0

S S AS

ATG

AAC

Distance to the central heterology (bp)

TCTCAT

100

CTG

AAT AACTCC CAC (-2 bp)

SH

AS

GTC

TCA 20

TY

S AS

GTT

40

TCC

Nick 6SNP_A 6SNP_B

TCC

60

GTT CTGAAC CTG (-1 bp) GTC

AAT

ATG

80

20

AAC

-80

60 40

TCC

100

CGC

Nick 6SNP_A 6SNP_B

CGC

SH

TCA (-13 bp)

TCC CTG GTT (15 bp)

sgRNA_S: TC//TCAT sgRNA_AS: T//CTCAT

(-1 bp) (-2 bp)

(63 bp) CTG

80

A

Synthesis-Dependent Strand Annealing

S AS

B

Single-Strand DNA Incorporation

S AS

Futile homology search

Minimal 3’ processing S AS

S

5’

3’

3’

5’

S AS

S

Single-strand DNA Incorporation

Strand invasion and synthesis S AS

S

3’

5’ 3’

5’

S AS

S

Strand annealing

Strand displacement

S AS

S

S AS

S

Flap cleavage and ligation

Flap cleavage and ligation S AS

S AS (1) Predicted SNP retention

20 bp (3’)

(2) Predicted SNP retention

10 bp (5’)

20 bp (3’)

10 bp (5’)

A

B

SH

S

TY

S AS CAC

S AS

ATG

80 CAC

6SNP_A 6SNP_B

TCC

AAC

GTT (-1 bp) GTC CTG AAC CTG

(-41 bp)

-60

-40

-20

0

20

40

60

Distance to the central heterology (bp)

C

AAT

80

-80

AAC

TCC

40

-60

(-41 bp)

-40

-20

(-1 bp)

0

0

20

40

60

80

SH

TCTCAT ATG TCC CGC 80

6SNP_A

TCA

6SNP_B

GTT

20 AAT

-20

TY

Paired nicks (PAM-out)

80

TCC 60

-40

Distance to the central heterology (bp)

AS

CGC TCTCAT ATG TCA CAC

(-30 bp)

S AS

SH

AS

-60

GTC CTG AAC CTG (4 bp)

20

D

TY

S AS

GTT 6SNP_B

40

20

AAT

Paired nicks (PAM-in) 6SNP_A

60

TCC

40

-80

TCTCAT CGC ATG TCC TCA

Paired nicks (PAM-out)

60

-80

TY

CGC TCTCAT

TCA TCC 80

AAC

SH

S

60

40

60

CTG

Distance to the central heterology (bp)

80

AAT

-80

-60

GTC CTG

20 CAC TCC AAC (-30 bp)

-40

-20

6SNP_A 6SNP_B

40

GTC CTG AAC

20

GTT

Paired nicks (PAM-in)

0

AAC (4 bp)

20

CTG

40

60

Distance to the central heterology (bp)

80

A

Synthesis-Dependent Strand Annealing Paired nicking (PAM-out)

S AS 3’

S AS

5’

Single-Strand DNA Incorporation Paired nicking (PAM-in)

S AS

Extensive 5’ resection

Futile homology search

5’

S

3’

3’

5’

S AS

S 3’

S AS

B

Strand invasion, 3’ processing and synthesis

Single-strand DNA incorporation

5’

S

5’

3’ 3’

5’

S AS

S Strand annealing

Strand displacement

S AS

S

S Flap cleavage, ligation and single-strand gap repair

S AS

S AS

Flap cleavage, ligation and single-strand nick repair

S AS (3) Predicted conversion tracts

(4) Predicted conversion tracts

A

B

Biotin SH

XhoI

XbaI

TY

XhoI

XhoI

XbaI

BFP_CF

C

ssDI

XhoI

SH SH

SH

XbaI

TY

SDSA

Digest Pull-down Denature

Biotin SH

XbaI

SH SH

Digest Pull-down Denature

Strepavidin

BFP_CF

BFP_QR

SH

Cas9

nCas9

nCas9

Cas9

nCas9

nCas9

sgRNA*

S

AS

AS

PAM-out

PAM-in

ODNs

S

S

S

S

S

Model

SDSA

ssDI

SDSA

SDSA

ssDI

Input (25 cycles) Output (40 cycles) *nCas9 (D10A) nicks com plem entary to the strand of the sgRNA

Strepavidin BFP_QR

Meganuclease-induced precise genome engineering

dsDNA donors (for large mutations)

ODN donors (for small modifications)

including viruses with dsDNA intermediates

Homology

Heterology

DSBs Double-strand break repair (0) Conversion tracts

Homology Effective complementary Effective same strand lesion strand lesion

Nicks Inefficient

Synthesis-dependent strand annealing (1) Conversion tracts

-20 bp Effective conversion zone(~kb)

Single-strand DNA Incorporation (2) Conversion tracts

+10 bp

Effective conversion zone (~30 bp)

-20 bp

+10 bp

Effective conversion zone (~30 bp)

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Mechanisms of precise genome editing using oligonucleotide donors Yinan Kan, Brian Ruis, Taylor Takasugi, et al. Genome Res. published online March 29, 2017 Access the most recent version at doi:10.1101/gr.214775.116

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