# Biodegradable nanoparticles, a genome editing platform to treat hemophilia

> **NIH NIH R01** · OHIO STATE UNIVERSITY · 2021 · $392,900

## Abstract

PROJECT SUMMARY
 Humans suffer from more than 6,500 rare diseases, of which hemophilia A (HA) affects an estimated
20,000 patients in the US and over 400,000 patients worldwide. These patients have a high risk of life-
threatening bleeding and serious complications, including joint and muscle diseases. HA is caused by gene
mutations of factor VIII (FVIII), resulting in impaired coagulation. Currently, no effective therapy has been
shown capable of curing HA, because the half-life of the FVIII protein (the standard treatment) or new FVIII
products is less than twenty hours in patients. The goal of this project is to develop biodegradable
nanoparticles (BNPs), a genome editing platform to achieve a cure for hemophilia A. Previously, we reported
that the efficient delivery of CRISPR/Cas9 and repair template DNA can induce gene-editing and correction of
genetic disease in adult mammals by combining viral and non-viral delivery systems. This treatment fully
restored weight loss, alleviated liver damage and generated fumarylacetoacetate hydrolase (FAH)-positive
hepatocytes by correcting a FAH splicing mutation in FAH-mutated mice. Moreover, we developed lipid-like
nanoparticles via an orthogonal array design for efficient delivery of mRNA. Our optimized TT3 LLNs was able
to restore functional protein to normal physiological values in a hemophilia B mouse model. In this proposal,
we aim to develop biodegradable nanoparticles for delivery of CRISPR/Cpf1 and hFVIII cDNA. CRISPR/Cpf1
is a new series of CRISPR effectors with single guide RNA. We anticipate maximizing the function of
CRISPR/Cpf1 and enhancing genome editing efficiency for HA therapy. In this study, we will synthesize and
characterize BNPs, study their cutting efficiency of the albumin (mAlb) locus, a designed safe-harbor gene-
insertion site in vivo, thereby advancing this novel platform toward future clinical trials for treating HA. This
approach has several advantages over other strategies currently used for HA treatment. (i) If successful, BNPs
offer a curable therapy for HA. (ii) Cpf1 mRNA can be translated for short-term expression in order to induce
gene-cutting, avoiding potential off-target effects and toxicity due to long term expression of Cpf1 protein. (iii)
mRNA does not integrate into the genes of host cells, avoiding potential genotoxicity. (iv) BNPs are
biodegradable, thus minimizing accumulation in the liver and relevant side effects. The following specific aims
will be carried out to accomplish our goals: 1). To synthesize and characterize novel biodegradable
nanoparticles (BNPs). 2). To optimize chemically modified Cpf1 mRNA and sgRNA for mAlb gene-cutting in
vitro; and 3). To evaluate genome editing efficiency and safety profiles of BNPs in a hemophilia A mouse
model. Based on current lead material as well as new BNPs to be identified from the proposed study, this
research program will be able to successfully discover and develop new drug candidates for treating
hemophilia...

## Key facts

- **NIH application ID:** 10126045
- **Project number:** 5R01HL136652-05
- **Recipient organization:** OHIO STATE UNIVERSITY
- **Principal Investigator:** Yizhou Dong
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $392,900
- **Award type:** 5
- **Project period:** 2017-04-01 → 2022-10-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10126045

## Citation

> US National Institutes of Health, RePORTER application 10126045, Biodegradable nanoparticles, a genome editing platform to treat hemophilia (5R01HL136652-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10126045. Licensed CC0.

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