# Enhancing CRISPR Gene Editing in Somatic Tissues by Chemical Modification of Guides and Donors

> **NIH NIH UG3** · UNIV OF MASSACHUSETTS MED SCH WORCESTER · 2020 · $819,031

## Abstract

Project Summary
 Engineered CRISPR systems have the potential to transform the treatment of inherited diseases via
genome editing-based cures. Nonetheless, safe, effective, and target-tissue-specific delivery of CRISPR
effector proteins and their small RNA guides represents a major barrier to clinical application. Because of the
central importance of the small RNA guides, CRISPR’s clinical development could benefit from technologies
developed for earlier generations of nucleic acid therapeutics such as siRNAs and antisense oligonucleotides.
Two critical realizations have led to a surge of recent successes with these therapeutic modalities: (i) the
importance of complete chemical modification (i.e., the removal or modification of 100% of 2’-OH groups) to
confer metabolic stability and suppress immune system activation without nanoparticle formulation; and (ii) the
utility of appended chemical conjugates to tune biodistribution properties and engage cell-surface components
that facilitate uptake. These principles should enable the safe, effective delivery of CRISPR guides, either pre-
loaded into their protein effectors [ribonucleoprotein (RNP) delivery] or administered in tandem with mRNAs or
viral vectors that encode the effector protein. In the latter case, uncoupling guide RNA delivery from vector-
based effector delivery promises additional benefits including: (1) improved guide-target multiplexing (in
parallel or in series), (2) flexibility to clear viral genomes via self-targeting in the target tissue after the desired
editing has occurred, or from ancillary tissues (to limit prolonged effector expression that induces off-target
editing and immune responses), (3) the ability to more precisely focus tissue-specific editing through
orthogonal targeting moieties for guide and effector, and (4) the liberation of vector genomic capacity for other
purposes. Despite the clinical promise of fully modified, conjugated, self-delivering CRISPR guide RNAs, they
remain underdeveloped. The goal of this proposal is to establish and optimize such guide RNAs as a new
therapeutic modality in CRISPR genome editing, in conjunction with multiple routes of effector protein delivery.
 We have identified a framework for complete modification and stabilization of guide RNAs for the most
commonly deployed CRISPR effector (SpyCas9). We have also developed chemical modifications that
increase the potency and stability of DNA donors that direct precise repairs, as needed for many diseases. We
propose to combine our nucleic acid modification framework with our established roster of targeted,
hydrophobic, endosomolytic, and pharmacokinetics-modifying conjugates to enable the safe and effective
delivery of the genome editing machinery to tissues of the central nervous system, muscle and kidney in vivo,
first in mice and then in pigs. We will pursue this goal with SpyCas9 and with three other editing effectors with
complementary attributes. In addition, we will build in the...

## Key facts

- **NIH application ID:** 9989201
- **Project number:** 5UG3TR002668-03
- **Recipient organization:** UNIV OF MASSACHUSETTS MED SCH WORCESTER
- **Principal Investigator:** ANASTASIA KHVOROVA
- **Activity code:** UG3 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $819,031
- **Award type:** 5
- **Project period:** 2018-09-18 → 2021-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9989201

## Citation

> US National Institutes of Health, RePORTER application 9989201, Enhancing CRISPR Gene Editing in Somatic Tissues by Chemical Modification of Guides and Donors (5UG3TR002668-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9989201. Licensed CC0.

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