Precision Medicine, CRISPR, and Genome Engineering Moving from Association to Biology and Therapeutics

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While global knockouts are extremely straightforward to make, a potentially

more useful approach is to generate knockouts in specific tissues. This strategy can


be particularly useful for genes that are globally expressed or have unique functions


in different tissues. There are two strategies for generating tissue specific Cas9-


mediated genomic changes. Both rely on generating transgenic fish, which stably


express Cas9. In one approach, a single Tol2 transposon expresses both Cas9 and


the targeting sgRNA [ 47 ]. This single DNA construct makes it possible to inactivate


a target gene in a specific tissue in one generation, which is additionally facilitated


by the inclusion of a fluorescent marker for screening of carriers of the transgene.


Cas9 is expressed under a tissue-specific promoter and the sgRNA is expressed


ubiquitously using a U6 splicesomal RNA promoter. The authors of this system


have made generating the transposon even more straightforward by modifying it so


that it can be used with the Gateway cloning system [ 48 ]. Thus combining different


promoters and sgRNAs becomes simply a matter of mixing appropriate plasmids


together for a mix and match approach.


The second approach requires generating two different Tol2 transposons and two

transgenic lines, which are then mated with one another [ 49 ]. One transposon


expresses a tissue-specific or otherwise regulatable Cas9 gene and the other one


expresses one or more sgRNA molecules under the control of distinct U6 promot-


ers. The identification of transgenic carriers is again facilitated by the presence of


fluorescent markers in both transposons. Once carriers are identified, crossbreeding


of the different transgenic lines introduces mutations in specific Cas9-expressing


tissues. This system is slower than using a single transposon, since two different


transgenic lines need to be identified, but it is advantageous to express multiple


sgRNAs at once to ensure that a loss of function allele is identified in the target gene


of interest. These tissue-specific transgenic systems are still relatively new, but they


hold promise for being used in many different studies. Continued improvements to


these systems will come from additional conditional Cas9 activation strategies,


such as small molecules or light, which are rapidly being developed and optimized


[ 50 , 51 ].


Several recent studies have used the new genome editing strategies in zebraf-

ish to study retina and RPE [ 52 – 58 ]. Many of these studies are already exploiting


the speed and ease by which CRISPR/Cas9 can be used to generate mutant


alleles. Zebrafish are well known for distinct experimental advantages. Genetic


screens have been used to identify many genes essential for photoreceptor func-


tion [ 59 , 60 ] and development [ 61 , 62 ]. Recent work has further exploited the


transparency of larvae and the ease of generating transgenic strains to conduct


sophisticated imaging experiments using fluorescent markers. These studies,


which are too numerous to list all here, have provided insight into many aspects


of photoreceptor biology. They include analyses of photoreceptor behavior dur-


ing development [ 63 – 65 ], regeneration [ 66 , 67 ] and disease [ 68 , 69 ]. They also


provide insight into intracellular events in photoreceptors such as autophagy [ 21 ,


70 ], protein trafficking [ 71 , 72 ] and dynamics of essential second messenger mol-


ecules such as Ca2+ [ 24 , 73 ]. The recent rapid development of sophisticated


genome editing techniques ensures that zebrafish will continue to provide novel


S.E. Brockerhoff
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