This is a preprint.
Programmable RNA writing with trans-splicing
- PMID: 38352602
- PMCID: PMC10862893
- DOI: 10.1101/2024.01.31.578223
Programmable RNA writing with trans-splicing
Abstract
RNA editing offers the opportunity to introduce either stable or transient modifications to nucleic acid sequence without permanent off-target effects, but installation of arbitrary edits into the transcriptome is currently infeasible. Here, we describe Programmable RNA Editing & Cleavage for Insertion, Substitution, and Erasure (PRECISE), a versatile RNA editing method for writing RNA of arbitrary length and sequence into existing pre-mRNAs via 5' or 3' trans-splicing. In trans-splicing, an exogenous template is introduced to compete with the endogenous pre-mRNA, allowing for replacement of upstream or downstream exon sequence. Using Cas7-11 cleavage of pre-mRNAs to bias towards editing outcomes, we boost the efficiency of RNA trans-splicing by 10-100 fold, achieving editing rates between 5-50% and 85% on endogenous and reporter transcripts, respectively, while maintaining high-fidelity. We demonstrate PRECISE editing across 11 distinct endogenous transcripts of widely varying expression levels, showcasing more than 50 types of edits, including all 12 possible transversions and transitions, insertions ranging from 1 to 1,863 nucleotides, and deletions. We show high efficiency replacement of exon 4 of MECP2, addressing most mutations that drive the Rett Syndrome; editing of SHANK3 transcripts, a gene involved in Autism; and replacement of exon 1 of HTT, removing the hallmark repeat expansions of Huntington's disease. Whole transcriptome sequencing reveals the high precision of PRECISE editing and lack of off-target trans-splicing activity. Furthermore, we combine payload engineering and ribozymes for protein-free, high-efficiency trans-splicing, with demonstrated efficiency in editing HTT exon 1 via AAV delivery. We show that the high activity of PRECISE editing enables editing in non-dividing neurons and patient-derived Huntington's disease fibroblasts. PRECISE editing markedly broadens the scope of genetic editing, is straightforward to deliver over existing gene editing tools like prime editing, lacks permanent off-targets, and can enable any type of genetic edit large or small, including edits not otherwise possible with existing RNA base editors, widening the spectrum of addressable diseases.
Conflict of interest statement
Competing interests: A patent application has been filed related to this work. J.S.G. and O.O.A. are co-founders of Sherlock Biosciences, Proof Diagnostics, Tome Biosciences, and Doppler Bio.
Figures















Similar articles
-
Programmable multi-kilobase RNA editing using CRISPR-mediated trans-splicing.bioRxiv [Preprint]. 2023 Aug 18:2023.08.18.553620. doi: 10.1101/2023.08.18.553620. bioRxiv. 2023. PMID: 37645763 Free PMC article. Preprint.
-
RNA exon editing: Splicing the way to treat human diseases.Mol Ther Nucleic Acids. 2024 Aug 16;35(3):102311. doi: 10.1016/j.omtn.2024.102311. eCollection 2024 Sep 10. Mol Ther Nucleic Acids. 2024. PMID: 39281698 Free PMC article. Review.
-
Click editing enables programmable genome writing using DNA polymerases and HUH endonucleases.bioRxiv [Preprint]. 2023 Sep 13:2023.09.12.557440. doi: 10.1101/2023.09.12.557440. bioRxiv. 2023. Update in: Nat Biotechnol. 2025 Jun;43(6):923-935. doi: 10.1038/s41587-024-02324-x. PMID: 37745481 Free PMC article. Updated. Preprint.
-
Replacement of huntingtin exon 1 by trans-splicing.Cell Mol Life Sci. 2012 Dec;69(24):4191-204. doi: 10.1007/s00018-012-1083-5. Epub 2012 Jul 20. Cell Mol Life Sci. 2012. PMID: 22814437 Free PMC article.
-
Novel Engineered Programmable Systems for ADAR-Mediated RNA Editing.Mol Ther Nucleic Acids. 2020 Mar 6;19:1065-1072. doi: 10.1016/j.omtn.2019.12.042. Epub 2020 Jan 15. Mol Ther Nucleic Acids. 2020. PMID: 32044725 Free PMC article. Review.
References
-
- Nishida K. et al. Targeted nucleotide editing using hybrid prokaryotic and vertebrate adaptive immune systems. Science 353, (2016). - PubMed
Publication types
Grants and funding
LinkOut - more resources
Full Text Sources
Research Materials