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Avances en edición génica: Addgene y Biopharma Excellence


Tras publicar la entrada anterior y dos entradas atrás  sobre CRISPR, y en el camino de entender la dimensión de las posibilidades de esta herramienta, he encontrado una interesante iniciativa, que entre otras cosas tiene un repositorio de plásmidos: Addgene
We distribute 81,207 plasmids on behalf of 4,062 labs from around the world. We also produce 446 ready-to-use viral vectors from our plasmid collection. Find what you need for your next experiment

He bajado su eBook  Addgene's eBook: CRISPR 101 en el que se habla de numerosas herramientas de edición génica que están siendo, no sé si descubiertas ó inventadas, para muy diversos usos:
Cpf1 family members contain a RuvC-like endonuclease domain, but they lack Cas9’s second HNH endonuclease domain. Cpf1 cleaves DNA in a staggered pattern and requires only one RNA rather than the two (tracrRNA and crRNA) needed by Cas9 for cleavage. 
En la línea de disminuir los off-target están la eSpCas9  SpCas9-HF1.

Buscando mejorar la tabla de la entrada anterior sobre los CT con CRISPR  en Clinicaltrials.gov he encontrado el artículo From fiction to science: clinical potentials and regulatory considerations of gene editing  El artículo de Schacker y Seimetz tiene una tabla con 31 CT de edición génica referenciados en clinicaltrial.gov  a julio de 2019. Son CT en los que se usa  ZF, TALEN y CRISPR. Están 18 que coinciden con los publicados en la entrada anterior de este blog  - no están los de diagnóstico y de ciencia básica -  más otros con ZF y TALEN. Me ha parecido genial. Copio la tabla 2 del artículo.


NCT (status)
Country/region
Sponsor
Disease
Target/modification
Nuclease
Delivery
Ex vivo
NCT00842634 (completed)
US
Sangamo Therapeutics
HIV
CCR5 modified CD4+ T cells
ZFN
Adenoviral vector
NCT01044654 (completed)
US
Sangamo Therapeutics
HIV
CCR5 modified CD4+ T cells
ZFN
Adenoviral vector
NCT01252641 (completed)
US
Sangamo Therapeutics
HIV
CCR5 modified CD4+ T cells
ZFN
Adenoviral vector
NCT02388594 (completed)
US
University of Pennsylvania
HIV
CCR5 modified CD34+ T cells
ZFN
mRNA electroporation
NCT02500849 (active, not recruiting)
US
City of Hope Medical Center
HIV
CCR5 modified CD34+ HSPCs
ZFN
mRNA electroporation
NCT03617198 (not yet recruiting)
US
University of Pennsylvania
HIV
CCR5 modified, C34-CXCR4, CD4 CAR T cells
ZFN
Not specified
NCT03666871 (not yet recruiting)
Not specified
Case Western Reserve University
HIV
CCR5 modified CD4+ T cells
ZFN
Not specified
NCT03190278 (recruiting)
US
Cellectis S.A.
Acute myeloid leukemia
Allogeneic CAR T cells targeting CD123, TCR disruption
TALEN
Not specified
NCT03164135 (recruiting)
China
Affiliated Hospital to Academy of Military Medical Sciences (China)
HIV-1
CCR5 modified CD34+ HSPCs (from donor)
CRISPR/Cas
Not specified
NCT03655678 (recruiting)
Canada, Europe
Vertex Pharmaceuticals Incorporated
Beta Thalassemia
Autologous CD34+ HSPCs modified at the enhancer of the BCL11A gene
CRISPR/Cas9
Ribonucleoprotein electroporation
NCT03728322 (not yet recruiting)
Not specified
Allife Medical Science and Technology Co., Ltd
Beta thalassemia
HBB gene correction in patient specific iHSCs
CRISPR/Cas9
Not specified
NCT03745287 (recruiting)
US, Europe
Vertex Pharmaceuticals Incorporated
Sickle cell disease
Autologous CD34+ HSPCs modified at the enhancer of the BCL11A gene
CRISPR/Cas9
Ribonucleoprotein electroporation
NCT03398967 (recruiting)
China
Chinese PLA General Hospital
B cell leukemia, B cell lymphoma
Allogeneic CD19 and CD20/22 CAR T cells
CRISPR/Cas9
Not specified
NCT03166878 (recruiting)
China
Chinese PLA General Hospital
B cell leukemia, B cell lymphoma
Allogeneic CD19-directed CAR T cells; TCR and B2 M disruption
CRISPR/Cas9
Not specified
NCT03399448 (recruiting)
US
University of Pennsylvania
Multiple Myeloma, Melanoma, Synovial Sarcoma, Myxoid/Round Cell Liposarcoma
Autologous anti-NY-ESO CAR T cells, disruption of TCR and PD-1
CRISPR/Cas
mRNA electroporation
NCT03690011 (not yet recruiting)
US
Baylor College of Medicine
T cell Acute Lymphoblastic Leukemia, T cell Acute Lymphoblastic Lymphoma, T-non-Hodgkin Lymphoma
Anti-CD7 CAR T cells, CD7 KO
CRISPR/Cas9
Not specified
NCT03545815 (recruiting)
China
Chinese PLA General Hospital
Solid tumor
PD-1 and TCR KO anti-mesothelin CAR T cells
CRISPR/Cas9
Not specified
NCT03747965 (recruiting)
China
Chinese PLA General Hospital
Solid tumor
Mesothelin-directed CAR T cells; PD-1 KO
CRISPR
Not specified
NCT03081715 (completed)
China
Hangzhou Cancer Hospital
Esophageal cancer
PD-1 KO T cells
CRISPR/Cas9
Not specified
NCT02793856 (active, not recruiting)
China
Sichuan University
Metastatic non-small cell lung cancer
PD-1 KO T cells
CRISPR/Cas9
Not specified
NCT03044743 (recruiting)
China
Yang Yang, Nanjing University Medical School
EBV positive advanced stage malignancies
PD-1 KO EBV-CTL cells
CRISPR/Cas9
Not specified
NCT02863913 (withdrawn—no funding)
China
Peking University
Invasive Bladder Cancer Stage IV
PD-1 KO T cells
CRISPR/Cas9
Not specified
NCT02867345 (withdrawn—no funding)
China
Peking University
Hormone Refractory Prostate Cancer
PD-1 KO T cells
CRISPR/Cas9
Not specified
NCT02867332 (withdrawn—no funding)
China
Peking University
Metastatic renal cell carcinoma
PD-1 KO T cells
CRISPR/Cas9
Not specified
In vivo
NCT03041324 (recruiting)
US
Sangamo Therapeutics
Mucopolysaccharidosis II
Insertion of corrected copy of Iduronate 2-Sulfatase gene into the Albumin locus
ZFN
AAV
NCT02702115 (recruiting)
US
Sangamo Therapeutics
Mucopolysaccharidosis I
Insertion of corrected copy of α-l-iduronidase gene into the Albumin locus
ZFN
AAV
NCT02695160 (recruiting)
US, Europe
Sangamo Therapeutics
Hemophilia B
Insertion of a corrected copy of the factor 9 gene into the albumin locus
ZFN
AAV
NCT02800369 (active, not recruiting)
China
Huazhong University of Science and Technology
Human papillomavirus-Related malignant neoplasm
E7
ZFN
Not specified
NCT03226470 (not yet recruiting)
China
Huazhong University of Science and Technology
Human papillomavirus-related malignant neoplasm
E6, E7
TALEN
Plasmid in gel
NCT03057912 (unknown)
China
First Affiliated Hospital, Sun Yat-Sen University
Human papillomavirus-Related malignant neoplasm
E6, E7
TALEN
CRISPR/Cas9
Plasmid in gel
NCT03872479 (not yet recruiting)
US
Allergan
Leber congenital amaurosis 10
CEP290
CRISPR/Cas9
AAV

Agrupando los datos por países son: Canadá, Europa (1); China (14); not specified,(2);  US (12) y US, Europe (2). China está dispuesta a ser una potencia también en edición génica.

Agrupando los datos por patrocinador:
Sponsor n
Affiliated Hospital to Academy of Military Medical Sciences (China) 1
Allergan 1
Allife Medical Science and Technology Co., Ltd 1
Baylor College of Medicine 1
Case Western Reserve University 1
Cellectis S.A. 1
Chinese PLA General Hospital 4
City of Hope Medical Center 1
First Affiliated Hospital, Sun Yat-Sen University 1
Hangzhou Cancer Hospital 1
Huazhong University of Science and Technology 2
Peking University 3
Sangamo Therapeutics 6
Sichuan University 1
University of Pennsylvania 3
Vertex Pharmaceuticals Incorporated 2
Yang Yang, Nanjing University Medical School 1
Sangamo (6), que es de US, aunque parezca de Japón, destaca en el número de CT´s

Por la enfermedad a resolver:
Disease n
Acute myeloid leukemia 1
B cell leukemia, B cell lymphoma 2
Beta thalassemia 2
EBV positive advanced stage malignancies 1
Esophageal cancer 1
Hemophilia B 1
HIV 7
HIV-1 1
Hormone Refractory Prostate Cancer 1
Human papillomavirus-Related malignant neoplasm 3
Invasive Bladder Cancer Stage IV 1
Leber congenital amaurosis 10 1
Metastatic non-small cell lung cancer 1
Metastatic renal cell carcinoma 1
Mucopolysaccharidosis I 1
Mucopolysaccharidosis II 1
Multiple Myeloma, Melanoma, Synovial Sarcoma, Myxoid/Round Cell Liposarcoma 1
Sickle cell disease 1
Solid tumor 2
T cell Acute Lymphoblastic Leukemia, T cell Acute Lymphoblastic Lymphoma, T-non-Hodgkin Lymphoma 1

Por el Target son:
Target/modification n
Allogeneic CAR T cells targeting CD123, TCR disruption 1
Allogeneic CD19 and CD20/22 CAR T cells 1
Allogeneic CD19-directed CAR T cells; TCR and B2 M disruption 1
Anti-CD7 CAR T cells, CD7 KO 1
Autologous anti-NY-ESO CAR T cells, disruption of TCR and PD-1 1
Autologous CD34+ HSPCs modified at the enhancer of the BCL11A gene 2
CCR5 modified CD34+ HSPCs 1
CCR5 modified CD34+ HSPCs (from donor) 1
CCR5 modified CD34+ T cells 1
CCR5 modified CD4+ T cells 4
CCR5 modified, C34-CXCR4, CD4 CAR T cells 1
CEP290 1
E6, E7 2
E7 1
HBB gene correction in patient specific iHSCs 1
Insertion of a corrected copy of the factor 9 gene into the albumin locus 1
Insertion of corrected copy of Iduronate 2-Sulfatase gene into the Albumin locus 1
Insertion of corrected copy of α-L-iduronidase gene into the Albumin locus 1
Mesothelin-directed CAR T cells; PD-1 KO 1
PD-1 and TCR KO anti-mesothelin CAR T cells 1
PD-1 KO EBV-CTL cells 1
PD-1 KO T cells 5

Por la nucleasa utilizada:
Nuclease n
CRISPR 1
CRISPR/Cas 2
CRISPR/Cas9 14
TALEN 2
TALEN  CRISPR/Cas9 1
ZFN 11

Viendo en el tiempo a partir del NCT qué nucleasa se usaba más al inicio de los CT de edición génica  ó en la actualidad, es decir viendo el dígito séptimo (millones, M) vemos que los ZFN tienen cierta estabilidad en el tiempo (1,2,5,3) mientras que los con CRISPR (he sumado los 3 tipos de CRISPR descritos CRISPR, CRISPR Cas y CRISPR Cas9)  son del periodo más reciente (0,0,4,13). También los de TALEN, aunque en menor número son del periodo más reciente.

Nuclease Total  0 1 2 3
CRISPR 17 4 13
TALEN 2 2
TALEN  CRISPR/Cas9 1 1
ZFN 11 1 2 5 3
Total 31 1 2 9 19

Por el método de transfección no han podido encontrarlo en 17 de los CT
Delivery n
AAV 4
Adenoviral vector 3
mRNA electroporation 3
Not specified 17
Plasmid in gel 2
Ribonucleoprotein electroporation 2


Sus autoras son Maria Schacker y Diane Seimetz de Biopharma Excellence, una consultora para ayudar en las tramitaciones de los expedientes ante las agencias reguladoras.

De su brochure copiamos dos gráficas, una de tipos de productos

y otra de tipos de servicios



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