Poster

SAFER Detection™ for Efficient Interrogation of DNA Rearrangements in Gene-Edited Human Cells

Summary

An essential criterion for evaluating the safety of human genome editing products is verification of genomic integrity. This includes an assessment of large insertions or deletions, integration of exogenous DNA, and the potential for oncogenicity or insertional mutagenesis. In this study, we introduce SAFER Detection (Selective Amplification for Efficient Rearrangement Detection). SAFER Detection is a tagmentation and next-generation sequencing-based method designed to enable quantitative detection of chromosomal rearrangement breakpoints with single-base resolution. The method is capable of classifying rearrangements resulting from on-target and off-target editing by programmable nucleases such as CRISPR/Cas and TALENs. SAFER Detection using Cas9 with a CCR5 guide RNA readily identified intra-chromosomal deletions, insertions and inversions between the on-target site (CCR5) and off-target or homologous sites in a nearby homolog (CCR2). Inter-chromosomal translocations between the CCR5 target site and off-target sites on chr1 and chr13 were also captured and further validated by PCR. SAFER Detection exhibits high sensitivity in detecting intrachromosomal and inter-chromosomal rearrangements mediated by off-target activity or by homologous recombination and is applicable to samples containing low cell numbers. When combined with a sensitive off-target nomination technology such as ONE-seq®, SAFER Detection provides a valuable method to assess the risk of chromosomal rearrangements in therapeutic genome editing.

Graphic abstract of SAFER Detection

Graphic summary of SAFER Detection as described above.

Figure 1: SAFER Detection strategy (method 1)

A) Rearranged events amplified & non-rearranged events blocked

In the upper panel, Tn5 loaded with adapters containing UMI and i5 index; in the lower, targeted/rearranged regions are amplified while unedited/small-indel regions are suppressed by an LNA blocker.

B) Data structure for SAFER Detection

Data structure for SAFER Detection. Potential rearrangements from the left and right sides of the target locus are classified and grouped for analysis.

C. Strategy of nomination of DNA rearrangements

5 step visualization of strategy for rearrangement event nomination.

Figure 1: Schematics depicting key components, library prep, data structure, rearrangement grouping and validation process. (A) (upper panel) Tn5 loaded with adapters containing UMI and i5 index. (lower panel) Targeted/rearranged regions are amplified while unedited/small-indel regions are suppressed by an LNA blocker. (B) Data structure for SAFER Detection. Potential rearrangements from the left and right sides of the target locus are classified and grouped for analysis. (C) Strategy for rearrangement event nomination. 1. Reads with potential rearrangements are grouped by FGSV pileup. 2. Hits are filtered by the split-read structure of read 2 and the distance of read 1 to the breakpoint. 3. Hits are scored and evaluated against random sampling from the whole genome. 4. Homology search and off-target site search near the breakpoints are performed to enable classification. 5. Events of interest are then validated using PCR, dPCR or cytogenetic methods.

Figure 2: Nomination of DNA rearrangements

A) DNA rearrangement events

Box plots of DNA rearrangement events captured for the left and right side of a target site in CCR5.

B) Representative read

Read_name: VH01033:21:AACCM73M5:1:2103:56102:51699:rACCGGATCGC
Sequence: GATGAGGATGACCAGCATGTTGCCCACAAAACCATAGATGAACACCAGTGAGTAGAGCGGAGAGAGGTGGTCAGCCAACAAGCTGCTGGGCGTGTGAGGCGG
CTGTGCTGTGCCTGTGAGACAGGAATGGTTCCATTACAC
Alignments
chr3:46,373,003-46,373,064 (-)
chr13:24,886,326-24,886,413 (+) underlined

On-Target chr3:46372995- 46373017 (-) GTGAGTAGAGCGGAGGC AGGAGG PAM-5bp
Potential Off-Target chr13:24886320- 24886342 (+) G-GAGGAGAGCGGAGGC AGGTGG PAM-3bp

C) Potential breakpoints

Ideogram of potential breakpoints caused by off-target editing in genome.

D) Breakpoint site alignment

Breakpoint site alignment. The reference CCR5 target site is shown at the top. Mismatched nucleotides and indels are highlighted. The alignment score is listed on the right. Diamonds indicate off-target sites detected at validated inter-chromosomal translocation breakpoints.

Figure 2: Nomination of DNA rearrangements and DNA breakpoints. (A) Box plots of DNA rearrangement events captured for the left and right side of a target site in CCR5. Events were filtered by the number of unique split reads (N.D., none detected). (B) A representative read displaying the split structure, junction and actual position of DNA breakpoints. (C) Ideogram of potential breakpoints caused by off-target editing in genome. (D) Breakpoint site alignment. The reference CCR5 target site is shown at the top. Mismatched nucleotides and indels are highlighted. The alignment score is listed on the right. Diamonds indicate off-target sites detected at validated inter-chromosomal translocation breakpoints.

Figure 3: Validation of selected intra-chr rearrangements

A) DNA rearrangement events

Integrative Genomics Viewer plot and schematic depiction of tested inter-chromosomal translocation events

B) PCR validation of rearrangement events

PCR validation of rearrangement events with bands amplified at the expected sizes indicated by red arrowheads.

Figure 3: Validation of selected intra-chromosomal rearrangement (A) (upper panel) Integrative Genomics Viewer (IGV) plot illustrates the distribution of paired reads mapping to CCR5 and CCR2. (lower panel) Schematic depiction of tested inter-chromosomal translocation events for PCR validation. Green arrows indicate the target region primer; red arrows indicate the primers tested at the rearranged locus. (B) PCR validation of rearrangement events with bands amplified at the expected sizes indicated by red arrowheads.

Figure 4: Validation of selected inter-chr rearrangements

A) Read distribution at CCR5/Chr3 & RNF17/Chr13

IGV plots illustrate paired read distribution at CCR5/Chr3 and RNF17/Chr13.

C) Read distribution at Chr1 & CCR5/Chr3

IGV plots illustrate paired read distribution at CCR5/Chr3 and Chr1.

B) PCR validation with bands amplified at expected sizes

Depiction of inter-chromosomal translocation event and PCR validation of rearrangement events

D) PCR validation with bands amplified at theoretic sizes

SAFER-fig-4d

Figure 4: Validation of selected inter-chromosomal translocations. (A) IGV plots illustrate paired read distribution at CCR5/Chr3 and RNF17/Chr13. (B) (upper) Schematic depiction of inter-chromosomal translocation event; (lower) PCR validation of rearrangement events with bands amplified at expected sizes indicated by arrowheads. (C) IGV plots illustrate paired read distribution at CCR5/Chr3 and Chr1. (D) (upper panel) Schematic depiction of inter-chromosomal translocation event; (lower) PCR validation of rearrangement events with bands amplified at theoretic sizes indicated by arrowheads. Green arrows in schematics indicate the on-target region primers; red arrows indicate the primers tested at the rearranged locus.

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