Our research focuses on the chronic and latent phases of virus infections, virus immune evasion mechanisms, and potential curative therapeutic approaches to these infections. Our most recent work involves the use of enzymes we classify as rare-cutting endonucleases that can specifically target latent viral DNA for cleavage. Upon cleavage of viral DNA mutations are introduced in viral coding sequences and this results in virus inactivation. This approach may allow precise inactivation of functional viral DNA within infected cell reservoirs, and offers the prospect of a cure for human immunodeficiency virus, hepatitis B virus, and herpes simplex virus infections.
More than 30 million people worldwide are currently infected with HIV and it is estimated than an additional 2-3 million more are newly infected each year. Despite the development of highly active antiretroviral therapies (HAART) that can efficiently control active HIV replication, the majority of infected individuals around the world do not have access to therapy. Furthermore, sanctuary sites of ‘latent’ HIV infection remain a problem for HIV infected individuals even while on treatment. HIV proviral DNA can reside in an infected cell indefinitely, making HIV a lifelong infection.
Although there is an effective HBV vaccine and most adults can spontaneously clear HBV infections, there remain over 350 million people worldwide chronically infected with HBV. This leads to as many as 1.2 million deaths each year as a result of HBV-related liver diseases. Chronically infected individuals can be successfully treated with antiviral drugs, although this only inhibits viral replication and does not clear the infection, which can be lifelong.
In most cases HSV infections produce a localized lytic infection (such as a cold sore) that is controlled by the host immune system or can easily be treated with antiviral drugs such as acyclovir. However, despite efficient elimination of localized lytic infections, HSV has found a way to persist by latently infecting sensory neurons of the dorsal root ganglia (DRG) or trigeminal ganglia (TG). HSV genomes are able to persist within cell bodies of infected neurons where they remain in a latent state without replicating. Sporadically HSV is able to reactivate from these infected neurons and establish a lytic infection at a site to which the latently infected neuron projects. Due to the establishment of latency in ganglia HSV infections remain lifelong.
Rare-cutting endonucleases hold enormous promise in the field of gene therapy. With potential applications in gene correction and mutation/knockout, among others, Nature Methods recognized genome editing with rare-cutting endonucleases (engineered nucleases) as their 2011 Method of the Year.
Rare-cutting endonucleases are the focus of extensive research efforts for a number of reasons.
Our lab currently utilizes three types of rare-cutting endonucleases: zinc finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs) and homing endonucleases (HEs, also known as meganucleases) (see table at right). Each of these enzymes possess unique characteristics that provide both advantages and disadvantages to their use against viral targets in the human host.
Persistence of latent viral genomes and the latent viral reservoir remain the biggest obstacle to curing chronic viral infections. While “sterilizing” cure efforts pursue strategies such as reactivation of latent virus, our focus is on a “functional” cure approach that will disable the latent viral genome and render the latent viral reservoir incapable of replication. For a detailed description of our strategy, see our 2012 Journal of Virology review – Targeted DNA Mutagenesis for the Cure of Chronic Viral Infections.
The key to any gene therapy strategy is to ensure that modifications occur in the desired target sequence. Our analysis indicates that minimizing or eliminating the potential for off-target binding requires an endonuclease to target a sequence of at least 17 nucleotides in length. To that end, ZFNs, TALENs and HEs can all be designed to meet or exceed this threshold. Furthermore, the enzyme specificity must be retargeted to viral sequences. As noted above (see Our Tools), engineering of the three classes of rare-cutting endonuclease we utilize towards desired viral target sequences comes with varying degrees of difficulty. This fact has led us to productive collaborations with the Northwest Genome Engineering Consortium and groups both inside and outside Fred Hutch with expertise in TALEN and HE design.
Redirecting the specificity of rare-cutting endonucleases to essential viral genes will maximize our ability to disable latent viral genomes. An ideal viral sequence target will reside in an essential viral gene, be highly conserved across viral isolates and will incur a high fitness cost when disrupted. To this end, we are developing custom sequence analysis platforms that will facilitate our target sequence selection.
We are developing multiple methods for delivery of our enzymes to cell types that harbor latent viral reservoirs. One enzyme delivery method we are using is adeno-associated virus (AAV) vectors. AAV has a number of benefits as a gene therapy delivery vector as it is non pathogenic, is weakly immunogenicity, and has the ability to infect non-dividing cells – a prerequisite for targeting some latently infected cell populations. However, AAV has a relatively limited cloning capacity, which poses a challenge for packaging larger rare-cutting endonucleases. In addition, the utility of some AAV serotypes can be limited by neutralizing antibodies generated upon pre-exposure to wild type AAV. The development of novel AAV delivery vectors is an active area of development in the lab.
Another method under development is the use of aptamers as delivery vehicles. Aptamers are nucleic acid molecules that can be produced with high binding affinity and specificity to an array of desired targets. They can also be utilized to deliver nucleic acid payloads, and we believe aptamers may give us the opportunity to specifically target latently infected cell populations with rare-cutting endonucleases. We are currently collaborating with Dr. Geoffrey Baird at the University of Washington and Dr. John Rossi at the Beckman Research Institute of the City of Hope to develop this technology.
Rare-cutting endonuclease technology has emerged as a viable tool for gene therapy applications in large part due to their ability to create DNA double strand breaks (DSBs) upon cleavage of their target sequence. The generation of DNA DSBs is required to induce the cell’s homologous recombination and nonhomologous end-joining repair pathways. These pathways in turn may be exploited for gene editing and in our case, targeted gene mutation and disruption.
As shown above (see Our Tools), not all rare-cutting endonucleases share similar cleavage or target binding profiles. ZFNs and TALENS are artificial enzymes that utilize DNA binding domains that operate independently of their cleavage domains. They both use the non-specific DNA cleavage domain of the FokI type II restriction enzyme for cleavage and operate as heterodimers that generate 5’ overhangs upon cleavage of their target sequence. Unlike ZFNs and TALENS, homing endonucleases possess intrinsic DNA binding and cleavage activities, and generate 3’ overhangs upon cleavage of their target sequence.
When a DNA DSB is generated within a the genomic sequence, the nonhomologous end-joining repair pathway will precisely religate the DNA strands to restore the original sequence. However, NHEJ is known to be error-prone and in the presence of a rare-cutting endonuclease, successive cycles of cleavage and precise repair will continue at a target sequence until a mutation is introduced that prevents subsequent binding and cleavage. Due to the highly specific nature of these enzymes, a single nucleotide change in the target sequence is usually sufficient to halt binding and cleavage.
The impact that a given mutation will have on downstream protein synthesis or function depends on the nature of the sequence change. It is reasonable to expect that large insertions and deletions, while possibly leading to a coding sequence frame shift, will result in more deleterious effects on protein function. Conversely, the possibility of generating an in-frame deletion or insertion in which the coding sequence is left intact still remains. Whether such in frame mutations effect protein function will depend on the specific target sequence and the length of insertion or deletion.
In order to increase the frequency of mutagenesis during rare-cutting endonuclease treatment, we are collaborating with Drs. Andy Scharenberg and David Rawlings (NGEC co-directors) at Seattle Children’s Research Institute. They have utilized the 3’-5’ exonucleases Trex2 and Artemis to enhance the mutagenic potential of rare-cutting endonucleases. When DNA DSBs are generated in the presence of these enzymes single stranded overhangs are chewed back before NHEJ is able to repair the DNA DSB. This increases the frequency of mutation for ZFNs, TALENs and HEs.
By introducing mutations into essential viral genes we aim to disrupt the viral coding sequence and disable viral replication. We previously demonstrated successful targeting and disruption of an integrated reporter lentivirus using an engineered homing endonuclease (Aubert et al, PLoS One 2011), and we have continued building on this success by developing ZFNs, TALENS and HEs targeting essential genes from HIV, HBV, HSV and HPV. See our Lab Projects page for more details on our efforts to target chronic and latent viral infections with these rare-cutting endonucleases.