RT Journal Article SR Electronic T1 CRISPR-Cas9 targeted deletion of the C9orf72 repeat expansion mutation corrects cellular phenotypes in patient-derived iPS cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 051193 DO 10.1101/051193 A1 Mochtar Pribadi A1 Zhongan Yang A1 Tanya S. Kim A1 Elliot W. Swartz A1 Alden Y. Huang A1 Jason A. Chen A1 Deepika Dokuru A1 Jaeyun Baek A1 Fuying Gao A1 Andrea T. Fua A1 Kevin Wojta A1 Qing Wang A1 Anna Karydas A1 Jamie Fong A1 Ed Lezcano A1 Stephanie Ng A1 Farid F. Chehab A1 Harry V. Vinters A1 Bruce L. Miller A1 Giovanni Coppola YR 2016 UL http://biorxiv.org/content/early/2016/05/02/051193.abstract AB The large hexanucleotide (GGGGCC) repeat expansion in the non-coding promoter region of C9orf72 is the leading cause of Frontotemporal Dementia (FTD) and Amyotrophic Lateral Sclerosis (ALS). Mechanisms underlying neurodegeneration are not clear, and both a C9orf72 loss of function and a gain of toxicity, in the form of RNA foci or dipeptide repeat deposition, are implicated. CRISPR (clustered regularly interspaced short palindromic repeats)-Cas9-mediated genome editing is an attractive strategy for disease modeling and therapeutic intervention. Here we show that this system can be utilized to completely remove the large repeat expansion mutation within C9orf72 in patient-derived induced pluripotent stem (iPS) cells. Removal of the mutation prevented RNA foci formation and promoter hypermethylation, two phenotypes of the C9orf72 mutation. Interestingly, these changes did not significantly alter C9orf72 expression at the mRNA or protein level. This work provides a proof-of-principle for the use of CRISPR-Cas9-mediated excision of the pathogenic C9orf72 repeat expansion as a therapeutic strategy in FTD/ALS.One Sentence Summary CRISPR-Cas9-mediated excision of the large C9orf72 repeat expansion mutation rescues RNA foci formation and promoter hypermethylation without altering C9orf72 transcript and protein expression.