Allele-selective suppression of mutant huntingtin in primary human myeloid cells James RC Miller1, Edith Pfister2, Wanzhao Liu2, Lori Kennington2, Ralph Andre1, Gary Ostroff3, Neil Aronin2 and Sarah J Tabrizi1 1UCL Institute of Neurology, Dept. of Neurodegenerative Disease, London, UK. 2University of Massachusetts Medical School, Dept. of Medicine, Division Endocrinology & Metabolism, Worcester, MA, USA. 3University of Massachusetts Medical School, Program in Molecular Medicine, Worcester, MA, USA. Introduction Huntington’s disease (HD) is a fatal, inherited neurodegenerative condition caused by a CAG repeat expansion in the huntingtin (HTT) gene. A repeat length of more than 40 is fully penetrant and results in the disease. Expression of the mutant protein (mHTT) is associated with disease pathology, so lowering cellular HTT levels is a promising therapeutic strategy. We have previously demonstrated non-selective suppression of wild-type and mHTT in primary human myeloid cells using small interfering RNA (siRNA). However, wild-type huntingtin has a number of important roles in cellular function and an ideal therapy would selectively lower mHTT levels while preserving wild-type. In this study we aim to selectively suppress mHTT in primary human HD cells using siRNA targeted to single nucleotide polymorphisms (SNPs) in the HTT gene. Rationale Targeting the CAG repeat with siRNA is technically challenging – SNPs provide a promising alternative for discriminating between wild-type and mHTT. We have chosen to target three SNPs located in exon 50, exon 57 and the 3’ UTR of the HTT gene. This approach will be applicable to approximately 75% of HD patients (Pfister et al. Current Biology 2009). Results A ** Figure 2. Allele-selective knockdown of HTT in primary human myeloid cells. (A) HTT mRNA levels following treatment with siRNA targeting rs362331 (exon 50), n=8. (B) HTT mRNA levels following treatment with siRNA targeting rs362273 (exon 57), n=4. (C) Dose-response analysis of siRNA targeting the A allele of rs362273 (exon 57), n=2. Data shown as mean +/- SEM, paired t-test. *p<0.05, **p<0.01, ***p<0.001. *** Patients are initially genotyped to determine heterozygosity at SNPs of interest. SNP identities are then linked to the wild-type and mutant alleles using previously described methodology (Figure 1). A B Sample Number Exon 50 rs362331 Exon 57 rs362273 3' UTR rs362307 Mutant Wild-type Mutant Wild-type Mutant Wild-type 41159 C T G A C C 41261 T T A A T C 41275 T T A A T C 41566 C T G A T C 41568 T T A A T C 41690 C T G A T C 43046 C T G A T C 43200 T T A A T C Figure 1. SNP linkage by circularization (SLiC). (A) The SLiC strategy. cDNA is circularised to bring the target SNP into close proximity with the CAG repeat in exon 1 of the HTT gene. This allows a relatively short section of cDNA to be sequenced to determine SNP linkage with either the wild-type or mutant allele (reproduced with permission from Liu et al. Nat Methods 2008). (B) Representative SLiC results showing SNP linkage in individual subjects. Methods Human HD myeloid cells are hyper-reactive in response to LPS – we have previously demonstrated that this phenotype is reversible following total HTTlowering by gene silencing. The innate immune system provides a convenient model for testing potential therapies for HD due to this clear phenotype and the ready availability of peripheral blood from patient volunteers. Monocytes are isolated from human peripheral blood using anti-CD14 MACS beads and cultured in RPMI media containing 20 ng/ml GM-CSF to differentiate them into macrophages. Traditional transfection methods are difficult in primary myeloid cells and only low transfection rates can be achieved (~10%). Yeast-derived glucanencapsulated siRNA particles (GeRPs) take advantage of the phagocytic properties of myeloid cells to achieve transfection. The siRNA is packaged into a glucan shell which is engulfed by the myeloid cell, leading to siRNA uptake and subsequent mRNA knockdown (Aouadi et al. Nature 2009). Transfection efficiencies as high as 90% can be achieved using this method. B C * * Conclusions Analysis of mRNA expression has revealed allele-selective knockdown of target SNPs in primary human myeloid cells. The SNPs can then be linked to wild-type and mHTT by SLiC. Selectivity of knockdown varies depending on the SNP – siRNA targeting rs362331 offers greater discrimination than siRNA targeting rs362273. Selectivity of knockdown may be optimised by varying the dose of siRNA. These findings represent the first steps in evaluating siRNA-mediated alleleselective suppression in primary human HD cells, while demonstrating the feasibility of tailoring treatments to an individual genotype. Future work RNA data will be validated using TR-FRET to measure total and mHTT protein levels following allele-selective knockdown. siRNA dose ranging will be further evaluated to optimise allele-selectivity. Cells are harvested 72 hours after GeRP treatment and mRNA levels are measured by qPCR using TaqMan probes specific for each SNP allele. We would also like to thank UCLH, UCL Biomedical Research Centre and NS 38194 (NA) for their support. We will extend these findings by developing allele-selective silencing targeting rs362307 in the 3’ UTR of the HTT gene. These siRNAs will be used to investigate the effects of selectively knocking down mHTT on the hyper-reactive phenotype seen in HD myeloid cells.