Defining novel Cas:gRNA pairings most effective at targeting the integrated HIV-1 genome
Rachel Elizabeth Berman
Doctor of Philosophy (Ph.D.), Drexel University
May 2026
DOI:
https://doi.org/10.17918/00011360
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Abstract
CRISPR gRNA HIV-1 SaCas9 Immunology
The dynamic latent proviral reservoir remains the principal barrier to a broad-spectrum cure for human immunodeficiency virus type 1 (HIV-1). Once an acute threat, HIV-1 is now a chronic disease for people living with HIV-1 (PLWH) who adhere to antiretroviral therapy (ART), though the latent reservoir endures, contributing to chronic disease syndromes, neuroinflammation, and HIV-1-associated neurocognitive disorders (HAND). Curative strategies for HIV-1 must target viral reservoirs across compartmental barriers, while navigating extensive inter- and intra-patient quasispecies diversity without causing additional harm to those undergoing treatment. Clustered Regularly Interspersed Short Palindromic repeats (CRISPR) gene editing has been proposed as a curative strategy, and the Staphylococcus aureus Cas9 (SaCas9) ortholog has emerged as the leading endonuclease for in vivo cure therapies. However, the two main components of CRISPR - the endonuclease and the guide RNA (gRNA) - remain poorly characterized in a comprehensive, Cas-ortholog and HIV-1-specific manner. Herein, the Cas:gRNA pairing for an HIV-1 cure strategy are evaluated computationally and experimentally. Computational interrogation of protospacer adjacent motif (PAM) availability identified the potential for safe, broad and effective (SBE) gRNA yield across HIV-1 quasispecies through the Nominate, Diversify, Narrow and Filter (NDNF) pipeline and characterized the trade-off between PAM breadth and off-target potential across a wide range of natural and engineered Cas orthologs. Experimentally, the optimal SaCas9:gRNA pair was interrogated through delivery of a 6,000 HIV-1-specific gRNA library to J-Lat 10.6 T lymphocytes followed by PMA/ionomycin stimulation, fluorescence-activated cell sorting (FACS), and next generation sequencing. Weighted comparisons between time points, reactivated, and silenced cell populations produced a ranked annotation of all 6,000 protospacers. Top SaCas9 gRNAs were distributed across multiple loci throughout the proviral genome, with the leading gRNA targeting vif. Critically, this analysis revealed a nuanced positional and nucleotide-specific mismatch preference for SaCas9 gRNAs that diverges from current design frameworks. Site-specific sequence logos derived from this analysis provide a practical framework for optimal SaCas9 gRNA design. Together these findings characterize the targeted components of CRISPR for an HIV-1 cure strategy and represent a significant advance toward a durable, safe and universal cure for HIV-1.
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Details
Title
Defining novel Cas:gRNA pairings most effective at targeting the integrated HIV-1 genome
Creators
Rachel Elizabeth Berman
Contributors
Brian Wigdahl (Advisor)
Michael R. Nonnemacher (Advisor)
Awarding Institution
Drexel University
Degree Awarded
Doctor of Philosophy (Ph.D.)
Publisher
Drexel University
Number of pages
xxii, 462 pages
Resource Type
Dissertation
Language
English
Academic Unit
Biochemistry and Molecular Biology; College of Arts and Sciences; Drexel University