PT - JOURNAL ARTICLE AU - Alexandre Paix AU - Andrew Folkmann AU - Daniel H Goldman AU - Heather Kulaga AU - Michael Grzelak AU - Dominique Rasoloson AU - Supriya Paidemarry AU - Rachel Green AU - Randall Reed AU - Geraldine Seydoux TI - Precision genome editing using synthesis-dependent repair of Cas9-induced DNA breaks AID - 10.1101/161109 DP - 2017 Jan 01 TA - bioRxiv PG - 161109 4099 - http://biorxiv.org/content/early/2017/07/09/161109.short 4100 - http://biorxiv.org/content/early/2017/07/09/161109.full AB - The RNA-guided DNA endonuclease Cas9 has emerged as a powerful new tool for genome engineering. Cas9 creates targeted double-strand breaks (DSBs) in the genome. Knock-in of specific mutations (precision genome editing) requires homology-directed repair (HDR) of the DSB by synthetic donor DNAs containing the desired edits, but HDR has been reported to be variably efficient. Here, we report that linear DNAs (single and double-stranded) engage in a high-efficiency HDR mechanism that requires only ∼35 nucleotides of homology with the targeted locus to introduce edits ranging from 1 to 1000 nucleotides. We demonstrate the utility of linear donors by introducing fluorescent protein tags in human cells and mouse embryos using PCR fragments. We find that repair is local, polarity-sensitive, and prone to template switching, characteristics that are consistent with gene conversion by synthesis-dependent strand-annealing (SDSA). Our findings enable rational design of synthetic donor DNAs for efficient genome editing.Significance Genome editing, the introduction of precise changes in the genome, is revolutionizing our ability to decode the genome. Here we describe a simple method for genome editing that takes advantage of an efficient mechanism for DNA repair called synthesis-dependent strand annealing. We demonstrate that synthetic linear DNAs (ssODNs and PCR fragments) with ∼35bp homology arms function as efficient donors for SDSA repair of Cas9-induced double-strand breaks. Edits from 1 to 1000 base pairs can be introduced in the genome without cloning or selection.