RT Journal Article SR Electronic T1 FREQUENT GENE CONVERSION IN HUMAN EMBRYOS INDUCED BY DOUBLE STRAND BREAKS JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.19.162214 DO 10.1101/2020.06.19.162214 A1 Dan Liang A1 Nuria Marti Gutierrez A1 Tailai Chen A1 Yeonmi Lee A1 Sang-Wook Park A1 Hong Ma A1 Amy Koski A1 Riffat Ahmed A1 Hayley Darby A1 Ying Li A1 Crystal Van Dyken A1 Aleksei Mikhalchenko A1 Thanasup Gonmanee A1 Tomonari Hayama A1 Han Zhao A1 Keliang Wu A1 Jingye Zhang A1 Zhenzhen Hou A1 Jumi Park A1 Chong-Jai Kim A1 Jianhui Gong A1 Yilin Yuan A1 Ying Gu A1 Yue Shen A1 Susan B. Olson A1 Hui Yang A1 David Battaglia A1 Thomas O’Leary A1 Sacha A. Krieg A1 David M. Lee A1 Diana H. Wu A1 P. Barton Duell A1 Sanjiv Kaul A1 Jin-Soo Kim A1 Stephen B. Heitner A1 Eunju Kang A1 Zi-Jiang Chen A1 Paula Amato A1 Shoukhrat Mitalipov YR 2020 UL http://biorxiv.org/content/early/2020/06/20/2020.06.19.162214.abstract AB Applications of genome editing ultimately depend on DNA repair triggered by targeted double-strand breaks (DSBs). However, repair mechanisms in human cells remain poorly understood and vary across different cell types. Here we report that DSBs selectively induced on a mutant allele in heterozygous human embryos are repaired by gene conversion using an intact wildtype homolog as a template in up to 40% of targeted embryos. We also show that targeting of homozygous loci facilitates an interplay of non-homologous end joining (NHEJ) and gene conversion and results in embryos which carry identical indel mutations on both loci. Additionally, conversion tracks may expand bidirectionally well beyond the target region leading to an extensive loss of heterozygosity (LOH). Our study demonstrates that gene conversion and NHEJ are two major DNA DSB repair mechanisms in preimplantation human embryos. While gene conversion could be applicable for gene correction, extensive LOH presents a serious safety concern.Competing Interest StatementThe authors have declared no competing interest.