RT Journal Article SR Electronic T1 Template-independent genome editing and repairing correct frameshift disease in vivo JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.11.13.381160 DO 10.1101/2020.11.13.381160 A1 Lian Liu A1 Kuan Li A1 Linzhi Zou A1 Hanqing Hou A1 Qun Hu A1 Shuang Liu A1 Shufeng Wang A1 Yangzhen Wang A1 Jie Li A1 Chenmeng Song A1 Jiaofeng Chen A1 Changri Li A1 Haibo Du A1 Jun-Liszt Li A1 Fangyi Chen A1 Zhigang Xu A1 Wenzhi Sun A1 Qianwen Sun A1 Wei Xiong YR 2020 UL http://biorxiv.org/content/early/2020/11/15/2020.11.13.381160.abstract AB Frameshift mutation caused by small insertions/deletions (indels) often generate truncated and non-functional proteins, which underlies 22% inherited Mendelian disorders in humans. However, there is no efficient in vivo gene therapy strategies available to date, especially in postmitotic systems. Here, we leveraged the non-homologous end joining (NHEJ) mediated non-random editing profiles to compensate the frameshift mutation in a USH1F mouse model – av3j. After treatment by the selected gRNA, about 50% editing products showed reading-frame restoration, and more than 70% targeted hair cells recovered mechanotransduction. In vivo treatment ameliorated the hearing and balance symptoms in homozygous mutant mice. Furthermore, a scale-up analysis of 114 gRNAs targeting 40 frameshift deafness mutations reveals that 65% loci have at least one gRNA with predicted therapeutic potential. Together, our study demonstrates that the NHEJ-mediated frame restoration is a simple and highly efficient therapeutic strategy for small-indel induced frameshift mutations.Competing Interest StatementThe authors have declared no competing interest.