RT Journal Article SR Electronic T1 Optimized CRISPR-mediated gene knock-in reveals FOXP3-independent control of human Treg identity JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.01.16.426937 DO 10.1101/2021.01.16.426937 A1 Avery J. Lam A1 David T.S. Lin A1 Jana K. Gillies A1 Prakruti Uday A1 Anne M. Pesenacker A1 Michael S. Kobor A1 Megan K. Levings YR 2021 UL http://biorxiv.org/content/early/2021/01/17/2021.01.16.426937.abstract AB Treg cell therapy is a promising curative approach for a variety of immune-mediated conditions. CRISPR-based genome editing allows precise insertion of transgenes through homology-directed repair, but use in human Tregs has been limited. We report an optimized protocol for CRISPR-mediated gene knock-in in human Tregs with high-yield expansion. To establish a benchmark of human Treg dysfunction, we targeted the master transcription factor FOXP3 in naive and memory Tregs. Although FOXP3-knockout Tregs upregulated cytokine expression, effects on suppressive capacity manifested slowly and primarily in memory Tregs. Moreover, FOXP3-knockout Tregs retained their characteristic phenotype and had few changes in their DNA methylation landscape, with FOXP3 maintaining methylation at regions enriched for AP-1 binding sites. Thus, while FOXP3 is important for human Treg development, it has a limited role in maintaining mature Treg identity. Optimized gene knock-in with human Tregs will enable mechanistic studies and the development of tailored, next-generation Treg cell therapies.Competing Interest StatementMKL received research funding from Sangamo Therapeutics, Bristol-Myers Squibb, Pfizer, Takeda, and CRISPR Therapeutics for work unrelated to this study. All other authors declare no competing interests.