Vector-free delivery of gene editing proteins and compositions to cells and tissues

11827899 · 2023-11-28

Assignee

Inventors

Cpc classification

International classification

Abstract

The present subject matter provides a method for delivering a gene editing composition across a plasma membrane of a cell. Related apparatus, system, techniques, compositions, and articles are also described.

Claims

1. A method for delivering a gene editing composition across a plasma membrane of a cell, comprising: providing a population of mesenchymal stem cells (MSCs), U2OS, Jurkat or T cells; and contacting the population of cells with a volume of a hypotonic aqueous solution, the hypotonic aqueous solution comprising the gene editing composition, ethanol at a concentration of about 25% (v/v), about 32 mM sucrose, about 12 mM potassium chloride, about 12 mM ammonium acetate, about 5 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES), and about 2.5 mM MgCl.sub.2, wherein the volume is a function of: (i) exposed surface area of the population of cells; or (ii) a number of cells in the population of cells; wherein the gene editing composition includes a Cas9 protein and a gRNA complex; wherein contacting the population of cells with the volume of the hypotonic aqueous solution is performed by gas propelling the hypotonic aqueous solution to form a spray.

2. The method of claim 1, wherein the gene editing composition is detectable in said population of cells, or the progeny thereof, for (a) about 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24, 48, 60, 72, 0.5-2, 0.5-6, 6-12 or 0.5-72 hours after the population of cells is contacted with the aqueous solution, or (b) less than about 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24, 48, 60, 72, 0.5-2, 0.5-6, 6-12 or 0.5-72 hours after the population of cells is contacted with the aqueous solution.

3. The method of claim 1, wherein the population of cells, or the progeny thereof: (a) becomes genetically modified after contact with the aqueous solution; or (b) is viable after contact with the aqueous solution.

4. The method of claim 1, wherein the gene editing composition: (a) induces single-strand or double-strand breaks in DNA within the cells; or (b) comprises a repair template polynucleotide.

5. The method of claim 1, wherein the gene editing composition further comprises a repair template polynucleotide, wherein the repair template comprises (a) a first flanking region comprising nucleotides in a sequence complementary to about 40 to about 90 base pairs on one side of the single or double strand break and a second flanking region comprising nucleotides in a sequence complementary to about 40 to about 90 base pairs on the other side of the single or double strand break; (b) a first flanking region comprising nucleotides in a sequence complementary to at least about 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, or 90 base pairs on one side of the single or double strand break and a second flanking region comprising nucleotides in a sequence complementary to at least about 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, or 90 base pairs on the other side of the single or double strand break.

6. The method of claim 1, wherein: (a) the volume of aqueous solution is delivered to the population of cells in the form of a spray of aqueous particles; (b) the volume is between 2.6×10.sup.−9 microliter per square micrometer of exposed surface area and 1.1×10.sup.−6 microliter per square micrometer of exposed surface area; (c) the population of cells is in contact with said aqueous solution for 0.1-10 minutes prior to adding a second volume of buffer or culture medium to submerse or suspend said population of cells; or (d) the volume of aqueous solution is delivered to the population of cells in the form of a spray of aqueous particles, and wherein a buffer or culture medium comprises phosphate buffered saline (PBS) is added to submerse or suspend the population of cells after said population of cells is in contact with the aqueous particles for 0.1-10 minutes.

7. The method of claim 1, wherein the volume of aqueous solution is delivered to the population of cells in the form of a spray of aqueous particles, wherein (a) the volume of the spray of aqueous particles is between 6.0×10.sup.−7 microliter per cell and 7.4×10.sup.−4 microliter per cell; and/or (b) the aqueous particles have discrete units of volume ranging in size from 10 nm to 100 μm, 30-100 μm, 50-80 μm or 30-50 μm in diameter.

8. The method of claim 1, wherein the spray comprises a colloidal or sub-particle comprising a diameter of 10 nm to 100 μm.

9. The method of claim 1, wherein said aqueous solution: (a) further comprises an additive, wherein said additive comprises a heat shock protein or a sugar alcohol; (b) does not comprise glycerol; (c) further comprises an additive, wherein said additive comprises a heat shock protein or a sugar alcohol, and wherein said heat shock protein comprises α-crystallin; (d) further comprises an additive, wherein said additive comprises a heat shock protein or a sugar alcohol, wherein said heat shock protein comprises α-crystallin, and wherein said α-crystallin is present in a concentration of about 1 to about 500 μM; or (e) further comprises an additive, wherein said additive comprises a heat shock protein or a sugar alcohol, wherein said sugar alcohol comprises sorbitol in concentration of about 1 to about 10% weight/volume.

10. The method of claim 1, wherein the MSCs comprise bone marrow-derived MSCs.

Description

DESCRIPTION OF THE DRAWINGS

(1) FIG. 1 is a cartoon illustrating an scheme to edit a target gene in A549 cells. Guide RNAs are delivered in the form of sgRNA. Dual-RNAs are chemically synthesized. sgRNA1s are transcribed in vitro. Guide RNAs are incubated with Cas9. Cas9:gRNA complexes are delivered into A549 cells using the Delivery Platform. Following cleavage with Cas9 and non-homologous end joining (NHEJ), the DNA is harvested from the cells and the edit is detected using droplet digital PCR (ddPCR) and drop-off probe assay.

(2) FIG. 2 is an image of an electrophoresis gel demonstrating the function of Cas9 protein in in vitro edit assay. Functionality of recombinant Cas9 purchased from Toolgen was confirmed in an in vitro edit assay. For the positive control, DNA, gRNA and Cas9 were provided in the Agilent kit and the predicted DNA fragments 1 and 2 were produced using these reagents. The Cas9 sourced from Toolgen (ToolGen, Inc., Seoul, South Korea) also successfully generated DNA fragments 1 and 2 using the control DNA and gRNA.

(3) FIG. 3 is an image of an electrophoresis gel demonstrating the function of Cas9 protein in delivery solution in an in vitro edit assay. The Agilent in vitro assay was carried out in either buffer provided with the Agilent kit or in Delivery solution w/o ethanol (S buffer). The predicted DNA fragments 1 and 2 were produced using the Agilent buffer but not with S buffer.

(4) FIG. 4 is an image of an electrophoresis gel demonstrating the function of Cas9 protein in various ratios of delivery solution to kit buffer in an in vitro edit assay. Various ratios of ‘Delivery solution w/o ethanol (S buffer)’:‘Agilent kit buffer’ were tested using the Agilent in vitro assay. Ratios are shown in Table 2. The predicted DNA fragments 1 and 2 were produced in the presence of all ratio combinations except when Agilent kit buffer was absent (lane 6).

(5) FIG. 5 is an image of an electrophoresis gel showing the effect of MgCl.sub.2 concentration in the delivery solution on function of Cas9 RNP in an in vitro edit assay. The presence of MgCl.sub.2 in the delivery solution allows Cas9 to function in delivery solution in the absence of ethanol. Increasing MgCl.sub.2 concentrations do not have either a detrimental or a positive effect on the activity.

(6) FIG. 6 is graphical representation of the methods described herein, wherein the delivery mechanism described.

(7) FIG. 7 is a bar graph illustrating the percent GFP mRNA expression in NK cells using the methods and delivery platform described herein.

(8) FIG. 8 is a set of images validating effectiveness of the delivery solution containing 15% EtOH and 2.5 mM MgCl.sub.2. Successful delivery of reporter protein ovalbumin-FITC (OVA-FITC) to A549 cells was observed when delivery solution was modified to contain 15% ethanol and 2.5 mM MgCl.sub.2. Delivery appeared enhanced in the presence of 2.5 mM MgCl.sub.2.

(9) FIG. 9 is a set of western blots illustrating delivery of Cas9 protein resulting in rapid and transient protein expression compared to lipofected plasmid DNA. Cas9 protein was delivered to A549 cells and detected by Western blotting of cell lysates. When the delivery platform was used, Cas9 was detected at 1 hour post-delivery and levels decreased thereafter. GAPDH was used as a loading control. In contrast, when plasmid coding for Cas9 was delivered by lipofection to A549 cells, expression was not apparent for 6 hours.

(10) FIGS. 10A and B are western blots illustrating a Cas9 protein-dose delivery response. Increasing levels of Cas9 were detected in (FIG. 10A) A549 cells and (FIG. 10B) Jurkat cells when increasing doses of Cas9 protein were delivered.

(11) FIG. 11A-E are images illustrating sub-cellular localization of Cas9 protein after delivery into A549 cells. (FIG. 11A) Cas9-Cy3 protein (red) was delivered to cells and analyzed 1 hr post-delivery by fluorescence microscopy. DAPI nuclear counterstain (blue) shows nuclei. Addition of MgCl.sub.2 to the delivery solution (+MgCl.sub.2) resulted in increased delivery efficiency of Cas9. (FIG. 11B) Cas9 protein was delivered and cells were fixed with methanol 1 hr post-delivery. Cas9 expression was visualized by immunofluorescence using an anti-Cas9 antibody (green). DAPI nuclear counterstain (blue) shows nuclei. (FIG. 11C) Dual-RNA1-FAM (green) was delivered to cells and analyzed 1 hr post-delivery by fluorescence microscopy. DAPI nuclear counterstain (blue) shows nuclei. Addition of MgCl.sub.2 to the delivery solution (+MgCl.sub.2) resulted in increased delivery efficiency of Dual-RNA1-FAM. (FIG. 11D) RNP comprising Cas9: Dual-RNA1-FAM (green) was delivered to cells and analyzed 1 hr post-delivery by fluorescence microscopy. DAPI nuclear counterstain (blue) shows nuclei. (FIG. 11E) RNP comprising Cas9: Dual-RNA1-FAM was delivered and cells were fixed with methanol 1 hr post-delivery. RNP expression was visualized by immunofluorescence using an anti-Cas9 antibody (red). DAPI nuclear counterstain (blue) shows nuclei.

(12) FIG. 12A-C are a set of graphs showing the effect of the delivery platform technology on the viability of Jurkat cells (FIG. 12A), human peripheral blood mononuclear cells (PBMCs) (FIG. 12B) and HSCs (FIG. 12C). Delivery solution without payload (SBO) was delivered to Jurkat cells, human PBMCs or HSCs. An Annexin V and propidium iodide assay demonstrated a minimal reduction in viability in each cell type. UT=untreated.

(13) FIG. 13 is a set of graphs comparing viability and efficiency with Neon electroporator and the Delivery Platform. (FIG. 13A) Comparing the viability of Jurkat cells following delivery using Delivery Platform vs Neon. (FIG. 13B) The efficiency of delivery of BSA-FITC to Jurkat cells using Delivery Platform vs Neon electroporator.

(14) FIGS. 14A and B are a set of graphs showing the effect of Delivery Platform technology on the activation of Jurkat cells. Delivery solution without payload (SBO) was delivered to Jurkat cells. Control cells were untreated (UT). Expression of CD69 (FIG. 14A) and CD25 (FIG. 14B) was analyzed at 4 hr or 24 hr respectively post-stimulation with PHA.

(15) FIG. 15 is the amino acid sequence of an exemplary Cas9 protein (SEQ ID NO: 4), which includes, from the N-terminus to the C-terminus, a Streptococcus pyogenese protein (SEQ ID NO: 1) followed by a nuclear localization signal (SEQ ID NO: 2) followed by an Human influenza hemagglutinin (HA) epitope tag (SEQ ID NO: 3). The nuclear localization signal and the HA epitope tag are underlined.

(16) FIG. 16 is set of Western blots showing delivery of Cas9 protein to PBMC and Beas-2B cells. Cas9 protein was delivered to PBMC and Beas-2B cells and detected by Western blotting of cell lysates.

(17) FIG. 17 is an image of an electrophoresis agarose gel illustrating the effect delivery solution on function of gene editing tools. Lane 1 is Cas9 600 ng/μl in RNase free water (positive ctrl); lane 2 is Cas9 600 ng/μl in RNase free water sprayed, lane 3 is Cas9 600 ng/μl in delivery solution; lane 4 is Cas9 600 ng/μl in delivery solution sprayed; lane 5 is complex Cas9/gRNA in delivery solution; lane 6 is complex Cas9/gRNA in delivery solution sprayed; lane 7 is complex Cas9/gRNA in delivery solution with EtOH added straight away; lane 8 is Cas9 in delivery solution containing 4 times more S-buffer; lane 9 is Alexa 488 Cas9 labelled in delivery solution; lane 10 is a negative ctrl (Cas9 in delivery solution, no gRNA added); the negative control where the DNA is not cut. Edit was observed in all samples except sample 7, where EtOH was added together with all other components (without preliminary 10 min incubation). For all other samples, a band for the fragmented DNA appeared close to the uncut DNA. Results indicated that neither the delivery solution nor the spray impeded the cutting activity of Cas9 and of the RNP. The agarose gel was a 1.0% gel containing cyber safe dye, and run at 100V for 60 minutes with gel loading dye.

(18) FIG. 18 is an image illustrating Cas9 purification. The larger labelled Cas9 separated from the unbound label and eluted from the column first.

(19) FIG. 19 is an image illustrating labelled Cas9 elutions post-separation on Sephadex column. Four aliquots were viewed on a trans-illuminator. The intensity of the second elution (from left) indicated the most concentrated and the free dye (far right) was used as reference.

(20) FIG. 20 is an image that represents uptake of Alexa 488 labelled Cas9 delivered to A549 cells by Delivery Platform technology (green dots). Nuclei of cells (in blue) were stained with DAPI to facilitate the visualization of cells.

(21) FIG. 21 is an image depicting un-labelled Cas9 500 ng/μl in delivery solution (0.5 μl Cas9 10 μg/μl, 2.5 μl S-buffer, 2.5 μl Ethanol, MGW to 10 μl), 2 μl on a glass slide for microscopy observed under a light microscope. The clusters visible in the picture (arrow) represent aggregates of Cas9 protein falling out of solution immediately after the addition of 25% Ethanol.

(22) FIG. 22 are images depicting the effects of ethanol concentration in delivery solution on precipitation of Cas9. Labelled Cas9 93 ng/μl in delivery solution (25% S-buffer, 25% Ethanol, water to 10 μl) with 10× magnification are depicted in the top three images, and 20× magnification is depicted in the bottom three images. 2 μl sample on glass slides were observed under a fluorescence microscope. For 1%, 5% and 10% no aggregation and precipitation was observed. At 15% Ethanol small aggregates formed and precipitated (arrows), for 20 and 25% Ethanol big clusters of protein formed and separated from solution (arrows). Images were recorded 10 s after Ethanol addition to the solution containing Cas9 and all components of the delivery solution except Ethanol.

(23) FIG. 23 are images depicting the effects of ethanol concentration in delivery solution on precipitation of Cas9. Labelled Cas9 93 ng/μl in delivery solution (25% S-buffer, 25% Ethanol, water up to 10 μl) at 20× magnification is depicted. 12% Ethanol was the lowest concentration that triggered protein precipitation.

(24) FIG. 24 are images depicting Cas9 with no ethanol and protein eluted from the column. Cas9 as eluted and in S-buffer (40× magnification) was depicted to show the absence of significant aggregation or precipitation before Ethanol addition and to show that S-buffer was not a detrimental effect on the protein solubility.

(25) FIG. 25 is an image of an electrophoresis agarose gel illustrating Cas9 concentration for RNP complexes made up in delivery solution containing different amounts of ethanol. Samples correspond to those reported in Table 9. Sample 10 represents a negative control where the RNP tool was not present, hence the DNA target was intact. In all other samples edit was confirmed by the presence of the two front bands representing the two fragments of target DNA cut by the RNP tool. The agarose gel was a 1.5% gel run at 100V.

(26) FIGS. 26A-26C are images depicting the effect of NDSB-201 on Cas9 precipitation. FIG. 26A is an image depicting unlabelled Cas9 500 ng/μl in delivery solution (0.5 μl Cas9 μg/μl, 2.5 μl S-buffer, 2.5 μl Ethanol, MGW to 10 μl), 2 μl on a glass slide for microscopy observed under a light microscope. The clusters visible in the picture represented aggregates of Cas9 protein falling out of solution immediately after the addition of 25% Ethanol; FIG. 26B is an image depicting RNP (3:1 gRNA/Cas9) in delivery solution containing 0.5 M NDSB, the precipitation phenomenon was significantly decreased; FIG. 26C is an image depicting RNP (3:1 gRNA/Cas9) in delivery solution containing 20% glycerol, no visible precipitation was observed.

(27) FIG. 27 is a gel depicting the editing efficiency of Cas9: gRNA on HPRT DNA (Editing efficiency=band 2/(band 1+band 2)). The editing efficiencies were normalized to the 0% Ethanol sample. Two replicates are shown for each condition. The samples were as follows, lane 1: 0% Ethanol, lane 2: 25% Ethanol, lane 3: sorbitol (4% w/v), lane 4: D-mannitol (2% w/v), lane 5: α-crystallin (100 μM), lane 6: α-crystallin (220 μM), lane 7: NDSB (0.2 M), lane 8: trehalose (26.4 mM) lane 9: trehalose (26.4 mM)/α-crystallin (100 μM), lane 10: TF-Ethanol (0.7%) used instead of Ethanol, lane 11: uncut HPRT DNA.

(28) FIG. 28 is a gel depicting the editing efficiency of Cas9: gRNA on HPRT DNA (Editing efficiency=band 2/(band 1+band 2)). The editing efficiencies were normalized to the 0% Ethanol sample. Two replicates are shown for each condition. The samples were as follows, lane 1: 1: 0% Ethanol, lane 2: 25% Ethanol, lane 3: D-sorbitol (4% w/v) (in S. buffer), lane 4: D-sorbitol, lane 5: α-crystallin (220 μM), lane 6: α-crystallin (220 μM)/D-sorbitol (4% w/v) (in S. buffer), lane 7: gelatin A (1% w/v), lane 8: gelatin B (1% w/v), lane 9: glycine (0.25 M), lane 10: proline (75 mM), lane 11: L-arginine (50 mM), lane 12: histidine (12.8 mM), lane 13: myo-inositol (1% w/v), lane 14: tween-20 (0.1% v/v), lane 15: uncut HPRT DNA.

(29) FIGS. 29A and 29B are bar graphs indicating the editing efficiency of Cas9: gRNA on HPRT DNA (Editing efficiency=band 2/(band 1+band 2)). The editing efficiencies were normalized to 0% Ethanol sample. Two replicates are shown for each condition. FIG. 29A depicts a bar graph indicating the effects of additives including 0% EtOH, 25% EtOH, D-sorbitol, D-mannitol, α-crystallin (100 μM), α-crystallin (221 μM), NDSB, trehalose, α-crystallin/trehalose, 7% TF-EtOH, and a negative control. FIG. 29B depicts a bar graph indicating the effects of additives including 0% EtOH, 25% EtOH, D-sorbitol (buffer), D-sorbitol (additive), α-crystallin, α-crystallin/sorbitol (buffer), gelatin A, gelatin B, glycine, proline, L-arginine, L-histidine, myo-inositol, tween-20, and a negative control.

(30) FIG. 30 is a bar graph depicting the percentage of CRISPR induced hprt edit of MSC cells with and without additives.

(31) FIG. 31 is a bar graph illustrating the percentage of CRISPR induced hprt edit of U2OS cells with and without additives (2 hits).

(32) FIG. 32 is a bar graph illustrating the edit efficiency in smaller wells (24-well plate, 48-well plate, and a 96-well plate). The edit efficiency increased in cells seeded in smaller wells.

(33) FIG. 33 is a graph depicting the effect of increasing Cas9 concentration on edit efficiency. Increasing the amount of Cas9 increased the percentage edit in MSCs.

(34) FIG. 34 is a bar graph depicting the effect of Cas9:gRNA ratio on edit efficiency. Altering the ratio of Cas9 to guide RNA did not affect edit efficiency.

(35) FIG. 35 is a bar graph depicting the effect of RNP doses delivered on edit efficiency. Increasing the number of doses increased the percentage edit in MSCs.

(36) FIG. 36 is a bar graph depicting the effect of MgCl.sub.2 on edit efficiency. Edit efficiency was not improved with MgCl.sub.2 addition.

(37) FIG. 37 is a bar graph depicting a comparison of edit efficiency between Delivery Platform technology and electroporation. Edit efficiency was greater in MSCs when Cas9 RNP was delivered by Delivery Platform technology as compared with electroporation.

(38) FIG. 38 is a bar graph depicting a comparison of cell viability following RNP delivery: Delivery Platform technology versus electroporation. Comparable viability was observed in cells treated by either Delivery Platform technology or electroporation.

(39) FIG. 39 are images depicting a comparison of cell functionality following RNP delivery: Delivery Platform technology versus electroporation. The functionality of MSCs was unaffected by Delivery Platform technology. Three representative images of differentiated MSC from an untreated group (Untreated), a Cas9 RNP delivered by Delivery Platform technology group (Delivery Platform), and a Cas9 RNP delivered by Electroporation group (Electroporation) are shown. There was no difference between untreated and Delivery Platform-treated cells. However, differentiation was inhibited in cells treated by electroporation.

(40) FIG. 40 is a bar graph depicting the edit efficiency in adherent and suspension cell lines, and primary cells. Edit efficiency data for adherent (MSC, U2OS) and suspension (T cell, Jurkat), cell lines (U2OS, Jurkat) and primary cells (MSC, T cell). Successful edit was observed in both cell lines and primary human cells.

(41) FIG. 41 is a bar graph depicting the edit efficiency using Cas9 mRNA. Delivery of Cas9 mRNA and guide RNA by Delivery Platform technology induced edit in MSC Like reference symbols in the various drawings indicate like elements.

DETAILED DESCRIPTION

(42) To date, the CRISPR-Cas9 system has been most commonly delivered into cells in the form of plasmid DNA, which encodes for the three components, either as separate or combined plasmids. mRNA encoding for Cas9 has also been used (Liang et al., (2015) J Biotechnol 20; 208:44-53). Cas9 protein has been used as an alternative to a Cas9-encoding plasmids or mRNAs. Interestingly, Cas9 ribonucleoproteins (RNPs comprising Cas9), in which purified Cas9 protein is complexed with gRNA prior to delivery into cells, have recently been reported to provide several benefits over plasmid and mRNA approaches, for example, as described in: Cho S W, Lee J, Carroll D, Kim J S, Lee J. Heritable gene knockout in Caenorhabditis elegans by direct injection of Cas9-sgRNA ribonucleoproteins. Genetics. 2013. 195(3):1177-80; Sung Y H, Kim J M, Kim H T, Lee J, Jeon J, Jin Y, Choi J H, Ban Y H, Ha S J, Kim C H, Lee H W, Kim J S. Highly efficient gene knockout in mice and zebrafish with RNA-guided endonucleases. Genome Res. 2014. 24(1):125-131; Kim S, Kim D, Cho S W, Kim J, Kim J S. Highly efficient RNA-guided genome editing in human cells via delivery of purified Cas9 ribonucleoproteins. Genome Res. 2014. 24(6):1012-9 (hereinafter “Kim et al.”); Lin S, Staahl B T, Alla R K, Doudna J A. Enhanced homology-directed human genome engineering by controlled timing of CRISPR/Cas9 delivery. eLife. 2014. 15; 3:e04766; Zuris J A, Thompson D B, Shu Y, Guilinger J P, Bessen J L, Hu J H, Maeder M L, Joung J K, Chen Z Y, Liu D R. Cationic lipid-mediated delivery of proteins enables efficient protein-based genome editing in vitro and in vivo. Nat Biotechnol. 2015. 33(1):73-80; Liang X, Potter J, Kumar S, Zou Y, Quintanilla R, Sridharan M, Carte J, Chen W, Roark N, Ranganathan S, Ravinder N, Chesnut J D. Rapid and highly efficient mammalian cell engineering via Cas9 protein transfection. J Biotechnol. 2015. 20; 208:44-53 (hereinafter “Lin et al.”); and Schumann K, Lin S, Boyer E, Simeonov D R, Subramaniam M, Gate R E, Haliburton G E, Ye C J, Bluestone J A, Doudna J A, Marson A. Generation of knock-in primary human T cells using Cas9 ribonucleoproteins. Proc Natl Acad Sci USA. 2015. 18; 112(33):10437-42, the entire content of each of which is incorporated herein by reference.

(43) Gene editing nucleases, including ZFN have been described in Bhakta, M. et al., Genome Research 23:530-538; 2013, and Beerli, R. et al., Proc. Natl. Acad. Sci v. 95 pp 14628-14633; 1998, TAL has been described in Cermak, T. et al., Nucleic Acids Research 2011, v. 39, no. 12, Miller, J. et al., Nature Biotechnology vol. 29 no. 2; 2011, Christian, M. et al., Genetics 186:757-761; 2010, Deng, D. et al, Science 2012: v. 335 p. 720, and Boch, J. et al., Science 2009: v. 326 p. 1509, the entire content of each of which is incorporated herein by reference. Additionally, Cre has been described in Chevalier, B. et al., Nucleic Acids Research 2001, v. 29 no. 18, the entire content of which is incorporated herein by reference. MegaTal has been described in Sather, B. et al Sci Transl Med 7(307) 2015, Ibarra, G. et al., Molecular Therapy-Nucleic Acids (2016) 5, e352, Osborn, M. et al., Molecular Therapy v. 24 no. 3, 570-581 (2016); Wang, Y. et al., Nucleic Acid Research 2014; v. 42, 6463-6475; and Gaj, T. et al., Cold Spring Harbor Perspectives in Biology 2015, each of which is incorporated herein by reference. Cas9 has been described in Wiedenheft, Bl. et al., Nature 2012; v. 482; 331, Fineran, P. et al., Virology 2012; 433; 202-209, and Hsu, P. et al., Cell 2014; v. 157; 1262-1278, the entire content of each of which is incorporated herein by reference.

(44) Plasmids and mRNA can be silenced in some cell types while other cell types can be refractory to DNA transfection. RNPs have been shown in several studies to produce both more rapid and more efficient editing than plasmid transfection. This may be due to the direct introduction of the fully formed complex, which can function immediately in the cell and does not require transcription, translation, and assembly as with plasmids. RNPs have also been reported to be less toxic than plasmid DNA. This may be because exogenous DNA per se can be toxic to some cells or because the half-life of the RNPs is significantly shorter than that of plasmids, which produce longer-term expression of these foreign mRNAs and proteins. Importantly, the shorter expression time of RNPs has been also associated with fewer off-target edits compared to plasmids presumably because the duration of activity of the Cas9 protein is reduced. Plasmids can also integrate randomly in the genome or at Cas9-generated sites. While the latter event can at least be predicted and monitored, the former can be difficult to detect and so can be more problematic. Regardless of the site of integration, these foreign sequences can cause host immune responses, which creates challenges for the use of gene-edited stem cells or primary cells in clinical applications. Furthermore, cells transfected with plasmids for clinical applications are regarded as genetically modified by regulatory authorities and as such are subject to lengthy and costly regulatory procedures.

(45) The present subject matter provides for vector-free (e.g., viral vector-free) delivery of a payload across a plasma membrane. In some embodiments, the delivery does not involve an expression vector. In particular, it has been discovered that intracellular delivery of materials can be achieved by contacting a cell (and/or population of cells) with an aqueous solution that includes an alcohol and the delivery materials (e.g., the payload). The alcohol acts to permeabilize the membrane to allow the payload to translocate across the membrane. But permanent or severe (e.g., irreversible) damage to the cell may occur (adversely affecting cell viability) when the volume of aqueous solution that contacts the cell is too large and/or exposure occurs for too long a time. Conversely, intracellular delivery of materials is not achieved when the volume of aqueous solution that contacts the cell is too small and/or exposure occurs for too short a time. Thus, to achieve delivery of a payload across a plasma membrane while maintaining cell viability, an appropriate volume of aqueous solution can be applied and/or the length of exposure can be controlled.

(46) The appropriate volume of aqueous solution that is contacted to a population of cells can vary based on the intended application, for example, based on (e.g., be a function of) number of cells in the population, exposed cell surface area, cell size, makeup of the aqueous solution, payload, technique of contacting the aqueous solution to the population of cells, and the like.

(47) The delivery platform is used to deliver Cas9 RNPs to cells such that genome editing is achieved.

(48) Vector-Free Genome Editing

(49) In order to determine whether genome editing could be achieved by delivering Cas9 RNPs using the Delivery Platform technology, a strategy to delete a region from the target gene in the A549 human lung cell line is devised (FIG. 1). Cas9-mediated cleavage would be followed by non-homologous end joining (NHEJ). PCR primers, that flank the target region, and internal probes that act as a reference and a drop-off probe are designed. If editing is successful a ddPCR assay would result in a separation of droplets depicting where the drop-off probe is unable to bind in the edited genes and only the reference probe binds.

(50) Two guide RNA approaches are taken using 2-part guide RNAs and single guide RNAs. For the 2-part guide RNA approach, a 42 bp CRISPR RNA (crRNA) molecule is designed to target the selected region within the target gene. A 69 bp trans-activating crRNA (tracrRNA or trRNA) is also designed. The crRNA and tracrRNA molecules are chemically synthesized and the tracrRNA molecule is labelled with FAM. For experiments, tracrRNA is incubated with crRNA to form a 2-part guide RNA molecule. For the single guide RNA approach, a sgRNA corresponding to the target sequence is in vitro transcribed from DNA templates.

(51) Cas9 RNPs are formed by incubating Cas9 protein with either the 2-part guide RNA or the single guide RNA.

General Definitions and General Techniques

(52) Unless specifically defined otherwise, all technical and scientific terms used herein shall be taken to have the same meaning as commonly understood by one of ordinary skill in the art (e.g., in cell culture, molecular genetics, and biochemistry).

(53) In the descriptions above and in the claims, phrases such as “at least one of” or “one or more of” may occur followed by a conjunctive list of elements or features. The term “and/or” may also occur in a list of two or more elements or features. Unless otherwise implicitly or explicitly contradicted by the context in which it is used, such a phrase is intended to mean any of the listed elements or features individually or any of the recited elements or features in combination with any of the other recited elements or features. For example, the phrases “at least one of A and B;” “one or more of A and B;” and “A and/or B” are each intended to mean “A alone, B alone, or A and B together.” A similar interpretation is also intended for lists including three or more items. For example, the phrases “at least one of A, B, and C;” “one or more of A, B, and C;” and “A, B, and/or C” are each intended to mean “A alone, B alone, C alone, A and B together, A and C together, B and C together, or A and B and C together.” In addition, use of the term “based on,” above and in the claims is intended to mean, “based at least in part on,” such that an unrecited feature or element is also permissible.

(54) As used herein, the term “about” in the context of a numerical value or range means±10% of the numerical value or range recited or claimed, unless the context requires a more limited range.

(55) It is understood that where a parameter range is provided, all integers within that range, and tenths thereof, are also provided by the invention. For example, “0.2-5 mg” is a disclosure of 0.2 mg, 0.3 mg, 0.4 mg, 0.5 mg, 0.6 mg etc. up to and including 5.0 mg Guide RNA (gRNA) can be used in two formats: crRNA and tracrRNA can be used in the form of a duplex RNA (or “dual-RNA”) or can be engineered a single-guide RNA (sgRNA) molecule. As used herein, “gRNA” refers to a CRISPR-Cas system guide RNA. The term “gRNA” may refer to a combination of crRNA with a tracrRNA (dual-RNA) or a single RNA molecule comprising both a crRNA and a tracrRNA sequence (sgRNA).

(56) As used herein, a complex means an association of molecules by a non-covalent interaction. For example, a complex may comprise two or more molecules that are hydrostatically associated with each other, e.g., via hydrogen bonds. A non-limiting example of a complex is an RNP comprising a Cas protein and a gRNA.

(57) As used herein, a “gene editing protein” is a protein that cleaves a sugar-phosphate backbone of a DNA molecule or a protein that binds target DNA with sufficient affinity to reduce gene expression. A non-limiting example of a protein that binds target DNA with sufficient affinity to reduce gene expression is nuclease dead Cas9 (dCas9), i.e., a Cas9 that cannot cleave DNA. An example of a dCas9 is a D10A and H840A double mutant of a Cas9 protein having the amino acid sequence set forth as SEQ ID NO:1.

(58) As used herein, an “expression vector” is a DNA or RNA vector that is capable of effecting expression of one or more polynucleotides. Preferably, the expression vector is also capable of replicating within the host cell. Expression vectors can be either prokaryotic or eukaryotic, and are typically plasmids. Expression vectors of the present invention include any vectors that function (i.e., direct gene expression) in host cells of the present invention, including in one of the prokaryotic or eukaryotic cells described herein, e.g., gram-positive, gram-negative, pathogenic, non-pathogenic, commensal, cocci, bacillus, or spiral-shaped bacterial cells; archaeal cells; or protozoan, algal, fungi, yeast, plant, animal, vertebrate, invertebrate, arthropod, mammalian, rodent, primate, or human cells. Expression vectors of the present invention contain regulatory sequences such as transcription control sequences, translation control sequences, origins of replication, and other regulatory sequences that are compatible with the host cell and that control the expression of a polynucleotide. In particular, expression vectors of the present invention include transcription control sequences. Transcription control sequences are sequences which control the initiation, elongation, and termination of transcription. Particularly important transcription control sequences are those which control transcription initiation such as promoter, enhancer, operator and repressor sequences. Suitable transcription control sequences include any transcription control sequence that can function in at least one of the cells of the present invention. A variety of such transcription control sequences are known to those skilled in the art. In preferred embodiments, the methods do not comprise the use of viral vectors such as adenoviruses to deliver nucleic acid molecules or constructs.

(59) Payload compositions such as polynucleotides, polypeptides, complexes, or other agents may be purified and/or isolated. Specifically, as used herein, an “isolated” or “purified” compound, nucleic acid molecule, polynucleotide, polypeptide, or protein, or a complex comprising, e.g., a protein and a polynucleotide, is substantially free of other cellular material with which it naturally occurs, or culture medium when produced by recombinant techniques, or chemical precursors or other chemicals when chemically synthesized. Purified compounds are at least 60% by weight (dry weight) the compound of interest. Preferably, the preparation is at least 75%, more preferably at least 90%, and most preferably at least 99%, by weight the compound of interest. For example, a purified compound is one that is at least 90%, 91%, 92%, 93%, 94%, 95%, 98%, 99%, or 100% (w/w) of the desired compound by weight. Purity is measured by any appropriate standard method, for example, by column chromatography, thin layer chromatography, or high-performance liquid chromatography (HPLC) analysis. A purified or isolated polynucleotide (ribonucleic acid (RNA) or deoxyribonucleic acid (DNA)) is free of the genes or sequences that flank it in its naturally-occurring state. Examples of a an isolated or purified nucleic acid molecule include: (a) a DNA which is part of a naturally occurring genomic DNA molecule, but is not flanked by both of the nucleic acid sequences that flank that part of the molecule in the genome of the organism in which it naturally occurs; (b) a nucleic acid incorporated into a vector or into the genomic DNA of a prokaryote or eukaryote in a manner, such that the resulting molecule is not identical to any naturally occurring vector or genomic DNA; (c) a separate molecule such as a cDNA, a genomic fragment, a fragment produced by polymerase chain reaction (PCR), or a restriction fragment; and (d) a recombinant nucleotide sequence that is part of a hybrid gene, i.e., a gene encoding a fusion protein. Isolated nucleic acid molecules according to the present invention further include molecules produced synthetically, as well as any nucleic acids that have been altered chemically and/or that have modified backbones.

Example 1: The Following Materials and Methods were Used to Generate the Data Described Herein

(60) Cells and Cell Culture

(61) A549 cells (A549 European Collection of Cell Cultures (ECACC) cells were purchased through Sigma-Aldrich Corp. (Cat No 86012804)(St. Louis, Mo., USA) and Beas-2B (Sigma-Aldrich Corp Cat. No. 95102433) and were routinely cultured in DMEM (Gibco) supplemented with 5% fetal bovine serum and 2 mM L-glutamine (Gibco). Jurkat cells (European Collection of Authenticated Cell Cultures; ECACC) were grown and maintained in RPMI 1640 (Gibco) supplemented with 10% (v/v) FBS (Sigma), and 1% (v/v) Penicillin/Streptomycin at 37° C. with 5% CO.sub.2. Primary human PBMC were freshly isolated and were maintained in RPMI 1640 supplemented (Gibco) with 10% (v/v) heat inactivated FBS, 0.01% (v/v) 2-βmercaptoethanol (lifesciences) and 1% (v/v) L-glutamine at 37° C. with 5% CO.sub.2. CD34+bone marrow-derived cells (HSC) were purchased from Lonza and were grown and maintained in HPMG-Hematopoietic Growth Medium (Lonza), supplemented with the growth factors SCF (25 ng/ml), TPO (50 ng/ml) and FLT-3 (50 ng/ml). Culture was maintained for 1 week at 37° C. with 5% CO.sub.2 and media changed every 3 days.

(62) Delivery Using Delivery Platform

(63) The Delivery System includes a delivery apparatus, device, or instrument and a permeabilizing delivery solution (FIG. 6 depicts a graphical representation of the delivery mechanism). The delivery device includes an atomizer held on an adjustable x-y-z axis over a plate positioner platform. The atomizer is connected via tubing to a 5 bar compressor. A positioning collar allows centering of the spray over the well and the plate positioner platform enables reproducible well positioning under the atomizer. The payload is pipetted into a delivery port located at the top of the atomizer and the spray is generated using a spray actuator button. A preferred delivery solution includes 32 mM sucrose, 12 mM potassium chloride, 12 mM ammonium acetate, 5 mM HEPES and 25% ethanol), and optionally 2.5 mM MgCl.sub.2, in molecular grade water (Sigma-Aldrich). Prior to addition of ethanol, the solution was adjusted to pH 7.4 and filter-sterilized. In the case of varied payload volume, the water volume was adjusted accordingly.

(64) For delivery to adherent cells, cells were seeded in 48-well or 96-well culture plates (Nunc) (in other examples, culture plates with sample wells selected from 1, 6, 9, 12, 24, 48, 96, 384, and 1536 may be used) at densities that achieved 70-95% confluency at time of delivery. The supernatant was removed from the target well, the plate was placed on the plate positioner platform and the atomizer was positioned using the x-y-z axis to a distance of 31 mm from the spray head to the cell monolayer. 10 μl delivery solution was sprayed onto the cells. After 2 min at room temperature, 100 μl 0.5×-PBS was added onto the cells using a micropipette and cells were incubated at room temperature for 30 sec (for 48-well culture plates); 50 μl 0.5×-PBS was added onto the cells if using a 96-well plate. The 0.5×-PBS solution was removed and 100 μl fresh culture medium was added. After 3 hours, 100 U/ml penicillin and 100 g/ml streptomycin was added to each well. In the case of double spray, the procedure was repeated after 1-5 hour (e.g., 2 hour or preferably 4 hour) incubation from the first spray treatment. Cells were then incubated for 3 hours before the addition of antibiotics.

(65) For delivery to suspension cells, 1.0×10.sup.6 cells were placed into a 0.4 μm polyester membrane insert (Corning). The insert was placed into an in-house vacuum instrument and a vacuum of between −0.5 bar and −0.68 bar was applied to remove the culture medium. The insert was then placed into a 12 well plate and positioned under the nasal spray head. The spray procedure was carried out as described for adherent cells and when fresh culture medium was added, the cells were transferred to a fresh culture plate.

(66) In Vitro Transcription of sgRNAs

(67) In vitro transcription of sgRNAs was carried out using the Agilent (Santa Clara, Calif.) Sure Guide in vitro transcription kit as per manufacturer's guidelines.

(68) Cas9 RNP Assembly and Delivery

(69) Recombinant Cas9 protein was purchased from ToolGen, Inc and IDT-DNA. Guide RNA was generated using the SureGuide IVT kit (Agilent) according to manufacturer's guidelines. pCas9-GFP-382a2-384 plasmid was used as a positive control in assays. This plasmid contained CAS9-GFP and two gRNA. Cas9 protein (1 ug-20 ug) was premixed with in vitro transcribed gRNA (1 ug-20 ug) and the complex was incubated for 10 minutes at room temperature. The RNP complex was added to delivery solution (1×S buffer 25% EtOH) and delivered into cells using the delivery platform. For plasmid mediated expression of RGENs 1×10.sup.5 cells were transfected with pCas9-GFP-382a2-384 using Lipofectamine 2000.

(70) Western Blotting

(71) Cells were scraped in ice-cold 1×PBS solution and centrifuged at 2200 rpm for 5 mins. The pellets were lysed in radioimmunoprecipitation (RIPA) buffer (Sigma, Dublin) and 25 mg of protein was loaded onto a 4-20% polyacrylamide gel. Following gel electrophoresis, the protein was transferred onto a nitrocellulose membrane and blocked in 5% milk/1×TBS 0.1% Tween-20 (Sigma, Dublin). Membranes were probed with primary antibodies overnight at 4° C. before secondary antibodies coupled with horse-radish perioxidase were applied for 1 hour at room temperature. Gel visualization was carried out using an ECL detection system (Gbox, Syngene, Cambridge UK). Primary antibodies used include anti-cas9 (Abcam, Cambridge U K), GAPDH (Sigma, Dublin).

(72) Immunofluorescence

(73) Immunofluorescence was carried out using a Millipore anti-Cas9 antibody at a 1/200 dilution.

(74) PCR Assay for Edit

(75) The reaction mix used for PCR was: H2O 30.5 μl, Buffer 5×10 μl, MgCl.sub.2 25 mM 5 μl, dNTP 10 mM 1 μl, PrimerF 10 μM 1 μl, PrimerR 10 μM 1 μl, Taq polymerase 0.5 μl, DNA 1 μl, Total Vol 50 μl.

(76) Thirty-five cycles were used:

(77) 95 ° C . : 120 seconds ( s ) 95 ° C : 30 s 55 ° C : 30 s × 35 72 ° C : 45 s 72 ° C . : 5 minutes
Viability Assays

(78) Viability and presence of apoptotic markers were analysed in Jurkat cells with the Annexin V and Propidium Iodide (PI) apoptosis detection kit (eBioscience) according to manufacturer's protocols. Cells were washed once in 1× binding buffer and re suspended in 1× binding buffer at a concentration of 1-5×10.sup.6 cells/ml. APC conjugated Annexin V was added to 100 μl of cell suspension. Cells were incubated with fluorochrome for 15 mins at RT in the dark. After incubation, cells were washed with 1× binding buffer and resuspended in 100 μl 1× binding buffer. 5 μl PI was added to cells. Cells were analysed by flow cytometry no longer than 4 hours after staining. Percentage viable and apoptotic cells were calculated and graphed.

(79) Analysis of Activation Markers

(80) Jurkat cells were stimulated with 5 μg/ml PHA for 4 hr and 24 hr in a 24 well plate. Surface marker expression of the activation markers CD25 and CD69 was analyzed by flow cytometry. Cells were harvested and washed twice with PBS and re-suspended in FACs buffer at a concentration of 1×10.sup.6 cells/ml. 100 μl of cell suspension was stained with CD25 APC (eBioscience) and CD69 PE (eBioscience) or with isotype controls for 15 min in the dark at 4° C. 500 μl was added to wash cells, and cells were re-suspended in 100 μl FACs buffer and analyzed on a BD Accuri C6 flow cytometer.

(81) Effect of Delivery Solution Composition on Activity of Cas9 RNP in In Vitro Edit Assay

(82) The effect of the delivery solution composition on the activity of Cas9 protein was analyzed in an in vitro assay first. Cas9 protein (from Toolgen; Seoul, South Korea) was incubated with a control gRNA and a control plasmid supplied in the Agilent kit, along with kit buffer (Soln. A, Table 1). A cleaved product was observed (FIG. 2).

(83) The effect of replacing the kit buffer with delivery solution (without ethanol) was determined next (Soln. B, Table 1). A cleaved product was not observed (FIG. 3).

(84) TABLE-US-00011 TABLE 1 Composition of buffers for in vitro edit. Soln A Soln B Soln C (ul) (ul) (ul) Toolgen Cas9 (600 ng/ul) 1 1 1 Agilent Ctrl DNA (50 ng/ul) 2 2 2 Agilent Ctrl gRNA (1uM) 1 1 1 10X Kit buffer (10X) 2 0 0 10X Delivery solution (w/o EtOH) 0 2 2 H.sub.2O 14 14 13 MgCl.sub.2 (25 mM) — — 1 Edit Y N Y

(85) Experiments were carried out to determine the effect of delivery solutions. Various different ratios of delivery solution:Kit buffer were used. It was found that cleavage occurred at certain ratios of delivery solution up to 1.5 μl S buffer: 0.5 μl Kit buffer (Table 2 and FIG. 4). The effect of addition of MgCl.sub.2 to the delivery solution/reaction buffer was therefore examined (Soln C, Table 1). The addition of 1.25 mM MgCl.sub.2 to Soln B allowed the cleavage reaction to take place (FIG. 5). It appears that some cleavage can take place in the absence of MgCl.sub.2, but this is sub-optimal and inconsistent. Therefore, 2.5 mM MgCl.sub.2 was included in the delivery solution from this point on. A desirable delivery solution comprises: 32 mM sucrose, 12 mM KCl, 12 mM ammonium acetate, 5 mM HEPES, 2.5 mM MgCl.sub.2, 15% ethanol, and 85% H.sub.2O.

(86) TABLE-US-00012 TABLE 2 Composition of buffers for in vitro edit where Agilent Kit buffer is mixed with Delivery solution (10x S buffer) in various ratios 1 2 3 4 5 6 Ctrl DNA 2 2 2 2 2 2 gRNA 2 2 2 2 2 2 Cas9 1 1 1 1 1 1 H2O 14 14 14 14 14 14 Kit 10x Buffer 2 1.8 1.5 1 0.5 0 10x S buffer 0 0.2 0.5 1 1.5 2

(87) The efficiency of the delivery platform solution containing 15% ethanol and supplemented with 2.5 mM MgCl.sub.2 to deliver a reporter payload, Ovalbumin-FITC (OVA-FITC) was examined. Surprisingly, the delivery of OVA-FITC appeared enhanced in the delivery solution containing 2.5 mM MgCl.sub.2 compared to delivery solution without MgCl.sub.2 (FIG. 8).

(88) Therefore, for subsequent studies, the Cas9 RNP was delivered in a delivery solution containing 15% ethanol supplemented with 2.5 mM MgCl.sub.2.

(89) Delivery of Cas9 Protein and Time Course of Expression

(90) Cas9 is usually delivered in the form of DNA encoding the Cas9 protein. However, DNA can persist in cells for days to months and this can lead to off-targets effects where the enzyme cleaves at non-specific sites in the cells. It has been suggested that delivering the protein form of Cas9 would result in a reduction in the duration of expression of the enzyme and therefore result in reduced off-target effects. Whether purified recombinant Cas9 protein without gRNAs could be delivered into A549 cells using the delivery platform was. The duration of expression compared with plasmid-mediated expression was also examined. Cas9 protein (5 μg) was delivered to A549 cells and expression was examined by Western blot analysis of cell lysates. Cas9 protein was detected in cells at 1 hour post-delivery and levels decreased thereafter (FIG. 9). In contrast, when a plasmid encoding Cas9 was lipofected into cells, expression was not observed before 6 hr and strong levels of expression were observed at 24 hr (FIG. 9).

(91) Cas9 protein was also successfully delivered to BEAS-2B cells, Jurkat cells, human PBMC and HSC (Table 3).

(92) TABLE-US-00013 TABLE 3 Cell types to which Cas9 protein was successfully delivered. Cell Types Cas9 protein delivery A549 Yes Beas-2B Yes Jurkat Yes PBMC Yes HSC Yes
Delivery of Cas9 Protein

(93) With viral delivery of CRISPR/Cas9, it can be difficult to control the dose of editing tools delivered. It was therefore examined whether the Delivery Platform technology could deliver incremental doses of Cas9 protein.

(94) A dose response was seen when increasing concentrations of Cas9 protein were delivered to A549 and Jurkat cells (FIGS. 10A and B).

(95) Delivery of Cas9 Protein and RNPs—Sub-Cellular Localization

(96) Because Cas9 RNPs function in the nucleus, the sub-cellular localization of Cas9 protein and Cas9 RNPs following delivery with the delivery platform was determined. Cy3-labelled Cas9 and FAM-labelled dual-RNAs were used to examine the localization of Cas9 and RNPs by fluorescence microscopy. In addition, Cas9 was detected by immunofluorescence using an anti-Cas9 antibody.

(97) 1 ug Cas9-Cy3 protein was delivered into A549 cells using the delivery platform. At 1 hr post-delivery, Cas9 was observed throughout the cytoplasm and in the nucleus of cells (FIG. 11A).

(98) 10 ug unlabelled Cas9 protein was delivered into A549 cells using the delivery platform and Cas9 was detected by immunofluorescence using an anti-Cas9 antibody. At 1 hr post-delivery, Cas9 was observed throughout the cytoplasm and in the nucleus of cells (FIG. 11B). The staining pattern was similar to that observed for Cas9-Cy3.

(99) 100 uM sgRNA1-FAM was delivered into A549 cells using the delivery platform. At 1 hr post-delivery, sgRNA1-FAM was observed throughout the cytoplasm and in the nucleus of cells (FIG. 11C).

(100) Next, the localization of RNPs was examined following delivery to A549 cells. Unlabeled Cas9 was complexed to sgRNA1-FAM and delivered using the delivery platform. At 1 hr post-delivery, sgRNA1-FAM was observed throughout the cytoplasm and in the nucleus of cells (FIG. 11D). The staining pattern appeared more ‘speckled’ than that of sgRNA1-FAM shown in FIG. 11C indicating that the sgRNA was indeed complexed to Cas9.

(101) The localization of RNPs was then examined by immunofluorescence using an anti-Cas9 antibody. Unlabeled Cas9 was complexed to sgRNA1-FAM and delivered using the delivery platform. At 1 hr post-delivery, Cas9 was observed throughout the cytoplasm and in the nucleus of cells (FIG. 11E). The staining pattern was similar to that shown in FIG. 11D, as expected.

(102) Effect of Delivery Platform-Mediated Delivery to Jurkat Cells, PMBC and HSC

(103) For clinical applications, it is critical that high rates of viability and functionality are retained by cells following delivery and transfection protocols. The effect of the Delivery Platform technology on the viability of Jurkat cells, PBMC and HSC was examined. For analysis of the effect of platform-mediated delivery, delivery solution without payload was delivered to Jurkat cells, human PBMC and HSC. Viability of cells post-delivery was examined by annexin V/propidium iodide (PI) staining. The viability of the cells was reduced minimally compared to untreated controls (FIG. 12). Additionally, GFP mRNA was delivered to primary NK cells (FIG. 7) and the cells had 96.6% viability.

(104) Comparison of Viability and Efficiency: Ethanol Spray Delivery Vs Neon Electroporator

(105) Electroporation has been used to deliver Cas9 RNPs to cells in vitro (Kim et al., (2014) Genome Res 24(6):1012-9; Lin et al., (2014) eLife 15; 3:e04766; Liang et al., (2015) J Biotechnol 20; 208:44-53; Schumann et al., (2015) Proc Natl Acad Sci USA 18; 112(33):10437-42). However, electroporation is known to affect the viability and function of clinically relevant cells including T cells and stem cells. Therefore, the effect of platform-mediated delivery was compared with that of electroporation. Neon electroporation was used, which has been used by other groups (Liang et al., (2015) J Biotechnol 20; 208:44-53; Schumann et al., (2015) Proc Natl Acad Sci USA 18; 112(33):10437-42).

(106) Bovine serum albumin-FITC (BSA-FITC) was delivered to Jurkat cells and viability was determined at 24 hr post-delivery. With the delivery platform, viability was reduced from 81% in untreated controls to 65% in cells that received BSA-FITC (FIG. 13A). In contrast, viability levels dropped to 8% when BSA-FITC was delivered to cells by electroporation. Similar reductions in viability were seen when buffer only (without BSA-FITC) was delivered.

(107) The efficiency of delivery of BSA-FITC was examined by flow cytometry at 24 hr post-spray. With the delivery platform, of the 65% viable cells, 34% were positive for BSA-FITC (FIG. 13B). With electroporation, of the 8% viable cells, 62% were positive for BSA-FITC. Therefore, of the original starting populations, BSA-FITC was present in 22% cells following platform-mediated delivery and in 5% cells following electroporation.

(108) Effect of Delivery Platform Technology-Mediated Delivery on Functionality of Primary Jurkat Cells

(109) Next, the effect of platform-mediated delivery on the functionality of Jurkat cells was examined. The delivery platform was used to deliver spray buffer only to cells. CD69 and CD25 are respectively early and late cell surface markers of T cell activation.

(110) Delivery solution without payload (Spray buffer only, SBO) was delivered to cells using the delivery platform. Cells were stimulated with PHA and the expression of CD69 and CD25 was measured by flow cytometry at 4 hr and 24 hr post-stimulation respectively. Upregulation of CD69 and CD25 was observed in treated cells (FIG. 14).

Example 2: Establishment of In Vitro Edit Assay to Test Function of Gene Editing Tools and Effect of Delivery Solution on Function of Gene Editing Tools

(111) The Crispr Cas9 system of gene editing has been widely adopted. However, the majority of users utilize the DNA plasmid form of the Cas9 in combination with guide RNAs. Delivering the RNP version of the system was of interest because this was more transient and should therefore lead to fewer off-target effects. The requisite tools (recombinant Cas9 nuclease, single guides, 2-part guides) have recently become commercially available. Bespoke guide RNA sequences were designed based on corresponding plasmid sequences reported in the literature. A validation assay was performed to check the quality of the reagents. In order to assess the gene editing tools, an assay based on the Agilent SureGuide Cas9 Programmable Nuclease Kit in vitro edit test was developed. In this assay, the Cas9 protein was incubated together with the guide (single or 2-part) to form the RNP. This RNP was then incubated with a purified length of DNA (˜250 to 750 bp) which contained the target site. If the edit was successful it would result in the creation of two strands of DNA which would be evident once separated on an agarose DNA gel. This assay served two purposes: firstly, it served as a quality control assay to check the functionality of the gene editing tools and secondly, it served to determine the effect of the delivery solution on the gene editing tools and specifically, the effect on Cas9/RNP activity. For the latter purpose, a solution of Cas9 or RNP was prepared in delivery solution, sprayed and then an aliquot of the sprayed solution was collected and used in the editing assay.

(112) Materials

(113) Agilent Sure Guide Cas9 Nuclease Kit: the kit provided Cas9 nuclease, control DNA target, control gRNA, 10×Cas9 digestion buffer (Agilent) and RNase free water. The optimized volumes for the control reaction are listed in Table 4. The various gRNA and DNA targets were synthesized or provided by IDT-DNA Cas9 (IDT-DNA). Delivery solution is described herein.

(114) In Vitro Edit (IVE) Assay: Testing Function of Gene Editing Tools

(115) This assay was based on the Agilent Sure Guide Cas9 Nuclease Kit. The optimized volumes for each component are listed in Table 4. DNA target, gRNA and Cas9 were provided in the kit to validate the procedure. All components, stored on ice, were added into test tubes suitable for a thermocycler in the proportions described in Table 4. Then the tubes were transferred into a thermocycler pre-warmed at 30° C. The following program was run: 30 min at 30° C. 15 min at 65° C. Hold at 4° C.

(116) Digested samples were then analyzed by gel electrophoresis where successful edit was confirmed by the presences of additional DNA bands—the size of which corresponded to the expected DNA fragments. This assay confirmed that the recombinant Cas9 protein and various guide RNAs used in these studies were functional.

(117) TABLE-US-00014 TABLE 4 Component volumes for the IVE reaction* Component Volume (μl) Cas9 600 ng/μl 1 DNA Target 50 ng/μl 2 gRNA 1 μM 1 10X Cas9 digestion buffer 2 RNase free water 14 Total 20

(118) All gRNA tested and the corresponding target DNA are listed here: sun sgGFP RNA with pCMV EGFR target DNA, sgRNA EGFP4 with EGFP target DNA, sgHPRT1 with HRT1 DNA as target, sgAAVS1 T1, sgAAVS1 T2 and AAVS1 T3 with AAVS1 as target DNA

(119) Testing Effect of Delivery Solution on Function Gene Editing Tools

(120) In this assay the IVE protocol was adapted to study the effect of the delivery solution and of the spray procedure on the functionality of Cas9 and RNP. To do so, Cas9 alone or as RNP (Cas9 complexed with gRNA) were first prepared in delivery solution and then used for IVE or sprayed and then collected for IVE. If edit occurred, that confirmed that the components of the RNP were capable of cutting the target DNA sequence, hence they were functional, despite the presence of ethanol and other chemicals in the delivery solution.

(121) Solutions of Cas9 or RNP in delivery solution were made up as reported in Table 5. The RNP were formed by incubating Cas9 with gRNA for 15 min prior to adding S-buffer and water. Furthermore, corresponding samples were made up in water for comparison purposes. To make up the complex, 1:1 molar ratio Cas9/gRNA was used. In the case of Cas9 only solutions the gRNA was provided when IVE reactions were carried out (see Table 6).

(122) TABLE-US-00015 TABLE 5 Composition of Cas9 solutions or RNP solutions S-buffer 10X sun sg with MgCl.sub.2 Total Cas 9 GFP RNA 100 mM EtOH Water volume Solution 10 μg/μl 61 μM (μl) (μl) (μl) (μl) A 1.2 0 0 0 18.8 20 B 1.2 0 0.5 3 15.3 20 C 2.0 2.0 1.0 6.0 29 40

(123) All components, bar the ethanol, were added into a test-tube and incubated for 10 minutes. Then the ethanol was added. For each solution, aliquots of 1 μl (Cas9 solution) or 2 μl (RNP) were transferred into a test-tube for IVE testing, according to Table 6 and Table 7. To test the effect of the spray process on the RNP activity, other 10 μl aliquots were sprayed into empty wells of a 48 well plate and 1 or 2 μl solution were collected after spray and transferred into a PCR test tube. For IVE, see Table 6 and Table 7. Samples were digested as described above and then analyzed by means of agarose gel electrophoresis. A typical image of the gel is provided in FIG. 17.

(124) TABLE-US-00016 TABLE 6 Component volumes per reaction, Agilent Cas9 buffer Component Volume (μl) Cas9 600 ng/μl (before or after spray) 1 pCMV EGFP Not1 82 ng/μl 2 Sun sg GFP RNA1 μM 1 10X Cas9 Agilent buffer 2 RNase free water 14 Total 20

(125) TABLE-US-00017 TABLE 7 Component volumes per reaction, Agilent Csa9 buffer Component Volume (μl) Cas9 RNP 600/GFP gRNA 1:1 2 (sol C before or after spraying) pCMV EGFP Not1 82 ng/μl 2 10X Cas9 Agilent buffer 2 RNase free water 14 Total 20

Example 3: Conjugation of Cas9 with Fluorescent Label for Visualization of Delivery into Cells

(126) To analyze whether Cas9 was entering cells following delivery using the Delivery Platform technology, conjugating the protein with a fluorescent label was explored. Cas9 labelling methods which target amine groups must be avoided, as they lead to precipitation of Cas9 due to its physical-chemistry characteristics. Therefore, Cas9 was labelled with the fluorescent tag, Alexa-488 maleimide, through the thiol group of cysteine (2 cysteine residues per molecule of protein). This reaction did not alter the overall charge of the protein at physiological pH. The experimental protocol followed was based on previous work (Zuris, J A et al., Nat Biotechnol 2015; 33(1) 73-80).

(127) Materials

(128) Cas9 was purchased either from Toolgen Genome Engineering (South Korea) or IDT Integrated DNA Technologies (USA). TCEP (tris(2-carboxyethyl)phosphine), Hepes, glycerol and KCl were of analytical grade and purchased from Sigma Aldrich. Alexa 488 maleimide (Mw 720.66 g/mol) was purchased from Thermo Fisher Scientific and received as powder, 1 mg. A 10 mM stock solution was prepared by adding 139 μl DMSO to the powder. The stock solution was stored at −20° C. Alexa 488 maleimide solution must be added to the Cas9 solution such that the final concentration of DMSO is no higher than 10%, to avoid precipitation of the protein. For 12.5 μM Cas9, 20-fold molar excess corresponded to 250 μM Alexa die which in turn corresponded to a volume of 6.25 μl of the 10 mM stock solution in 250 μl. To use all the 250 μl protein solution made up, 6.25 μl die stock were added to 250 μl Cas9 solution to generate a final volume of 256.25 μl, in which DMSO was 2.5% so well below the 10% limit which induces precipitation of the protein). For size-exclusion gel chromatography Sephadex G-25 (Sigma-Aldrich) was utilised. The elution buffer contained 250 mM KCl, 20 mM Hepes, pH 7.8.

(129) Procedure for Labelling Cas9

(130) A 2 mg/ml solution of Cas9 (12.5 μM) was made dissolving 0.5 mg Cas9 in 197 μl labelling buffer (20 mM Hepes pH 7.8; 250 mM KCl; 50 μl glycerol (63.1 mg); 3 μl TCEP 10 mM (10-fold molar excess)). The solution was deoxygenated with Argon. A 20 molar excess maleimide solution in DMSO was added drop-wise while pipetting up and down to stir. The mix was incubated overnight at 4° C. (Zuris et al. Nat Bitoechnol 2015 33(1): 73-80) in Ar atmosphere. Note: the KCl concentration becomes 200 mM in the final 250 μl volume, and the salt KCl and glycerol help keep Cas9 in solution. TCEP is a reducing agent frequently used in biochemistry and molecular biology applications. TCEP can keep the cysteines from forming di-sulfide bonds and unlike dithiothreitol and β-mercaptoethanol, it will not react as readily with the maleimide residues.

(131) The following day, after checking that no visible precipitate was present in the vial, the protein solution was loaded onto a Sephadex G25 column and eluted to purify and separate the labelled Cas9 from the free label. A faint band separated almost immediately, indicating successful labelling (FIG. 18). The eluted protein was significantly diluted. However, fluorescence was visible with the naked eye. Fluorescence was confirmed with a trans-illuminator for green fluorescence (see, FIG. 19). The Cas9 concentration after purification was evaluated with the Bicinchoninic acid assay. The more concentrated aliquot was used for RNP studies. The concentration ranged between 500-700 ng/μl, for about 1 ml volume collected.

Example 4: Approaches to Overcome Problem of Cas9 Precipitation

(132) During the labelling process the Cas9 protein was susceptible to aggregation and precipitation. Others have also reported solubility problems with Cas9 in various solutions (Burger, A et al. 2016. Development 2016 143(11): 2025-37Cas9 precipitation was also observed when the protein was added to the delivery solution. Because ethanol can promote protein precipitation, it was hypothesized that one of the major factors contributing to Cas9 precipitation was the presence of ethanol in the delivery solution. The effect of increasing ethanol concentrations on Cas9 precipitation was assessed.

(133) From the study described below, ethanol exceeding 15% induced rapid precipitation of the protein. With this information it was decided to try and increase Cas9 solubility by 1) reducing the ethanol concentration in the delivery solution, and 2) protecting the protein with an excipient/chaperone.

(134) Effect of Ethanol Concentration on Cas9 Precipitation

(135) A. Effect of Ethanol Concentration in Delivery Solution on Precipitation of Cas9

(136) The labelled Cas9 was observed under the fluorescence microscope and the solution showed a green hue with little green “speckles”. Those speckles grew greatly in size and number when the delivery solution (25% ethanol) was added to the Cas9. To ensure that the precipitation was not caused by the presence of the fluorescent probe on the protein, an unlabelled Cas9 solution in delivery solution with 25% ethanol was observed under the microscope. The picture is presented in FIG. 21 and aggregates of protein were visible. The protein aggregation and falling out of solution occurred in real-time while looking at the glass slide under the microscope.

(137) After the preliminary step described above, solutions of Cas9 labelled with a fluorescent dye, containing increasing concentration of ethanol were prepared and analyzed under the fluorescence microscope immediately after the addition of ethanol. Alexa 488 Cas9 133 ng/μl labelled and purified in-house was added to the S buffer and water as listed in Table 8. The ethanol was added to the test tube just before the microscopy analysis of that sample.

(138) Immediately after ethanol addition, 5 μl of solution was transferred to a glass slide and observed under the fluorescent microscope. Initially, samples 1-6 were investigated and results are shown in FIG. 22. After a first evaluation of results, samples 7, 8 and 9 were added (FIG. 23). Due to the low concentration of Alexa 488 Cas9, the maximum amount that could be delivered in 10 μl was 931 ng which is about 5 times less to what normally delivered (5 μg) for an edit experiment.

(139) TABLE-US-00018 TABLE 8 Cas9 and ethanol volumes per 10 μl reaction Alexa 488 RNase Total Sample % Cas9 133 S-buffer * Ethanol free water volume Number Ethanol ng/μl (μl) (μl) (μl) (μl) (μl) 1  1% 7 1X, 2.5 0.1 0.4  10 2  5% 7 1X, 2.5 0.5 — 10 7  8% 7 10X, 0.25 0.8 1.95 10 3 10% 7 10X, 0.25 1.0 1.75 10 8 12% 7 10X, 0.25 1.2 1.55 10 9 14% 7 10X, 0.25 1.4 1.35 10 4 15% 7 10X, 0.25 1.5 1.25 10 5 20% 7 10X, 0.25 2.0 0.75 10 6 25% 7 10X, 0.25 2.5 0.25 10 * 1X S-buffer: 130 mM sucrose, 50 mM KCl, 50 mM ammonium acetate, 20 mM Hepes, pH 7.4; 10X S-buffer: 1.3M sucrose, 0.5M KCl, 0.5M ammonium acetate, 200 mM Hepes, pH 7.4

(140) It is clear from FIG. 22 that aggregation appeared in the sample with 15% ethanol and the phenomenon becomes significant at 20 and 25%. No observable aggregation was observed for 1, 5 and 10% ethanol. For comparison, Cas9 with no ethanol and protein as eluted from the column are reported in FIG. 24.

(141) As ethanol content below 10% results in poor uptake of the payload into cells, and an ethanol content greater than 15% results in significant precipitation of the protein, a closer investigation in the range between 10% and 15% ethanol was carried out, FIG. 23. When ethanol reached 12%, aggregation was seen at the edges of the droplet on the glass slide, indicating 10% ethanol was the best compromise for promoting uptake of payload and avoiding precipitation of the protein.

(142) Finally, it was important to highlight that over time (1-2 h), protein aggregation was observed in all samples (except for 1% ethanol which was further examined after 2 h). These observations indicated that the Cas9 and ethanol containing solution must be used within a few minutes from preparation.

(143) Of note, the concentration of Cas9 was lower than the concentration normally used for edit experiment because the solubility tests were carried out with Alexa 488 Cas9 made from commercially available Cas9. The labelled protein, once purified undergoes a significant dilution. The delivery solution for these assays was intended to maintain a proportion of 25% ethanol and 25% S-buffer in the 10 μl volume used for a single delivery, which meant the volume available for the addition of Cas9 was up to 5 μl. As the labelled protein was more diluted than the parent protein it was difficult to deliver 5 μg in the 5 μl volume available.

(144) The most suitable ethanol content for the delivery solution was 10%. With such content, permeabilization of the cell membrane was still possible, and precipitation of Cas9 was avoided if the solutions were prepared and used within a few minutes. However, a reduction in delivery efficiency of large payloads such as mRNA occurred with ethanol concentrations less than 25%, and therefore the preference was to maintain the 25% ethanol concentration and to either avoid or reduce Cas9 precipitation.

(145) B. Effect of Ethanol Concentration in Delivery Solution and Cas9 Concentration on In Vitro Edit Efficiency

(146) In vitro edit tests were carried out to evaluate the effect of Cas9 precipitation on edit efficiency of the gene editing tool. Several solutions with different amounts of Cas9 were made up for different ethanol content, as summarized in Table 9. The RNP complexes were made up by adding all reagents (Cas9 and gRNA) and components of the delivery solution (S-buffer, MGW), except for the ethanol. Ethanol was added after 10 min incubation and prior to spraying. The ratio Cas9/gRNA was 1:1 molar ratio. Cas9 was added to gRNA (384b, 5.3 μM, 223.7 ng/μl stock) in a 1:1 molar ratio and incubated for 15 min, then S-buffer and MGW were added and the mixture was incubated for 10 min. Ethanol was added last, immediately before spraying.

(147) TABLE-US-00019 TABLE 9 Cas9 concentration for RNP complexes made up in delivery solution containing different amounts of ethanol Sample Cas9 number concentration % Ethanol 1 250 ng/μl 20 2 250 ng/μl 10 3 250 ng/μl 5 4 100 ng/μl 20 5 100 ng/μl 10 6 100 ng/μl 5 7  50 ng/μl 20 8  50 ng/μl 10 9  50 ng/μl 5

(148) Immediately after the ethanol addition, 10 μl of solution was sprayed into an empty well of a 48 well plate. Then 2 μl of the sprayed solution were transferred into a test tube suitable for thermocycler and used for IVE test, as reported in Table 10, to assess the functionality of the complex. The components kept in ice were added in reaction tubes suitable for a thermocycler, also kept in ice. Then the tubes were transferred into a thermocycler pre-warmed at 30° C. The following program was run: 30 min at 30° C. 15 min at 65° C. Hold at 4° C.

(149) Digested samples were then analyzed by gel electrophoresis, using 1.5% gel.

(150) TABLE-US-00020 TABLE 10 Component volumes per reaction for IVE of the Cas9/gRNA complex Component Volume (μl) Cas9/gRNA 1:1 sprayed 2 Target DNA (136 ng/μl) 2 10X Cas9 Agilent buffer 2 RNase free water 14 Total 20

(151) As shown in FIG. 25, all DNA targets were edited to some extent. Samples 1-5 showed no differences, suggesting the amount of Cas9 protein used is in large excess with respect to what required for editing hence despite precipitation, the residual Cas9 in solution is sufficient to edit the target. The ethanol effect became evident only at the lowest Cas9 concentration. In sample 7 (50 ng/μl Cas9, 20% ethanol), the edited bands were weak and the uncut DNA signal was more intense. This indicated that ethanol-induced precipitation of Cas9 at the lowest concentration (and highest ethanol) deprived the system of functional Cas9 available for editing. At the higher concentrations, the protein remaining in solution was probably enough to cut the target DNA.

(152) C. Use of Excipients to Prevent Precipitation of Cas9

(153) i) Effect of High Salt Concentrations on Cas9 Precipitation

(154) Cas9 requires a relatively high salt concentration to stay in solution and concentrations about 200-250 mM KCl are used in the most important publications. In the attempt to prevent precipitation occurring after ethanol addition, Cas9 or RNP solutions were made up in delivery solution where water was replaced with either 0.5 M KCl or 1 M KCl. As previously stated all components except ethanol were added, then the solution was incubated for 15 min at RT and finally ethanol was added. In all cases substantial precipitation of protein or complex was observed.

(155) ii) Effect of Glycerol on Cas9 Precipitation

(156) Glycerol is known to improve protein solubility. In this experiment 5, 20 or 20% glycerol was added to the recipe of the delivery solution. Again the ethanol was added to the rest of the components after 15 min incubation at RT. In the samples containing Cas9 only the addition of ethanol still led to precipitation but without the formation of big aggregates. To the contrary, no precipitation was observed for the RNP in delivery solution with 20% glycerol even after the addition of ethanol (FIG. 25). For the RNP in delivery solution with 5% and 10% glycerol it was hard to establish whether or not precipitate formed as the particles seen looked like background dirt present on some glass slide. Certainly, the typical big clusters of protein did not appear (FIGS. 26A-26C). However, when glycerol-containing solutions were sprayed onto cells, cell damage was observed. Therefore, glycerol was not a suitable excipient to use in this context.

(157) iii) Effect of NDSB-201 (Non-Detergent Sulfobetaine, Zwitterionic Compound) on Cas9 Precipitation

(158) NDSB-201 is known to improve protein solubility. Cas9 alone or with RNP were made up in delivery solution containing 0.05 (D'Astolfo D S et al., Cell 161(3): 674-90), 0.2 and 0.5 M NDSB. Again, all components but ethanol were added together, solutions were incubated for 15 min, and then ethanol was added. When the ethanol was added, precipitate formed for all samples containing Cas9 only. No precipitation was seen for RNP (ribonucleoprotein, the complex of Cas9 with the guide RNA) with 0.5 M NDSB (FIGS. 26A-26C). For RNP with 0.05 and 0.2 M NDSB either little precipitate or no precipitate (hard to tell because of background noise) was observed.

(159) iv) Effect of Other Excipients on Cas9 Precipitation

(160) Taking into account the above results, a series of experiments were designated that assessed the ability of known protectants/chaperones/excipients to “protect” the Cas9 protein from ethanol-induced precipitation. Heat shock proteins (HSPs) are essential for the correct folding and maturation of a great diversity of client proteins and for protecting proteins from stress-induced unfolding and aggregation (Morimoto, R. I., 2008: Genes & Development, v. 22, p. 1427-1438; Richter, K et al. 2010: Mol Cell, v. 40, p. 253-266). Small HSPs (sHSP) are the major “holding” chaperones, retaining unfolding proteins in a conformation suitable for subsequent refolding, thus preventing their irreversible aggregation (Eyles, S. J., and L. M. Gierasch, 2010: PNAS, v. 107, p. 2727-2728; Stengel, F et al, 2010: PNAS, v. 107, p. 2007-2012). α-crystallin is an important member of the small heat shock protein family and a vital structural component of the lens (Reddy, et al 2006: Iubmb Life, v. 58, p. 632-641).

(161) The following stock concentrations of components were used: Cas9 (10 μg/μl) (IDT, 1074182), Cas9 digestion buffer (Sureguide kit, Agilent), gRNA (21.8 μM) for HPRT (IDT), D-sorbitol (Sigma, S3889), D-mannitol (Sigma, M4125), α-crystallin from bovine eye lens (Sigma, C4163), NDSB (Sigma, 82804), Gelatin A (Sigma, G1890), Gelatin B (Sigma, G9391), Glycine (Sigma, G7126), Proline (Sigma, P5607), Tween-20 (Sigma, P9416), L-histidine (Sigma, H8000), myo-inositol (Sigma, 15125), and Trehalose (Sigma, 90210).

(162) Selection of additives was decided based on the current literature on stabilizing proteins and prevention of aggregation. The final list of additives that were selected is shown in Table 11. The additives were tested to see if they could preserve Cas-9 nuclease function in the presence of ethanol. The stock Cas9 was diluted in nuclease free H.sub.2O to obtain a 1 μg/μl solution. The Cas9 and sgRNA were added in a molar ratio of 1:3. They were then incubated for 10 mins at RT to allow the Cas9:sgRNA ribonucleoprotein (RNP) to form. The additives were added to the concentration shown in Table 12. The ethanol was added last and the solutions were incubated at room temperature for 2 min. The solutions were then added directly to the in vitro edit reaction as outlined in Table 13. The samples were mixed and incubated on a thermocycler with the following program according to manufacturer's specifications: 30 min. at 30° C., 15 min at 65° C., Hold at 4° C. The samples were placed on ice and 4 μl of 6× loading dye (NEB, reducing) was added. The samples were loaded on a 2% agarose gel stained with Sybrsafe according to the manufacturer's instructions and run at 100 V for 1 h.

(163) Using the Genetools program (Syngene) the editing efficiency of Cas9:gRNA was measured after exposure to different delivery solutions with or without additives. The intensity of band 2 (edited HPRT) relative to band 1 was obtained and expressed as a percentage. All values were normalized to the sample containing no ethanol.

(164) To test the effect these protectants had on gene editing intracellularly, Cas9 RNP was delivered to cells, with some of the above protectants, by Delivery Platform technology. Bone marrow-derived Mesenchymal Stem Cells (MSCs) were seeded in a 96-well plate at a density of 9×10.sup.3 cells per well and cultured overnight at 37° C. The following morning 5 μg of Cas9 and guide RNA (HPRT; 1:6 ratio) were complexed and added to delivery S Buffer, with α-crystallin (220 μM), NDSB (0.5M) or Sorbitol instead of sucrose (final 4%). Ethanol (25% v/v) then added and delivered to the cells by way of a spray. 4 hr later the process was repeated and the cells were then cultured for 72 hr prior to edit analysis by droplet digital PCR.

(165) TABLE-US-00021 TABLE 11 Additives used in this study Stock Working Category Chemical concentration concentratin Publications Zwitterionic NDSB 2M 0.2M D'Amico, S., and G. Feller, 2009: Anall Biochem, v. 385, p. 389-391 (2009). Non-ionic Tween-20 0.5% v/v 0.1% v/v Kerwin, B. A., 2008: J of Pharm detergent Sciences, v. 97, p. 2924-2935. Sugar Trehalose 264 mM 26.4 mM Liu, R., H. et al, 2005: Neurobiology of Disease, v. 20, p. 74-81. Alcohol sugar myo-inositol 5% w/v 1% w/v Ohta, E., et al. 2016: J of Bioscience and Bioengineering, v. 121, p. 399-405. D-sorbitol 20% w/v 4% w/v Xie, G. F., and S. N. Timasheff, 1997: Protein Science, v. 6, p. 211-221. D-mannitol 10% w/v 2% w/v Han, Y. et al, 2007: Archives of Pharmacal Research, v. 30, p. 1124-1131. Heat shock protein Alpha crystallin 1 mM 100/220 μM Ferns, J. E., et al., 2012: Neurochemical Research, v. 37, p. 244-252. Peptides Gelatin, Type A 5% w/v 1% w/v Young, S., M. et al, 2005: J of Controlled Release, v. 109, p. 256-274. Gelatin, Type B 5% w/v 1% w/v Young, S., M. et al, 2005: J of Controlled Release, v. 109, p. 256-274. Amino acids Glycine 1.25M 0.25M Platts, L., and R. J. Falconer, 2015: Intl Journal of Pharmaceutics, v. 486, p. 131-135. L-arginine 250 mM 50 mM Platts, L., and R. J. Falconer, 2015: Intl Journal of Pharmaceutics, v. 486, p. 131-135. Proline 375 mM 75 mM Samuel, D. et al. 2000: Protein Science, v. 9, p. 344-352. Histidine 64 mM 12.8 mM Chen, B., et al. Pharm Res, v. 20, p. 1952-1960.

(166) TABLE-US-00022 TABLE 12 Components of in vitro edit reaction. Final concentration of Cas9 was 75 ng/μl Component Volume Cas-9 (1 μg/μl) 1.5 μl HPRT single guide RNA 1.29 μl S. buffer 2.5 μl Ethanol 2.5 μl Additive Variable H.sub.2O Make up to 10 μl

(167) TABLE-US-00023 TABLE 13 Components of in vitro edit reaction. Final concentration of Cas9 was 75 ng/μl Component Volume Delivery solution 1 μl HPRT DNA (15 ng/μl, qiaquick purified after 4 μl PCR) 10x Cas9 digestion buffer (Sureguide kit, 2 μl Agilent) H.sub.2O 13 μl  Total 20 μl 

(168) The in vitro edit experiments showed that additives can preserve Cas9 nuclease function in the presence of ethanol (FIG. 28 and FIGS. 19A-29B). The addition of α-crystallin and sorbitol in particular improved the nuclease activity of Cas-9:gRNA after exposure to delivery solution. The in vitro edit efficiency of Cas-9:gRNA improved on average from 49%, in the no additive control, to 98% and 103% efficiency in the sorbitol and α-crystallin samples respectively. α-crystallin and NDSB were added to the delivery solution to improve the CRISPR-Cas9 edit of hprt in MSCs (FIG. 30). The addition of α-crystallin to a final concentration of 220 μM increased the hprt edit from 11.09% (no additive control) to 16.34%. The addition of NDSB to the delivery solution had no effect on the hprt edit of MSCs. α-crystallin is also a more superior additive than sorbitol in maximising the edit of hprt in U2OS cells (FIG. 31).

(169) Ethanol is known to displace water at protein sites which alters the structure of proteins (Dwyer, 1999 Biopolymers 49(7): 635-45). This could result in exposure of the hydrophobic core which can lead to protein aggregation. Recently, a study by Ferns, et al., (Ferns, 2012: Neurochemical Research, v. 37, p. 244-252) found that ethanol induced aggregation of GAPDH was prevented α-crystallin. Therefore, α-crystallin may be preventing aggregation of Cas-9.

Example 5: Optimization of Delivery Protocol to Achieve Higher Edit Efficiencies

(170) The ability of the Delivery Platform technology to affect an edit in adherent cells was influenced by the size of the target cell monolayer, the concentration of Cas9, the ratio of protein to guide RNA and the number of times the cells are processed by the technology. There may be an optimal ratio of Cas9 protein to guide RNA and that it may be both cell- and gene target-specific

(171) Materials used included: U2OS cells (Osteosarcoma cell line—ECACC), Bone-Marrow-derived Mesenchymal Stem Cells (MSCs; Lonza), Jurkat E6.1 cells (T cell line—ECACC), DMEM Low glucose (Sigma-Aldrich), FBS (Sigma), RPMI-1640 (Life Technologies), Trypsin/EDTA (Gibco), Cas9 nuclease (IDT-DNA), crRNA (IDT-DNA), trRNA (IDT-DNA), delivery S Buffer, α-crystallin (Sigma), Ethanol, Hex-labelled Drop Off probe (IDT-DNA), FAM-labelled Reference probe (IDT-DNA), and ddPCR Supermix (BioRad).

(172) Cell Culture

(173) U2OS cells were seeded at 5×10.sup.4 for 24 well plates, 3×10.sup.4 for 48 well plates and 1×10.sup.4 for 96 well plates and cultured overnight at 37° C. The following morning 5 μg of Cas9 (HPRT guide; 1:3 ratio) was added to delivery S Buffer, with α-crystallin (220 μM) and ethanol (25% v/v) also added. This was then delivered to the cells in the form of a spray. The cells were allowed to recover for 4 hr before being sprayed again with the same payload. The cells were then cultured for 72 hr before harvest and analysis. In another set of experiments, Bone marrow-derived Mesenchymal Stem Cells (MSCs) were seeded in a 96-well plate at a density of 9×10.sup.3 cells per well and cultured overnight at 37° C. The following morning 5 rig of Cas9 was added to delivery S Buffer, with α-crystallin (220 μM) and ethanol (25% v/v) also added.

(174) In the first experiment, the effect of MgCl.sub.2 addition was assessed. Cas9 RNP (5 rig; HPRT target 1:6) was delivered to MSC cells with or without 2.5 mM MgCl2. The cells were allowed to recover for 4 hr before the process was repeated and then they were cultured for 72 hr prior to edit analysis. In the next experiment, different amounts of guide were also added (crRNA:trRNA was 1:1 molar ratio) so that 1:1, 1:3 and 1:6 molar ratios of protein to guide RNA was achieved in a final volume of 10 μl. The guide used in these experiments was targeting a site within the HPRT gene and the sequence taken from the literature (Liang et al., 2015 J Biotechnol 208L44-53). The media was removed from the cells and the payload in delivery solution was added to the spray nozzle. The cells were sprayed and incubated for 2 minutes before the addition of 150 μl of 0.5×PBS (stop solution). They were further incubated for 30 seconds before the stop solution was removed and 150 μl normal media was added. The cells were cultured for 72 hr before being harvested for edit analysis.

(175) In a second experiment, the amount of Cas9 was varied from 0.1 μg to 24 μg at a ratio of 1:1 protein to guide. The payload was delivered and the cells treated as described above. In a third experiment, the cells were processed repeatedly. 5 μg Cas9 at a guide ratio of 1:6 was delivered to the cells as described above. The cells were then trypsinized and reseeded into the same wells before being cultured overnight. The following morning the cells were processed again under the same conditions. The cells were left in media for 4 hr before they were processed for a third time under the same conditions. The cells were again cultured overnight. The following morning the cells were processed for a fourth time under the same conditions and left for 4 hr before being trypsinized and seeded into a well of a 48 well plate and cultured for 72 hr. The cells were then harvested and prepared for gene edit analysis by droplet digital PCR and drop off assay.

(176) Edit Analysis

(177) The presence of an edit was analyzed using Droplet Digital PCR (ddPCR) which is a method for performing digital PCR that is based on water-oil emulsion droplet technology. A sample was fractionated into 20,000 droplets, and PCR amplification of the template molecules occurred in each individual droplet. In this method the technology was used to detect the presence of an edit in the HPRT gene due to Cas9 RNP action on the genome. This assay was set up specifically to deal with non-homologous end joining repair of a double stranded cut in the DNA. Forward and reverse primers generated an amplicon of ˜150 bp. Two internal probes were used; one which serves as a reference probe and should bind to all amplified DNA strands and a second which sits over the Cas9 cleavage site and is bound when no edit has taken place but cannot bind when an edit has been affected

(178) In this experiment the DNA was extracted from samples using the MagNA Pure compact system. ddPCR components were prepared as per manufacturers guidelines. Components were transferred to DG8 cartridges and droplets were generated with a QX200 Droplet generator. Droplets were then transferred into a 96-well PCR plate and sealed. PCR was performed and the droplets were analyzed using QX200 Droplet Reader.

(179) i) Effect of Size of Cell Monolayer on Edit Efficiency

(180) Edit efficiency increased when the diameter of the cell monolayer was decreased by seeding cells in smaller wells, thereby better matching the diameter of the monolayer with the diameter of the spray (FIG. 32).

(181) U2OS cells were seeded in either 24-, 48-, or 96-well plates and cultured overnight. The following day, two doses of Cas9 RNP (5 μg; 1:6 ratio HPRT gRNA) was delivered by Delivery Platform technology and cells were cultured for a further 72 hr before harvesting. Edit efficiency was analyzed by ddPCR and indicated that cells that were seeded in the smallest wells produced the greatest edit efficiency

(182) ii) Effect of Increasing Cas9 Concentrations on Edit Efficiency

(183) The percentage edit that is achieved by delivering Cas9 at ratio of 1:1 with the guide RNA increased with increasing concentrations of Cas9, plateauing at about 5 μg Cas9 (FIG. 33).

(184) MSCs were seeded into 96-well plates and cultured overnight. The following day different concentration of Cas9 RNP (0.1, 0.5, 1.0, 5.0, 10.0, 15.0, 24.0 μg) with the HPRT guide RNA at 1:1 molar ratio was delivered by Delivery Platform technology and cells were cultured for a further 72 hr before harvesting. Edit efficiency was analyzed by ddPCR and indicated that edit efficiency increased with increasing amounts of Cas9 protein with the increase plateauing at about 5 μg Cas9.

(185) iii) Effect of Cas9:gRNA Ratio on Edit Efficiency

(186) Delivering 5 ug of Cas9 along with the guide RNA at different ratios (1:1, 1:3 or 1:6) did not alter the efficiency of edit in the MSC cells (FIG. 34).

(187) MSCs were seeded into 96-well plates and cultured overnight. The following day Cas9 RNP (5 μg) with the HPRT guide RNA at either 1:1, 1:3 or 1:6 molar ratios were delivered by Delivery Platform technology and cells were cultured for a further 72 hr before harvesting. Edit efficiency was analyzed by ddPCR and indicated that, with these cells and this particular target and guide RNA, there was no difference in editing efficiency with the ratios of protein: guide RNA tested

(188) iv) Effect of Number of RNP Doses Delivered on Edit Efficiency

(189) Increasing the number of times that the cells go through the delivery process (Cas9-5 μg, ratio-1:6) increased the percentage edit detected in the HPRT gene (FIG. 35). MSCs were seeded into 96-well plates and cultured overnight. Over the next 3 days, either 1, 2, 3 or 4 doses of Cas9 RNP (5 μg; 1:6 ratio HPRT gRNA) were delivered by Delivery Platform technology and cells were cultured for a further 72 hr, after the last dose delivered, before harvesting. Edit efficiency was analysed by ddPCR and indicated that the edit efficiency increased with number of doses of Cas9 RNP received by the cells. *p<0.05, Students' t test for independent means.

(190) As evident herein, the platform delivery technology can deliver a range of molecules to cells while maintaining their viability and functionality. This attribute allows a regimen of multiple dosing of the same molecule or, potentially, different molecules at different time points (FIG. 35). This is unlike electroporation, where multiple dosing cannot be achieved due to the detrimental effect on the cells resulting in much reduced viability. The potential exits therefore, to deliver the plasmid form of Cas9, allow a period of time for the protein to be expressed by the cell and then deliver the guide RNA which, when combined, would affect the edit.

(191) v) Effect of MgCl.sub.2 on Edit Efficiency

(192) Based on previous in vitro edit studies it was observed that MgCl.sub.2 addition was necessary to affect an edit. In this study the effect of adding to cells alongside the Cas9 RNP was assessed. It demonstrated that MgCl.sub.2 addition did not improve the edit efficiency and subsequent studies did not include MgCl.sub.2 addition (FIG. 25). MSC cells were seeded in 96-well plates and Cas9 RNP (5 ug; HPRT 1:6 ratio) was delivered by Delivery Platform technology in the presence or absence of MgCl.sub.2 (2.5 mM)

Example 6: Comparison with Electroporation

(193) A comparison with the industry standard for protein delivery, electroporation, was assessed for delivery efficiency, viability and functionality.

(194) A. Comparison of Edit Efficiencies: Delivery Platform Versus Electroporation

(195) Edit efficiency was greater in MSCs where Cas9 was delivered by delivery technology provided herein compared with Electroporation (FIG. 37).

(196) MSCs were seeded into 96-well plates and cultured overnight. Over the next 3 days, 4 doses of Cas9 RNP (5 μg; 1:6 ratio HPRT gRNA) were delivered by Delivery Platform technology and cells were cultured for a further 72 hr, after the last dose delivered, before harvesting. For the electroporation comparison, MSCs were prepared in buffer and treated as per manufacturer's instructions. The same amount of Cas9 and guide were delivered as per Delivery Platform treated cells. Cells were harvested and edit efficiency was analyzed by ddPCR. Successful edit was observed in when Cas9 was delivered by either methods, however, the efficiency was significantly greater in cells where the Cas9 RNP was delivered by Delivery Platform technology. *p<0.05, Students' t test for independent means.

(197) B. Comparison of Cell Viability Following RNP Delivery: Delivery Platform Versus Electroporation

(198) Cell viability was comparable between cells that had been edited by Cas9 RNP delivered by either Delivery Platform technology or electroporation (FIG. 38). 24 hr post-delivery of the final dose of Cas9 RNP, cells were analyzed for viability by EBAO counts. No significant difference was observed in viability between these 2 groups.

(199) C. Comparison of Cell Functionality Following RNP Delivery: Delivery Platform Versus Electroporation

(200) The functionality of MSCs is unaffected by Delivery Platform technology (FIG. 39). Three representative images of differentiated MSC from an untreated group (Untreated), a Cas9 RNP delivered by the Delivery Platform technology group (Delivery Platform), and a Cas9 RNP delivered by Electroporation group (Electroporation) were tested. One day post-delivery of Cas9 RNP (5 rig; 1:6 ratio HPRT gRNA) cells were seeded at 1×10.sup.5 into a 6 well plate in culture medium and cultured for 5 days or until cells are 90-100% confluent. The media was then removed and 2 ml adipogenic differentiation media was added to the cells. Media was changed every 3 days until differentiation is observed (usually 2-3 weeks). Oil droplets can be observed (white) within in the cells, indicating differentiation. There was no difference between untreated and Delivery Platform-treated cells. However, differentiation appeared to be inhibited in cells that were treated by electroporation. Both adherent and suspension cells, and primary and cell lines, were assessed for edit post-delivery of Cas9 RNP by Delivery Platform technology.

Example 7: Edit Efficiency in Adherent and Suspension, Cell Lines and Primary Cells

(201) MSC and U2OS cells were seeded into 96-well plates and cultured overnight. Over the next 3 days, 4 doses of Cas9 RNP (5 rig; 1:6 ratio HPRT gRNA) were delivered by Delivery Platform technology and cells were cultured for a further 72 hr. For the suspension cells, 1.5×10.sup.6 isolated human CD3+ T cells or Jurkat cells were seeded into a 96-well filter plate (1.2 rim). Cas9 RNP (5 rig; 1:6 ratio CXCR4 gRNA) was delivered by Delivery Platform technology and cells were cultured for a further 72 hr. Cells were harvested and edit efficiency was analyzed by ddPCR. Successful edit was observed in both cell lines and primary human cells (FIG. 40)

Example 8: Edit Efficiency Using Cas9 mRNA

(202) The ability to affect an edit in cells post-delivery of Cas9 mRNA was assessed. Gene edit was detected in cells where Cas9 mRNA and guide RNA were delivered in the same payload (FIG. 41). MSCs were seeded into 96-well plates and cultured overnight. The next day Cas9 mRNA (4 μg) and guide RNA (equivalent to 1:6 ratio; HPRT gRNA) were delivered by delivery technology and cells were cultured for a further 72 hr before harvesting. Edit efficiency was analyzed by ddPCR and edit was detected in these cells.

(203) Vector-Free Delivery of Gene Editing Proteins to Cells and Tissues

(204) The Crispr Cas9 system has rapidly become prominent in the field of genome editing. Crispr Cas9 recognizes a specific sequence in the genome with the aid of a guide RNA and induces a double-stranded cut in the DNA. The cell can repair this cut with the error prone non-homologous end-joining process, thus editing the gene. The ability of Delivery Platform technologies provided herein to deliver gene editing tools to cells in order to affect an edit was assessed.

(205) In order to assess whether the tools (recombinant Cas9 protein and commercially available guide RNAs) induced a cut in a DNA target, an in vitro edit assay was established based on the Agilent SureGuide Cas9 Programmable Nuclease Kit. The effect of Delivery Platform delivery solution on the function of Cas9 and the guide RNAs was also assessed using this non-limiting assay. It was found that the ability of Cas9 to affect an edit was not abolished by an exemplary delivery solution. Furthermore, when the Cas9 protein was added to the delivery solution, sprayed into a well, collected and then functionally assessed in the in vitro edit test in order to replicate the full delivery process, Cas9 activity was preserved. To confirm Cas9 uptake into target cells following delivery, the Cas9 protein was labelled with the fluorescent tag Alexa-488 maleimide through the thiol groups of cysteine amino acids (2 cysteine residues per molecule of protein). The successful labelling of the protein allowed the visualization of the protein intracellularly.

(206) Cas9 is a bacterial protein that does not occur naturally in mammalian cells. Cas9 has a tendency to precipitate out of solution under certain conditions and this would affect its function. For most cells types, optimal delivery of cargos into cells using the Delivery Platform delivery technology is achieved with ethanol concentrations of up to 25% (v/v) and it was observed that Cas9 is prone to precipitation when in contact with levels of ethanol above 15%. In order reduce Cas9 ethanol-induced precipitation, a range of excipients were assessed using the in vitro edit assay and following deliver to cells. While some excipients such as glycerol and non-detergent sulfobetaine (NDSB) prevented ethanol-induced precipitation, these excipients caused some cell damage when included in spray delivery experiments. However, the addition of the heat shock protein, α-crystallin, to the delivery solution appeared to promote the editing ability of Cas9 in the in vitro edit assay and was also compatible with delivery to cells. When the Cas9 RNP was delivered to cells in the presence of α-crystallin, effective genome editing of cells was detected by droplet digital PCR. The addition of this excipient to the delivery solution enabled the subsequent optimization of protocols for Delivery Platform technology-mediated Cas9 RNP genome editing in both adherent and suspension cells, and in primary cells as well as cell lines. As an example, this optimization has yielded gene edit in 50% primary human MSC. Furthermore, it has been demonstrated that the level of Delivery Platform technology-mediated editing in MSC is greater than that achieved by electroporation and that viability and functionality of edited MSC is superior with the delivery technology provided herein compared with electroporation

Other Embodiments

(207) All United States patents and published or unpublished United States patent applications cited herein are incorporated by reference. All published foreign patents and patent applications cited herein are hereby incorporated by reference. All other published references, documents, manuscripts, accession numbers, and scientific literature cited herein are hereby incorporated by reference.

(208) The subject matter described herein can be embodied in systems, apparatus, methods, and/or articles depending on the desired configuration. The implementations set forth in the foregoing description do not represent all implementations consistent with the subject matter described herein. Instead, they are merely some examples consistent with aspects related to the described subject matter. Although a few variations have been described in detail above, other modifications or additions are possible. In particular, further features and/or variations can be provided in addition to those set forth herein. For example, the implementations described above can be directed to various combinations and subcombinations of the disclosed features and/or combinations and subcombinations of several further features disclosed above. In addition, the logic flows depicted in the accompanying figures and/or described herein do not necessarily require the particular order shown, or sequential order, to achieve desirable results. Other implementations may be within the scope of the following claims.