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Functional genomics and development of clinical genome editing strategies

Lead Research Organisation: University of Oxford
Department Name: UNLISTED

Abstract

The Davies laboratory aims to understand how the genome is read by the cells of the blood and bone marrow
and how the sequence can be edited to treat human disease. This is important because genetic variation in bloodcells alters the susceptibility to many different human diseases including infection, autoimmune disease and
malignancy. Genome editing of these cells has the potential to cure many diseases but this technology can only be safely used if we understand the effects of altering the genome sequence.

Over 90% of all DNA sequences that are associated with human disease alter how genes are controlled rather
than in the protein produced by the gene. The laboratory has world class expertise in developing new techniques
for determining the physical structure of DNA within cells, which is key to understanding how the genome
functions. We will use this technology to investigate the fundamental principles that control genes. We will also
use it to map the key DNA sequences that control genes in important blood and bone marrow cell types.

We aim to translate this by developing new and safer ways of editing the genome of bone marrow stem cells
which can be transplanted to treat human disease.

Technical Summary

The Davies laboratory focuses on understanding gene regulation through combining genomics, bioinformatics and genome editing approaches. We also have a major interest in translating this expertise to develop clinical genome editing strategies for treating human disease in the context of haemopoietic stem cell transplantation.

Many genes are controlled by regulatory elements called promoters that lie adjacent to the transcription start site and enhancers that are located 104-106 base pairs distant from the gene. The laboratory have developed an innovative technique called Micro Capture-C (MCC), which makes it possible to define physical contacts at base pair resolution when previous methods have limited resolution below 500 base pairs. We will explore the fundamental mechanisms controlling gene regulation by improving this approach and combining it with other functional genomics approaches. This will include the use of degrons to remove key components of the transcriptional machinery. Through extensive collaboration within the MHU we wish to map the chromatin landscape to understand how variants in enhancers cause abnormal haemopoiesis. We will also engineer cellular models to test the function of perturbing regulatory elements at scale including the use of CRISPR screens.

Having previously developed clinical approaches for treating haemoglobinopathies using base editing; we plan to go on to develop a method of editing haemopoietic stem cells to improve the safety of transplantation through inducing a druggable selective advantage. In addition, we are using our expertise in functional genomics to assess the safety of genome editing approaches, in which the majority of off-target mutations occur in the non-coding genome.

Publications

10 25 50
 
Description Membership of International Rare Disease Research Consortium (IRDiRC) Task Force Preparing for genetic N-of-1 treatments of patients with ultra-rare mutations
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a guidance/advisory committee
Impact The task force met to discuss all aspects of N-of-one treatments. The meeting las lead to submission of a roadmap for developing N-of-one treatments. My major contribution was to recommend that IRDiRC implement a similar system for accreditation and data collection to that used in haemopoietic stem cell transplantation (e.g. EBMT). This is being actively persued by IRDiRC, who have arranged to meet EBMT representatives.
URL https://irdirc.org/preparing-for-genetic-n-of-1-treatments-of-patients-with-ultra-rare-mutations/
 
Description Blood and Transplant Research Unit in Precision Cellular Therapeutics
Amount £4,000,412 (GBP)
Funding ID NIHR203339 
Organisation National Institute for Health and Care Research 
Sector Public
Country United Kingdom
Start 03/2022 
End 04/2027
 
Description Decoding human non-coding disease genetics en masse using Micro Capture-C and Deep Neural Network Machine learning
Amount £3,738,985 (GBP)
Funding ID 225220/Z/22/Z 
Organisation Wellcome Trust 
Sector Charity/Non Profit
Country United Kingdom
Start 08/2022 
End 09/2027
 
Description Lister Research Prize Fellowship
Amount £250,000 (GBP)
Organisation Lister Institute of Preventive Medicine 
Sector Charity/Non Profit
Country United Kingdom
Start 09/2022 
End 10/2027
 
Description MRC Centre of Research Excellence in Therapeutic Genomics
Amount £21,809,397 (GBP)
Funding ID MR/Z504725/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 01/2025 
End 12/2031
 
Description Collaboration to develop new methods of finding sites of lentiviral insertion. 
Organisation University of Oxford
Department Nuffield Division of Clinical Laboratory Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution My research team have been setting up a new method of determining sites of lentiviral insertion using high throughput sequencing.
Collaborator Contribution My partners have provided material for analysis, which has been transfected using their vectors.
Impact This collaboration has generated promising preliminary data and we working on making the generation and analysis of the data more robust, with an aim to publish the method.
Start Year 2018
 
Description Collaboration to identify enhancers in human brain tissues 
Organisation Imperial College London
Department Division of Brain Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution Our team has been undertaking Micro Capture-C experiments on nuclei derived from human brain samples
Collaborator Contribution Our collaborators have provided expertise and analysis of GWAS studies and epigenetics datasets.
Impact No formal outputs as yet.
Start Year 2024
 
Description Collaboration to use machine learning and Micro Capture-C to decode non-coding genetics 
Organisation University of Oxford
Department Big Data Institute
Country United Kingdom 
Sector Academic/University 
PI Contribution Collaboration between my group and Prof J Hughes at the MRC WIMM and the BDI ( Prof Cecelia Lindgren) to use machine learning to decode non-coding human genetics
Collaborator Contribution Technical support on the machine learning aspects of the project
Impact The collaboration has resulted in a Discovery Award from Wellcome
Start Year 2022
 
Description Collaboration to use machine learning and Micro Capture-C to identify regulatory elements in HIV 
Organisation University Libre Bruxelles (Université Libre de Bruxelles ULB)
Country Belgium 
Sector Academic/University 
PI Contribution Our team has assisted with experimental work and advice.
Collaborator Contribution Provided cellular models
Impact Data generation in progress
Start Year 2022
 
Description Collaboration with Dr Shengdar Tsai (St Jude) to use his methods for determining off target effects 
Organisation St Jude Children's Hospital
Country United States 
Sector Hospitals 
PI Contribution I have set up a collaboration with Dr Shengdar Tsai to use his most recent method for determining off target effects from genome editing experiments (CHANGE-seq)
Collaborator Contribution He has provided detailed protocols and will support us to implement the method in our lab.
Impact None as yet
Start Year 2018
 
Description Effects of mutations in the non-coding genome in Chronic Lymphocytic Leukaemia 
Organisation University of Oxford
Country United Kingdom 
Sector Academic/University 
PI Contribution My research team mapped the effects of mutations in the non-coding genome in CLL by undertaking functional genomics experiments on around 20 patient samples.
Collaborator Contribution Our partners have undertaken the largest whole genome sequencing of patients with CLL undertaken thus far (over 500 patients) and analysed the data to identify recurrent mutational hotspots.
Impact Publication: Robbe P, Ridout KE, Vavoulis DV, Dréau H, Kinnersley B, Denny N, Chubb D, Appleby N, Cutts A, Cornish AJ, Lopez-Pascua L, Clifford R, Burns A, Stamatopoulos B, Cabes M, Alsolami R, Antoniou P, Oates M, Cavalieri D, Gibson J, Prabhu AV, Schwessinger R, Jennings D, James T, Maheswari U, Duran-Ferrer M, Carninci P, Knight SJL, Månsson R, Hughes J, Davies JO, Ross M, Bentley D, Strefford JC, Devereux S, Pettitt AR, Hillmen P, Caulfield MJ, Houlston RS, Martín-Subero JI, Schuh A 'Whole-genome sequencing of chronic lymphocytic leukemia identifies subgroups with distinct biological and clinical features' Nature Genetics 2022 54:1675-1689
Start Year 2020
 
Title MODIFIED HUMAN CELLS AND USES THEREOF IN THE TREATMENT OF IMMUNE-MEDIATED DISEASES 
Description The present invention relates to modified human cells and uses thereof in the treatment of immune-mediated diseases (IMDs), e.g. scleroderma, multiple sclerosis (MS) and Crohn's disease. In particular, the invention provides modified human cells wherein at least one allele of the TYK2 gene in the genomes of the cells has a mutation which reduces pro-inflammatory cytokine signalling in the cell. The invention also provides methods of autologous and allogeneic transplantation using such cells. 
IP Reference WO2022175674 
Protection Patent / Patent application
Year Protection Granted 2022
Licensed No
Impact This describes a method of using genome editing to treat immune mediated diseases.
 
Company Name Nucleome Therapeutics 
Description Nucleome Therapeutics utilises 3D genome structures with the aim of delivering genetics-based treatments. 
Year Established 2019 
Impact The company initially secured £5.2 million in seed funding from Oxford Sciences Innovation and went on to secure £37.5 million in series A funding from Pfizer ventures, M ventures (the VC arm of Merck), JJDC (the VC arm of Johnson & Johnson) and British Patient Capital.
Website http://nucleome.com
 
Description Articles in National Press including Times and Telegraph 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Article in the Times and Telegraph News papers about research.
Year(s) Of Engagement Activity 2022
URL https://www.thetimes.co.uk/article/the-date-with-a-neanderthal-that-led-to-a-million-covid-deaths-3h...
 
Description Cheltenham Science Festival 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact I was the main speaker at an event at the Cheltenham Science Festival. This was reported in the national media and had widespread engagement including a Youtube video, which has had over 600,000 views.
Year(s) Of Engagement Activity 2022
URL https://issuu.com/cheltenhamfestivals/docs/csf_2022_brochure_final
 
Description Comment on approval of Casgevy 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Comment on the regulatory approval of Casgevy for the Science Media Centre - leading to published comments in the Financial Times
Year(s) Of Engagement Activity 2024
URL https://www.ft.com/content/061c5c18-487d-44aa-89e2-fe692b40c63d
 
Description ESRC-funded project 'Bio-modifying Technologies' Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact I was part of a workshop on the translational aspects for human gene editing in the UK. This project was lead by Michael Morrison and which fed into a policy document.
Year(s) Of Engagement Activity 2020
URL https://www.regmednet.com/esrc-biomodifying-technologies-policy-briefing-3/
 
Description ITV news interview 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Interview for ITV meridian news about the structure of DNA
Year(s) Of Engagement Activity 2023
 
Description PPIE engagement for NIHR Blood and Transplant Research Unit 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact Engagement with PPIE group about the direction of the research programme
Year(s) Of Engagement Activity 2022
 
Description PPIE engagement for NIHR Blood and Transplant Research Unit 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact PPIE engagement as part of the NIHR Blood and Transplant Research Unit. Talks given by the different groups on their research focus followed by a tour of the laboratories.
Year(s) Of Engagement Activity 2023