Growing request for therapeutic proteins obligates the development of cost-effective technologies and policies for high-quality and quantity expression systems in the biopharmaceutical industry (
11). CHO cell lines are generally used as the mammalian host because of their safety for human usage (
12). CHO cells must be propagated in big bioreactors at high density and concentrations to respond to the market's demands in large-scale production. Hence, improving this kind of expression system is of great commercial benefit (
24).
The byproducts (lactate and ammonia) accumulate during the cell cultures in bioreactors. They have led to the induction of apoptosis and declined cell viability and density in bioreactors. Several approaches, such as nutrient feeding, anti-apoptotic chemicals, and genetic engineering, have been applied to prolong cell viability (
25). The engineering of anti-apoptosis has been one of the major research fields in cell line improvement for protein production. So, it is of meaningful value to increase the concentration of viable cells by down-regulating or preventing apoptosis in culture via suppressing cell death, expanding culture lifetime, and boosting cell-specific productivity by holding cellular activity (
26,
27). Overexpression of some anti-apoptotic genes (Mcl-1, 30Kc6, Bcl-2, Bcl-w, Aven, and E1B-19K) and down-regulation of pro-apoptosis genes expression (Bax, Bak, and Bok) in mammalian cells have been studied to increase recombinant protein production (
27). Zhang et al. reported an 82% increase in the production of antibodies in CHO cells co-transfected with Bcl-xl and a 34% increase by co-transfected with Mcl-1 (
28).
Different anti-apoptotic plans have been examined. For example, many efforts have been made by gene knockdown using small interfering RNAs (siRNAs) (
4) and microRNAs (mRNAs). However, significant problems such as off-targeting, temporary inactivation of gene function (
29), and generation of gene knockouts prohibited these methods (
30). The silencing effect was relatively unstable in many of the isolated cell lines. Shen et al. showed that siRNA inhibition confers a 32% reduction of PDK1 mRNA level, and it needs multiple selection rounds for the high degree of gene knockdown (
31). Many knockdown lines lost their RNAi effect on gene expression during routine subculture (
4), and a high level of gene knockdown may require several selection steps (
31). Moreover, the necessity to present a reporter gene (GFP or luciferase) is not a favorite for developing cell lines used in the industry (
32). For the first time, Han and Rhee have shown that exosomes derived from CHO cells can decrease apoptosis during the cell culture when supplemented with the culture medium (
33). However, this method requires additional work and materials. Cost et al. showed complete and permanent Bax and Bak protein elimination by ZFN in CHO without affecting cell growth (
34). Figueroa et al. demonstrated that the expression of anti-apoptosis protein increased viable cell concentration, but the engineered cells showed a reduction in growth rate (
35).
The caspase knockdown trials in CHO cells generally led to minor improvements in viable cell concentration or viability of up to 40% (
36). Apoptosis resistance had been presented by gene inhibition of Casp-3 and Casp-7 to overcome apoptosis in CHO cells (by CRISPRi) (
3). Some inhibitors of specific caspase have been assessed, but in large-scale cultures might make them unaffordable because of the cost. Quieting of caspase-3 utilizing the anti-sense expertise is another strategy for inhibiting apoptosis, significantly suppressing apoptosis, and extending the culture lifespan. However, this method did not translate into improved volumetric yield because of the loss of metabolic capacity due to changes in the membrane of the mitochondria (
10). The advantage of caspase-3 inhibition is that paths of apoptosis signaling converging on some important executioner genes can be hindered concurrently (
25).
Editing the genome by CRISPR/Cas9 is helpful for establishing genome-engineered cells (
24,
30). It has become a progressively significant view of cell line manipulation for developing the production of recombinant proteins (
13). In comparison to other nucleases, zinc finger nucleases (ZFN), and transcription activator‐like effector nucleases (TALEN), the CRISPR/Cas9 system is significantly more accessible and more specific (
29,
37,
38). Furthermore, a recent study showed that CRISPR/Cas tool has far fewer off-target than RNAi (
39).
The variety, flexibility, effectiveness, and simplicity of CRISPR systems that may be applied have indeed developed cell engineering (
12) and the ability to address many target sites with multiple gRNAs simultaneously (
40). It is an attractive tool for genome editing for academic and industrial groups (
41). The CRISPR/Cas system is more flexible than ZFNs and TALEN, which apply RNA-based DNA targeting (
42). Some studies have shown the excellent function of CRISPR/Cas9 in CHO with knockouts or insertion of genes, targeting to influence the product quantity and quality of yields (
32). Xiong et al. found that CRISPRi can successfully repress Bak and Bax genes and rescue CHO cells from apoptosis (
3). Shen et al. enhanced recombinant protein production by CRISPRi in CHO cells without impeding cell growth (
14).
The CRISPR/Cas9 method is precise in principle, but in reality, not so much. It can make mutations elsewhere in the genome, known as “off-target” variation. Various online programs have been created and effectively applied to apply and guess off-target attachment in silico (
43) and minimize the possibility of off-target genome disruption (
44). Third-party alignment tools are introduced to find off-target sites such as BWA and Bowtie (
45). Shortening the length of gRNA to less than 20 bases has a significant effect in reducing off-targe. Fu et al. showed that truncated gRNAs could reduce some off-target by 5000-fold without affecting on-target genome editing efficiencies (
46). Of course, gRNA with less than 15 nucleotides are not safe because they have loss-of-function and specificity (
47). In addition to the off-target, other consideration such as polymorphism, delivery method, and ethics should also be considered.
In this project, we display the effective manipulation of caspase-3 by CRISPR/Cas9 to create a modified rCHO cell line on a laboratory scale with long viability. These cells are more resistant to adverse environmental conditions. Their IC50 was higher than control cells and also showed more cell proliferation in the presence of apoptotic inducers. We also used the scratch wound healing proliferation assay to detect cell proliferation in the presence of oleuropein (a stimulant of apoptosis) in high-density conditions (data not shown). Results showed that cell density was significantly increased by manipulating the caspase-3 gene even in the presence of apoptotic stimuli (142%, P-value = 0.0017). The high-level production of recombinant proteins is directly correlated with a high density of cells. The density of cells is closely tied to cell environmental conditions. By manipulating apoptotic genes in unfavorable conditions and the presence of an apoptotic inducer, recombinant protein-producing cell lines can produce more culture yield. This suggests that the inhibition of apoptosis in the manipulated cells allowed them to keep their activity of cells for an extended time to permit cell growth and production of EPO protein. Our results display that CRISPR/Cas9 system is a suitable tool for rCHO cell engineering and proposes a substitute system for ZFN, TALEN, and siRNA. These data collectively warrant the potential of CRISPR/Cas9 for CHO cell engineering and lead to developed culture viability and host yields.
5.1. Conclusions
The cost-effective production of recombinant proteins in the industry is one of the Health system's priorities. However, the production of recombinant proteins on an industrial scale is costly. As a result, we need to optimize production to produce them cost-effectively. Manipulation of the host cell genome is one of the most effective ways in this regard. There is less need to add expensive substances and molecules in the production process to prevent apoptosis in these methods. In addition, the CRISPR/Cas9 method produces stable cell lines. Many studies have shown that stable cells can produce recombinant proteins by reducing the expression of apoptosis-inducing factors. Extended culture lifetime and viability can be translated into developing recombinant protein quantity and quality. These cells produce the recombinant proteins with more intensity and at a longer time, reducing the product's cost.