In the present study, a PX-LMGP63 structure was constructed that contained the gRNA789 of the GP63 gene to knockout the gene at the promastigote stage. Recently, the CRISPR-Cas9 system has been optimized for gene manipulation approaches in mammalian cells, plants, insects, and parasites (
25). However, very little research has been done on adapting this system in
Leishmania. In this study, we decided to optimize the CRISPR-Cas9 system in our laboratory for targeted manipulation to facilitate future gene function studies in
Leishmania parasite. Vaccination with attenuated or killed parasites has not been very successful for cutaneous leishmaniasis (CL) because it has low immunogenicity and has created different immunogenicity in different areas.
With the advancement of human knowledge, the use of second-generation vaccines is on the agenda of researchers, and it is hoped that this problem can be solved in the future with the CRISPR method. The use of CRISPR targeting makes it possible to directly select the desired mutation (
26). In this study, it was attempted to apply a genome-editing approach using CRISPR-Cas9 in px459 vector and utilize this system to generate a perception about its adaptability to
L. major. Overall, this study facilitated the way for adapting the CRISPR-Cas9 system for gene function studies, genome editing, and creating new drugs and vaccination for future ideas. However, CRISPR-Cas9 is not a perfect tool and needs to be improved in several aspects.
Previous studies report that GC-rich sequences such as GP63 can yield more off-targets (
27). This study used the powerful software available to identify sequences with minimal toxicity and tried to design gRNAs with high scores because the GP63 sequence was highly GC-rich, and designing high specific gRNAs was difficult. In 2019, Salehi Sangani et al. (
15) designed the pX-leish from the CRISPR-Cas9 vector for the gp63 gene in
L. major. In this study, constructed pX-leish was created with three features: (1) Promoters congenial with
Leishmania parasites; (2) inserting antibiotic selection marker; (3) all-in-one vector designing, including all components required for CRISPR/Cas9. Also, in a similar study, Jesus-Santos et al. in 2020 showed that the deletion of LPG2 impaired the outcome of infection in human neutrophils, as presented by a pronounced diminution (~83%) in intracellular load compared to wild-type parasite infection (
28).
The results of their study strengthen the importance of LPG and other PGs as virulence parameters in host-parasite interactions (
28). The CRISPR-Cas9 system uniquely enables the simultaneous targeting of multiple genome sites (
29). Genetic engineers can benefit greatly from these technologies, and together with DNA synthesis, improve their ability to decode gene function as well as manipulate them for biotechnological purposes. Compared to previous nuclease tools (ZFN and TALEN), CRISPR-Cas9 is more efficient with easier application and usage, mainly since the only variable module of CRISPR/Cas9 is the 20-base-long sgRNA which needs to be reprogrammed as the target changes (
30).
In TALENs and ZFNs, sequence specificity is conferred by the DNA-binding domain of the protein, while gRNA mediates sequence specificity in the CRISPR-Cas9 system, no protein engineering is involved in this tool. As well, as CRISPR system can break methylated target sequence, but other tools cannot. Moreover, the protein domain engineering of the target DNA is a prerequisite for multiplexing using TALEN and ZFNs, which makes these techniques limited and unfit for multiplexing (
31). In addition, a study was done by Zhang et al. in 2020 found that second-generation leishmaniasis using
L. major LmCen strain edited by CRISPR is the first engineered tool leishmaniasis gene that lacks antibiotic-resistant markers. Although macrophage cells are the first host cells to enter the amastigote form of the leishmaniasis parasite, studies have shown that other cells of the innate immune system, such as natural killer (NK) cells, are also attacked by the leishmaniasis parasite (
32,
33).
Leishmania parasites have always shown the best skill in survival, including infecting their hosts and reproduction. In fact,
Leishmania is able to use different surface proteins as potential contributors to the disease [cysteine protease, gp63, lipophosphoglycan (LPG), glycosilinositolphospholipids (GIPLs)] to neutralize the host macrophage defense system and thus allowing its survival and progression within the phagolysosome environment (
34). Interestingly, one of them is GP63 metalloprotease, and it is very important in the virulence of the disease. Studies have shown that Dok proteins play an important role in the survival of macrophages (
34,
35). There is evidence that Dok proteins are cleaved by gp63 and positively contribute to the production of nitric oxide (NO) and tumor necrosis factor-alpha (TNF-α) in response to
Leishmania infection (
35). Dok family molecules, including Dok1, 2, and 3, are expressed in macrophage cells and play a negative role in the regulation of signaling in response to various growth factors, lipopolysaccharides, and cytokines (
16).
A study conducted in 2014 by de Celis et al. (
17) examined the role and destiny of Dok proteins following infection with
L. major promastigotes in macrophages and showed that
L. major is involved in altering signaling and host cell function due to its capacity. In addition, when GP63 was not expressed, Dok-1 was also partially recruited to phagosomes containing
L. major promastigotes. Furthermore, TNF-α was reduced by Dok-1/Dok-2/interferon-γ-primed macrophages compared with wild-type (WT) macrophages (
17). These results suggest that Dok proteins may be very important regulators in the macrophage response to
Leishmania infection (
17). Also, inactivation of Dok protein might be a common strategy used by several pathogens for their survival in the host. Therefore, it is suggested that further studies be performed on the deletion of
L. major GP63 gene and its effects on Dok proteins in macrophages.
In a research, the
L. major GP63 gene segment was amplified and then sub-cloned into pcDNA3 expression vector, and the new construct was transfected into mouse CT26 cell line (
35). Furthermore, GP63 purified from
L. donovani formulated in cationic DSPC liposomes induced a protective response to visceral leishmaniasis in BALB/c mice (
16). In the present research, we set up protocols for synthesis gRNA, annealing, and ligation conditions for applying CRISPR/Cas9 in
L. major to GP63 gene knockout. In the next steps, the CRISPR vector may be transfected into promastigotes and tested in animal models.
5.1. Conclusions
Cutaneous leishmaniasis is considered a neglected tropical disease. There is currently no effective vaccine or safe drug for this disease, so researchers’ effort to control this disease is a priority of the World Health Organization. Vaccination against leishmaniasis with L. major has been successfully performed but is no longer performed because it leads to occasional skin lesions; therefore, the use of second-generation vaccines based on the CRISPR method requires more laboratory studies and experiments. The PX-LMGP63 is capable of applying for gene targeting of gp63 in L. major. The CRISPR-Cas9 method is useful because it is competent in manipulating target genes by designing gRNAs using a simple technique for cloning the parts into the vector. The convenience and high efficiency of this technique may lead to the production of attenuated parasites as vaccines, identification of therapeutic targets, and functional genes. The present study was performed to develop this technique, which may provide promising ways ig