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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id>
<journal-title>Frontiers in Endocrinology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Endocrinol.</abbrev-journal-title>
<issn pub-type="epub">1664-2392</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fendo.2024.1466638</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Endocrinology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Standardizing CRISPR-Cas13 knockdown technique to investigate the role of cdh2 gene in pituitary development through growth hormone expression and transcription factors</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ventura Fernandes</surname>
<given-names>Bianca Helena</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2793562"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Junqueira</surname>
<given-names>Mara S.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>MacRae</surname>
<given-names>Calum</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Silveira de Carvalho</surname>
<given-names>Luciani R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2830162"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Laboratory of Hormones and Molecular Genetics (LIM/42), Developmental Endocrinology Unit, Discipline of Endocrinology and Metabolism, Hospital das Clinicas da Faculdade de Medicina da Universidade de S&#xe3;o Paulo</institution>, <addr-line>S&#xe3;o Paulo</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Zebrafish Facility, Technical Support Directorate for Teaching and Research, Faculty of Medicine, University of S&#xe3;o Paulo</institution>, <addr-line>S&#xe3;o Paulo</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Medicine, Harvard Medical School</institution>, <addr-line>Boston, MA</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Center for Translational Research in Oncology, Cancer Institute of the State of S&#xe3;o Paulo, Faculty of Medicine, University of S&#xe3;o Paulo</institution>, <addr-line>S&#xe3;o Paulo</addr-line>, <country>Brazil</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Rosario Pivonello, University of Naples Federico II, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Claudia Campana, University of Genoa, Italy</p>
<p>Claudia Pivonello, University of Naples Federico II, Italy</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Luciani R. Silveira de Carvalho, <email xlink:href="mailto:luciani.carvalho@hc.fm.usp.br">luciani.carvalho@hc.fm.usp.br</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>10</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1466638</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Ventura Fernandes, Junqueira, MacRae and Silveira de Carvalho</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Ventura Fernandes, Junqueira, MacRae and Silveira de Carvalho</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Congenital hypopituitarism (CH) is characterized by the deficiency of pituitary hormones. Among CH patients, 85% lack a molecular diagnosis. Whole Exome Sequencing (WES) identified a homozygous variant (c.865G&gt;A, p.Val289Ile) in the <italic>CDH2</italic> gene, responsible for N-Cadherin production, crucial for cell-cell adhesion. Predicted to be likely pathogenic, the variant was found in a patient deficient in <italic>GH</italic>, <italic>TSH</italic>, <italic>ACTH</italic>, and <italic>LH/FSH</italic>. Its impact on cell adhesion was confirmed in L1 fibroblast cell lines.</p>
</sec>
<sec>
<title>Objective</title>
<p>Create a <italic>cdh2</italic> knockdown in zebrafish for investigating its role in pituitary development through growth hormone and transcription factors expression.</p>
</sec>
<sec>
<title>Methods</title>
<p>Utilized pET28B-RfxCas13d-His plasmid for Cas13 mRNA production via <italic>in vitro</italic> transcription, guiding Cas13 to <italic>cdh2</italic> with three RNAs. Injected the complex into single-cell embryos for analysis up to 96 hpf. Assessed gene expression of <italic>cdh2</italic>, <italic>prop1</italic>, <italic>pit1</italic>, and <italic>gh1</italic> using RT-qPCR. Evaluated cdh2 protein expression through the western blot technique.</p>
</sec>
<sec>
<title>Results</title>
<p>Knockdown animals displayed developmental delay. The <italic>cdh2</italic> expression decreased by 75% within 24 hours, rebounded by 48 hours, and reached wild-type levels by 96 hpf. <italic>gh1</italic> expression decreased at 48h but increased by 96 hpf, aligning with WT. No significant differences in <italic>prop1</italic> and <italic>pit1</italic> expression were observed.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Our findings underscore <italic>cdh2</italic>&#x2019;s role in pituitary development and hormonal regulation, offering insights for developmental biology research.</p>
</sec>
</abstract>
<kwd-group>
<kwd>zebrafish</kwd>
<kwd>genome editing</kwd>
<kwd>CRISPR/Cas</kwd>
<kwd>knockdown</kwd>
<kwd>hypopituitarism</kwd>
</kwd-group>
<contract-sponsor id="cn001">Coordena&#xe7;&#xe3;o de Aperfei&#xe7;oamento de Pessoal de N&#xed;vel Superior<named-content content-type="fundref-id">10.13039/501100002322</named-content>
</contract-sponsor>
<counts>
<fig-count count="3"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="36"/>
<page-count count="9"/>
<word-count count="4065"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Pituitary Endocrinology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Pituitary organogenesis is orchestrated by the intricate interplay of signaling pathways, leading to the synchronized expression of transcription factors that are spatially and temporally regulated, maintaining a delicate balance between cell proliferation and differentiation (<xref ref-type="bibr" rid="B1">1</xref>). Disruptions in these genetic networks can lead to congenital hypopituitarism, which is characterized by a deficiency of one or more pituitary hormones (<xref ref-type="bibr" rid="B2">2</xref>).</p>
<p>The incidence of Congenital hypopituitarism (CH) is approximately 1 in 16.000 births (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). A meta-analysis of 21 studies identified a mutation frequency of 12.4% in critical genes including <italic>PROP1<sup>
<xref ref-type="fn" rid="fn1">
<sup>1</sup>
</xref>
</sup>
</italic>, <italic>POU1F1, HESX1, LHX3</italic>, and <italic>LHX4</italic> (<xref ref-type="bibr" rid="B5">5</xref>). The mutation detection rate in sporadic cases (11.2%) was notably lower compared to familial cases (63%). The CH exhibits significant genetic heterogeneity, with mutations in approximately 30 genes implicated in the disorder as of 2016 (<xref ref-type="bibr" rid="B6">6</xref>). Notable genetic discoveries include ARNT2, IGSF1, and KCNQ1 in familial cases or offspring from consanguineous unions identified via whole exome sequencing (WES) (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B9">9</xref>). Advances in WES and detection of copy number variations have further expanded the implicated gene pool, adding 37 more genes with varying degrees of pathogenicity.</p>
<p>Recently, WES of a patient from a Brazilian consanguineous family with CH revealed a novel homozygous variant in the <italic>CDH2</italic> (N-cadherin) gene, proposing it as a potential candidate gene. Functional assays demonstrated that this variant diminishes cell aggregation, thereby implicating <italic>CDH2</italic>&#x2019;s role in pituitary development and meriting further translational research (<xref ref-type="bibr" rid="B10">10</xref>).</p>
<p>Zebrafish is an advantageous model for gene function studies due to its significant genetic homology with humans (approximately 70%), manageable size, and cost-effective maintenance. Their external fertilization simplifies genetic manipulation (<xref ref-type="bibr" rid="B11">11</xref>). CRISPR-Cas9 genome editing has become essential for elucidating gene functions, allowing targeted mutations in specific genes, resulting in frame-shift mutations and loss of gene function (<xref ref-type="bibr" rid="B12">12</xref>&#x2013;<xref ref-type="bibr" rid="B14">14</xref>). However, <italic>cdh2</italic> knockout in zebrafish embryos causes severe developmental abnormalities and early lethality, preventing characterization of complete gene absence.</p>
<p>To model the patient&#x2019;s variant without completely abolishing gene function, we used a single-base editing approach employing a plasmid that includes a cytidine deaminase fused to Cas9 nickase. This tool enables the direct conversion of C to T or G to A in the DNA sequence (<xref ref-type="bibr" rid="B15">15</xref>). Despite injecting 63 animals for single-base editing of the <italic>cdh2</italic> gene, only one animal (1.58%) exhibited the desired amino acid alteration, but different location compared to the Human genetic alteration, indicating the low efficiency of the technique and the complexity in establishing variant-specific lineages (data not showed).</p>
<p>The knockdown model, utilized through RNA interference (RNAi) techniques, is a post-transcriptional gene regulation process. Small RNA effector molecules, such as microRNAs (miRNAs) or externally introduced small interfering RNAs (siRNAs), selectively regulate mRNA expression by either inducing degradation or inhibiting translation (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). This model is particularly advantageous when the gene of interest is crucial to developmental processes, where a complete absence of the protein it encodes would result in lethality, as is often the case with knockout techniques. The knockdown method enables a controlled reduction in gene expression, preserving some gene function, which is critical for studies where complete loss-of-function cannot be tolerated or is not the focus (<xref ref-type="bibr" rid="B16">16</xref>). It provides significant insights into the gene&#x2019;s role and its biological interactions, enhancing our understanding of the molecular mechanics driving physiological and pathological states.</p>
<p>Despite the efficacy of morpholino and antisense oligonucleotides in gene silencing, issues such as cost, toxicity, and off-target effects have restricted their widespread use in systematic screenings (<xref ref-type="bibr" rid="B18">18</xref>). Morpholinos (MOs) can block translation or RNA splicing but often lead to nonspecific effects separate from target RNA perturbation (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>). Moreover, phenotypes induced by MOs can differ significantly from those obtained by genetic mutation, complicating the interpretation of results (<xref ref-type="bibr" rid="B21">21</xref>). These discrepancies are sometimes attributed to genetic compensation (<xref ref-type="bibr" rid="B22">22</xref>), emphasizing the need for rigorous controls (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>Conversely, the CRISPR-RfxCas13d (CasRx) system has proven to be a highly efficient, precise, and cost-effective method for gene knockdown (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B24">24</xref>). RfxCas13d does not have nucleotide sequence restrictions or protospacer flanking site (PFS) requirements in eukaryotic cells (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B25">25</xref>), allowing for the targeting of any sequence, including untranslated regions, alternative splice sites, and long noncoding RNAs. Targeting mRNA levels with Cas13d results in immediate degradation, facilitating validation through western blot analysis, quantitative RT-qPCR, or RNA sequencing.</p>
<p>Given the excessively detrimental effects observed with cdh2 gene knockout, which led to severe malformations and impeded characterization (<xref ref-type="bibr" rid="B10">10</xref>), and the low efficiency of the knockin approach, which failed to yield a substantial number of animals with the desired variant for characterization, we employed the CRISPR/Cas13 knockdown technique. This method aims to reduce the expression of the protein encoded by the cdh2 gene by approximately 75%. The use of synthetic gRNAs and Cas13d mRNA can produce more pronounced maternal phenotypes, likely due to their earlier activity following injection (<xref ref-type="bibr" rid="B16">16</xref>).</p>
<p>The goal of this study was to establish a cdh2 gene knockdown model in zebrafish using the CRISPR-RfxCas13d system to clarify the relationship between cdh2 and the expression of gh1 (Growth Hormone 1) and its transcription factors to determine if cdh2 influences pituitary development and the expression of this hormone.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Zebrafish maintenance and husbandry</title>
<p>Experiments involving animals were conducted at the University of S&#xe3;o Paulo Medical School. The study protocols were sanctioned by the University&#x2019;s Ethics Committee on Animal Use (CEUA), approval number 1675/2021. The zebrafish were housed in 3.5-liter aquariums provided by Altamar/Brasil, with each containing 15 adult fish. Environmental conditions were rigorously controlled: pH ~7.5, conductivity between 500-700 &#x3bc;S/cm, and water temperature maintained at 28&#xb0;C &#xb1; 1. A photoperiod regimen of 14 hours light and 10 hours darkness was established. The zebrafish were sustained at the Central Animal Facility of the Medical School, USP, and received Gemma micro commercial feed (Skretting, a Nutreco company<sup>&#xae;</sup>) three times daily, the feed size commensurate with the age of the fish, ranging from 75 to 300 microns.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>sgRNA design</title>
<p>To pinpoint the most accessible regions for sgRNA targeting, we performed in silico analysis using the RNAfold software (Lorenz et&#xa0;al., 2011). Inputting the cDNA sequence into the software, we opted for settings that would minimize Free Energy (MFE) and identify Partition Function while avoiding isolated base pairs. We visualized RNA secondary structure plots to locate 22&#x2013;23 nucleotide protospacers with high accessibility, indicated by a low probability of base-pairing, within the Coding Sequence (CDS). We selected three distinct protospacers, each spaced at least 50 nucleotides apart throughout the transcript to avert overlap of guide RNAs (gRNAs) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). This strategy was integral for the successful identification of prime target sites within the mRNA for precise and effective silencing. A guide was manufactured as a positive control for the tbxta gene as described by Kushawah G at al, 2020 (<xref ref-type="bibr" rid="B26">26</xref>). The protospacers were synthesized as single-stranded oligonucleotides by Thermo Fisher.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Sequences of sgRNAs for the <italic>cdh2</italic> gene (1, 2, and 3), Positive Control (tbxta), and Universal Primer.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">sgRNA</th>
<th valign="top" align="left">Sequences</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">1.&#x2003;<italic>cdh2</italic>
</td>
<td valign="top" align="left">
<bold>CGGAGGCGTGATGCTGGGGCTTC</bold>GTTTCAAACCCCGACCAGTT</td>
</tr>
<tr>
<td valign="top" align="left">2.&#x2003;<italic>cdh2</italic>
</td>
<td valign="top" align="left">
<bold>TCCAGTCTGATAAGGACAAGAGC</bold>GTTTCAAACCCCGACCAGTT</td>
</tr>
<tr>
<td valign="top" align="left">3.&#x2003;<italic>cdh2</italic>
</td>
<td valign="top" align="left">
<bold>TAATATCACAGCAGTAGACGGAG</bold>GTTTCAAACCCCGACCAGTT</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>Tbxta</italic> (Positive Control)</td>
<td valign="top" align="left">
<bold>CTTTGCTGAAAGATACGGGTGCT</bold>GTTTCAAACCCCGACCAGTT</td>
</tr>
<tr>
<td valign="top" align="left">Universal Primer to IVT</td>
<td valign="top" align="left">TAATACGACTCACTATAGGAACCCCTACCAACTGGTCGGGGTTTGAAAC</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>In bold are the target DNA sequences specific to the gene.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Plasmid transformation</title>
<p>The pT3TS-RfxCas13d-HA plasmid, obtained from Addgene (Plasmid #141320, <ext-link ext-link-type="uri" xlink:href="http://www.addgene.org/141320/">http://www.addgene.org/141320/</ext-link>), was propagated according to Addgene&#x2019;s specifications. We cultured ampicillin-resistant bacteria on brain heart infusion (BHI) agar medium supplemented with 100 &#x3bc;g/ml ampicillin. Post a 24-hour incubation at 37&#xb0;C, a single colony was propagated in liquid BHI medium for another 24 hours at 37&#xb0;C. Following centrifugation (10000g for 30 seconds), we discarded the supernatant and resuspended the pellet in a solution1 containing 25 mM Tris-HCl, 50 mM glucose, and 10 mM EDTA, followed by the addition of solution 2 (0.2N NaOH and 1% SDS). After 5 minutes on ice incubation, we added a cold solution 3 (120 mL 5M Potassium Acetate, 23 mL acetic acid, and 57 mL MilliQ water), followed by another 5 minutes ice incubation. Post-centrifugation (12000g for 5 minutes), the supernatant was mixed with cold 100% ethanol and 3M sodium acetate and incubated at -20&#xb0;C and centrifuged at 4&#xb0;C for 30 minutes the next day. The resultant pellet was resuspended in TE buffer (10 mM Tris-HCl, 1 mM EDTA).</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>
<italic>In vitro</italic> transcription of plasmid and RNA guides</title>
<p>Two micrograms of the plasmid were digested with BamHI restriction enzyme for 4 hours, and successful digestion was confirmed via agarose gel electrophoresis by using 1&#x3bc;L of the reaction applied to a 1.5% agarose gel. The digested sample was purified using a commercial kit (TIANquick mini purification Kit) and then quantified using nanodrop spectrophotometer. For <italic>in vitro</italic> transcription, we employed the T7 mMessage mMachine kit. The transcribed RNA was verified on an agarose gel, purified using the gene art precision kit (thermofisher), and quantified on nanodrop spectrophotometer. The primers for the sgRNAs were synthesized in the form of DNA templates, and <italic>in vitro</italic> transcription was performed using a commercial kit, as described in the protocol by Kushawah et&#xa0;al., 2020 (<xref ref-type="bibr" rid="B16">16</xref>).</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>gRNA microinjection</title>
<p>After producing the sgRNAs and transcribing the plasmids, the samples were quantified using a Nanodrop spectrophotometer, and the injection mix was prepared with 300 ng/&#x3bc;L of plasmid RNA and 900 ng/&#x3bc;L of total sgRNA (300 ng of each sgRNA). The injection needles were prepared from borosilicate glass capillaries (Sutter Instrument, USA) using a micropipette puller (Sutter Instrument, USA). The needles were filled with 5 &#x3bc;L of the knockout, knockin, or knockdown mix using a microloader (Eppendorf). Next, the needle was placed in a holder connected to a pneumatic microinjection pump (Harvard Apparatus, USA).</p>
<p>Injections were performed at 6.3X magnification under a stereomicroscope (SMZ 745, Nikon, Germany). The injection volume was calibrated using a micrometer ruler (Bresser 1/10 mm), according to the formula for the volume of a sphere (V = 1/6&#x3c0;d^3), where a sphere diameter of 1 bar corresponds to an injection volume of 1 nL.</p>
<p>To initiate the injection, the embryos were placed in a Petri dish with an agarose mold (WPI, USA) to prevent them from slipping under the needle pressure. 1 nL of the respective mix was injected into the single-cell stage embryo.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Gene expression analysis by RT-qPCR</title>
<p>Gene expression levels of <italic>cdh2</italic>, <italic>gh1</italic>, <italic>prop1</italic>, and <italic>pit1</italic> were assessed by Real-Time PCR in zebrafish embryos at key developmental stages (24, 48, 72, and 96 hpf) we utilized 20 embryos per pool and performed 5 distinct pools. We utilized the endogenous gene ef1a as a normalization control. RNA was extracted following the Trizol method and stored at -80&#xb0;C after elution in Milli-Q water. Total RNA was quantified with a NanoPhotometer P-300 (Implen, Munich, Germany), and cDNA was synthesized from 1000 ng of total RNA using the High-Capacity cDNA Reverse Transcription kit (Applied Biosystems, Foster City, CA, USA), according to the manufacturer&#x2019;s instructions. Primers used are detailed in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>. cDNA samples underwent PCR using SYBR&#x2122; Green PCR Master Mix (Applied Biosystems, Foster City, CA, USA) and amplified in an AriaMx Real-Time PCR System (Agilent, Santa Clara, CA, USA). Gene expression was normalized against wild-type controls and the least variable endogenous gene. The relative quantification was calculated using the 2^-&#x394;&#x394;CT method by Livak and Schmittgen (2001) (<xref ref-type="bibr" rid="B27">27</xref>) where &#x394;CT is the difference in expression between the target and endogenous control genes, and &#x394;&#x394;CT is the &#x394;CT difference between the mutant and wild-type samples for the same developmental period. Each sample was processed in triplicate. The nucleotide sequences of the primer pairs used are described in <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>. The primers for the ef1a, pit1 (<xref ref-type="bibr" rid="B28">28</xref>), and gh1 (<xref ref-type="bibr" rid="B29">29</xref>) genes have been previously reported in the literature. The primers for amplifying the prop1 and cdh2 genes were designed in our laboratory.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Gene expression primers.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Oligo</th>
<th valign="middle" align="left">Forward 5&#x2019; to 3&#x2019;</th>
<th valign="middle" align="left">Reverse 5&#x2019; to 3&#x2019;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<italic>ef1a</italic>
</td>
<td valign="top" align="left">CGTCTGCCACTTCAGGATG</td>
<td valign="top" align="left">TGTCTCCAGCCACATTACCA</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>cdh2</italic>
</td>
<td valign="top" align="left">ATGAATGACAACCGGCCAGA</td>
<td valign="top" align="left">ACATGTTGGATGAGGGGCTC</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>prop1</italic>
</td>
<td valign="top" align="left">GCACGAGCAAGACCATACCCT</td>
<td valign="top" align="left">CTGCTTGGCACGACGGTTCT</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>pit1</italic>
</td>
<td valign="top" align="left">AAACCAATGTGGGTGAAGCTCTGG</td>
<td valign="top" align="left">AGCCATTTCGCCAGGATGGATTTG</td>
</tr>
<tr>
<td valign="top" align="left">
<italic>gh1</italic>
</td>
<td valign="top" align="left">CCTCTGTCGTTCTGCAACTC</td>
<td valign="top" align="left">ACTCCCAGGATTCAATGAGG</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Western blot analysis</title>
<p>The presence of cdh2 protein in wild-type and knockdown samples was determined by Western blot. We collected pools of 30 embryos at 24 hpf and 96 hpf, and protein extraction was carried out. Briefly, samples were lysed in 100 &#x3bc;L of RIPA buffer (ThermoFisher Scientific, USA) and protease inhibitor (Sigma, St. Louis, USA). Each sample was quantified using the Pierce BCA Protein Assay kit (Thermo Fisher Scientific, Massachusetts, USA). Equal amounts of protein (50 &#x3bc;g) dissolved in SDS sample buffer were loaded onto 12% SDS-PAGE (sodium dodecyl sulfate-polyacrylamide gel electrophoresis) gel wells and subjected to electrophoresis in a mini-gel tank (Bio-Rad, Brazil) for 2 hours at 120V. Following electrophoresis, proteins separated in the gel were transferred to a nitrocellulose membrane. The membranes were then blocked with 5% skim milk (Molico, Brazil) diluted in TBST (1M Tris-HCL, 3M NaCl, and 0.2% Tween 20) for 2 hours. After blocking, the membrane was incubated in a solution of 5% skim milk and PBST with primary antibody Anti CDH2 (ABCAM) diluted at 1:500 and/or Anti-Actin (SIGMA) diluted at 1:5000 and incubated at 4&#xb0;C overnight with agitation. Three quick washes with PBS were performed after incubation, followed by three 10-minute washes with PBST. Then, the membrane was incubated with secondary anti-Rabbit antibody conjugated with HRP diluted at a concentration of 1:5000 in PBST for 2 hours at 4&#xb0;C. The antigen-antibody immunocomplex was visualized with SuperSignal West Pico Plus chemiluminescent substrate (Thermo Scientific, Rockford, USA). Band intensities were visualized using an imaging capture system (UVITEC, Cambridge, UK).</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Phenotypic analysis</title>
<p>The animals were examined under a stereomicroscope (Nikon SMZ800) at 48 hours post-fertilization, and their morphology was analyzed.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Statistical analysis</title>
<p>To compare two groups, both parametric and non-parametric tests were applied based on data distribution. For normally distributed data, an unpaired Student&#x2019;s t-test was used. For non-normally distributed data, a Mann-Whitney U test was applied. Statistical significance was set at p &lt; 0.05. All statistical analyses were performed using GraphPad Prism software, with results presented as mean &#xb1; standard error of the mean (SEM).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Technique efficiency</title>
<p>The efficacy of the technique was evaluated by observing the phenotypes of the animals and measuring the expression levels of the <italic>cdh2</italic> gene in <italic>cdh2</italic> knockdown animals. For greater reliability of the technique and better visualization of its efficiency, we performed a positive control with guides for the tbxta gene (no tail), where the animal is formed without the tail, these guides are provided in the pipeline by Kushawah G, et&#xa0;al., 2020 (<xref ref-type="bibr" rid="B16">16</xref>). Stereomicroscopic analysis revealed that animals injected with sgRNA for the <italic>tbxta</italic> gene (a positive control) exhibited tail shortening, which confirmed the effectiveness of the method. Conversely, animals injected with sgRNA targeting the <italic>cdh2</italic> gene mRNA displayed developmental deficiencies like head malformation, and developmental delay. These phenotypes, although milder, were similar to those observed in <italic>cdh2</italic> knockout animals (<xref ref-type="bibr" rid="B10">10</xref>) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Stereomicroscope image of larval zebrafish at 48 hpf. <bold>(A)</bold> WT l. <bold>(B)</bold> <italic>tbxta</italic> gene knockdown. <bold>(C)</bold> <italic>cdh2</italic> gene knockdown. Scale bar = 200 &#x3bc;m.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-15-1466638-g001.tif"/>
</fig>
<p>In addition to the phenotypic analysis, the expression of <italic>cdh2</italic> in knockdown animals was investigated to validate the efficacy of the technique in reducing gene expression. A 75% decrease in <italic>cdh2</italic> gene expression was observed at 24 hpf (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>) in comparison to wild-type (WT) animals. From 48 to 96 hpf, there was a progressive restoration of <italic>cdh2</italic> expression in knockdown animals (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), as anticipated for the knockdown approach, whereas in WT animals, gene expression remained stable until 96 hpf (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>
<italic>G</italic>ene expression graph <bold>(A)</bold> <italic>cdh2</italic> at 24 hpf in WT and <italic>cdh2</italic> knockdown larvae; (***p.&lt;0,0001) <bold>(B)</bold> <italic>cdh2</italic> temporal expression in WT larvae from 24 to 96 hpf; <bold>(C)</bold> <italic>cdh2</italic> temporal expression in <italic>cdh2</italic> knockdown larvae from 24 to 96 hpf; <bold>(D)</bold> Temporal expression of <italic>gh1</italic> at 48, 72, and 96 hpf in WT larvae. <bold>(E)</bold> Temporal expression of <italic>gh1</italic> at 48, 72, and 96 hpf in <italic>cdh2</italic> knockdown larvae. <bold>(F)</bold> Expression of <italic>gh1</italic> in <italic>cdh2</italic> knockdown larvae compared to WT at 48 hpf (*p.&lt;0.05). <bold>(G)</bold> Expression of <italic>gh1</italic> in <italic>cdh2</italic> knockdown larvae compared to WT 72 hpf (NS). <bold>(H)</bold> <italic>pit1</italic> temporal expression in <italic>cdh2</italic> knockdown larvae from 24 to 96 hpf. <bold>(I)</bold> <italic>pit1</italic> expression at 48 hpf in <italic>cdh2</italic> knockdown larvae compared to WT larvae (NS). <bold>(J)</bold> <italic>prop1</italic> temporal expression in <italic>cdh2</italic> knockdown larvae from 24 to 96 hpf. <bold>(K)</bold> <italic>prop1</italic> expression at 48 hpf in <italic>cdh2</italic> knockdown larvae compared to WT (NS).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-15-1466638-g002.tif"/>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Analysis of cdh2 protein expression in knockdown animals</title>
<p>Western blot analysis supported the gene expression results obtained by RT-qPCR, confirming the reduction of the cdh2 protein in knockdown animals. At 24 hpf, the protein expression was reduced by 64% compared to WT animals, as shown in <xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>. Notably, at 96 hpf, protein expression in knockdown animals appeared to be more substantial than in WT animals, suggesting a compensatory overexpression following the initial suppression. These results corroborate the effectiveness of the knockdown approach in significantly reducing the expression of the cdh2 protein initially, followed by a recovery of protein production over time. This recovery suggests that the knockdown not only transiently blocked <italic>cdh2</italic> gene expression but also permitted a full restoration of protein production, elucidating the role of the <italic>cdh2</italic> gene and the n-cadherin protein in development and validating the reversibility of the knockdown method.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>
<bold>(A)</bold> Protein expression of cdh2 (n-cadherin) assessed by Western blot technique in WT animals at 24 and 96 hpf, and in animals subjected to knockdown of the <italic>cdh2</italic> gene at 24 and 96 hpf. <bold>(B)</bold> Relative band intensities of Western Blots loaded with 50 &#xb5;g of pooled protein from larvae. The immunoblot band density in each lane was normalized against the density of the endogenous protein band (&#x3b2;-actin) (****p.&lt;0,0001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-15-1466638-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Gene expression of hormones and transcription factors</title>
<p>We examined the effect of <italic>cdh2</italic> suppression on embryonic hormone production by analyzing the gene expression of markers such as gh1 (growth hormone), prop1 (PROP Paired-Like Homeobox 1), and pit1 (POU class 1 homeobox 1) through RT-qPCR. The temporal expression pattern of <italic>gh1</italic> was inversely related to WT animals, where expression in WT began higher and decreased over time, whereas in knockdown animals, it started lower and increased (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2D, E</bold>
</xref>). The production of <italic>gh1</italic> was statistically lower at 48 hpf in knockdown animals compared to WT (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). At 72 hpf, the trend was toward a decrease compared to WT (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>), and at 96 hpf, when <italic>cdh2</italic> production paralleled WT, <italic>gh1</italic> expression recovered to levels comparable to WT (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2D, E</bold>
</xref>).</p>
<p>Regarding the markers <italic>prop1</italic> and <italic>pit1</italic>, analyses were initiated at 24 hpf and extended up to 96 hpf, with evaluations conducted every 24 hours. In <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref>, we can observe the temporal expression of <italic>pit1</italic> in the <italic>cdh2</italic> knockdown group, showing a trend toward decreased expression at 48 hpf, although it was not statistically different from WT animals (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>). The expression of <italic>prop1</italic> remained constant in <italic>cdh2</italic> knockdown animals from 24 to 96 hpf (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2J</bold>
</xref>) and was equivalent to WT at 48 hpf (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2K</bold>
</xref>) when the <italic>gh1</italic> was decreased.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>The CRISPR-RfxCas13d system offers a significant advantage over traditional gene modulation techniques, particularly when studying essential genes in embryonic animal models (<xref ref-type="bibr" rid="B30">30</xref>). Unlike knockout methods, which can lead to lethality in crucial developmental genes, CRISPR-RfxCas13d allows for targeted mRNA degradation without completely abolishing gene function, thereby avoiding the complications of early lethality (<xref ref-type="bibr" rid="B31">31</xref>). Additionally, compared to knock-in techniques, which are notoriously inefficient, expensive, and time-consuming&#x2014;often requiring up to two years to establish a desired zebrafish lineage with a success rate of only about 3%&#x2014;the CRISPR-RfxCas13d system is far more efficient, cost-effective, and quicker to implement (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B32">32</xref>). This approach also avoids the burden on endogenous cellular machinery typically seen with RNAi, preserving normal cellular functions, particularly in models like teleost fish where RNAi is less effective (<xref ref-type="bibr" rid="B33">33</xref>).</p>
<p>Moreover, the CRISPR-RfxCas13d system provides a versatile platform for targeting a wide range of RNA sequences without nucleotide sequence restrictions, making it highly adaptable to various research needs. It demonstrates minimal off-target effects and does not induce significant physiological responses, apart from the intended developmental phenotypes. This system&#x2019;s ease of use, combined with its flexibility and low cost, makes it an excellent choice for large-scale screening studies, particularly for maternal factors involved in early development. Furthermore, the ability to utilize this system in transgenic lines opens up new possibilities for studying gene function in a tissue-specific manner or in cases where gene disruption would otherwise be lethal. These advantages not only make CRISPR-RfxCas13d an effective tool for research but also pave the way for potential therapeutic applications, such as targeting viral RNAs, as demonstrated in recent studies (<xref ref-type="bibr" rid="B16">16</xref>).</p>
<p>The present study aimed to knockdown the <italic>cdh2</italic> gene due to the obstacles commonly encountered with knockout methodologies, particularly their potential lethality when targeting genes that are critical for development. Additionally, knock-in techniques are known to be inefficient and require significant effort and financial resources to achieve reproducible results. With current technologies, obtaining a zebrafish with the desired variant through knockin techniques has an efficiency of only about 3%, and it can take long time to establish the desired lineage (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B34">34</xref>).</p>
<p>By applying the knockdown strategy in our study, we achieved a targeted reduction in <italic>cdh2</italic> gene expression by approximately 75%. This approach allows for the partial reduction of gene function, thereby avoiding the lethality associated with complete knockouts while still providing valuable insights into gene function. To further validate the effectiveness of our knockdown approach, we conducted a positive control experiment in accordance with the protocol established by Kushawah G, et&#xa0;al., 2020 (<xref ref-type="bibr" rid="B16">16</xref>).</p>
<p>The efficiency of the knockdown sgRNA was evaluated through real-time PCR gene expression analysis, complemented by Western blot analyses to assess protein expression. These combined approaches confirmed the successful implementation of the knockdown technique, demonstrating its advantages over more traditional gene-editing methods, particularly when considering the challenges and limitations associated with knock-in and knockout approaches.</p>
<p>Phenotypic analysis of animals with reduced <italic>cdh2</italic> expression exhibited abnormal morphological features, such as developmental delay, and blurred distinction between the mesencephalon and rhombencephalon. These observations agree with those of Angela and Mark M. Voigt, who reported similar phenotypes in <italic>cdh2 morpholino (MO)</italic> knockdown zebrafish (<xref ref-type="bibr" rid="B35">35</xref>). This concordance underscores the role of <italic>cdh2</italic> in neural circuit formation and underpins its significance in proper neural development.</p>
<p>Gene expression analysis of hormone-related genes revealed a reduction in <italic>gh1</italic> expression concurrent with <italic>cdh2</italic> suppression. This finding aligns with <italic>in vitro</italic> evidence showing that n-cadherin suppression in fetal pituitary cultures precipitates a swift decline in GH secretion, emphasizing <italic>cdh2</italic>&#x2019;s specific regulatory role in GH synthesis (<xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>Furthermore, the unaltered expression of <italic>pit1</italic> and <italic>prop1</italic> in <italic>cdh2</italic> knockdown specimens suggests a specific association between <italic>cdh2</italic> and <italic>gh1</italic> secretion. This implies that the intra pituitary axis and intercellular communication among hormone-secreting pituitary cells may serve as additional regulatory mechanisms for hormone secretion. These insights shed light on <italic>cdh2</italic>&#x2019;s distinct function in the modulation of hormonal secretion and its significance within pituitary gland development and endocrine physiology.</p>
<p>These discoveries greatly enrich our comprehension of developmental mechanisms, setting the stage for further exploration of <italic>cdh2</italic>&#x2019;s impact on various facets of embryonic development and organ morphogenesis. By elucidating the regulatory effects of <italic>cdh2</italic> on hormonal balance and its link to pituitary organogenesis, we furnish new perspectives on the intricate genetic and molecular interplay fundamental to vertebrate development.</p>
<p>The findings presented herein affirm that the CRISPR/Cas13 knockdown technique is a viable and promising method for functional genomic studies pertinent to developmental biology. It enables selective suppression of gene expression, offering a refined approach to dissect the roles of specific genes in essential biological processes, circumventing the difficulties inherent in creating complete knockout models. This advancement significantly augments the developmental biologist&#x2019;s research repertoire, fostering novel avenues for investigating regulatory pathways integral to embryonic development and organogenesis.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by CEUA Faculdade de Medicina da Universidade de S&#xe3;o Paulo. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>BV: Conceptualization, Data curation, Formal analysis, Investigation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. MJ: Formal analysis, Writing &#x2013; review &amp; editing. CM: Conceptualization, Resources, Visualization, Writing &#x2013; review &amp; editing. LS: Conceptualization, Funding acquisition, Investigation, Methodology, Resources, Supervision, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. For the development of this work, the student received a scholarship from the Coordination for the Improvement of Higher Education Personnel (CAPES) through the CAPES-PRINT program (PRINT - Institutional Internationalization Program) for a period of 6 months to conduct a Sandwich PhD at Harvard University - Harvard Medical School, Boston. CAPES &#x2013; Sandwich PhD Scholarship, Process number 88887.716874/2022-00.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We would like to express our gratitude to the Central Animal Facility of FMUSP, the Endocrinology Laboratory of HCFMUSP, and CAPES for their essential support and collaboration in the execution of this study. The contributions of specific colleagues, institutions, or agencies that aided the efforts of the authors.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<fn id="fn1">
<label>1</label>
<p>Explanatory footnote for publication:</p>
<p>The symbols for genes and proteins were formatted according to the genetic and protein nomenclature guidelines established by the "Gene Nomenclature and Requirements" of Oxford Academic. The spelling adheres to specific standards for each species: human genes are denoted in uppercase and italicized, mouse genes in italic with only the first letter capitalized, and zebrafish genes in italic with all lowercase letters. Protein symbols follow the same capitalization rule but are not formatted in italics.</p>
</fn>
</fn-group>
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