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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2022.1105719</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>CRISPR interference for sequence-specific regulation of fibroblast growth factor receptor A in <italic>Schistosoma mansoni</italic>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Du</surname>
<given-names>Xiaofeng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1708920"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McManus</surname>
<given-names>Donald P.</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="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/133348"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>French</surname>
<given-names>Juliet D.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/600014"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Collinson</surname>
<given-names>Natasha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sivakumaran</surname>
<given-names>Haran</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>MacGregor</surname>
<given-names>Skye R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fogarty</surname>
<given-names>Conor E.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1645066"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Malcolm K.</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/828613"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>You</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/142254"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Infection and Inflammation Program, QIMR Berghofer Medical Research Institute</institution>, <addr-line>Brisbane, QLD</addr-line>, <country>Australia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Faculty of Medicine, The University of Queensland</institution>, <addr-line>Brisbane, QLD</addr-line>, <country>Australia</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Genetics &amp; Computational Biology Department, QIMR Berghofer Medical Research Institute</institution>, <addr-line>Brisbane, QLD</addr-line>, <country>Australia</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Genecology Research Centre, University of the Sunshine Coast</institution>, <addr-line>Sunshine Coast, QLD</addr-line>, <country>Australia</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>School of Veterinary Science, The University of Queensland</institution>, <addr-line>Gatton, QLD</addr-line>, <country>Australia</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Thiago Almeida Pereira, Stanford University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: David Roquis, Technical University of Munich, Germany; Min Hu, Huazhong Agricultural University, China</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Hong You, <email xlink:href="mailto:Hong.You@qimrberghofer.edu.au">Hong.You@qimrberghofer.edu.au</email>
</p>
</fn>
<fn fn-type="deceased" id="fn003">
<p>&#x2020;Deceased</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Parasite Immunology, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>01</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>1105719</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>11</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>12</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Du, McManus, French, Collinson, Sivakumaran, MacGregor, Fogarty, Jones and You</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Du, McManus, French, Collinson, Sivakumaran, MacGregor, Fogarty, Jones and You</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>
<p>Employing the flatworm parasite <italic>Schistosoma mansoni</italic> as a model, we report the first application of CRISPR interference (CRISPRi) in parasitic helminths for loss-of-function studies targeting the <italic>SmfgfrA</italic> gene which encodes the stem cell marker, fibroblast growth factor receptor A (FGFRA). SmFGFRA is essential for maintaining schistosome stem cells and critical in the schistosome-host interplay. The <italic>SmfgfrA</italic> gene was targeted in <italic>S. mansoni</italic> adult worms, eggs and schistosomula using a catalytically dead Cas9 (dCas9) fused to a transcriptional repressor KRAB. We showed that <italic>SmfgfrA</italic> repression resulted in considerable phenotypic differences in the modulated parasites compared with controls, including reduced levels of <italic>SmfgfrA</italic> transcription and decreased protein expression of SmFGFRA, a decline in EdU (thymidine analog 5-ethynyl-2&#x2019;-deoxyuridine, which specifically stains schistosome stem cells) signal, and an increase in cell apoptosis. Notably, reduced <italic>SmfgfrA</italic> transcription was evident in miracidia hatched from <italic>SmfgfrA</italic>-repressed eggs, and resulted in a significant change in miracidial behavior, indicative of a durable repression effect caused by CRISPRi. Intravenous injection of mice with <italic>SmfgfrA</italic>-repressed eggs resulted in granulomas that were markedly reduced in size and a decline in the level of serum IgE, emphasizing the importance of SmFGFRA in regulating the host immune response induced during schistosome infection. Our findings show the feasibility of applying CRISPRi for effective, targeted transcriptional repression in schistosomes, and provide the basis for employing CRISPRi to selectively perturb gene expression in parasitic helminths on a genome-wide scale.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Schistosoma mansoni</italic>
</kwd>
<kwd>CRISPR interference</kwd>
<kwd>fibroblast growth factor receptor A</kwd>
<kwd>stem cells</kwd>
<kwd>transcription regulation</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="91"/>
<page-count count="14"/>
<word-count count="7736"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Schistosoma mansoni</italic> is a flatworm parasite that causes schistosomiasis, a disease which afflicts 250 million people in 74 countries (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B4">4</xref>). Currently, no anti-schistosome vaccines are available for human use and clinical treatment relies entirely on the single drug praziquantel (PZQ). The potential emergence of PZQ drug resistance is an ever-present concern (<xref ref-type="bibr" rid="B1">1</xref>). Effective vaccines and new treatments for reducing the global burden of schistosomiasis are thus needed urgently. The past few decades have witnessed new advances in schistosome developmental biology, genomics, proteomics and transcriptomics, and in our understanding of schistosome-induced pathogenesis, and the host-parasite interaction (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B5">5</xref>&#x2013;<xref ref-type="bibr" rid="B10">10</xref>). Notably, complete genomic sequences of the three main schistosome species (<italic>S. mansoni</italic> (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>), <italic>S. japonicum</italic> (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>) and <italic>S. haematobium</italic> (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>)) have been released which provide valuable information to decipher the molecular biology of these blood flukes. However, progress in identifying and characterizing effective drug targets and vaccine candidates has been severely hampered by a general paucity of suitable molecular tools for modulation of critical genes in schistosomes. RNA interference (RNAi) has been developed as a post-transcriptional gene silencing tool over the past decade for loss-of-function studies in helminths (<xref ref-type="bibr" rid="B11">11</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>), which generated variable levels of silencing efficiency and the outcomes were either transient or the inheritance of silencing effects was not fully penetrant (<xref ref-type="bibr" rid="B11">11</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>).</p>
<p>The clustered regularly interspaced short palindromic repeat (CRISPR) approach has emerged as a novel genomic editing tool that has been broadly adapted in various organisms (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B26">26</xref>). CRISPR was first identified in bacteria as a defense mechanism against foreign genetic elements, utilizing RNA-guided CRISPR-associated protein (Cas) endonucleases to recognize and cleave invading viral DNA (<xref ref-type="bibr" rid="B27">27</xref>&#x2013;<xref ref-type="bibr" rid="B32">32</xref>). The CRISPR system has been repurposed for transcription regulation using a catalytically dead version of Cas9 (dCas9) (with mutations at H840A and D10A) lacking endonucleolytic activity (<xref ref-type="bibr" rid="B33">33</xref>). The dCas9-sgRNA (single guide RNA) complex can specifically interfere with transcriptional initiation or transcriptional elongation, in a process which was termed CRISPR interference (CRISPRi) (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). The dCas9 protein can also be fused to transcriptional repressor domains [eg. Kr&#xfc;ppel-associated box (KRAB)] to achieve more effective transcriptional silencing (<xref ref-type="bibr" rid="B34">34</xref>&#x2013;<xref ref-type="bibr" rid="B37">37</xref>). CRISPRi is a simple and cost-effective gene regulation tool with greater versatility, higher efficacy and specificity (<xref ref-type="bibr" rid="B38">38</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>). To date, CRISPRi has been broadly employed for transcription repression, directed evolution, metabolic engineering and targeted genetic screening in mammalian cells, in the zebra fish, in <italic>Caenorhabditis elegans</italic> and a variety of unicellular organisms such as <italic>Synechococcus elongatus</italic>, <italic>Saccharomyces cerevisiae</italic>, <italic>Toxoplasma gondii</italic> and <italic>Plasmodium falciparum</italic> (<xref ref-type="bibr" rid="B33">33</xref>&#x2013;<xref ref-type="bibr" rid="B45">45</xref>). To advance more efficient gene regulation in parasitic helminths, we applied CRISPRi in <italic>S. mansoni.</italic>
</p>
<p>The life cycle and morphology of schistosomes are both complex. Adult <italic>S. mansoni</italic> pass eggs that escape the mammalian host in faeces. The egg gives rise to a ciliated larva, the miracidium that infects its specific <italic>Biomphalaria</italic> snail host, within which it undergoes a dramatic body conversion to produce an obligate asexually-reproducing adult, the mother sporocyst. Endogenous proliferation of stem cells (=germinal cells in the asexual stage) in the mother sporocyst leads to a new asexual stage - the daughter sporocyst (<xref ref-type="bibr" rid="B46">46</xref>). These &#x2018;daughters&#x2019;, in turn, can generate, by germinal cell proliferation, the next stage, the migratory cercariae, that escape from the snail into the aquatic environment (<xref ref-type="bibr" rid="B47">47</xref>). Cercariae seek and then penetrate the skin of a mammal, transform into schistosomula, which enters the vasculature to develop into dimorphic sexual adults. After paired with males, mature female worms lay eggs, which are crucial in host pathogenesis, immune modulation, and the transmission of schistosomiasis. Intra-mammalian development, driven by stem cells (defined as neoblast cells), gives rise to the remarkable reproductive capability of adults (<xref ref-type="bibr" rid="B48">48</xref>), over prolonged periods - indeed, schistosomes can live for over 30 years (<xref ref-type="bibr" rid="B49">49</xref>). To unravel the critical roles of stem cells in driving the schistosome life cycle (<xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B50">50</xref>&#x2013;<xref ref-type="bibr" rid="B53">53</xref>), characterization of the somatic stem cell marker SmFGFRA has drawn increased attention (<xref ref-type="bibr" rid="B50">50</xref>&#x2013;<xref ref-type="bibr" rid="B55">55</xref>). Our previous study demonstrated SmFGFRA is abundantly expressed in different <italic>S. mansoni</italic> developmental stages (<xref ref-type="bibr" rid="B56">56</xref>). The distribution pattern of SmFGFRA in embryonic cells of immature eggs, in the neural mass of mature eggs and miracidia, and its co-location with EdU<sup>+</sup> (thymidine analog 5-ethynyl-2&#x2019;-deoxyuridine) cells in adult <italic>S. mansoni</italic>, strongly implicated its important roles in maintaining schistosome stem cells, in development of the nervous and reproductive systems, and in the host-parasite interplay (<xref ref-type="bibr" rid="B56">56</xref>).</p>
<p>Herein, for the first time, we report the application of CRISPRi in <italic>S. mansoni</italic> targeting the <italic>SmfgfrA</italic> gene. We firstly pre-screened eight sgRNAs, designed specifically targeting different loci of <italic>SmfgfrA</italic>, for effective inhibition of its transcription initiation and elongation. We determined the distinct phenotypic changes in <italic>SmfgfrA</italic>-repressed adult worms, schistosomula and eggs. Then, we injected the <italic>SmfgfrA</italic>-repressed eggs into the tail vein of mice and explored the pathogenicity induced by these <italic>SmfgfrA</italic>-repressed eggs <italic>in vivo</italic>.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Ethics</title>
<p>All experiments were approved by the Animal Ethics Committee (ethics number P242) of the QIMR Berghofer Medical Research Institute. The study was carried out based on the guidelines of the National Health and Medical Research Council of Australia, as published in the Australian Code of Practice for the Care and Use of Animals for Scientific Purposes, 7th edition, 2004 (<uri xlink:href="http://www.nhmrc.gov.au">www.nhmrc.gov.au</uri>). All work involving live <italic>S. mansoni</italic> parasites was conducted in quarantine-accredited premises.</p>
</sec>
<sec id="s2_2">
<title>Maintenance of parasites</title>
<p>Swiss mice (female, 6 weeks old) were infected with 100 <italic>S. mansoni</italic> cercariae subcutaneously. The infected mice were euthanized seven weeks post-infection and adult worms were harvested by portal perfusion using 37&#xb0;C pre-warmed RPMI Medium 1640 (Gibco, Sydney, Australia). Adult worms were cultured overnight in RPMI complete medium [RPMI Medium 1640 (Gibco) supplemented with 10% (v/v) heat-inactivated fetal bovine serum (FBS, Gibco) and 100 IU/ml penicillin and 100 &#x3bc;g/ml streptomycin (Gibco)] at 37&#xb0;C in an atmosphere of 5% CO<sub>2.</sub> Mouse livers were removed at necropsy and liver eggs were isolated and purified as described (<xref ref-type="bibr" rid="B57">57</xref>). Liver eggs were cultured in RPMI complete medium at 37&#xb0;C in 5% CO<sub>2</sub>. <italic>S. mansoni</italic> cercariae were obtained by shedding infected <italic>Biomphalaria glabrata</italic> snails under bright light. Schistosomula were obtained by mechanical transformation of cercariae <italic>in vitro</italic> and cultured in Basch&#x2019;s medium as described (<xref ref-type="bibr" rid="B58">58</xref>).</p>
</sec>
<sec id="s2_3">
<title>Design of guide RNA targets and reconstruction of vectors</title>
<p>Single-guide RNAs (sgRNAs) were designed utilizing the web-based tools available at <uri xlink:href="https://bioinfogp.cnb.csic.es/tools/breakingcas/">https://bioinfogp.cnb.csic.es/tools/breakingcas/</uri> (<xref ref-type="bibr" rid="B59">59</xref>) and the Benchling application (<uri xlink:href="https://benchling.com">https://benchling.com</uri>) to predict binding sites for the <italic>Streptococcus pyogenes</italic> dCas9 nuclease within the genome of <italic>S. mansoni</italic>. The location of the transcriptional start site (TSS) was determined using WormBase ParaSite (<uri xlink:href="https://parasite.wormbase.org/index.html">https://parasite.wormbase.org/index.html</uri>). <italic>SmfgfrA</italic> (Smp_175590) comprises thirteen exons separated by twelve introns spanning 51.95 kb on the reverse strand of <italic>S. mansoni</italic> chromosome 1, including a 64 bp 5&#x2019; untranslated region (5&#x2019; UTR) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Eight sgRNAs (i1-i8) were designed uniquely targeting either DNA strand of <italic>SmfgfrA</italic> to determine whether CRISPRi could induce efficient repression of transcription initiation/elongation of this gene in <italic>S. mansoni</italic>. SgRNA i1, i2, i3, i7, and i6 align to nucleotides 667-686 (+67 bp to +86 bp relative to the predicted TSS), 703-722 (+103 bp to +122 bp), 707-726 (+107 bp to +126 bp), 744-763 (+144 bp to +163 bp), and 783-802 (+183 bp to +202 bp) in exon 1, respectively (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>); sgRNA i5 and i4 target nucleotides 871-890 (+271 bp to +290 bp) and 910-919 (+310 bp to +329 bp) in exon 2, respectively (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). For the inhibition of transcription initiation, sgRNA i8 was designed to target residues 580-599 (-21 bp to -2 bp upstream of the TSS) of <italic>SmfgfrA</italic> (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). All sgRNAs are adjacent to the protospacer adjacent motif (PAM), NGG. SgRNA oligonucleotides and PAM sequences are listed in <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>. A non-targeting sgRNA (5&#x2019;-GACCAGGATGGGCACCACCC-3&#x2019;) was used as a negative control (NC). The sgRNAs were synthesized as double-stranded DNA fragments flanked by BstXI and XhoI restriction sites (Integrated DNA Technologies, Singapore) and inserted into the vector, pgRNA-humanized (a gift from Stanley Qi, Addgene plasmid #44248) (<xref ref-type="bibr" rid="B33">33</xref>). Expression of sgRNA is driven by the mouse U6 promoter. The CRISPRi vector PHR-SFFR-dCas9-BFP-KRAB (a gift from Stanley Qi &amp; Jonathan Weissman, Addgene plasmid #46911) (<xref ref-type="bibr" rid="B34">34</xref>) contains a silencing-prone spleen focus forming virus (SFFV) promoter expressing dCas9 fused to the KRAB transcription repressor.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Gene structure of <italic>S. mansoni</italic> fibroblast growth factor receptor A (<italic>SmfgfrA</italic>) and locations of singe-guide RNAs (sgRNAs). <bold>(A)</bold> Schematic diagram of the <italic>SmfgfrA</italic> (Smp_175590) gene containing thirteen exons, twelve introns, 5&#x2019; untranslated region (5&#x2019; UTR) and 3&#x2019; UTR, spanning 51.95 kb on the reverse strand of <italic>S. mansoni</italic> chromosome 1. <bold>(B)</bold> Diagram of <italic>SmfgfrA</italic> indicating target sites of eight sgRNAs (i1-i8). SgRNAs (i1-i7) were designed for inhibition of transcription elongation within a window from +67 bp to +329&#x2009;bp relative to the transcriptional start site (TSS) of <italic>SmfgfrA</italic>. SgRNA i8 aligns to the promotor region (-21 bp to -2 bp) of <italic>SmfgfrA</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Sequences of sgRNAs.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Name of sgRNA</th>
<th valign="top" align="center">Sequence of sgRNA</th>
<th valign="top" align="center">PAM</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">i1</td>
<td valign="top" align="left">GTCATTTATCGGTACTTCGG</td>
<td valign="top" align="left">TGG</td>
</tr>
<tr>
<td valign="top" align="left">i2</td>
<td valign="top" align="left">CGTAATTGAGTCCCATCATC</td>
<td valign="top" align="left">AGG</td>
</tr>
<tr>
<td valign="top" align="left">i3</td>
<td valign="top" align="left">ATGGGACTCAATTACGCATT</td>
<td valign="top" align="left">TGG</td>
</tr>
<tr>
<td valign="top" align="left">i4</td>
<td valign="top" align="left">GACTTCAGGTCGGAAGACAG</td>
<td valign="top" align="left">TGG</td>
</tr>
<tr>
<td valign="top" align="left">i5</td>
<td valign="top" align="left">CTTGAATGCAAAAACTTCCC</td>
<td valign="top" align="left">AGG</td>
</tr>
<tr>
<td valign="top" align="left">i6</td>
<td valign="top" align="left">GTGACGCTCCAAATATTTTC</td>
<td valign="top" align="left">TGG</td>
</tr>
<tr>
<td valign="top" align="left">i7</td>
<td valign="top" align="left">CACAATCAATGTACGAAATT</td>
<td valign="top" align="left">CGG</td>
</tr>
<tr>
<td valign="top" align="left">i8</td>
<td valign="top" align="left">CTGGGCACGAAAACACAGTA</td>
<td valign="top" align="left">AGG</td>
</tr>
<tr>
<td valign="top" align="left">negative control</td>
<td valign="top" align="left">GACCAGGATGGGCACCACCC</td>
<td valign="top" align="left">N/A</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_4">
<title>Transfection of <italic>Schistosoma mansoni</italic> parasites</title>
<p>To perform CRISPRi repression targeting <italic>SmfgfrA</italic> in adult <italic>S. mansoni</italic> and select the most effective sgRNAs, 5 pairs of adults were separated into 5 males and 5 females and then subjected to electroporation in 200 &#x3bc;l Opti-MEM containing 3 &#x3bc;g PHR-SFFR-dCas9-BFP-KRAB vector and 3 &#x3bc;g of pgRNA vector reconstructed with: (1) negative control sgRNA (non-targeting RNA sequence) (NC); (2) i1 sgRNA (i1); (3) i2 sgRNA (i2); (4) i3 sgRNA (i3); (5) i4 sgRNA (i4); (6) i5 sgRNA (i5); (7) i6 sgRNA (i6); (8) i7 sgRNA (i7); (9) i8 sgRNA (i8); (10) i4 sgRNA and i5 sgRNA (i4+i5, 3 &#x3bc;g of each); (11) i4 sgRNA+i5 sgRNA+i6 sgRNA (i4+i5+i6, 3 &#x3bc;g of each); or (12) i5 sgRNA+i8 sgRNA (i5+i8, 3 &#x3bc;g of each). The mixture was transferred into a pre-chilled 4 mm electroporation cuvette (Bio-Rad, Sydney, Australia) and subjected to square wave electroporation using a single 20 millisecond pulse of 125 Volts (Gene Pulser Xcell Electroporator, Bio-Rad) (<xref ref-type="bibr" rid="B60">60</xref>). Thereafter, electroporated adult worms (5 males and 5 females per well) were cultured in RPMI complete medium at 37&#xb0;C in 5% CO<sub>2</sub> and collected three days post-electroporation. Wild type (WT) adult worms were not subjected to electroporation but were cultured under the same conditions as control. Eggs laid <italic>in vitro</italic> by adult female worms were collected three days post-electroporation and the collected eggs in each group were counted.</p>
<p>Based on the results in adult worms, we utilized two relatively more effective sgRNAs (sgRNA i4 and sgRNA i5) for repression of <italic>SmfgfrA</italic> in eggs and schistosomula. Briefly, 10,000 liver eggs or 2000 schistosomula were subjected to electroporation in 200 &#x3bc;l Opti-MEM containing 3 &#x3bc;g PHR-SFFR-dCas9-BFP-KRAB vector and 3 &#x3bc;g of pgRNA vector reconstructed with control sgRNA, sgRNA i4 and sgRNA i5, respectively. WT and NC-treated liver eggs or schistosomula were used as controls. After electroporation, eggs were maintained in RPMI complete medium and schistosomula were cultured in Basch&#x2019;s medium (<xref ref-type="bibr" rid="B2">2</xref>) for three days. Hatched miracidia were collected from <italic>SmfgfrA</italic>-modulated eggs and control eggs cultured for seven days post-electroporation and the egg hatching efficiency (%) was determined by dividing the number of hatched eggs by the total number of eggs X 100.</p>
</sec>
<sec id="s2_5">
<title>Real-time PCR</title>
<p>Total RNAs were extracted from <italic>SmfgfrA</italic>-repressed and control (WT and NC-treated) <italic>S. mansoni</italic> eggs, schistosomula, adult worms and miracidia hatched from <italic>SmfgfrA</italic>-repressed and control eggs using RNeasy Mini Kits (Qiagen, Melbourne, Australia), followed by cDNA synthesis using QuantiTect Reverse Transcription Kits (Qiagen). For each extraction, 10, 000 eggs or 2000 schistosomula or 5 males and 5 females or 2000 miracidia were used. Three biological repeats and three technical repeats were undertaken. Real-time PCR was conducted using QuantiNova SYBR<sup>&#xae;</sup> Green PCR Kits (Qiagen) on a Mic qPCR Cycler (Bio Molecular Systems, Upper Coomera, QLD, Australia). Forward primer (5&#x2019;-ATGGGACTCAATTACGCATT-3&#x2019;) and reverse primer (5&#x2019;-CACCACTGTCTTCCGACCTG-3&#x2019;) for <italic>SmfgfrA</italic> were designed using the Primer 3 software (<uri xlink:href="http://frodo.wi.mit.edu/">http://frodo.wi.mit.edu/</uri>), and the specificity of the primer sequences was confirmed by the Basic Local Alignment Search Tool (BLAST) at the NCBI website (<uri xlink:href="http://blast.ncbi.nlm.nih.gov/Blast.cgi">http://blast.ncbi.nlm.nih.gov/Blast.cgi</uri>). <italic>S. mansoni</italic> glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as the house keeping reference gene (<xref ref-type="bibr" rid="B61">61</xref>). Real-time PCR reactions contained 10 &#xb5;l 2xSYBR Green PCR Master Mix, 100 ng cDNA, and 0.7 &#xb5;M of each primer. The cycling parameters were set as follows: 95&#xb0;C for 5 min, 40 cycles of 95&#xb0;C for 30 s, 58&#xb0;C for 30 s and 72&#xb0;C for 30 s. Data analysis was performed using the Mic qPCR software (Bio Molecular Systems). Relative <italic>SmfgfrA</italic> transcription levels in each group were determined using the 2<sup>-&#x394;&#x394;Ct</sup> calculation (<xref ref-type="bibr" rid="B62">62</xref>) by normalizing to the control parasites (NC-treated parasites).</p>
</sec>
<sec id="s2_6">
<title>Caspase-3/-7 activity assay</title>
<p>
<italic>S. mansoni</italic> soluble egg antigen (SEA), soluble worm antigen preparation (SWAP) and soluble schistosomula native antigens were prepared in PBST (PBS+0.1% v/v Tween-20) plus 10 mM HEPES and cOmplete&#x2122;, Mini, EDTA-free Protease Inhibitor (Sigma-Aldrich, Sydney, Australia) as described (<xref ref-type="bibr" rid="B63">63</xref>, <xref ref-type="bibr" rid="B64">64</xref>). Protein concentration was determined using the Bradford assay as described (<xref ref-type="bibr" rid="B65">65</xref>). The caspase-3/-7 activity of SWAP (0.4 mg/ml), SEA (0.2 mg/ml) and soluble schistosomula antigens (0.2 mg/ml) was determined using the Caspase-Glo<sup>&#xae;</sup> 3/7 Assay System (Promega, Sydney, Australia) according to the manufacturers&#x2019; instructions.</p>
</sec>
<sec id="s2_7">
<title>Western blotting</title>
<p>
<italic>S. mansoni</italic> SWAP (40 &#xb5;g) and SEA (20 &#xb5;g) were separated on 12% (w/v) SDS-PAGE gels and transferred to an Immun-Blot low fluorescence-PVDF membrane (Bio-rad). The membrane was first blocked with Odyssey Blocking Buffer (TBS) (LI-COR Biosciences, Lincoln, Nebraska, USA) for 1 h at room temperature with shaking. Subsequently, the membrane was incubated with a polyclonal mouse anti-rSmFGFRA-L (anti-recombinant SmFGFRA extracellular ligand binding domain) antibody (previously generated in our laboratory (<xref ref-type="bibr" rid="B56">56</xref>)) (1:100 diluted in Odyssey buffer with 0.1% (v/v) Tween-20) for 1 h with shaking at room temperature. Following washes (4X) in Tris-Buffered Saline (TBS)/0.1% Tween-20 (TBST), the membrane was incubated with IRDye-labeled 680LT goat anti-mouse IgG antibody (Li-COR Biosciences) (1:15,000 diluted in Odyssey buffer with 0.1% Tween-20 and 0.01% SDS) for 1 h with shaking in a dark chamber. After four washes with TBST, the membrane was dried in the dark and visualized using the Odyssey CLx Infrared Imaging System (<xref ref-type="bibr" rid="B64">64</xref>). An anti-actin antibody (Sigma-Aldrich) was used to probe the expression of actin to ensure the equal loading of samples.</p>
</sec>
<sec id="s2_8">
<title>EdU staining</title>
<p>
<italic>SmfgfrA</italic>-modulated parasites were cultured at 37&#xb0;C under 5% CO<sub>2</sub> in RPMI complete medium containing 10 &#xb5;M EdU (Thermo Fisher Scientific, Brisbane, Australia), which specifically stains stem cells in <italic>S. mansoni</italic> (<xref ref-type="bibr" rid="B53">53</xref>). After 24 h, the stained worms were fixed in 10% formalin, paraffin embedded and sectioned. Three sections (4 &#xb5;m/section, with 4 &#xb5;m distance between each section) of EdU-labeled adult worms and schistosomula were subjected to EdU detection using a Click-iT&#x2122; EdU Cell Proliferation Kit (Alexa Fluor&#x2122; 488 dye) (Thermo Fisher Scientific) according to the manufacturers&#x2019; instructions. Nuclei in all tissue sections were also stained with Propidium iodide (PI) (Sigma-Aldrich) and visualized using a Zeiss 780 NLO confocal microscope (Zeiss, Oberkochen, Germany). Counting of EdU<sup>+</sup> cell nuclei and PI<sup>+</sup> cells was performed using QuPath software (<uri xlink:href="https://qupath.github.io">https://qupath.github.io</uri>) (<xref ref-type="bibr" rid="B66">66</xref>). The percentage of EdU-positive cells was calculated by dividing the EdU<sup>+</sup> cell number with the PI<sup>+</sup> cell number X 100.</p>
</sec>
<sec id="s2_9">
<title>Miracidial behavioral assay</title>
<p>Miracidia were hatched in deionized water under light from <italic>SmfgfrA</italic>-repressed and control (WT, NC-treated) eggs. Miracidia were then harvested (<xref ref-type="bibr" rid="B58">58</xref>) and their behavior were monitored as described (<xref ref-type="bibr" rid="B67">67</xref>, <xref ref-type="bibr" rid="B68">68</xref>). Briefly, approximately 30 <italic>S. mansoni</italic> miracidia in 100 &#x3bc;l deionized water were distributed evenly to a microscope slide. Miracidial movement (swimming) in the field of view (FOV) was detected utilizing an Olympus-CKX41 microscope equipped with an Olympus DPI Digital Microscope Camera DP22 (25 frames per second at 2.8-megapixel image quality). Miracidial movement was recorded for 1 minute by video and followed by analyzing with the FIJI software to calculate velocity (speed) of miracidial swimming, the tortuosity (the ratio of track length to maximum displacement) of miracidial swimming and the duration (time) of miracidia staying in the FOV (<xref ref-type="bibr" rid="B67">67</xref>). The miracidial movement velocity was determined in pixels employing the rolling mean subtraction approach (<xref ref-type="bibr" rid="B67">67</xref>, <xref ref-type="bibr" rid="B68">68</xref>). The location of miracidial was monitored in each frame along an x-y axis and the trajectories were interpolated utilizing TrackMate (the plugin for FIJI software) (<xref ref-type="bibr" rid="B68">68</xref>, <xref ref-type="bibr" rid="B69">69</xref>). Applying the MTrackJ (ImageJ plugin), the average velocity, duration and tortuosity of miracidia movement in each video were determined. The heatmaps were produced as mentioned (<xref ref-type="bibr" rid="B68">68</xref>, <xref ref-type="bibr" rid="B70">70</xref>) for demonstrating the movement pattern of individual miracidia. Around 30 miracidia were used for each assay and 10 assays were performed for each group (totally 300 miracidia were examined in each group).</p>
</sec>
<sec id="s2_10">
<title>Intravenous injection of <italic>SmfgfrA</italic>-repressed eggs into mice</title>
<p>Swiss mice were injected intravenously (i.v.) with <italic>SmfgfrA</italic>-repressed or control (WT eggs and NC-treated eggs) eggs as described (<xref ref-type="bibr" rid="B60">60</xref>). Briefly, eggs were cultured for 48 h after electroporation, followed by three washes with chilled PBS. Then, 1000 eggs in 100 &#x3bc;l sterile PBS were injected into the lateral tail vein of female Swiss mice (8-9 weeks of age). Mice injected with sterile PBS and control eggs (WT eggs and NC-treated eggs) were served as negative control mice. Mice (5 mice/group) were euthanized two weeks post-injection.</p>
</sec>
<sec id="s2_11">
<title>Serum IgE level and lung granuloma size in mice exposed to <italic>SmfgfrA</italic>-repressed eggs</title>
<p>Two weeks post-injection, blood was obtained from each mouse and sera were prepared individually. The total immunoglobulin E (IgE) level in the serum samples was measured using an IgE mouse ELISA kit (Thermo Fisher Scientific, Waltham, Mass, USA) according to the manufacturer&#x2019;s instructions.</p>
<p>To determine the size of granuloma that had formed in the lungs, the left lung of each mouse was fixed in 10% (v/v) formalin, paraffin embedded and sectioned. Sections (4 &#x3bc;m) of these paraffin blocks were stained with Hematoxylin and Eosin (H&amp;E) to evaluate inflammatory infiltrates and the cellularity of granulomas. Slides were imaged using an Aperio Slide Scanner (Aperio Technologies, Vista, CA, USA) and analyzed using Aperio Image Scope v11.1.2.760 software (Leica Biosystems Imaging, Buffalo Grove, IL, USA). The degree of lung pathology was quantified by measurement of the area density of granulomatous lesions. The granuloma ratio in each lung sample was estimated from the total area of the granulomas in the lung sample divided by the total area of the lung tissue and X 100. For each group, 10 slides per lung (5 lungs/group), totaling 50 samples, were measured.</p>
</sec>
<sec id="s2_12">
<title>Statistical analysis</title>
<p>GraphPad Prism software (Version 8.2.1, La Jolla, CA, USA) was used for all statistical analyses. All data are shown as the mean &#xb1; SE. Differences between groups were analyzed for statistical significance by One-way ANOVA and, where appropriate, by two-tailed Student&#x2019;s t-test. A statistically significant difference for a particular comparison was defined as a <italic>p</italic> value &#x2264; 0.05. * <italic>p</italic> value&#x2264; 0.05, ** <italic>p</italic> value&#x2264; 0.01, *** <italic>p</italic> value &#x2264; 0.001, **** <italic>p</italic> value &#x2264; 0.0001, not significant (ns).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>CRISPRi-mediated repression of <italic>SmfgfrA</italic> in <italic>Schistosoma mansoni</italic> adult worms</title>
<sec id="s3_1_1">
<title>
<italic>SmfgfrA</italic> transcription level in <italic>SmfgfrA</italic>-repressed adult worms</title>
<p>The transcription level of <italic>SmfgfrA</italic> was quantified in CRISPRi-modulated <italic>S. mansoni</italic> adult worms, liver eggs and schistosomula using real-time PCR assays. We found the most reduced level of transcription of <italic>SmfgfrA</italic> was induced by sgRNA i5 (51.6%, <italic>p</italic>&lt;0.0001) in adult worms, followed by i4 (43.7%, <italic>p</italic>&lt;0.0001), i6 (27.7%, <italic>p</italic>=0.0018), i7 (22.6%, <italic>p</italic>=0.0083), and i8 (15.4%, <italic>p</italic>=0.0184) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). No significant downregulation of <italic>SmfgfrA</italic> transcripts was observed in worms electroporated with i1, i2 or i3, compared with the control groups (WT and treated with NC) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). As a result, we selected i4 and i5 for subsequent study. To further investigate whether the gene repression efficiency was sex dependent, we determined <italic>SmfgfrA</italic> transcription levels in i4-treated and i5-treated male and female worms. Notably, both sgRNA i4 and sgRNA i5 induced similar transcriptional reductions in <italic>SmfgfrA</italic> in both male and female worms (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>); accordingly, we used mixed male and female adult worms (equal number of males and females) in all subsequent studies.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>CRISPRi of <italic>SmfgfrA</italic> in <italic>S. mansoni</italic> adult worms. Transcription level of <italic>SmfgfrA</italic> was determined in <bold>(A)</bold> paired adult worms electroporated with a CRISPRi vector (PHR-SFFR-dCas9-BFP-KRAB) combined with reconstructed pg-RNA vector containing sgRNA (i1, i2, i3, i4, i5, i6, i7, i8), individually; <bold>(B)</bold> adult male and female worms treated with sgRNA i4 or i5; <bold>(C)</bold> paired worms treated with sgRNA i4+i5, i4+i5+i6, or i5+i8. Wild-type (WT) worms and worms treated with CRISPRi vector combined with pg-RNA vector containing a negative control (non-targeting) sgRNA (NC) were used as controls. Experiments in panels <bold>(A&#x2013;C)</bold> were performed in triplicates and all data are shown as the mean &#xb1; SE. <bold>(D)</bold> Western blot demonstrating expression level of SmFGFRA protein in soluble worm antigen preparation (SWAP) of WT adult worms (Lane 1) and worms treated with NC (Lane 2), i4 (Lane 3) or i5 (Lane 4). An anti-actin antibody was employed to ensure equal protein loading. The electrophoresed SWAPs were transferred for the western blot analysis to two PVDF membranes which were probed simultaneously with the anti-rSmFGFRA-L antibody (left blot) and the anti-actin antibody (right blot). <bold>(E)</bold> Caspase-3/-7 activity measured in i4 and i5-treated adult worms. This assay was conducted in duplicate with all data presented as the mean &#xb1; SE. <bold>(F)</bold> The number of eggs laid by WT adult worms, NC-treated adult worms or i5-treated adult worms <italic>in vitro.</italic> This experiment was conducted in triplicates with all data shown as the mean &#xb1; SE. <bold>(G)</bold> The effect of <italic>SmfgfrA</italic> repression on the percentage of EdU<sup>+</sup> cells in i5-treated male worms and female worms. WT and NC-treated male and female worms were used as controls. Cell nuclei in all samples were also stained with Propidium iodide (PI). Percentage of EdU<sup>+</sup> cells in each sample was calculated by dividing the EdU<sup>+</sup> cell number with PI<sup>+</sup> cell number X 100. All data are shown as the mean &#xb1; SE (WT male worm: n=13, WT female worm: n=8, NC male worm: n=12, NC female worm: n=8, i5 male worm: n=10, i5 female worm: n=15). Confocal projections representative signals of EdU (green) and PI (red) in <bold>(H)</bold> WT male worm, <bold>(J)</bold> WT female worm, <bold>(L)</bold> NC-treated male worm, <bold>(N)</bold> NC-treated female worm, <bold>(P)</bold> i5-treated male worm and <bold>(R)</bold> i5-treated female worm. <bold>(I, K, M, O, Q, S)</bold> are magnified squared-region in <bold>(H, J, L, N, P, R)</bold>, respectively. (Statistical significance was established employing One-way ANOVA by comparing with NC group: * <italic>p</italic> value&#x2264; 0.05, *** <italic>p</italic> value &#x2264; 0.001). ** p value&#x2264; 0.01, **** p value &#x2264; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g002.tif"/>
</fig>
<p>It has been shown that CRISPRi conducted in <italic>Escherichia coli</italic> (<italic>E. coli</italic>) using multiplexed sgRNAs targeting the same gene can markedly increase gene repression efficiency compared with using single sgRNAs (<xref ref-type="bibr" rid="B33">33</xref>). To investigate this scenario in schistosomes, we tested the combination of sgRNA i4+i5, i4+i5+i6 and i5+i8, and this resulted in the downregulation of gene transcription by 25.6% (<italic>p</italic>=0.0017), 40.25% (<italic>p</italic>&lt;0.0001) and 56.5% (<italic>p</italic>&lt;0.0001) in the treated adult <italic>S. mansoni</italic> worms respectively (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), compared with NC-treated parasites. Given the similar gene repression efficiency induced by the CRISPRi using single sgRNAs or multiplexed sgRNAs in silencing <italic>SmfgfrA</italic>, we decided to perform CRISPRi with individual sgRNA i5 and/or sgRNA i4 for subsequent phenotypic change studies.</p>
</sec>
<sec id="s3_1_2">
<title>Reduction of SmFGFRA protein expression in <italic>SmfgfrA</italic>-repressed adult worms</title>
<p>To determine whether the repression of <italic>SmfgfrA</italic> was reflected at the translational level, we performed western blot analysis using an anti-rSmFGFRA-L polyclonal antibody to probe SWAP extracted from CRISPRi- modulated adult worms. SEA generated from WT worms and NC-treated worms served as controls. A clearly decreased level of SmFGFRA protein expression was evident in SWAP extracted from i4-treated (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, Lane 3) and i5-treated (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, Lane 4) adult worms compared with that from WT adults (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, Lane 1) and NC-treated adults (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, Lane 2).</p>
</sec>
<sec id="s3_1_3">
<title>Increased caspase-3/-7 activity in <italic>SmfgfrA</italic>-repressed adult worms</title>
<p>Caspase-3 and caspase-7 are major executioner caspases that play critical roles in coordinating cell apoptosis, and thus determining their activities has been broadly used for monitoring apoptosis (<xref ref-type="bibr" rid="B71">71</xref>&#x2013;<xref ref-type="bibr" rid="B73">73</xref>). Therefore, we determined the effect of <italic>SmfgfrA</italic>-repression on apoptosis in extracts of CRISPRi- modulated parasites by measuring the activity of caspase-3/-7. Remarkably, caspase-3/-7 activity in i4-treated and i5-treated adult worms was enhanced by 43% (<italic>p</italic>=0.0003) and 60.9% (<italic>p</italic>&lt;0.0001), respectively (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>).</p>
<p>Since sgRNA i5 showed significantly higher efficiency than sgRNA i4 in adult <italic>S. mansoni</italic>, we selected sgRNA i5 for following studies.</p>
</sec>
<sec id="s3_1_4">
<title>Reduced adult worm egg production</title>
<p>To further investigate the effects of <italic>SmfgfrA</italic>-repression on egg production by adult females, the number of eggs laid <italic>in vitro</italic> by CRISPRi- modulated paired worms was determined. Notably, the egg production in i5-treated adult worms was dramatically depleted by 80.4% (<italic>p</italic>&lt;0.0001) compared with NC-treated worms (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>).</p>
</sec>
<sec id="s3_1_5">
<title>Decline in EdU incorporation in <italic>SmfgfrA</italic>-repressed adult worms</title>
<p>EdU is able to be incorporated into newly synthesized cellular DNA, and stains only proliferating stem cells in schistosomes (<xref ref-type="bibr" rid="B53">53</xref>). To assess the effect of <italic>SmfgfrA</italic>-repression on schistosome stem cells, we monitored EdU incorporation in CRISPRi-modulated parasites. Representative confocal images of EdU signaling in sections of adult males and females are shown in <xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2H&#x2013;S</bold>
</xref>. We found that ~7.17% and ~18% of cells in NC-treated male and NC-treated female worms, respectively, were EdU<sup>+</sup>, whereas the percentage of EdU<sup>+</sup> cell nuclei was markedly reduced to ~2.53% (decreased by 64.7%, <italic>p</italic>=0.0007) in i5-treated male worms, and to ~3.8% (reduced by 78.9%, <italic>p</italic>&lt;0.0001) in i5-treated female worms (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>).</p>
</sec>
</sec>
<sec id="s3_2">
<title>CRISPRi-mediated silencing of <italic>SmfgfrA</italic> in <italic>Schistosoma mansoni</italic> schistosomula</title>
<p>In CRISPRi-modulated schistosomula, we found <italic>SmfgfrA</italic>-specific transcripts were clearly repressed by 17.9% (<italic>p</italic>=0.0006) in i5-treated parasites, while no significant change in the <italic>SmfgfrA</italic> mRNA level was observed in i4-treated schistosomula (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). We then examined apoptosis in schistosomula following repression of <italic>SmfgfrA</italic> by measuring caspase-3/-7 activity. In i5-transfected schistosomula, the caspase-3/-7 activity was clearly increased by 21.7% (<italic>p</italic>=0.0057) but no significant difference was evident in i4-treated schistosomula, compared with the NC group (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Considering the clearly higher efficiency of sgRNA i5 than sgRNA i4 in schistosomula, we thus utilized sgRNA i5 for the following EdU staining analysis.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>CRISPRi-mediated <italic>SmfgfrA</italic> repression in <italic>S. mansoni</italic> schistosomula. <bold>(A)</bold> <italic>SmfgfrA</italic> transcription level in untreated WT schistosomula and schistosomula treated with NC, i4 or i5. <bold>(B)</bold> Effect of <italic>SmfgfrA-</italic>repression on caspase-3/-7 activity in i4-treated or i5-treated schistosomula. WT schistosomula and schistosomula treated with NC were used as controls. Experiments in panels <bold>(A, B)</bold> was performed in duplicate with data presented as the mean &#xb1; SE. <bold>(C)</bold> The percentage of EdU<sup>+</sup> cell nuclei in WT schistosomula and schistosomula treated with NC, i4 or i5. All data are demonstrated as the mean &#xb1; SE (WT: n=33; NC: n=42; i5: n=42). Confocal projections representing EdU (green) and PI (red) labeled <bold>(D)</bold> WT schistosomula, <bold>(E)</bold> NC-treated schistosomula and <bold>(F)</bold> i5-treated schistosomula. * p value&#x2264; 0.05, ** p value&#x2264; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g003.tif"/>
</fig>
<p>EdU labelling was undertaken to determine whether the silencing of <italic>SmfgfrA</italic> affected germinal cells in schistosomula. <xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D&#x2013;F</bold>
</xref> shows confocal images of EdU signal in sections of <italic>SmfgfrA-</italic>repressed schistosomula. We found the percentage of EdU<sup>+</sup> cells in i5-treated schistosomula (~2.3% EdU<sup>+</sup> cells) was considerably reduced by 45.6% (<italic>p</italic>=0.005) when compared with NC-treated schistosomula (~4.3% EdU<sup>+</sup> cells) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
</sec>
<sec id="s3_3">
<title>CRISPRi-induced repression of <italic>SmfgfrA</italic> in <italic>Schistosoma mansoni</italic> eggs</title>
<sec id="s3_3_1">
<title>Reduced <italic>SmfgfrA</italic>-specific transcripts</title>
<p>
<italic>SmfgfrA</italic> transcription levels in CRISPRi-repressed eggs treated with i4 and i5 were substantially reduced by 46.9% (<italic>p</italic>=0.0329) and 67.3% (<italic>p</italic>=0.0056), respectively (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Notably, a marked decrease (25.3%, <italic>p</italic>=0.0025) of <italic>SmfgfrA</italic>-specific transcripts was also detected in miracidia hatched from i5-treated eggs whereas no significant change was evident in miracidia collected from i4-treated eggs (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>CRISPRi of <italic>SmfgfrA</italic> in <italic>S. mansoni</italic> eggs. <bold>(A)</bold> <italic>SmfgfrA</italic> mRNA level in eggs treated with i4 or i5. WT eggs and NC treated eggs were used as controls. <bold>(B)</bold> Transcription level of <italic>SmfgfrA</italic> in miracidia hatched from WT eggs and eggs treated with NC, i4 or i5. <bold>(C)</bold> Effects of <italic>SmfgfrA</italic> repression on the hatching of <italic>S. mansoni</italic> eggs. The hatching efficiency (%) of WT eggs and eggs treated with NC, i4 or i5 was calculated by dividing the number of hatched eggs with the total number of eggs (hatched and unhatched) X 100. Experiments in panels <bold>(A&#x2013;C)</bold> was performed in triplicates with all data presented as the mean &#xb1; SE. <bold>(D)</bold> Western blot showing expression level of SmFGFRA protein in SEA of WT eggs (Lane 1) and eggs treated with NC (Lane 2), i4 (Lane 3) or i5 (Lane 4). An anti-actin antibody was utilized as control to ensure equal loading. The electrophoresed SEAs were transferred for the western blot analysis to two PVDF membranes which were probed simultaneously with the anti-rSmFGFRA-L antibody (left blot) and the anti-actin antibody (right blot). <bold>(E)</bold> Caspase-3/-7 activity in soluble egg antigen (SEA) of WT eggs and eggs treated with NC, i4 or i5. This assay was conducted in duplicate with all data presented as the mean &#xb1; SE. * p value&#x2264; 0.05, ** p value&#x2264; 0.01, *** p value &#x2264; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g004.tif"/>
</fig>
</sec>
<sec id="s3_3_2">
<title>Decreased hatching efficiency of <italic>SmfgfrA</italic>-repressed eggs</title>
<p>To determine whether <italic>SmfgfrA</italic> suppression had an effect on the hatching ability of modulated eggs, we assessed the hatching ability of WT eggs and eggs treated with NC, i4 or i5. Markedly reduced egg hatching efficiency was evident in i4-treated eggs (20.2%, <italic>p</italic>=0.0156) and i5-treated eggs (23.5%, <italic>p</italic>=0.0069) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), compared with eggs treated with NC.</p>
</sec>
<sec id="s3_3_3">
<title>Decreased SmFGFRA expression and increased apoptosis in modulated eggs</title>
<p>To determine the extent of gene regulation at the protein level, we extracted SEA from <italic>SmfgfrA</italic>-repressed eggs and performed western blotting and caspase-3/-7 activity assays. Consistent with the observations with adult worms, SmFGFRA expression in i4-treated (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>, Lane 3) and i5-treated (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>, Lane 4) eggs was clearly reduced, in comparison with that of NC-treated eggs (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>, Lane 2). Furthermore, caspase-3/-7 activity in i4-treated and i5-treated eggs was elevated by 11% (<italic>p</italic>=0.0097) and 24% (<italic>p</italic>=0.0002) compared to NC-treated eggs, respectively (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>).</p>
<p>In consistent with the results in adult worms and schistosomula, sgRNA i5 induced clearly higher repression efficacy than sgRNA i4 in eggs, we selected sgRNA i5 for the following CRISPRi studies in eggs.</p>
</sec>
<sec id="s3_3_4">
<title>Modified behavior of miracidia hatched from <italic>SmfgfrA-</italic>repressed eggs</title>
<p>Behavioral changes of miracidia hatched from <italic>SmfgfrA</italic>-repressed eggs were investigated by analyzing recordings of miracidial movement tracks. Heatmaps were created to illustrate the behavior of individual miracidia within a 1 minute recording. The heatmaps of control miracidia (WT miracidia and miracidia hatched from NC-treated eggs) depicted linear soft blue lines, indicating these miracidia had less circular and faster movement (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, B</bold>
</xref>). In contrast, there were more circular lines and more abundant red and yellow regions in heatmaps of miracidia hatched from the i5-treated eggs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>), suggesting more turning and circling behavior and relatively slower swimming of these miracidia. Data analysis showed the average swimming velocity of miracidia hatched from i5-treated eggs was markedly decreased by 11.7% (<italic>p</italic>=0.0001) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>). Notably, the average duration time and the movement tortuosity of miracidia hatched from i5-treated eggs were enhanced by 18.5% (<italic>p</italic>=0.0031) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>) and 18.9% (<italic>p</italic>=0.003) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>), respectively.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Behavioral changes in <italic>S. mansoni</italic> miracidia hatched from <italic>SmfgfrA</italic>-suppressed eggs. The behavior of miracidia hatched from WT eggs and eggs treated with NC or i5 was monitored. Heatmaps <bold>(A&#x2013;C)</bold> represent the movement patterns of individual miracidia within a 1 min recording. Colors in the heatmaps show the time miracidia spent at a specific position. Black: absence; Blue: shorter time presence; Yellow and Red: longer time presence. Boxplots showing <bold>(D)</bold> velocity <bold>(E)</bold> duration, and <bold>(F)</bold> tortuosity of miracidial movement. Experiments were performed in biological duplicates and five technical repeats (n=10). ** p value&#x2264; 0.01, *** p value &#x2264; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g005.tif"/>
</fig>
</sec>
<sec id="s3_3_5">
<title>Depleted granulomatous inflammation in lungs of mice injected with <italic>SmfgfrA-</italic>repressed eggs</title>
<p>To determine whether the repression of <italic>SmfgfrA</italic> in eggs could affect the formation of egg-induced granulomas <italic>in vivo</italic>, i5-treated eggs and controls (PBS, WT eggs and NC-treated eggs) were i.v. injected into the lateral vein of the tail of Swiss mice. In mice, schistosome eggs are transported to the lungs <italic>via</italic> the circulation leading to the development of lung granuloma (<xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B74">74</xref>). Mice were euthanized two weeks post-injection and the left lung of each mouse was harvested for histological analysis. Representative digital microscopic images of mouse lung sections are shown in <xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A&#x2013;D</bold>
</xref> and indicate that more intense and severe granulomatous inflammation was evident in lungs of mice injected with WT eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>) and NC-treated eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>) compared with those of mice injected with i5-treated eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). Calculations of the granuloma ratio from individual lung tissue clearly showed that the sizes of lung granuloma in mice injected with i5-treated eggs were reduced by 60.8% (<italic>p</italic>=0.0003), compared with those in mice injected with NC-treated eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>). Substantially smaller sized granulomas (<italic>p</italic>&lt;0.0001) were also observed in mice injected with NC-treated eggs compared with those present in mice receiving WT eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>), indicating that the electroporation of NC may have subsequently affected the granuloma formation occurred around eggs as previously reported (<xref ref-type="bibr" rid="B60">60</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Reduced granulomatous inflammation and serum IgE levels in mice infected with <italic>SmfgfrA</italic>-repressed schistosome eggs. Representative digital microscopic images showed <bold>(A)</bold> lung from mouse injected with PBS and granulomas in lungs from mice injected with <bold>(B)</bold> WT eggs, <bold>(C)</bold> NC-treated or <bold>(D)</bold> i5-treated eggs. All sections were H&amp;E stained. Scale bars in <bold>(A&#x2013;D)</bold> = 50 &#xb5;m. <bold>(E)</bold> Effect of <italic>SmfgfrA</italic>-repressed eggs on granuloma formation in the lungs of mice injected with i5-treated eggs. Mice in control groups were infected with untreated WT eggs or NC-treated eggs. Granuloma ratio in each lung section was calculated by dividing the total granuloma size with the lung size X100. Each group included 5 mice and 10 sections per lung were measured (n=50). All data are shown as the mean &#xb1; SE. <bold>(F)</bold> Total serum IgE level in mice 2 weeks after i.v. injection of i5-treated eggs. Mice injected with PBS, WT eggs or NC-treated eggs served as controls. * p value&#x2264; 0.05, *** p value &#x2264; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1105719-g006.tif"/>
</fig>
</sec>
<sec id="s3_3_6">
<title>Reduced serum IgE level in mice exposed to <italic>SmfgfrA</italic>-repressed eggs</title>
<p>It is well recognized that during schistosome infection, the host immune response is highly Th2-polarized following egg laying (<xref ref-type="bibr" rid="B75">75</xref>). As a marker of the Th2-polarized response during infection, IgE is associated with the protective response against schistosomes by mediating macrophage toxicity (<xref ref-type="bibr" rid="B76">76</xref>). To determine whether <italic>SmfgfrA</italic> repression of eggs has any effect on the IgE response in infected mice, the levels of IgE were determined in sera collected from mice injected with PBS, WT eggs, NC-treated eggs and i5-treated eggs. Notably, the concentration of serum IgE in mice injected with i5-treated eggs was markedly reduced by 49.8% (<italic>p</italic>=0.00378) compared with that of mice injected with NC-treated eggs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>).</p>
</sec>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Since the award of the Nobel Prize in Chemistry (2020) for the discovery of the revolutionary CRISPR/Cas9 gene editing tool, advances in CRISPR technology have accelerated and the approach provides a powerful new avenue to undertake functional genomics studies. Recently, CRISPR/Cas9 has been repurposed for targeted gene regulation, providing a platform for RNA-guided transcription repression called CRISPR interference (CRISPRi). Using <italic>S. mansoni</italic> as a model, we show, for the first time, the feasibility and efficiency of applying CRISPRi to selectively tune genes in a parasitic worm. Efficient CRISPRi-mediated repression of <italic>SmfgfrA</italic> (encoding the stem cell marker SmFGFRA) was evidenced by the marked downregulation of <italic>SmfgfrA</italic> transcription and a decrease in the expression of SmFGFRA. These features were accompanied by distinct <italic>in vitro</italic> and <italic>in vivo</italic> phenotypic changes including a reduction in the number of stem cells and an elevated level of cell apoptosis in modulated parasites, and the decreased capacity of modulated eggs to induce granulomatous inflammation in infected mice together with a decline in serum IgE levels. This study points the way forward to undertake loss-of-function studies in schistosomes and other parasitic helminths.</p>
<p>To adapt CRISPRi for application in <italic>S. mansoni</italic>, we started with the screening of 8 sgRNAs (i1-i8) targeting -21 bp to +329 bp relative to the TSS of <italic>SmfgfrA</italic>, through identifying the efficiency of phenotypic changes induced by CRISPRi-<italic>SmfgfrA</italic> modulation in adult <italic>S. mansoni</italic>. Selection of the sgRNA targeting window for <italic>SmfgfrA</italic> was based on a previous study showing that the most effective sgRNAs for CRISPRi in mammalian cells target a region -50 bp to +300 bp relative to the TSS (<xref ref-type="bibr" rid="B77">77</xref>). Consistent with studies in mammalian cells and <italic>E. coli</italic> (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B78">78</xref>), we found that inhibition of both elongation and initiation of the <italic>SmfgfrA</italic> target gene <italic>via</italic> CRISPRi were achievable in schistosomes. Notably, the highest efficacy of repression (56.5%) was obtained when CRISPRi was performed by simultaneous recruiting sgRNA i5 and the sgRNA i8. This may indicate a relatively higher gene regulation efficiency occur when inhibiting the target gene elongation and initiation simultaneously in schistosomes, a feature which is worthy of further exploration. Considering the similar gene regulation efficiency of CRISPRi between using single sgRNA i5 and multiplexed sgRNAs i5+i8 in silencing <italic>SmfgfrA</italic>, we selected sgRNA i5 in subsequent phenotypic change studies.</p>
<p>The most reduced level of <italic>SmfgfrA</italic> transcription was observed in <italic>SmfgfrA-</italic>repressed eggs (67.3%), followed by adult worms (51.6%), and the lowest efficiency occurred in schistosomula (18.1%). A possible reason is that <italic>SmfgfrA</italic> is more highly expressed in eggs than in adult worms and schistosomula (<xref ref-type="bibr" rid="B56">56</xref>), resulting in the chromatin in eggs being more open (euchromatin) and providing greater access to dCas9 binding and functioning (<xref ref-type="bibr" rid="B79">79</xref>). Also, the morphology of eggs is relatively simple with a high stem-like cell content (<xref ref-type="bibr" rid="B80">80</xref>), compared with other developmental stages, which may indicate increased potential for manipulating the stem cells and stem cell marker genes (eg. <italic>SmfgfrA</italic>) in schistosomes. Furthermore, we found the CRISPRi-induced gene repression efficiency in adult worms is much higher than that observed in schistosomula, although adult worms and schistosomula present similar level of <italic>SmfgfrA</italic> transcripts (<xref ref-type="bibr" rid="B56">56</xref>). This might be explained by the more abundant distribution of this molecule in the tegument of adult worms than that in schistosomula (<xref ref-type="bibr" rid="B56">56</xref>), which may result in a relatively higher efficacy of <italic>SmfgfrA</italic>-repression in adult worms as genes with more tegumental location may provide more proximity to the external environment containing CRISPR components. In addition, the relatively larger surface area/volume ratio in adult worms than schistosomula (<xref ref-type="bibr" rid="B81">81</xref>) may also lead to a higher efficacy of delivering CRISPR components into adult flukes by electroporation.</p>
<p>It is noteworthy that the downregulated transcription of <italic>SmfgfrA</italic> was also detectable in miracidia hatched from <italic>SmfgfrA</italic>-repressed eggs, although the silencing effect declined in these hatched miracidia compared with that observed in modulated eggs. This might be because the eggs (obtained from the livers of mice infected with <italic>S. mansoni</italic>) used for CRISPRi are a mix of immature and mature eggs. The different morphology of these eggs (<xref ref-type="bibr" rid="B80">80</xref>, <xref ref-type="bibr" rid="B82">82</xref>) may lead to different level of gene suppression efficiency (<xref ref-type="bibr" rid="B83">83</xref>). Therefore, it is possible that eggs with relatively higher gene silencing efficiency were not able to hatch, which was also evidenced by the decreased hatching efficiency of <italic>SmfgfrA</italic>-repressed eggs, resulting in the silencing effect being reduced in the hatched miracidia. The repression of <italic>SmfgfrA</italic> in miracidia hatched from <italic>SmfgfrA</italic>-modulated eggs was further confirmed by their significantly modified movement behavior in water, represented by enhanced turning and circling movement. This re-emphasizes the importance of <italic>SmfgfrA</italic> in the neuronal functioning and development of schistosomes, a characteristic explored in our previous study showing that SmFGFRA was abundant in the neural mass of mature eggs and miracidia (<xref ref-type="bibr" rid="B56">56</xref>). Together, these outcomes may indicate a long-term effect of CRISPRi-mediated gene repression in schistosomes, as described for <italic>Toxoplasma gondii</italic> (<xref ref-type="bibr" rid="B44">44</xref>).</p>
<p>Given the vital role of <italic>SmfgfrA</italic> in maintaining stem cells (<xref ref-type="bibr" rid="B49">49</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B53">53</xref>, <xref ref-type="bibr" rid="B56">56</xref>, <xref ref-type="bibr" rid="B84">84</xref>), we examined EdU incorporation in CRISPRi-<italic>SmfgfrA-</italic>modulated adult worms and schistosomula. Consistent with the decrease in <italic>SmfgfrA</italic> transcription levels in these two parasite stages, markedly reduced numbers of EdU<sup>+</sup> stem cells were identified in both <italic>SmfgfrA</italic>-repressed adult worms and schistosomula, again highlighting the critical roles of <italic>SmfgfrA</italic> in maintaining schistosome stem cells. We also noted that suppression of <italic>SmfgfrA</italic> led to a greater reduction of EdU signal in female worms compared to male worms despite having similar levels of <italic>SmfgfrA</italic>-repressed transcripts. This implies that silencing of <italic>SmfgfrA</italic> may restrain the pairing of male and female worms as described previously (<xref ref-type="bibr" rid="B54">54</xref>), or negatively affect the development of the female reproductive system, leading to the pronounced reduction in the number of stem cells present in repressed females. Notably, a remarkably decreased egg production was observed in <italic>SmfgfrA</italic>-repressed worms, indicating the critical role of <italic>SmfgfrA</italic> in reproduction system of this parasite. This was also evidenced by the abundant expression of <italic>SmfgfrA</italic> in vitelline cells (<xref ref-type="bibr" rid="B56">56</xref>) which occupy the majority of the female worm and without them, the eggs will not form (<xref ref-type="bibr" rid="B1">1</xref>). Furthermore, the enhanced caspase-3/-7 activity, indicative of increased cell apoptosis, observed in <italic>SmfgfrA</italic>-repressed adult worms, schistosomula and eggs suggests that silencing of <italic>SmfgfrA</italic> may trigger apoptosis in the stem cells of schistosomes. This may be because schistosomes possess mechanisms to eliminate abnormal stem cells <italic>via</italic> apoptosis, as has been observed in mammalian stem cells (<xref ref-type="bibr" rid="B85">85</xref>, <xref ref-type="bibr" rid="B86">86</xref>).</p>
<p>The potentially life-threatening pathology of schistosomiasis is evoked by schistosome eggs that are lodged in mammalian host tissue which induce granulomatous inflammation around the transiting eggs (<xref ref-type="bibr" rid="B87">87</xref>). During a mature schistosome infection when eggs are produced, the immune response of the host is polarized to a Th2-type immunity. Together with this enhancement of the Th2 response, serum IgE levels and the number of circulating eosinophils are also considerably elevated (<xref ref-type="bibr" rid="B76">76</xref>, <xref ref-type="bibr" rid="B88">88</xref>). To determine whether CRISPRi-mediated suppression of <italic>SmfgfrA</italic> affected the formation of granulomas around the genetically modified eggs <italic>in vivo</italic>, we injected <italic>SmfgfrA</italic>-repressed eggs and control eggs into tail veins of mice. We found remarkably decreased sizes of pulmonary circumoval granulomas around <italic>SmfgfrA</italic>-repressed eggs in the lungs of the mice, a feature characteristic of fewer host immune cells (eosinophils, macrophages and neutrophils) accumulating around the modulated eggs (<xref ref-type="bibr" rid="B1">1</xref>). In addition, a considerably reduced level of serum IgE (a Th2 response marker (<xref ref-type="bibr" rid="B76">76</xref>, <xref ref-type="bibr" rid="B88">88</xref>)) was observed in mice injected with <italic>SmfgfrA</italic>-repressed eggs compared with those given non-edited eggs. Collectively, these outcomes emphasize the critical role played by SmFGFRA in the formation of schistosome egg-induced lung granulomatous inflammation. This concept is also supported by the abundant distribution of SmFGFRA in the von Lichtenberg&#x2019;s layer of <italic>S. mansoni</italic> eggs (<xref ref-type="bibr" rid="B56">56</xref>), a layer heavily involved in the release of immunogenic secretions through eggshell pores into the host circulatory system which regulate the host immune response and subsequent granuloma formation (<xref ref-type="bibr" rid="B89">89</xref>, <xref ref-type="bibr" rid="B90">90</xref>).</p>
<p>These outcomes indicate the feasibility of applying CRISPRi for targeted transcriptional regulation in schistosomes, but challenges remain and further additional improvement and optimization of the approach will need to be considered before this revolutionary technique can be applied on a larger scale in parasitic helminths. Strategies developed for other organisms, including utilizing different dCas9 orthologues such as CRISPR1 dCas9 derived from <italic>Streptococcus thermophilus</italic> (<italic>Sth.</italic> dCas9), may improve gene regulation efficiency, a strategy that has already been undertaken in bacteria (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>). Another tactic could be the employment of an alternative transcription repressor (eg. KRAB-MeCP2), which has been shown to improve gene suppression outcomes in mammalian cells (<xref ref-type="bibr" rid="B91">91</xref>), may also improve CRISPRi performance in schistosomes.</p>
<p>In conclusion, these findings provide a blueprint for selectively regulating gene expression by employing CRISPRi in schistosomes, with the potential of the approach to be extended to the study of other parasitic helminths. With its adaptability and scalability to target diverse gene loci and with appropriate refinements and modifications of the methodology to ensure appropriate levels of gene regulation efficacy, CRISPRi can provide the basis to markedly accelerate the functional characterization of not only the genomes of schistosomes, but also a range of other parasitic helminths as well.</p>
</sec>
<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/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>Conceived and designed the experiments: HY, XD, DM, JF and HS performed the experiments: XD, NC, and SM analyzed the data: XD, HY, DM, CF, and MJ contributed reagents/materials/analysis tools: XD and HY wrote the paper: XD, HY, DM, JF and MJ. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>DM is a National Health and Medical Research Council (NHMRC) of Australia Leadership Fellow and receives Program (APP1132975), Project (APP1098244) and Investigator Grant (APP1194462) support from the NHMRC for his research on schistosomes and schistosomiasis. XD holds a Research Training Program (RTP) Scholarship and Graduate School Scholarship from the University of Queensland, Australia. HY holds QIMR Berghofer Medical Research Institute Seed Funding Grants.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank Mary Duke from QIMR Berghofer Medical Research Institute for the maintaining of the <italic>S. mansoni</italic> life cycle and the provision of parasite materials for this study. <italic>B. glabrata</italic> snails were provided by the NIAID Schistosomiasis Resource Center of the Biomedical Research Institute (Rockville, MD) through NIH-NIAID Contract HHSN272201700014I for distribution through BEI Resources.</p>
</ack>
<sec id="s8" 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="s9" 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>
<sec id="s10" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2022.1105719/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2022.1105719/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table_1.xlsx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
</sec>
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