Targeted nucleases are powerful tools for mediating genome alteration with high precision. The RNA-guided Cas9 nuclease from the microbial clustered regularly interspaced short palindromic repeats (CRISPR) adaptive immune system can be used to facilitate efficient genome engineering in eukaryotic cells by simply specifying a 20-nt targeting sequence within its guide RNA. Here we describe a set of tools for Cas9-mediated genome editing via nonhomologous end joining (NHEJ) or homology-directed repair (HDR) in mammalian cells, as well as generation of modified cell lines for downstream functional studies. to minimize off-target cleavage, we further describe a double-nicking strategy using the Cas9 nickase mutant with paired guide RNAs. This protocol provides experimentally derived guidelines for the selection of target sites, evaluation of cleavage efficiency and analysis of off-target activity. Beginning with target design, gene modifications can be achieved within as little as 1–2 weeks, and modified clonal cell lines can be derived within 2–3 weeks.
The ability to engineer biological systems and organisms holds enormous potential for applications across basic science, medicine and biotechnology. Programmable sequence-specific endonucleases that facilitate precise editing of endogenous genomic loci are now enabling systematic interrogation of genetic elements and causal genetic variations
Similarly to ZFNs and TALENs, Cas9 promotes genome editing by stimulating a DSB at a target genomic locus
HDR is an alternative major DNA repair pathway. Although HDR typically occurs at lower and substantially more variable frequencies than NHEJ, it can be leveraged to generate precise, defined modifications at a target locus in the presence of an exogenously introduced repair template. The repair template can either be in the form of conventional double-stranded DNA targeting constructs with homology arms flanking the insertion sequence, or single-stranded DNA oligonucleotides (ssODNs). The latter provides an effective and simple method for making small edits in the genome, such as the introduction of single-nucleotide mutations for probing causal genetic variations
CRISPR-Cas is a microbial adaptive immune system that uses RNA-guided nucleases to cleave foreign genetic elements
The Type II CRISPR system is one of the best characterized
The RNA-guided nuclease function of CRISPR-Cas is reconstituted in mammalian cells through the heterologous expression of human codon–optimized Cas9 and the requisite RNA components
Given its ease of implementation and multiplexing capacity, Cas9 has been used to generate engineered eukaryotic cells carrying specific mutations via both NHEJ and HDR
Cas9 nucleases carry out strand-specific cleavage by using the conserved HNH and RuvC nuclease domains, which can be mutated and exploited for additional function
Here we explain in detail how to use a human codon–optimized, nuclear localization sequence-flanked wild-type (WT) Cas9 nuclease or mutant Cas9 nickase to facilitate eukaryotic gene editing. We describe considerations for designing the 20-nt guide sequence, protocols for rapid construction and functional validation of sgRNAs and finally the use of the Cas9 nuclease to mediate both NHEJ- and HDR-based genome modifications in human embryonic kidney (HEK 293FT) and human stem cell (HUES9) lines (
As with other designer nuclease technologies such as ZFNs and TALENs, Cas9 can facilitate targeted DNA DSBs at specific loci of interest in the mammalian genome and stimulate genome editing via NHEJ or HDR. Cas9 offers several potential advantages over ZFNs and TALENs, including the ease of customization, higher targeting efficiency and the ability to facilitate multiplex genome editing. As custom ZFNs are often difficult to engineer, we will primarily compare Cas9 with TALEN.
Cas9 can be easily retargeted to new DNA sequences by simply purchasing a pair of oligos encoding the 20-nt guide sequence. In contrast, retargeting of TALEN for a new DNA sequence requires the construction of two new TALEN genes. Although a variety of protocols exist for TALEN construction
WT
SpCas9 and TALENs have both been shown to facilitate efficient genome editing in a variety of cell types and organisms. However, owing to the ease of targeting, Cas9 can be used to target multiple genomic loci simultaneously, by co-delivering a combination of sgRNAs to the cells of interest.
Cas9 can be targeted to specific genomic loci via a 20-nt guide sequence on the sgRNA. The only requirement for the selection of Cas9 target sites is the presence of a PAM sequence directly 3′ of the 20-bp target sequence. Each Cas9 ortholog has a unique PAM sequence; for example, SpCas9 requires a 5′-NGG PAM sequence. This PAM requirement does not severely limit the targeting range of SpCas9—in the human genome, such target sites can be found on average every 8–12 bp (refs.
The specificity of the Cas9 nuclease is determined by the 20-nt guide sequence within the sgRNA. For the
Thus, there are two main considerations in the selection of the 20-nt guide sequence for gene targeting: (i) the 5′-NGG PAM for
The CRISPR Design Tool provides the sequences for all oligos and primers necessary for (i) preparing the sgRNA constructs, (ii) assaying target modification efficiency and (iii) assessing cleavage at potential off-target sites. It is worth noting that because the U6 RNA polymerase III promoter used to express the sgRNA prefers a guanine (G) nucleotide as the first base of its transcript
Depending on the desired application, sgRNAs can be delivered as either PCR amplicons containing an expression cassette (
Construction of an expression plasmid for sgRNA is also simple and rapid, involving a single cloning step with a pair of partially complementary oligonucleotides. The oligo pairs encoding the 20-nt guide sequences are annealed and ligated into a plasmid (pSpCas9(BB),
In addition to PCR and plasmid-based delivery methods, Cas9 and sgRNAs can be introduced into cells as mRNA and RNA, respectively.
Traditionally, targeted DNA modifications have required the use of plasmid-based donor repair templates that contain homology arms flanking the site of alteration
More recently, ssODNs have been used in place of targeting plasmids for short modifications within a defined locus without cloning
Isolation of clonal cell lines with specific modifications is often desired. This can be achieved after transfection by isolating single cells through either FACS (Steps 54–65) or serial dilutions (Steps 66–70), followed by an expansion period to establish a new clonal cell line. It is worth noting that cell types can vary substantially in their responses to single-cell isolation, and literature specific to the cell type of interest should be consulted.
In cells co-transfected with a pair of sgRNAs to mediate a genomic (micro)deletion or inversion, indel mutations can be detected either by the SURVEYOR nuclease assay
HDR can be detected via PCR amplification, followed by either sequencing of the modified region or restriction-fragment length polymorphism (RFLP) analysis. PCR primers for these purposes should anneal outside the region spanned by the homology arms to avoid false detection of residual repair template (primers HDR-Fwd and HDR-Rev;
Targeted genome modifications can also be detected by either Sanger or deep sequencing. For the former, genomic DNA from the modified region can be amplified with either SURVEYOR or HDR primers. Amplicons should be subcloned into a plasmid such as pUC19 for transformation, and individual colonies should be sequenced to reveal the clonal genotype.
Alternatively, deep sequencing is suitable for sampling a large number of samples or target sites. NGS primers are designed for shorter amplicons, typically in the 100–200-bp size range. For the detection of NHEJ mutations, it is important to design primers situated at least 50 bp from the Cas9 target site to allow for the detection of longer indels. For larger deletions mediated by multiple sgRNAs, priming sites should be designed outside the deleted region. We provide guidelines for a two-step PCR fusion method to attach bar-coded sequencing adaptors for multiplex deep sequencing. We recommend the Illumina platform for its generally low levels of false positive indel detection. By comparison, Ion Torrent is less suitable for indel analysis owing to high sequencing error rate with homo-polymers
Plasmids: pSpCas9 (Addgene plasmid ID: 48137), pSpCas9(BB) (formerly pX330; Addgene plasmid ID: 42230), pSpCas9(BB)-2A-GFP (Addgene plasmid ID: 48138), pSpCas9(BB)-2A-Puro (Addgene plasmid ID: 48139), pSpCas9n(BB) (Addgene plasmid ID: 48873), pSpCas9n(BB)-2A-GFP (Addgene plasmid ID: 48140), pSpCas9n(BB)-2A-Puro (Addgene plasmid ID: 48141). Annotated GenBank files for the plasmids are available through Addgene and
pUC19 (Invitrogen, cat. no. 15364-011) or any preferred cloning plasmid
PCR primers or oligos for sgRNA construction are listed in
UltraPure DNase/RNase-free distilled water (Life Technologies, cat. no. 10977-023)
Herculase II fusion polymerase with 5× reaction buffer (Agilent Technologies, cat. no. 600679) ▲
Taq DNA polymerase with standard Taq buffer (NEB, cat. no. M0273S)
dNTP solution mix, 25 mM each (Enzymatics, cat. no. N205L)
MgCl2, 25 mM (Thermo Scientific, cat. no. R0971)
QIAquick gel extraction kit (Qiagen, cat. no. 28704)
QIAprep spin miniprep kit (Qiagen, cat. no. 27106)
UltraPure TBE buffer, 10× (Life Technologies, cat. no. 15581-028)
SeaKem LE agarose (Lonza, cat. no. 50004)
SYBR Safe DNA stain, 10,000× (Life Technologies, cat. no. S33102)
1-kb Plus DNA ladder (Life Technologies, cat. no. 10787-018)
TrackIt CyanOrange loading buffer (Life Technologies, cat. no. 10482-028)
FastDigest BbsI (BpiI) (Fermentas/Thermo Scientific, cat. no. FD1014)
Fermentas Tango buffer (Fermentas/Thermo Scientific, cat. no. BY5)
DTT (Fermentas/Thermo Scientific, cat. no. R0862)
T7 DNA ligase with 2× rapid ligation buffer (Enzymatics, cat. no. L602L). Alternative ligases, such as T4 DNA ligase, can also be used. If you are using other ligases, substitute with the compatible buffer
T4 polynucleotide kinase (New England BioLabs, cat. no. M0201S)
T4 DNA ligase reaction buffer, 10× (New England BioLabs, cat. no. B0202S)
Adenosine 5′-triphosphate, 10 mM (New England BioLabs, cat. no. P0756S)
PlasmidSafe ATP-dependent DNase (Epicentre, cat. no. E3101K)
One Shot Stbl3 chemically competent
SOC medium (New England BioLabs, cat. no. B9020S)
LB medium (Sigma, cat. no. L3022)
LB agar medium (Sigma, cat. no. L2897)
Ampicillin, 100 mg ml–1, sterile filtered (Sigma, cat. no. A5354)
HEK 293FT cells (Life Technologies, cat. no. R700-07)
HUES 9 cell line (Harvard Stem Cell Science)
DMEM, high glucose (Life Technologies, cat. no. 10313-039)
DMEM, high glucose, no phenol red (Life Technologies, cat. no. 31053-028)
Dulbecco's PBS (DPBS; Life Technologies, cat. no. 14190-250)
FBS, qualified and heat inactivated (Life Technologies, cat. no. 10438-034)
Opti-MEM I reduced-serum medium (Life Technologies, cat. no. 11058-021)
Penicillin-streptomycin, 100× (Life Technologies, cat. no. 15140-163)
Puromycin dihydrochloride (Life Technologies, cat. no. A11138-03)
TrypLE Express, no phenol red (Life Technologies, cat. no. 12604-013)
Lipofectamine 2000 transfection reagent (Life Technologies, cat. no. 11668027)
Amaxa SF cell line 4D-Nucleofector X kit S, 32 RCT (Lonza, cat. no. V4XC-2032)
Geltrex LDEV-free reduced growth factor basement membrane matrix (Life Technologies, cat. no. A1413201)
mTeSR1 medium (Stemcell Technologies, cat. no. 05850)
Normocin (InvivoGen, cat. no. ant-nr-1)
Accutase cell detachment solution (Stemcell Technologies, cat. no. 07920)
Rho-associated protein kinase (ROCK) inhibitor (Y-27632; Millipore, cat. no. SCM075)
Amaxa P3 primary cell 4D-Nucleofector X kit S, 32 RCT (Lonza, cat. no. V4XP-3032)
PCR primers for SURVEYOR, RFLP analysis or sequencing; see
QuickExtract DNA extraction solution (Epicentre, cat. no. QE09050)
SURVEYOR mutation detection kit for standard gel electrophoresis (Transgenomic, cat. no. 706025)
TBE Gels, 4–20%, 1.0 mm, 15 well (Life Technologies, cat. no. C62255BOX)
Novex Hi-Density TBE sample buffer, 5× (Life Technologies, cat. no. LC6678)
SYBR Gold nucleic acid gel stain, 10,000× (Life Technologies, cat. no. S-11494)
FastDigest HindIII (Fermentas/Thermo Scientific, cat. no. FD0504)
FastDigest buffer, 10× (Fermentas/Thermo Scientific, supplied with FastDigest HindIII)
FastAP Antarctic phosphatase (Fermentas/Thermo Scientific, cat. no. EF0654)
Nextera XT index kit (Illumina, cat. no. FC-131-1001)
Filtered sterile pipette tips (Corning)
Standard microcentrifuge tubes, 1.5 ml (Eppendorf, cat. no. 0030 125.150)
Axygen PCR plates, 96 well (VWR, cat. no. PCR-96M2-HSC)
Axygen 8-Strip PCR tubes (Fischer Scientific, cat. no. 14-222-250)
Falcon tubes, polypropylene, 15 ml (BD Falcon, cat. no. 352097)
Falcon tubes, polypropylene, 50 ml (BD Falcon, cat. no. 352070)
Round-bottom tube with cell strainer cap, 5 ml (BD Falcon, cat. no. 352235)
Petri dishes, 60 mm × 15 mm (BD Biosciences, cat. no. 351007)
Tissue culture plate, 24 wells (BD Falcon, cat. no. 353047)
Tissue culture plate, 96 wells flat bottom (BD Falcon, cat. no. 353075)
Tissue culture dish, 100 mm (BD Falcon, cat. no. 353003)
Nunc EasYFlask 225 cm2 (T225 flask), filter cap, 70-ml working volume (Thermo Scientific, cat. no. 159934)
Nunc EasYFlask 75 cm2 (T75 flask), filter cap, 25-ml working volume (Thermo Scientific, cat. no. 156499)
INCYTO C-Chip disposable hemocytometer (VWR, cat. no. 82030-468)
Steriflip-GP Filter Unit, 0.22 μM (Millipore, cat. no. SCGP00525)
Thermocycler with programmable temperature stepping functionality, 96 well (Applied Biosystems Veriti, cat. no. 4375786)
Desktop microcentrifuges (e.g., Eppendorf, cat. nos. 5424 and 5804)
Gel electrophoresis system (PowerPac basic power supply, Bio-Rad, cat. no. 164-5050), and Sub-Cell GT System gel tray (Bio-Rad, cat. no. 170-4401)
Novex XCell SureLock mini-cell (Life Technologies, cat. no. EI0001)
Digital gel imaging system (GelDoc EZ, Bio-Rad, cat. no. 170-8270), and blue sample tray (Bio-Rad, cat. no. 170-8273)
Blue-light transilluminator and orange filter goggles (SafeImager 2.0; Invitrogen, cat. no. G6600)
Gel quantification software (Bio-Rad, ImageLab or open-source ImageJ from the National Institutes of Health (NIH), USA, available at
UV spectrophotometer (NanoDrop 2000c, Thermo Scientific)
Dilute TBE buffer in distilled water to a 1× working solution, and store it at room temperature (18–22 °C) for up to 6 months.
Divide the solution into aliquots, and store them at –20 °C for up to 1 year; avoid repeated freeze-thaw cycles.
Prepare the solution in ddH2O, divide it into aliquots and store them at –70 °C for up to 2 years. Use a new aliquot for each reaction, as DTT is easily oxidized.
For culture of HEK 293FT cells, prepare D10 medium by supplementing DMEM with GlutaMAX and 10% (vol/vol) FBS. For routine cell line culture and maintenance, D10 medium can be further supplemented with 1× penicillin-streptomycin. Store the medium at 4 °C for up to 1 month.
For culture of human embryonic stem cells (hESCs), prepare mTeSR1 medium by supplementing it with the supplement solution supplied with the medium and 100 μg ml–1 Normocin. Prepared medium can be stored at 4 °C for up to 2 months.
Order necessary oligos and primers as specified by the online tool. If the cleavage site is chosen manually, the oligos or primers should be designed as described in
Resuspend and dilute ssODN ultramers to a final concentration of 10 μM. Do not combine or anneal the sense and antisense ssODNs. Store them at –20 °C.
To generate the sgRNA expression construct, use either the PCR expression cassette (option A) or the plasmid-based procedure (option B).
(A) Generation of the sgRNA expression construct by PCR amplification ● TIMING 2 h
Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 0.5 1 mM U6 PCR template (pSpCas9(BB)) 1 0.2 ng μl−1 U6-Fwd primer (universal) 1 0.2 μM U6-Rev primer (sgRNA specific) 1 0.2 μM Herculase II fusion polymerase 0.5 Distilled water 36 Total 50
▲ Perform a PCR by using the following cycling conditions: After the reaction is complete, run a sample of the product on a gel to verify successful amplification: cast a 2% (wt/vol) agarose gel in TBE buffer with SYBR Safe dye. Run 5 μl of the PCR product in the gel at 15 V cm–1 for 30 min. Successful reactions should yield a single 370-bp-long product, and the template should be invisible.Cycle number Denature Anneal Extend 1 95 °C, 2 m 2-31 95 °C, 20 s 60 °C, 20 s 72 °C, 20 s 32 72 °C, 3 min
Purify the PCR product by using the QIAquick PCR purification kit according to the manufacturer's directions. Elute the DNA in 35 μl of EB buffer (part of the kit) or water.
■
(B) Cloning sgRNA into the pSpCas9(BB) vector for co-expression with Cas9 ● TIMING 3 d
Phosphorylate and anneal the oligos in a thermocycler by using the following parameters: 37 °C for 30 min; 95 °C for 5 min; ramp down to 25 °C at 5 °C min–1. Dilute phosphorylated and annealed oligos 1:200 by adding 1 μl of oligo to 199 μl of room temperature ddH2O. Incubate the ligation reaction for a total of 1 h. Treat the ligation reaction with PlasmidSafe exonuclease to digest any residual linearized DNA. This step is optional but highly recommended. Incubate the PlasmidSafe reaction at 37 °C for 30 min, followed by 70 °C for 30 min.Component Amount (μl) sgRNA top (100 μM) 1 sgRNA bottom (100 μM) 1 T4 ligation buffer, 10× 1 T4 PNK 1 ddH2O 6 Total 10 Components Amount (μl) pSpCas9(BB), 100 ng × Diluted oligo duplex from Step 5B(iii) 2 Tango buffer, 10× 2 DTT, 10 mM 1 ATP, 10 mM 1 FastDigest 1 T7 ligase 0.5 ddH2O to 20 Total 20 Cycle number Condition 1-6 37 °C for 5 min, 21 °C for 5 min Component Amount (μl) Ligation reaction from Step 5B(v) 11 PlasmidSafe buffer, 10× 1.5 ATP, 10 mM 1.5 PlasmidSafe exonuclease 1 Total 15
■ Day 2: inspect the plates for colony growth. Typically, there are no colonies on the negative control plates (ligation of
From each plate, pick two or three colonies to check for the correct insertion of sgRNA. Use a sterile pipette tip to inoculate a single colony into a 3-ml culture of LB medium with 100 μg ml–1 ampicillin. Incubate the culture and shake it at 37 °C overnight. Day 3: isolate the plasmid DNA from cultures by using a QIAprep spin miniprep kit according to the manufacturer's instructions.
? TROUBLESHOOTING
▲ To passage, remove the medium and rinse the cells once by gently adding DPBS to the side of the vessel, so as not to dislodge the cells. Add 2 ml of TrypLE to a T75 flask, and incubate the mixture for 5 min at 37 °C. Add 10 ml of warm D10 medium to inactivate the trypsin, and transfer the cells to a 50-ml Falcon tube. Dissociate the cells by pipetting them up and down gently, and then reseed them into new flasks as necessary.
▲
▲ On the day of transfection, cells are optimal at 70–90% confluency. Cells can be transfected with Lipofectamine 2000 or the Amaxa SF cell line 4D-Nucleofector X kit according to the manufacturers’ instructions. Transfections should be performed as follows: for sgRNAs cloned into pSpCas9(BB), transfect 500 ng of sequence-verified CRISPR plasmid (pSpCas9(sgRNA)); if you are transfecting more than one plasmid (pSpCas9 (Cas9 only) 400 ng sgRNA amplicon from Step 5A (each) 20 ng pUC19 (carrier DNA) Fill up total DNA to 500 ng
▲ Add Lipofectamine complex to the cells gently, as HEK 293FT cells can detach easily from the plate, which will result in a lower transfection efficiency. Check cells after 24 h for transfection efficiency. The percentage of fluorescent cells in the transfection control (e.g., GFP) can be estimated by using a fluorescence microscope. Typically, more than 70% of cells are transfected.
Supplement the culture medium with an additional 500 μl of warm D10 medium.
▲ Incubate the cells for a total of 48–72 h after transfection before passaging them for downstream applications or harvesting for indel analysis.
Linearize 1–2 μg of targeting vector if possible by cutting once at a restriction site in the vector backbone near one of the homology arms or at the distal end of either homology arm.
Alternatively, if you are using ssODNs, simply resuspend them to a final concentration of 10 μM (see Step 4) and skip Steps 15 and 16.
Run a small amount of the linearized plasmid alongside uncut plasmid on a 0.8–1% (wt/vol) agarose gel to check for successful linearization. Linearized plasmids should run above the supercoiled plasmid. Purify the linearized plasmid with the QIAQuick PCR Purification kit, and elute in 35 μl of EB buffer. Use option A in the table below for preparing the co-transfection of the HDR targeting plasmid with the Cas9 plasmid or option B for the co-transfection of ssODN with the Cas9 plasmid. To prepare transfection controls, see Step 9. If an sgRNA is cloned into pSpCas9(BB)-2A-GFP, cells may also be sorted by fluorescence. If you are using Cas9 nickase to mediate HDR, substitute pSpCas9(sgRNA) with pSpCas9n(sgRNA) from Step 5B(v).
▲ (i) Pre-mix the following DNA in PCR tubes: Cas9 plasmid (pSpCas9(sgRNA)) 500 ng Linearized targeting plasmid 500 ng (i) Pre-mix the following DNA in PCR tubes: Cas9 plasmid (pSpCas9(sgRNA)) 500 ng ssODN template (10 μM) 1 μl
▲ Take a 10-μl aliquot from the cell suspension and dilute it into 90 μl of D10 medium for counting. Count the cells and calculate the number of cells and the volume of suspension needed for transfection. We typically transfect 2 × 105 cells per condition with the Amaxa SF cell line 4D-Nucleofector X kit S, and we recommend calculating for 20% more cells than required to adjust for volume loss in subsequent pipetting steps. Transfer the volume needed (20 μl per transfection plus waste volume) into a new Falcon tube. Spin down the cells from Step 21 at 200 Prepare the transfection solution by mixing the SF solution and S1 supplement supplied in the Amaxa SF cell line 4D-Nucleofector X kit S; a total of 20 μl of supplemented SF solution is used per transfection. Likewise, we recommend calculating for 20% more volume than required. Remove the medium completely from the pelleted cells from Step 22, and gently resuspend the cells in an appropriate volume (20 μl per 2 × 105 cells) of S1-supplemented SF solution. Do not leave the cells in SF solution for extended periods of time. Pipette 20 μl of resuspended cells into each DNA premix from Step 19. Pipette gently to mix and transfer to a Nucleocuvette strip chamber. Repeat this step for each transfection condition. Electroporate the cells by using the Nucleofector 4D program recommended by Amaxa, CM-130. Gently and slowly pipette 100 μl of warm D10 medium into each Nucleocuvette strip chamber, and transfer all the volume into a well with the prewarmed medium from Step 18.
▲ Incubate the mixture for 24 h. At this point, transfection efficiency can be estimated from the fraction of fluorescent cells in the positive transfection control. Nucleofection typically results in >70–80% transfection efficiency.
Slowly add 1 ml of warm D10 medium to each well without dislodging the cells. Puromycin selection can be applied at a concentration of 1–3 μg ml–1 for HEK 293FT cells (may vary depending on the cell line). Incubate the cells with puromycin for at least 72 h. Cells can then be cultured in regular medium for downstream experiments or harvested for genotyping.
▲ Prepare a 10-ml aliquot of mTeSR1 medium supplemented further with 10 μM ROCK inhibitor. Place the plate in an incubator for at least 30 min at 37 °C. Thaw a vial of cells at 37 °C, transfer the cells to a 15-ml Falcon tube, add 5 ml of mTeSR1 medium and pellet at 200 Aspirate the GelTrex coating (Step 32) and seed ~1 × 106 cells with 10 ml of mTeSR1 medium containing ROCK inhibitor from Step 31. Replace with mTeSR1 medium without ROCK inhibitor after 24 h and refeed daily. Aspirate the mTeSR1 medium and wash the cells once with DPBS. Dissociate the cells by adding 2 ml of Accutase and incubating them at 37 °C for 3–5 min. Add 10 ml of mTeSR1 medium to the detached cells, transfer the mixture to a 15-ml Falcon tube and resuspend gently. Replate the cells onto GelTrex-coated plates in mTeSR1 medium with 10 μM ROCK inhibitor. Replace with normal mTeSR1 medium 24 h after plating. Refeed log-phase growing cells (50–70% confluency) with fresh medium 2 h before transfection. Dissociate to single cells or small clusters of no more than ten cells (as viewed under the microscope) with Accutase and gentle resuspension. Count the number of cells needed for nucleofection (200,000 cells per transfection) and spin down at 200 Remove the medium completely and resuspend it in 20 μl of S1-supplemented P3 nucleofection solution, per 2 × 105 cells. Pipette the resuspended cells with added DNA (Steps 9 and 19) into electroporation cuvettes and electroporate according to the suggested program. For 2 × 105 cells, we typically use 1 μg of total DNA. Gently plate the electroporated cells onto coated 100-mm plates supplemented with 10 μM ROCK inhibitor. Check transfection success (Steps 11 and 28) and refeed the cells daily with regular mTeSR1 medium beginning 24 h after nucleofection. Puromycin selection can be applied at a concentration of 0.5 μg ml–1 (may vary depending on the cell line). Typically, we observe >70% transfection efficiency with Amaxa nucleofection.
At 48–72 h post transfection, dissociate the cells with Accutase and resuspend them gently in a 5× volume of mTeSR1. Reserve a fraction of the resuspended cells at this stage for replating (Steps 41 and 42; make sure to add ROCK inhibitor for each passaging), for downstream applications or clonal isolation (Steps 54–70), and use the remaining cells for genotyping (Steps 71–126).
▲ Spin the cells down at 200
▲ Process pelleted cells directly for DNA extraction with the QuickExtract solution (Steps 71–74).
▲ To 96-well plates, add 100 μl of D10 medium supplemented with penicillin-streptomycin per well.
▲ Transfer the resuspended cells into a 15-ml Falcon tube and gently triturate 20 times.
▲ Spin down the cells at 200 Aspirate the medium, and resuspend it in 200 μl of FACS medium. Filter the cells into the cell strainer tube through its mesh cap. Place the cells on ice until sorting. Sort single cells into the 96-well plates prepared from Step 55. If sgRNA is cloned into pSpCas9(BB)-2A-GFP, fluorescence may be used to enrich for transfected cells. After sorting, examine the plate under a microscope and determine the presence of a single cell in most of the wells on the plate.
Return the cells to the incubator and allow them to expand for 2–3 weeks. Add 100 μl of warm D10 medium 5 d after sorting. Change 100 μl of the medium every 3–5 d as necessary. Inspect the colonies for “clonal” appearance 1 week after sorting: rounded colonies radiating from a central point. Mark off the wells that are empty or that may have been seeded more than a single cell. When the cells are more than 60% confluent, prepare replica plates for passaging (one well for each clone) by adding 100 μl of D10 medium to each well in the replica plates. Dissociate the cells directly by pipetting up and down vigorously 20 times, and plate 20% of each of the resuspended volumes into the replica wells to keep the clonal lines. Change the medium every 2–3 d thereafter and passage accordingly. Use the remaining 80% of cells for DNA isolation and genotyping (Steps 71–74).
▲ Dissociate the cells from the transfected wells (Steps 11 or 28) 48 h after transfection. Take care to dissociate to single cells. A cell strainer (Step 60) can be used to prevent clumping of cells. Count the number of cells from each 24-well plate, and serially dilute them in D10 medium to a final concentration of 0.5 cells per 100 μl to reduce the likelihood of having multiple cells per well. We recommend using 60 cells in 12 ml of D10 medium for each 96-well plate, and plating at least two 96-well plates for each transfected population.
▲
Multichannel-pipette 100 μl of diluted cells to each well of a 96-well plate. The remaining cell suspension can be kept and used for genotyping at the population level to gauge overall modification efficiency. Inspect the colonies for a clonal appearance ~1 week after plating (rounded colonies radiating from a central point). Mark off the wells that may have been seeded with multiple cells. Return the cells to the incubator and allow them to expand for 2–3 weeks. Refeed and replica-plate the cells as needed and as detailed in Steps 64 and 65.
▲ Aspirate the medium completely. For DNA extraction, use the QuickExtract solution according to the manufacturer's instructions. We typically use 50 μl or 10 μl of the solution for each well of a 24-well or 96-well plate, respectively. Normalize the extracted DNA to a final concentration of 100–200 ng μl–1 with ddH2O.
■ Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 1 2 mM SURVEYOR-Fwd primer, 10 μM 1 0.2 μM SURVEYOR-Rev primer, 10 μM 1 0.2 μM Herculase II fusion polymerase 1 MgCl2, 25 mM 2 1 mM DNA template 1 2 ng μl−1 ddH2O 33 Total 50
▲ Perform a PCR with the following cycling conditions, for no more than 30 amplification cycles: Run 2–5 μl of the PCR products on a 1% (wt/vol) agarose gel to check for single-band products. Although these PCR conditions are designed to work with most pairs of SURVEYOR primers, some primers may need additional optimization by adjusting the template concentration, MgCl2 concentration and/or the annealing temperature.Cycle number Denature Anneal Extend 1 95 °C, 2 min 2-31 95 °C, 20 s 60 °C, 20 s 72 °C, 30 s 32 72 °C, 3 min
Purify the PCRs with the QIAQuick PCR purification kit, and normalize the eluted product to 20 ng μl–1.
■ Anneal the reaction by using the following conditions: Component Amount (μl) Taq PCR buffer, 10× 2 Normalized PCR product, 20 ng μl−1 18 Total volume 20 Cycle number Condition 1 95 °C, 10 min 2 95-85 °C, −2 °C s−1 3 85 °C, 1 min 4 85-75 °C, −0.3 °C s−1 5 75 °C, 1 min 6 75-65 °C, −0.3 °C s−1 7 65 °C, 1 min 8 65-55 °C, −0.3 °C s−1 9 55 °C, 1 min 10 55-45 °C, −0.3 °C s−1 11 45 °C, 1 min 12 45-35 °C, −0.3 °C s−1 13 35 °C, 1 min 14 35-25 °C, −0.3 °C s−1 15 25 °C, 1 min 16 25-4 °C, −0.3 °C s−1 17 4 °C, hold Component Amount (μl) Final concentration Annealed heteroduplex 20 MgCl2 stock solution supplied with kit, 0.15 M 2.5 15 mM ddH2O 0.5 SURVEYOR nuclease S 1 1× SURVEYOR enhancer S 1 1× Total 25
▲ Vortex the mixture well and spin it down briefly. Incubate the reaction at 42 °C for 30 min. (Optional) Add 2 μl of the Stop Solution from the SURVEYOR kit if you do not intend to visualize the reaction products (next step) immediately.
■ Stain the gel with SYBR Gold dye diluted 1:10,000 in TBE (20 μl of stock in 200 ml of TBE). Rock the gel gently for 15 min. Be sure to shield the staining solution from light to avoid photobleaching of the dye. Image the gel by using a quantitative imaging system without overexposing the bands. The negative controls should have only one band corresponding to the size of the PCR product, but they may have occasional nonspecific cleavage bands of other sizes. These will not interfere with analysis if they are distinct in size from the target cleavage bands. The sum of target cleavage band sizes, provided by the CRISPR Design Tool, should be equal to the size of the PCR product.
For each lane, calculate the fraction of the PCR product cleaved ( Indel occurrence can be estimated with the following formula, based on the binomial probability distribution of duplex formation:
Transfect the cells as described in Steps 8–13 or Steps 43–51 with a pair of sgRNAs flanking the region to be deleted.
At 24 h after transfection, isolate the clones by FACS or by serial dilution as described above (Steps 54–70).
Expand the cells for 2–3 weeks.
Extract the DNA from clonal lines as described above (Steps 71–74) by using 10 μl of QuickExtract solution, and normalize the genomic DNA with ddH2O to a final concentration of 100 ng μl–1.
PCR amplification and analysis of the modified region. For analysis of (micro)deletions, follow option A; for analysis of inversions, follow option B.
For the analysis of microdeletions, use the Out-Fwd and Out-Rev primers, both of which are designed to anneal outside of the deleted region, to verify the successful deletion by product size analysis. If the deletion size is more than 1 kb, set up a parallel set of PCRs with In-Fwd and In-Rev primers to screen for the presence of the WT allele (
As with SURVEYOR assays, include a negative (untransfected sample) control. Set up the PCR as follows: Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 1 2 mM Out-Fwd primer, 10 μM 1 0.2 μM Out-Rev primer, 10 μM 1 0.2 μM Herculase II fusion polymerase 1 MgCl2, 25 mM 2 1 mM DNA template 1 2 ng μl−1 ddH2O 33 Total 50
To screen for inversions, set up the PCR ( Perform a PCR by using the following cycling conditions: Run 2–5 μl of PCR product on a 1–2% (wt/vol) agarose gel to check for size of the products in the case of deletions, or for the presence or absence of PCR products in the case of inversions. Although these PCR conditions are designed to work with most primers, some primers may need additional optimization by adjusting the template concentration, MgCl2 concentration and/or the annealing temperature.Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 1 2 mM Out-Fwd or Out-Rev primer, 10 μM 1 0.2 μM In-Fwd or In-Rev primer, 10 μM 1 0.2 μM Herculase II fusion polymerase 1 MgCl2, 25 mM 2 1 mM DNA template 1 2 ng μl−1 ddH2O 33 Total 50 Cycle number Denature Anneal Extend 1 95 °C, 2 min 2-31 95 °C, 20 s 60 °C, 20 s 72 °C, 30 s 32 72 °C, 3 min
? TROUBLESHOOTING
Extract the DNA as described in Steps 71–74 by using the QuickExtract solution, and normalize the genomic DNA with water to a final concentration of 100–200 ng μl–1.
Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 1 2 mM HDR-Fwd primer, 10 μM 1 0.2 μM HDR-Rev primer, 10 μM 1 0.2 μM Herculase II fusion polymerase 1 MgCl2, 25 mM 2 1 mM DNA template 1 2 ng μl−1 ddH2O 33 Total 50
Run the following program: Cycle number Denature Anneal Extend 1 95 °C, 2 min 2-31 95 °C, 20 s 60 °C, 20 s 72 °C, 30-60 s per kb 32 72 °C, 3 min
Run 5 μl of PCR product on a 0.8–1% (wt/vol) agarose gel to check for a single band of product. Primers may need additional optimization by adjusting the template concentration, MgCl2 concentration and/or the annealing temperature.
Purify the PCRs by using the QIAQuick PCR purification kit. In the HDR example provided in Digest the DNA for 10 min at 37 °C. Run 10 μl of the digested product with loading dye on a 4–20% gradient polyacrylamide TBE gel until the xylene cyanol band has migrated to the bottom of the gel. Stain the gel with SYBR Gold dye while rocking for 15 min. Be sure to shield the staining solution from light to avoid photobleaching of the dye. Image and quantify the cleavage products as described above for the SURVEYOR assay section (Steps 86–89). HDR efficiency is estimated by using the following formula: ( Alternatively, clone the genotype-purified PCR amplicons from Step 101 via Sanger sequencing (Steps 109–117) or deep sequencing (Steps 118–126).Component Amount (μl) Purified PCR amplicon FastDigest buffer 1 Hindlll (or other enzyme as necessary) 0.5 ddH2O Up to 10 Total 10
▲ Purify the digestion reactions with the QIAQuick PCR purification kit.Component Amount (μl) FastDigest buffer, 10× 3 FastDigest EcoRI 1 FastDigest HindIII 1 Purified PCR product, 20 ng μl−1 10 (Step 78 or 101) ddH2O 15 Total volume 30 Component Amount (μl) FastDigest buffer, 10× 3 FastDigest EcoRI 1 FastDigest HindIII 1 FastAP alkaline phosphatase 1 pUC19 vector (200 ng μl−1) 5 ddH2O 20 Total volume 30
■ Ligate the digested pUC19 backbone and PCR product at a 1:3 vector:insert ratio and incubate it at room temperature for 15 min. As always, it is important to include a vector-only ligation control. Treat the ligation reaction with PlasmidSafe exonuclease to digest any residual linearized DNA. This step is optional but highly recommended. Day 2: inspect the plates for colony growth. Typically, there are no colonies on the negative control plates (ligation of vector only, with no Sanger amplicon insert), and tens to hundreds of colonies on the experimental plates. Pick a minimum of 48 clones to inoculate in 3 ml of LB-ampicillin culture.Component Amount (μl) Digested pUC19 Digested PCR product (insert) T7 Ligase 1 Rapid Ligation buffer, 2× 10 ddH2O Up to 20 Total volume 20 Component Amount (μl) Ligation reaction from Step 112 11 PlasmidSafe buffer, 10× 1.5 ATP, 10 mM 1.5 PlasmidSafe exonuclease 1 Total 15
Day 3: isolate the plasmid DNA from overnight cultures by using a QIAprep spin miniprep kit.
Extract genomic DNA from Cas9-targeted cells (Steps 71–74). Normalize QuickExtract genomic DNA to 100–200 ng μl–1 with ddH2O.
Component Amount (μl) Final concentration Herculase II PCR buffer, 5× 10 1× dNTP, 100 mM (25 mM each) 1 2 mM Fwd primer (10 μM) 1 0.2 μM Rev primer (10 μM) 1 0.2 μM Herculase II fusion polymerase 1 MgCl2 (25 mM) 2 1 mM DNA template 1 2 ng μl−1 ddH2O 33 Total 50
Perform the PCR with the following cycling conditions, for no more than 20 amplification cycles: Cycle number Denature Anneal Extend 1 95 °C, 2 min 2-21 95 °C, 20 s 60 °C, 20 s 72 °C, 15 s 22 72 °C, 3 min
Run 2–5 μl of PCR product on a 1% (wt/vol) agarose gel to check for single-band product. As with all genomic DNA PCRs, the primers may require additional optimization by adjusting the template concentration, MgCl2 concentration and/or the annealing temperature.
Purify the PCRs by using the QIAQuick PCR purification kit and normalize the eluants to 20 ng μl–1.
■ Sequence the samples prepared in Step 124 on the Illumina Miseq according to the Illumina user manual.
? TROUBLESHOOTING
Troubleshooting advice can be found in
●
Steps 1–4, design of targeting components (sgRNA and ssODN) and use of the CRISPR Design Tool: 1 d
Step 5A, PCR-based generation of sgRNA expression cassette: 2 h
Step 5B, cloning of sgRNA expression vector: 3 d
Steps 6–13, functional validation of sgRNAs: HEK 293FT cell culture and transfections: 3–4 d
Steps 14–29, co-transfection of CRISPR plasmids and HDR templates into HEK 293FT cells (optional): 3–4 d
Steps 30–53, hESC (HUES 9) culture and transfection: 3–4 d
Steps 54–65, isolation of clonal cell lines by FACS: 2–3 h hands-on; 2–3 weeks expansion
Steps 66–70, isolation of clonal cell lines by dilution: 2–3 h hands-on; 2–3 weeks expansion
Steps 71–89, SURVEYOR assay for the assessment of CRISPR cleavage efficiency: 5–6 h
Steps 90–96, detection of genomic microdeletion by PCR: 3–4 h hands-on; 2–3 weeks expansion
Steps 97–108, genotyping of HDR-mediated targeted modifications by RFLP analysis: 3–4 h
Steps 109–117, genotyping by Sanger sequencing: 3 d
Steps 118–126, genotyping by next-generation deep sequencing: 2–3 d
We have compiled a list of most-frequently asked questions from our web-based CRISPR discussion forum (discuss.genome-engineering.org) to clarify points of confusion when applying the CRISPR system (
We thank B. Holmes for help with computational tools. P.D.H. is a James Mills Pierce Fellow and D.A.S. is a National Science Foundation (NSF) pre-doctoral fellow. V.A. is supported by NIH Training Grants T32GM007753 and T32GM008313. This work was supported by an NIH Director's Pioneer Award (1DP1-MH100706); an NIH Transformative R01 grant (1R01-DK097768); the Keck, McKnight, Damon Runyon, Searle Scholars, Vallee, Merkin, Klingenstein and Simons Foundations; Bob Metcalfe; and Jane Pauley. Reagents are available to the academic community through Addgene and associated protocols; support forums and computational tools are available via the Zhang lab website (
Any Supplementary Information and Source Data files are available in the online version of the paper.
Similarly to other nucleases, Cas9 can cleave off-target DNA targets in the genome at reduced frequencies
To minimize off-target activity, a double nicking strategy can be used to introduce DSBs at the target site
To facilitate efficient double nicking, the pair of sgRNAs must be designed such that 5′ overhangs are generated upon nicking. The target loci for the sgRNA pairs must also be offset with an optimal gap of 0–20 bp (see illustration: target DNA loci, blue N′s; PAM, pink; predicted cleavage sites on each strand, red triangles)
A web tool to help with the identification of suitable sgRNA pairs for double nicking can be accessed at
The following questions are selected from the CRISPR Discussion Forum (discuss.genome-engineering.org).
Q1: Should I use crRNA + tracrRNA or sgRNA?
Although we initially reported that sgRNAs with a truncated tracrRNA 3′ tail, sgRNA(+48), are less effective for gene targeting in mammalian cells than using crRNA and tracrRNA pairs
Q2: My 20-bp target site does not start with G; can I replace the first base with G?
For efficient U6 transcription of sgRNA, a G is preferred at the 5′ position, which corresponds with the first base of the 20-bp guide sequence. For guide sequences that do not begin with a G, we recommend adding an additional G to the 5′ of the guide sequence, resulting in a 21-bp guide sequence (5′-GNNNNNNNNNNNNNNNNNNNN-3′, where the 20 Ns correspond to the 20-bp genomic target sequence immediately upstream of the 5′-NGG PAM). The addition of a 5′ G does not alter the specificity of the sgRNA or affect the efficiency of Cas9 cleavage.
Q3: Should I include the PAM sequence in my sgRNA?
No, the PAM sequence should not be included as a part of the sgRNA. The PAM sequence is located in the genomic target site, immediately following the 20-bp target sequence, but it is not a part of the sgRNA. Only the 20-bp target sequence is used to construct the sgRNA. For
Q4: Which one is more efficient for mediating HDR, WT Cas9 or Cas9 nickase?
WT Cas9 is more efficient at mediating homologous recombination than Cas9 nickase. The efficiency of HDR mediated by Cas9 nickase is highly dependent on the cell type. Although Cas9 nickase can reduce the risk for off-target activity, we suggest testing both WT Cas9 and Cas9 nickase when performing gene targeting experiments.
Q5: Does the CBh promoter in pSpCas9 work in my cell line?
The CBh promoter is an altered version of the CAG promoter69, and we have validated it in the following cell lines: HEK 293FT, human ESCs, mouse ESCs, HepG2, HeLa and Neuro 2a. For other cell lines, we recommend testing Cas9 expression by using pSpCas9(BB)-2A-GFP and checking for green fluorescence, or staining for Cas9 expression using antibodies against the 3× FLAG epitope that has been fused to the N-term of Cas9.
Q6: Which method of sgRNA expression is more effective, PCR-generated U6-sgRNA expression cassette or pSpCas9 plasmid carrying the appropriate sgRNA?
We have found that the use of pSpCas9 plasmid often results in higher cleavage efficiency. The use of PCR-generated U6-sgRNA expression cassettes allows easy and rapid comparison of sgRNA efficiencies so that the most optimal sgRNA, in terms of both efficiency and specificity, can be identified before subsequent cloning into pSpCas9.
Q7: Can the HDR template (plasmid or ssODN) contain the sgRNA target site?
We have found that it is possible to achieve HDR by using both plasmids and ssODNs that contain the target site. However, single bases can be silently mutated to prevent cleavage of the templates.
Schematic of the RNA-guided Cas9 nuclease. The Cas9 nuclease from
DSB repair promotes gene editing. DSBs induced by Cas9 (yellow) can be repaired in one of two ways. In the error-prone NHEJ pathway, the ends of a DSB are processed by endogenous DNA repair machinery and rejoined, which can result in random indel mutations at the site of junction. Indel mutations occurring within the coding region of a gene can result in frameshifts and the creation of a premature stop codon, resulting in gene knockout. Alternatively, a repair template in the form of a plasmid or ssODN can be supplied to leverage the HDR pathway, which allows high fidelity and precise editing. Single-stranded nicks to the DNA can also induce HDR.
Timeline and overview of experiments. Steps for reagent design, construction, validation and cell line expansion are depicted. Custom sgRNAs (light blue bars) for each target, as well as genotyping primers, are designed
Target selection and reagent preparation. (
Anticipated results for multiplex-sgRNA-targeted NHEJ. (
Anticipated results for HDR in HEK and HUES9 cells. (
Primer sequences for sgRNA cloning and validation.
| Step | Primer | Sequence (5′-3′) | Purpose |
|---|---|---|---|
| 5A(iii) | U6-Fwd | GAGGGCCTATTTCCCATGATTCC | Amplify any U6-sgRNA |
| 5A(iii) | U6-Rev | AAAAAAAGCACCGACTCGGTGCCACTTTTTCAAGTTGATAACGGACTAGCCTTATTTTAACTTGCTATTTCTAGCTCTAAAAcNNNNNNNNNNNNNNNNNNNCCGGTGTTTCGTCCTTTCCACAAG | Amplify specifically designed U6-sgRNA; N is the reverse complement of target; appended cytosine (complementary to appended guanine) in lowercase |
| 5B(i) | sgRNA-top | CACCgNNNNNNNNNNNNNNNNNNN | Clone sgRNA into pSpCas9(BB); appended guanine in lowercase |
| 5B(i) | sgRNA-bottom | AAACNNNNNNNNNNNNNNNNNNNc | Clone sgRNA into pSpCas9(BB); appended cytosine (complementary to appended guanine) in lowercase |
| 117 | pUC-Fwd (M13 -20 primer) | GTAAAACGACGGCCAGT | Sanger sequencing of modified genomic regions cloned into pUC19 |
| 117 | pUC-Rev (M13 -26 primer) | CAGGAAACAGCTGTAAC | Sanger sequencing of modified genomic regions cloned into pUC19 |
Troubleshooting table.
| Step | Problem | Possible reason | Possible solution |
|---|---|---|---|
| 5A(v) | No amplification of sgRNA | Incorrect template or primer. Incorrect template or primer concentration | Titrate U6-template concentration to 10-50 ng for a 50-μl reaction. Titrate primer concentration to a final concentration of 0.1-0.5 μM |
| 5B(ix), 115 | Colonies growing on negative control plate | Incomplete digestion of pSpCas9(BB) or pUC19 plasmid | Increase the amount of restriction enzymes; add phosphatase treatment to the plasmid digestions to reduce self-ligation of empty vector |
| 5B(xii) | No sgRNA sequences or wrong sequences | Ligation failure, incomplete digestion of cloning plasmid | Screen additional colonies; reanneal sgRNA oligos; titrate sgRNA oligo concentration during ligation; redigest pSpCas9(BB) or pUC19 |
| 11 | Low Lipofectamine transfection efficiency | Incorrect amount or poor quality of DNA used for transfection; poorly or unevenly seeded cells | Use low-passage-number cells (passage number <20) and do not let cells reach >90% confluence; titrate DNA (200 to 500 ng for 200,000 cells); add GFP transfection control; reseed cells evenly at recommended density; prepare new DNA for transfection |
| 28, 50 | Low nucleofection transfection efficiency | Incorrect amount or poor quality of DNA used for transfection; clumpy cells | Use low-passage-number cells (passage number <20); check cell density; titrate DNA; gently dissociate cells to single-cell suspension |
| 61 | Clumps or no cells after FACS | Cells not dissociated well in Step 56 | Filter cells before FACS; dissociate to single cells; re-suspend in no more than 107 cells per ml |
| 67 | Clumps or no cells in serial dilution | Cells not dissociated well; incorrect cell number or concentration | Dissociate to single cells and filter through strainer; recount cells; check serial dilution to make sure cell density is at an average of 0.5 cells per well |
| 77, 96, 100, 122 | Multiple bands or no amplification in SURVEYOR, microdeletion, RFLP analysis, or deep-sequencing PCR | Inefficient or nonspecific priming; incorrect template concentration | Titrate MgCl2 (0-1 mM final concentration); normalize and titrate template concentration (50-200 ng total); titrate annealing temperature (58-62 °C); re-design primers to minimize primer dimer formation or nonspecific amplification |
| 86 | High SURVEYOR background in negative sample; nonspecific or smeared bands on SURVEYOR gel; no SURVEYOR cleavage | Polymorphism within the examined region or co-amplification of highly homologous region; impure input DNA; input DNA too low or too high; improper annealing; overdigestion by SURVEYOR nuclease; sgRNA for a particular locus does not mediate cleavage | Redesign primers to different locations in the locus examined; purify PCR product; normalize total input DNA to 200-400 ng; reanneal heteroduplex (Step 80); incubate SURVEYOR digestion at 42 °C for <60 min; re-design sgRNAs; sequence verify sgRNA or Cas9 on pSpCas9(BB) backbone |