Toxicity upon expression of a single pair of ZFNs in human cells has been associated with off-target cleavage activity (
8,
23,
28), the creation of unintentional chromosomal deletions (
27), chromosomal instability at triplet repeats (
42), and more generally, with apoptosis (
39) and cell death (
16,
30,
32–34,
43). It seems therefore obvious that expression of two ZFN pairs in a single cell will further exacerbate these problems. If one were to use the wild-type FokI dimer interface on four ZFN monomers, this would lead to 12 possible dimeric permutations, which define 10 unique target sites. Even if one uses obligate heterodimeric FokI domains, four different pairs can form, all of which have the potential to induce DSBs at off-target loci. One potential solution to this problem is to generate ZFN pairs that do not cross-react with each other, so-called autonomous ZFN pairs. In this report, we describe the identification and characterization of two autonomous heterodimeric FokI domain pairs that we show can be utilized to induce a targeted chromosomal deletion. We demonstrate that the combined expression of two autonomous ZFN pairs that target adjacent sites in the human HOXB13 locus was as effective at inducing a chromosomal deletion as published obligate heterodimeric ZFN variants. Importantly, however, preventing cross-reaction between the individual ZFN subunits reduced toxicity significantly.
To identify pairs of autonomous ZFNs, we applied
in silico protein modeling and energy calculations to characterize different combinations of variant FokI dimer interfaces. As reported previously (
34), these computational analyses are a powerful tool to predict protein–protein interactions and, as established here, to predict the activity of ZFNs. The calculated energy threshold for efficient dimerization of ZFNs seems to be in the range of −2

kJ/mol. Any combination with a higher value turned out to be inactive in the
in vitro cleavage assay or the cellular recombination assay. It should be noted that all variant FokI domains tested here showed a ~30% decrease in activity as compared to the wild-type configuration. However, the additional gain in specificity—as displayed e.g. by reduced toxicity—clearly outweighs this drop in activity.
We would like to point out a seeming discrepancy between the results obtained in this study and results published earlier (
34), in which we reported that a ZFN with FokI variant A (RV/DA) worked more efficiently than ZFNs with variants B (KV/EA) or 0 (DD/RR). As recently reported (
28), the zinc-finger DNA binding domains used in Szczepek
et al. had a low specificity for their binding sites, as directly shown by their activity at off-target sites and indirectly demonstrated by the induction of massive cytotoxicity and apoptosis at even low ZFN concentrations (
34,
39). This is in agreement with the findings that the specificity of DNA-binding of a ZFN correlates with both its activity at the target site and reduced ZFN-associated toxicity (
30). We believe that the high toxicity associated with the ZFN in Szczepek
et al. obscured the readout for ZFN activity. A high nuclease activity (as in DD/RR) in combination with low DNA-binding specificity will induce massive cell death and therefore reduce the number of targeted cells in the population, while a ZFN variant with a highly attenuated nuclease activity (as in RV/DA) will induce less cytotoxicity and therefore seemingly increase the number of targeted cells. In conclusion, the actual contribution of the FokI domain to activity and toxicity of a ZFN can only be delineated when using zinc-finger domains with optimized DNA-binding parameters, such as zinc-finger arrays generated using the OPEN protocol (
16).
In summary, autonomous ZFNs have a major advantage over simple obligate heterodimeric ZFNs, wherever an application requires the expression of two distinct ZFN pairs. It is safe to assume that the significant improvement in ZFN-associated toxicity, as measured in the transformed HEK293T cell line, is much more pronounced in sensitive primary cells and that the observed decrease in toxicity is based on reduced ZFN cleavage at off-target sites by preventing cross-reaction between the distinct ZFN pairs. Major applications of autonomous ZFN pairs will include the introduction of targeted chromosomal deletions (
27) or forced translocations (
44) to answer biological questions. Founded on the improved safety profile, we also foresee applications in human gene therapy. For example, analogous to morpholino-induced therapeutic exon skipping for muscular dystrophy, ZFN-induced deletion of the mutation-containing exons could restore the open reading frame of dystrophin (
45).