“…Recently, the clustered regularly interspaced short palindromic repeats (CRISPR)-associated nuclease (Cas) (CRISPR/Cas) system, originally identified in bacteria and archaea, has gained considerable attention in molecular diagnostics due to its superb specificity of molecular target recognition, fast turnaround time, convenient isothermal reaction, and signal amplification capabilities. – Several CRISPR-based sensing approaches such as DETECTR (DNA endonuclease-targeted CRISPR trans reporter), SHERLOCK (specific high-sensitivity enzymatic reporter unlocking), HOLMES (1 h low-cost multipurpose highly efficient system), and others, have been developed with high sensitivity and specificity. – For example, DETECTR showed attomolar sensitivity; HOLMES achieved a limit of detection (LOD) around 10 aM, and SHERLOCKv2 enabled the multiplexed sensing of target detection at zeptomolar sensitivity. – Among diverse Cas proteins, Cas12a (a class of type V nuclease) shows a unique collateral cleavage activity that can nonspecifically cleave single-stranded DNA substrates (termed as trans -cleavage) upon recognition of the correct target DNA by crRNA. , By adopting single-stranded DNA labeled with a fluorophore and quencher pair, the collateral cleavage activity can generate enormously amplified signals in response to a target analyte, including not only nucleic acids but also proteins, transcription factors, and small molecules. – In particular, Cas12a-based sensors can rapidly and sensitively detect adenosine triphosphate (ATP) levels. – Yet Cas12a collateral cleavage is not suited to in situ intracellular detection as it requires the codelivery of multiple components (the Cas12a RNP, the crRNA, and the DNA substrates) and risks indiscriminate off-target cleavage of nucleic acids essential to cell function. , Such a limitation prevents the use of this sensitive and specific sensing approach to monitor live cells.…”