2019
DOI: 10.1093/nar/gkz669
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Simultaneous precise editing of multiple genes in human cells

Abstract: When double-strand breaks are introduced in a genome by CRISPR they are repaired either by non-homologous end joining (NHEJ), which often results in insertions or deletions (indels), or by homology-directed repair (HDR), which allows precise nucleotide substitutions to be introduced if a donor oligonucleotide is provided. Because NHEJ is more efficient than HDR, the frequency with which precise genome editing can be achieved is so low that simultaneous editing of more than one gene has hitherto not been possib… Show more

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Cited by 102 publications
(108 citation statements)
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“…All methods are very effective compared with traditional methods of gene targeting in zygotes. Perhaps future avenues to even more efficient gene targeting lie in the application of small molecule activators for HDR [189][190][191]. 1 Conditional: A critical exon was flanked by loxP sites, so as to produce a Cre-dependent knockout allele.…”
Section: Resultsmentioning
confidence: 99%
“…All methods are very effective compared with traditional methods of gene targeting in zygotes. Perhaps future avenues to even more efficient gene targeting lie in the application of small molecule activators for HDR [189][190][191]. 1 Conditional: A critical exon was flanked by loxP sites, so as to produce a Cre-dependent knockout allele.…”
Section: Resultsmentioning
confidence: 99%
“…We hypothesised that successful CRISPR-del requires paired DSBs to co-occur before NHEJ has time to act, and thus may be enhanced by pharmacological inhibition of DNA-PK. This is initially counter-intuitive, as DNA-PK is a necessary step in the NHEJ pathway upon which CRISPR-del relies, and its inhibition is widely used to promote HDR 37,40,44,45 . However, rather than permanently blocking NHEJ, our protocol slows the kinetics of NHEJ for a defined period while DSBs are taking place.…”
Section: Discussionmentioning
confidence: 99%
“…We tested DNA-PK, a DNA end-binding factor at the first step of NHEJ pathway, for which a number of small-molecule inhibitors are available 54 . We began by treating HeLa cells with the inhibitor M3814 (IC50=3nM) 45,55,56 at two concentrations (300 nM and 900 nM).…”
Section: Temporary Inhibition Of Dna-pk During Dsb Formation Increasementioning
confidence: 99%
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“…A number of approaches have been devised to shift the balance between competing NHEJ and HDR pathways toward the latter. These include the use of chemical and biochemical compounds to interfere with the DNA repair machineryeither by blocking the NHEJ pathway, with DNA-dependent protein kinase inhibitors like M3814 [41] , or by stimulating the HDR pathway, with mRNA from HR effectors like RAD51 [42] or with stimulating molecules like RS-1 [43] . As pharmacological inhibitors can be cytotoxic and yield variable efficiency, HDR can also be enhanced by coupling Cas9 expression to cell cycle effectors at the late S to G2 phase [44,45] or by tethering the DNA template to the gRNA/Cas9 RNP complex, juxtaposing the template DNA to the DSB repair site [46][47][48] .…”
Section: Optimizing Hdr Outcomesmentioning
confidence: 99%