2021
DOI: 10.1016/j.tig.2021.07.010
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Tissue specificity of DNA repair: the CRISPR compass

Abstract: CRISPR-Cas9-mediated genome editing holds great promise for the correction of pathogenic variants in humans. However, its therapeutic implementation is hampered due to unwanted editing outcomes. A better understanding of cell typeand tissue-specific DNA repair processes will ultimately enable precise control of editing outcomes for safer and effective therapies.

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Cited by 18 publications
(11 citation statements)
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“…To understand the origins of these deletions, the authors generated a library of mouse embryonic stem cells de cient in 32 DNA repair genes based on a single clone constitutively expressing Cas9, and found that the frequency of large deletions increased when genes essential for non-homologous end-joining (NHEJ) were impaired, and decreased when genes required for microhomology-mediated end joining (MMEJ) were disrupted [76]. Depending on the speci c cell type or stage of cell cycle, some DNA repair mechanisms, whether HDR, NHEJ or MMEJ, may be favored over others which thus may determine the propensity for, and characteristics of, any such on-target effects [77][78][79]. For example, prolonged in vitro intracellular expression of Cas9 in human pluripotent stem cells caused DSBs in DNA that were toxic via P53 inhibition of HDR, a mechanism which appeared to be cell-speci c and related to the early developmental status of the cell types [ As can be the case for ectopic expression of other heterologous proteins, constitutive intracellular expression of Cas9 can also be toxic due to stresses on protein homeostasis.…”
Section: Literature Assessment Of Hcas9 Toxicitymentioning
confidence: 99%
“…To understand the origins of these deletions, the authors generated a library of mouse embryonic stem cells de cient in 32 DNA repair genes based on a single clone constitutively expressing Cas9, and found that the frequency of large deletions increased when genes essential for non-homologous end-joining (NHEJ) were impaired, and decreased when genes required for microhomology-mediated end joining (MMEJ) were disrupted [76]. Depending on the speci c cell type or stage of cell cycle, some DNA repair mechanisms, whether HDR, NHEJ or MMEJ, may be favored over others which thus may determine the propensity for, and characteristics of, any such on-target effects [77][78][79]. For example, prolonged in vitro intracellular expression of Cas9 in human pluripotent stem cells caused DSBs in DNA that were toxic via P53 inhibition of HDR, a mechanism which appeared to be cell-speci c and related to the early developmental status of the cell types [ As can be the case for ectopic expression of other heterologous proteins, constitutive intracellular expression of Cas9 can also be toxic due to stresses on protein homeostasis.…”
Section: Literature Assessment Of Hcas9 Toxicitymentioning
confidence: 99%
“…HR predominates during S-phase and declines during G 2 , in favor of cNHEJ ( Figure 2 B). This updated view of repair pathway choice plays important roles in current efforts to employ CRISPR/Cas9 for genome editing [ 86 , 87 ].…”
Section: Ddr Responses During the Mitotic Cell Cycle Across Model Systemsmentioning
confidence: 99%
“…Other approaches disrupt regulatory regions on both the normal and diseased allele 42,45 , which could be deleterious as homozygous knockout causes early lethality in mice [37][38][39] . Finally, editing strategies that utilize homology directed repair 44 are inefficient in post-mitotic cells 47 such as neurons, and are therefore not suitable for therapeutic applications.…”
Section: Introductionmentioning
confidence: 99%