2020
DOI: 10.1089/crispr.2020.0025
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Translating CRISPR-Cas Therapeutics: Approaches and Challenges

Abstract: CRISPR-Cas clinical trials have begun, offering a first glimpse at how DNA and RNA targeting could enable therapies for many genetic and epigenetic human diseases. The speedy progress of CRISPR-Cas from discovery and adoption to clinical use is built on decades of traditional gene therapy research and belies the multiple challenges that could derail the successful translation of these new modalities. Here, we review how CRISPR-Cas therapeutics are translated from technological systems to therapeutic modalities… Show more

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Cited by 27 publications
(30 citation statements)
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References 273 publications
(264 reference statements)
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“…Recent developments in gene therapy over the last decade or so has drawn the renewed attention of many companies and researchers to the use of viral vectors (using various virus systems, e.g., adenovirus [44][45][46][47][48] and AAV [49][50][51]), along with completely synthetic particles, involving liposomes and nanoparticles [52][53][54][55][56][57], as drug (nucleic acid) delivery systems. Initially, interest in this area was predominately concerned with the delivery of DNA therapeutic material, however, interest has widened to include the use of RNA therapeutics [58] such as interference ribonucleic acids, RNAi [59,60], and messenger ribonucleic acids, mRNA [61,62] along with gene editing payload material [63][64][65][66]. Given the success and potential offered by these new classes of biopharmaceuticals, they are revolutionizing drug development.…”
Section: Discussionmentioning
confidence: 99%
“…Recent developments in gene therapy over the last decade or so has drawn the renewed attention of many companies and researchers to the use of viral vectors (using various virus systems, e.g., adenovirus [44][45][46][47][48] and AAV [49][50][51]), along with completely synthetic particles, involving liposomes and nanoparticles [52][53][54][55][56][57], as drug (nucleic acid) delivery systems. Initially, interest in this area was predominately concerned with the delivery of DNA therapeutic material, however, interest has widened to include the use of RNA therapeutics [58] such as interference ribonucleic acids, RNAi [59,60], and messenger ribonucleic acids, mRNA [61,62] along with gene editing payload material [63][64][65][66]. Given the success and potential offered by these new classes of biopharmaceuticals, they are revolutionizing drug development.…”
Section: Discussionmentioning
confidence: 99%
“…Inorganic nanoparticles on the other hand, are easier to manufacture as compared to viral and lipid/polymer-based vectors, as they have a more predictable composition, size, and dispersion, are easier to describe and structurally flocculate, and are much more consistent over time. As a result, future investigations are directed on the in vitro and in vivo use of inorganic nanoparticles as CRISPR/Cas9 delivery vehicles [206].…”
Section: Novel Delivery Methods For Retention and Higher Efficacymentioning
confidence: 99%
“…CRISPR Gold Cas9 RNP with prototype DNA was infused intramuscularly and repaired 5.4% of dystrophin genetic mutations. In a mouse model of autism spectrum disorder (ASD), intracranial infusion of CRISPR Gold Cas9 RNP caused targeted gene editing of 14.5% of the GRM5 gene and regained 40-50% of protein synthesis in the brain and other organs, reversing the consequences of ASD [205,206].…”
Section: Metal Nanoparticles For Efficient Crispr/cas9 Deliverymentioning
confidence: 99%
“…Excluding the actual limitations existing in the current approaches, another point of concern is the fact that some off-targets may be completely benign, whereas others could have serious consequences depending on the cell context or the indication. This is a well-recognized issue in the field and is currently being addressed by engineering the CRISPR payload at both the protein and gRNA level with simultaneous optimization of the ideal window of active exposure of the cells of interest to the functional RNP complex (Tay et al, 2020 ).…”
Section: The Era Of Genome Editing: Challenges and Prospectsmentioning
confidence: 99%