2018
DOI: 10.1038/nbt.4207
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Unexpected CRISPR on-target effects

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Cited by 43 publications
(34 citation statements)
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“…The affected pig (pig 116-1) had both one expected size deletion and a second that was larger than expected, reflecting the robust propensity of NHEJ and MMEJ mechanisms of DNA repair of dual CRISPR/Cas9-induced DSBs to generate unexpected mutations at target sites in vivo ( 67 , 68 ). Indeed, 2 genotyped blastocysts had an aberrantly sized deletion fragment on 1 allele but no WT band, suggesting the second allele had larger deletions than were detectable, indicating that aberrant DNA repair events are not uncommon.…”
Section: Discussionmentioning
confidence: 99%
“…The affected pig (pig 116-1) had both one expected size deletion and a second that was larger than expected, reflecting the robust propensity of NHEJ and MMEJ mechanisms of DNA repair of dual CRISPR/Cas9-induced DSBs to generate unexpected mutations at target sites in vivo ( 67 , 68 ). Indeed, 2 genotyped blastocysts had an aberrantly sized deletion fragment on 1 allele but no WT band, suggesting the second allele had larger deletions than were detectable, indicating that aberrant DNA repair events are not uncommon.…”
Section: Discussionmentioning
confidence: 99%
“…Another potential application area is in rare disease genetics, where scTRIP may help resolve "unclear cases" by widening the spectrum of accessible SVs leading to somatic mosaicism 56 . Furthermore, our framework can be used to assess genome integrity in conjunction with cell therapy, gene therapy, and therapeutic CRISPR-Cas9 editing, which can result in unanticipated (potentially pathogenic) SVs 63,64 . The ability of scTRIP to generate high-resolution karyotypes could be employed to detect the presence of such unwanted SVs to address safety concerns pertaining to these future therapies.…”
Section: Discussionmentioning
confidence: 99%
“…The rapid advancement of CRISPR-Cas-based genome editing technologies has made gene therapy increasingly promising. However, several obstacles remain, including safety concerns due to both off-target and on-target mutations (Adikusuma et al, 2018; Fu et al, 2013; Hsu et al, 2013; Kosicki et al, 2018; Lee and Kim, 2018) and the requirement of proper PAM sequences for efficient and precise cleavage by the commonly used endonucleases (Komor et al, 2017), e.g., Cas9 and Cas12a/Cpf1. The Cas12a endonuclease has several advantages over Cas9.…”
Section: Introductionmentioning
confidence: 99%
“…Third, Cas12a has much reduced off-target effects compared to SpCas9 due to its irreversible binding to the target region and strong discrimination against the off-target sequences (Kim et al, 2017; Kleinstiver et al, 2016; Strohkendl et al, 2018). Finally, Cas9 has been shown to cause on-target mutations including large deletions and insertions (Adikusuma et al, 2018; Kosicki et al, 2018; Lee and Kim, 2018), whereas Cas12a only generates staggered DNA overhangs, which may lead to much lower rate of on-target mutations due to the so-called preferred microhomology-mediated end joining (MMEJ) repair mechanism (Zetsche et al, 2015). However, practical applications of Cas12a have been severely hindered due, at least in part, to its strict requirement for the TTTV PAM sequence.…”
Section: Introductionmentioning
confidence: 99%