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Gene & Protein in Disease                                                  Enhancing fertility with CRISPR



            advancing scientific landscape, Cas9–RNA complexes can   to the crRNA; and the RuvC-like Cas9 domain, which
            be effectively employed as genome engineering agents   breaks down the non-complementary strand of the target
            in  eukaryotic  cells,  encompassing  those  of  plants  and   DNA. 37,39,40  This process induces DSBs at the targeted DNA
            animals. 26-29  On the other hand, base editing through   site.  Following the cleavage and editing of the targeted
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            CRISPR enables precise DNA modification without causing   gene sequence, the DNA repair mechanism is activated, as
            double-strand breaks. In this regard, Xie et al.  efficiently   illustrated in Figure 1. Two common repair methods are
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            induced C-to-T conversions at multiple loci, producing   homology-directed repair (HDR) and non-homologous
            pigs with single or multiple point mutations in genes. Base   end joining (NHEJ). While NHEJ is more prevalent in
            Editor-Targeted and Template-free Expression Regulation   mammals for DSB repair, it is less effective than HDR and
            (BETTER), which utilizes CRISPR-guided base editors for   may introduce unintended mutations. NHEJ simply ligates
            diverse multigene expression without library construction,   the two DNA strands with minimal processing. HDR
            has shown promise and is thus useful for large-scale   is favored in Cas9-involved gene editing due to its high
            refinement of expressions of multiple genes.  In addition,   efficiency in repairing DSBs. 42-44
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            Li et al.  demonstrated a one-step approach for generating
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            base-mutant  mice  using  a  third-generation  base-editing   2.3. Advantages of CRISPR over traditional gene
            system. The development of new base editor variants has   editing technologies
            expanded design possibilities, allowing recognition of   CRISPR technology has surpassed traditional gene editing
            various protospacer-adjacent motifs. For instance, Rosello   tools such as TALENS and ZFN in numerous aspects,
            et al.  outlined experimental strategies for cytosine base   presenting significant advantages. One such advantage lies
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            editing in zebrafish, allowing precise substitution of   in the high specificity of CRISPR technology for genome
            interest. Moreover, co-selection with loss-of-function   editing.  Continuous technological advancements further
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            mutations  facilitates direct analysis  of injected  embryos,   contribute to the reduction of off-target effects, with recent
            revealing the phenotypic impact of targeted substitutions.   innovations such as prime editing demonstrating even
            Conclusively, current progress in CRISPR gene editing and   greater precision and fewer off-site effects.  Notably, the
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            base editing suggests ongoing advancements in enhancing   simplicity of creation and implementation sets CRISPR
            specificity, delivery, and ethical considerations for broader   apart from other gene editing technologies.  Its versatility
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            applications in disease management.                and flexibility make CRISPR suitable for various genome-
                                                               related studies, encompassing gene knockin and knockout,
            2.2. Components and mechanism of CRISPR            regulation of gene expression, and the management of
            The CRISPR and associated systems are categorized into   hereditary conditions.  Moreover, CRISPR facilitates
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            two main classes, encompassing six significant types with   more effective location-specific gene editing, addressing
            33 subtypes and additional variants. 34,35  Class 1 comprises   challenges posed by classical gene therapy.  The capability
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            type  I,  type  III,  and  type  IV,  while  Class  2  includes  the   of CRISPR to simultaneously activate multiple genes is a key
            more prevalent type II, type IV, and type V.  Among these   advantage, overcoming limitations inherent in traditional
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            types, type II stands out as the most commonly utilized for   gene overexpression technologies by incorporating
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            genome editing.  Notably, type I and type II operate on   numerous gRNAs in a single vector.  Conclusively, CRISPR
            the proteins Cas3 and Cas9, respectively.  The Cas9 system   technology offers numerous advantages compared to its
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            derived from Streptococcus pyogenes is the preferred choice   predecessors, emerging as a pivotal tool in gene editing
            due to its convenience and superior efficacy among all   with reduced off-site effects and effective applications in
            CRISPR-associated systems. 38                      gene therapy.
              The fundamental principle of CRISPR and associated   3. Applications of CRISPR in reproductive
            systems is elucidated through Type  II CRISPR      biology
            technology. In Type  II, the CRISPR system comprises
            two main components: A gRNA, primarily consisting of   The  genetic  revolution,  coupled  with  advancements  in
            a 20-nucleotide sequence (crRNA) containing the target   genetic editing and genome engineering techniques
            sequence complementary to one strand of the target   over the past 40  years, has bestowed on us a profound
            DNA; and the transactivating crRNA that binds to the   understanding of molecular mechanisms and the complete
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            endonuclease Cas9  protein.  The  Cas9  endonuclease, a   sequencing of our genomes.  This transformative era
            sizable  protein,  induces  double-strand  breaks  (DSBs)   has particularly empowered the application of gene-
            at a specific site in the DNA. The CAS9–RNA complex   editing technologies like CRISPR/Cas9 in the realm of
            encompasses two nuclease domains: the His-Asn-His   reproduction, a physiological phenomenon that stands as
            domain,  which  cleaves  the  DNA strand complementary   a prime target for intervention.


            Volume 3 Issue 1 (2024)                         3                        https://doi.org/10.36922/gpd.2701
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