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Gene & Protein in Disease                                                  Enhancing fertility with CRISPR



            number of individuals over a relatively short period.  A   of embryos using CRISPR technology, resulting in the
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            specific illustration of such consequences is observed   altered CCR5 gene in a pair of newly born baby girls – a
            in males experiencing infertility due to a mutation in   gene  crucial  for  recognizing  human  immunodeficiency
            the AKAP3 gene, as depicted in Figure 2. This mutation   virus (HIV) and rendering individuals susceptible to the
            disrupts the proper functioning of AKAP3, a protein   condition. The claimed purpose of editing the gene was
            crucial for anchoring protein kinase A in processes like   to protect the babies from HIV transmission, as the father
            capacitation and hyperactivated motility.  In addressing   was HIV positive. However, subsequent studies revealed
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            this challenge, CRISPR technology emerges as a promising   potential adverse effects of  CCR5 mutations, including
            solution. By leveraging CRISPR, it becomes feasible to   increased susceptibility to lethal infectious diseases
            correct the genetic mutation in the AKAP3 gene, offering   like influenza and a heightened risk of severe sclerosis,
            a potential avenue for the treatment of male infertility   potentially leading to premature death. 55,57
            resulting from  such genetic mutations. This  utilization   In a 2015 study, scientists utilized human tripronuclear
            of CRISPR underscores the transformative potential of   zygotes (3PN) at an early stage for CRISPR-based gene
            CRISPR in mitigating hereditary reproductive disorders   editing, specifically targeting the human endogenous
            and advancing therapeutic interventions.           β-globin gene. While the efficiency of CRISPR in cleaving
              One of the most impactful instances of human germline   and modifying  the targeted gene was  demonstrated,
            genome editing was claimed by Chinese scientist Jiankui   challenges such as mosaicism in the embryo and off-target
            He. He asserted that he successfully modified the genomes   mutations were identified. Overcoming these challenges is

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            Figure 2. Genetic mutation in the gene AKAP3 leads to infertility in the males. (A) Genetic mutation in the AKAP3 gene disrupts its function in anchoring
            protein kinase A (PKA) (for capitation and hyperactivated motility), leading to abnormal protein. This disruption impairs localized phosphorylation
            of flagellar proteins, compromising coordinated flagellar beating and reducing sperm motility. cAMP and calcium are also crucial. cAMP activates
            PKA, regulating flagellar proteins’ phosphorylation. Calcium ions guide microtubule sliding, shaping the flagellar movement. Disruption due to AKAP3
            mutation hampers these signals, reducing sperm motility. (B) CRISPR can be utilized to correct the genetic mutation, thereby serving as a potential agent
            to cure male infertility arising due to genetic mutations.
            Abbreviations: PGCs: Primordial germ cells; CRISPR: Clustered regularly interspaced short palindromic repeats.


            Volume 3 Issue 1 (2024)                         5                        https://doi.org/10.36922/gpd.2701
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