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Gene & Protein in Disease                                                  Enhancing fertility with CRISPR



            gene function in brain development. Advancements in   poised to revolutionize research in reproductive biology,
            CRISPR technology precision and effectiveness have   with potential breakthroughs in germplasm preservation,
            ushered in a new era of genome editing capabilities.   the generation of artificial gametes and gonads from
            Co-delivery of Cas9 mRNA and sgRNA offers an efficient   stem  cells,  and  further  investigations into reproductive
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            strategy, especially for editing non-dividing cells, with   microbiomes.  The realization of CRISPR’s full potential
            a focus on minimizing safety concerns. Addressing the   in editing germlines, gametes, and gametic precursors
            challenge of co-delivering RNA molecules with distinct   to benefit the human community relies on overcoming
            sizes, Abbasi et al.  utilized a PEGylated polyplex micelle   challenges such as off-target mutations, mosaicism, and
                          129
            (PM) to encapsulate both Cas9 mRNA and sgRNA,      ethical considerations. Ongoing enhancements in CRISPR
            demonstrating widespread genome editing across various   systems, including the refinement of Cas9 enzymes,
            parenchymal cells in the mouse brain. Similarly, Chen   improved gRNA design, utilization of smaller nucleases,
            et al.  reviewed the potential of synthetic carriers for   nanoparticle-based delivery techniques, and exploration
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            achieving tissue-selective gene editing by co-delivering   of anti-CRISPR proteins, contribute to increasing efficacy
            Cas9 mRNA and sgRNA targeting PCSK9 using selective   and specificity. With continued research and judicious
            organ-targeting lipid nanoparticles (LNPs).        regulation,  CRISPR  technology  holds  the  promise
                                                               of significantly impacting reproductive health and
              Researchers have tackled the delivery challenge of
            Cas9 ribonucleoprotein (Cas9 protein plus sgRNA),   contributing to the well-being of individuals and future
                                                               generations.
            which arises from the large size of Cas9 and the negative
            charge of sgRNA. Wei  et al.  developed lung-targeting   Addressing ethical and safety concerns associated with
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            5A2-DOT-50 LNPs, achieving tissue-specific gene editing   the modification of CRISPR technology requires responsible
            in the livers and lungs of mice with high efficiency. Kai   usage and management in reproductive applications.
            et al.  engineered a thermostable GeoCas9 variant   Striking a balance between moral considerations and
                 130
            for robust genome editing, demonstrating significant   scientific advancements is essential. Comprehensive
            editing efficiency in the liver and lungs of mice. Shen   legislation must be enacted to address safety, social, and
            et al.  constructed traceable nano-biohybrid complexes   ethical issues, ensuring careful navigation of potential
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            (F-TBIO) for efficient delivery of CRISPR/Cas9 plasmids   pitfalls. To minimize unexpected outcomes, efforts should
            into brain lesions, successfully knocking out the Bace1 gene   be directed toward enhancing the precision and accuracy
            in mice with Alzheimer’s disease. Lee et al. 132,133  developed   of CRISPR systems. Through fostering a collaborative and
            CRISPR-Gold, a gold nanoparticle-based system for   interdisciplinary approach, we can harness the benefits of
            CRISPR delivery, demonstrating superior HDR efficiency,   CRISPR while upholding moral standards, safeguarding
            lower toxicity, and potential therapeutic applications   individual welfare, and ensuring the well-being of present
            across various contexts.                           and future generations.
              In summary, these strategies represent promising   Acknowledgments
            advancements in targeted Cas9 delivery using various
            systems, opening new avenues for enhanced genome   All the figures were drawn using Biorender.com.
            editing. Future research may focus on refining delivery   Funding
            strategies, particularly for therapeutic applications, with a
            notable emphasis on reproductive systems.          None.

            7. Conclusion and future prospectives              Conflict of interest
            The discovery of CRISPR technology presents significant   The authors declare that they have no competing interests.
            potential for revolutionizing reproductive biology and
            addressing a broad spectrum of genetic and reproductive   Author contributions
            issues. This technology opens up novel avenues for treating   Conceptualization: Ali Afzal, Muhammad Babar Khawar
            gynecological tumors, reversing deleterious genetic   Supervision: Xinying Ji, Muhammad Babar Khawar
            changes, and advancing contraceptive development.   Visualization:  Umair Ali Khan Saddozai, Muhammad
            Nonetheless, it is crucial to conscientiously address   Babar Khawar
            and regulate ethical concerns, encompassing the risks   Writing – original draft:  Shiza  Hanif,  Hamid  Nawaz,
            of unforeseen mutations, the ramifications of germline   Muhammad Babar Khawar
            editing,  and  the  ethical  considerations  surrounding   Writing – review & editing: Ali Afzal, Muhammad Babar
            eugenics and designer babies. CRISPR technology is    Khawar


            Volume 3 Issue 1 (2024)                         10                       https://doi.org/10.36922/gpd.2701
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