“…Instead, we focus on strategies and implementations reported to increase editing specificity. The strategies utilized for reducing off-target effects include Cas9 nuclease engineering [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ], using natural Cas9 nucleases with high specificity [ 34 , 35 ], the utility of base editors [ 36 , 37 , 38 ] and prime editors [ 39 , 40 ], gRNA design optimization and/or modulation [ 8 , 9 , 41 , 42 , 43 , 44 , 45 , 46 ], control of Cas9′s activity via direct delivery (e.g., ribonucleoprotein (RNP) [ 20 , 47 ], virus-like particles [ 48 , 49 , 50 , 51 ], cell-penetrating peptide-mediated delivery [ 52 ], mRNA [ 53 ], and self-limiting circuits [ 54 ]), and combination with anti-CRISPR proteins or CRISPR inhibitors [ 55 , 56 , 57 , 58 ]. Among these strategies, direct or indirect engineering of Cas9 proteins represents the majority of efforts, evidenced by the relatively large number of studies toward this direction ( Table 1 ).…”