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2020
DOI: 10.3390/genes11101113
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Delivery Approaches for Therapeutic Genome Editing and Challenges

Abstract: Impressive therapeutic advances have been possible through the advent of zinc-finger nucleases and transcription activator-like effector nucleases. However, discovery of the more efficient and highly tailorable clustered regularly interspaced short palindromic repeats (CRISPR) and associated proteins (Cas9) has provided unprecedented gene-editing capabilities for treatment of various inherited and acquired diseases. Despite recent clinical trials, a major barrier for therapeutic gene editing is the absence of … Show more

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Cited by 43 publications
(37 citation statements)
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References 241 publications
(310 reference statements)
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“…Safe and effective cellular delivery of engineered nucleases, gRNAs, and template sequences constitutes a key step in the process of gene editing. For ex vivo genome editing, approaches for the delivery of the required constituents within target cells can be broadly classified into viral vectors, electroporation, and cell-penetrating peptides [ 69 ]. In primary cells, including HSPCs, nucleases and the associated gRNAs are most effectively delivered by electroporation of mRNA molecules or as an RNP complex between gRNAs and the nuclease (e.g., Cas9) protein.…”
Section: The Process Of Genome Editingmentioning
confidence: 99%
“…Safe and effective cellular delivery of engineered nucleases, gRNAs, and template sequences constitutes a key step in the process of gene editing. For ex vivo genome editing, approaches for the delivery of the required constituents within target cells can be broadly classified into viral vectors, electroporation, and cell-penetrating peptides [ 69 ]. In primary cells, including HSPCs, nucleases and the associated gRNAs are most effectively delivered by electroporation of mRNA molecules or as an RNP complex between gRNAs and the nuclease (e.g., Cas9) protein.…”
Section: The Process Of Genome Editingmentioning
confidence: 99%
“…The major disadvantage of ZFN technology is the probability of unwanted genes editing at off-target sites [ 41 ]. TALEN is structurally similar to ZFN.…”
Section: Comparison To Zfns and Talensmentioning
confidence: 99%
“…FokI also needs dimerization from two TALENs to introduce DSBs [ 42 , 43 , 44 ]. The major disadvantage of TALEN technology is to induce mutation at off-target sites [ 41 ]. In contrast to them, Cas9 is an RNA-guided nuclease, and has sequence specificity largely due to Watson–Crick base pairing between the target DNA site and its gRNA, apart from direct interaction between Cas9 and PAM [ 14 , 45 ].…”
Section: Comparison To Zfns and Talensmentioning
confidence: 99%
“…However, CRISPRi- or Cas13-based therapeutic approaches face several challenges. One of the major limitations is the efficient delivery of a large cargo size (dCas9-KRAB or Cas13 and a guide RNA) to the cells of interest, using viral or nonviral vectors [ 183 ]. Among viral delivery systems, adeno-associated viruses (AAVs) exhibit interesting features, such as high gene transfer efficiency and low immunogenicity.…”
Section: Lncrna-directed Therapeutic Approachesmentioning
confidence: 99%
“…Among viral delivery systems, adeno-associated viruses (AAVs) exhibit interesting features, such as high gene transfer efficiency and low immunogenicity. However, AAVs have small packaging capacity (<5 kb), which limits their attractiveness for CRISPR-based approaches [ 183 , 184 ]. Alternatively, nonviral delivery systems, including lipid- (LNPs) and polymer-based nanoparticles (PNPs), have substantially evolved in the past decades [ 185 ].…”
Section: Lncrna-directed Therapeutic Approachesmentioning
confidence: 99%