“…Surprisingly, the level of complementarity to the guide alone does not determine how strongly a particular sequence is targeted. To shed light on the determinants of off-target activity, a recent flurry of experiments has systematically probed the level of binding and/or cleavage on mutated target sequences (3), including high-throughput screens of large libraries of off-targets (11,12,14,27,(29)(30)(31)(33)(34)(35)(36), biochemical studies (6,8,10,35,37,38), structural studies (39)(40)(41)(42)(43)(44)(45), and single-molecule biophysical studies (46)(47)(48)(49)(50)(51)(52)(53) providing insights into the mechanics of targeting. To date, a number of rather peculiar targeting rules have been established for Cas nucleases: (i) specificity-efficiency decoupling: weakened protein-DNA interactions can improve target selectivity while still maintaining efficiency (54)(55)(56)(57); (ii) seed region: single mismatches within a so-called seed region (a stretch of nucleotides following the PAM (58)) can completely disrupt interference, while mismatches further into the guide have much less of an effect (6, 8, 11, 12, 15, 27-34, 38, 47, 48, 50); (iii) mismatch spread: when mismatches are outside the seed region, off-targets with spread out mismatches are targeted most strongly (27,…”