2020
DOI: 10.1126/sciadv.aax2941
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Pervasive head-to-tail insertions of DNA templates mask desired CRISPR-Cas9–mediated genome editing events

Abstract: CRISPR-Cas9–mediated homology-directed DNA repair is the method of choice for precise gene editing in a wide range of model organisms, including mouse and human. Broad use by the biomedical community refined the method, making it more efficient and sequence specific. Nevertheless, the rapidly evolving technique still contains pitfalls. During the generation of six different conditional knockout mouse models, we discovered that frequently (sometimes solely) homology-directed repair and/or nonhomologous end join… Show more

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Cited by 75 publications
(80 citation statements)
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“…There are still no reliable data on the molecular mechanism of the appearance of large deletions. This is especially important for genome editing in zygotes because several recent studies, including ours, show that major DSB repair pathways may have unusual high activity in early embryos that lead to the formation of concatemers from injected DNA molecules [84,85]. It is possible that such peculiar properties of DSB repair in zygotes will have a role in the formation of large on-target deletion during genome editing.…”
Section: Discussionmentioning
confidence: 94%
“…There are still no reliable data on the molecular mechanism of the appearance of large deletions. This is especially important for genome editing in zygotes because several recent studies, including ours, show that major DSB repair pathways may have unusual high activity in early embryos that lead to the formation of concatemers from injected DNA molecules [84,85]. It is possible that such peculiar properties of DSB repair in zygotes will have a role in the formation of large on-target deletion during genome editing.…”
Section: Discussionmentioning
confidence: 94%
“…Using the Cas9 protein/sgRNA ribonucleoproteins (RNPs) to perform genome editing has several advantages compared with co-transforming of Cas9 expression plasmid and sgRNA. A major advantage is transformation of Cas9 RNPs alleviates the possibility of integration of genetic material to a nontargeted region of the genome [23][24]. Additionally, Cas9 and sgRNA are able to form a stable ribonucleoprotein in vitro, so there is less likelihood of RNA degradation compared with Cas9 mRNA/sgRNA transformation.…”
Section: Discussionmentioning
confidence: 99%
“…Both HDR and NHEJ-mediated repair have been shown to cause multiple unwanted head-to-tail insertions of DNA donor templates at the target site during the generation of conditional knockout mice models [130]. Conventionally applied PCR analysis failed to identify these insertions.…”
Section: Unintended On-target Effects Associated With Crispr/cas Applmentioning
confidence: 99%
“…Conventionally applied PCR analysis failed to identify these insertions. Thus, it is essential to validate the integrity of the target DNA regions after applying CRISPR/Cas9 using a combination of suitably sensitive analytical techniques such as qPCR, digital droplet PCR and southern blotting [130].…”
Section: Unintended On-target Effects Associated With Crispr/cas Applmentioning
confidence: 99%
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