2021
DOI: 10.1038/s41587-021-01133-w
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Programmable deletion, replacement, integration and inversion of large DNA sequences with twin prime editing

Abstract: The targeted deletion, replacement, integration, or inversion of genomic sequences could be used to study or treat human genetic diseases, but existing methods typically require double-strand DNA breaks (DSBs) that lead to undesired consequences including uncontrolled indel mixtures and chromosomal abnormalities. Here, we describe twin prime editing (twinPE), a DSB-independent method that uses a prime editor (PE) protein and two prime editing guide RNAs (pegRNAs) for the programmable replacement or excision of… Show more

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Cited by 306 publications
(246 citation statements)
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“…Notably, the messager RNA (mRNA) platform has been successfully used for developing advanced vaccines and has shown potential in treating other diseases (34). CRISPR gene-editing technology corrects single-point mutations with base editors (35) and large DNA sequence deletions, replacements, integrations, and inversions with twin prime editing (36). To carry these agents, viral and non-viral platforms are required to to facilitate them into targeted cells.…”
Section: Discussionmentioning
confidence: 99%
“…Notably, the messager RNA (mRNA) platform has been successfully used for developing advanced vaccines and has shown potential in treating other diseases (34). CRISPR gene-editing technology corrects single-point mutations with base editors (35) and large DNA sequence deletions, replacements, integrations, and inversions with twin prime editing (36). To carry these agents, viral and non-viral platforms are required to to facilitate them into targeted cells.…”
Section: Discussionmentioning
confidence: 99%
“…Although prime editing is generally restricted to short edits of fewer than 20 bp, it is possible to introduce larger genomic deletions by targeting complementary prime editing events on both sides of the target DNA 120,121 . With a similar approach, it is possible to introduce gene-sized DNA fragments into specific loci, for example placing genes in safe harbour loci or tagging proteins with fluorescent labels 122,123 . These demonstrations of versatility, together with recent gains in efficiency, suggest that CRISPR prime editing screens are becoming broadly useful for investigating complex genetic changes.…”
Section: Insertions and Deletionsmentioning
confidence: 99%
“…These methods improved prime editing efficiency in plants. In the latest study, pairs of pegRNA were able to precisely delete 710 bp or precisely replace a sequence of 108 bp ( Anzalone et al, 2021 ). In general, the great potential of prime editing remains to be explored.…”
Section: Modified Gene-editing Systemsmentioning
confidence: 99%