School of Paramedical, Gerash University of Medical Sciences, Gerash, Iran.
Department of Medical Biotechnology, School of Medicine, Lorestan University of Medical Sciences, Khoram Abad, Iran.
Curr Gene Ther. 2021;21(2):130-148. doi: 10.2174/1566523220666201214115024.
Neurodegenerative diseases are often the consequence of alterations in structures and functions of the Central Nervous System (CNS) in patients. Despite obtaining massive genomic information concerning the molecular basis of these diseases and since the neurological disorders are multifactorial, causal connections between pathological pathways at the molecular level and CNS disorders development have remained obscure and need to be elucidated to a great extent.
Animal models serve as accessible and valuable tools for understanding and discovering the roles of causative factors in the development of neurodegenerative disorders and finding appropriate treatments. Contrary to rodents and other small animals, large animals, especially non-human primates (NHPs), are remarkably similar to humans; hence, they establish suitable models for recapitulating the main human's neuropathological manifestations that may not be seen in rodent models. In addition, they serve as useful models to discover effective therapeutic targets for neurodegenerative disorders due to their similarity to humans in terms of physiology, evolutionary distance, anatomy, and behavior.
In this review, we recommend different strategies based on the CRISPR-Cas9 system for generating animal models of human neurodegenerative disorders and explaining in vivo CRISPR-Cas9 delivery procedures that are applied to disease models for therapeutic purposes.
With the emergence of CRISPR/Cas9 as a modern specific gene-editing technology in the field of genetic engineering, genetic modification procedures such as gene knock-in and knock-out have become increasingly easier compared to traditional gene targeting techniques. Unlike the old techniques, this versatile technology can efficiently generate transgenic large animal models without the need to complicate lab instruments. Hence, these animals can accurately replicate the signs of neurodegenerative disorders.
Preclinical applications of CRISPR/Cas9 gene-editing technology supply a unique opportunity to establish animal models of neurodegenerative disorders with high accuracy and facilitate perspectives for breakthroughs in the research on the nervous system disease therapy and drug discovery. Furthermore, the useful outcomes of CRISPR applications in various clinical phases are hopeful for their translation to the clinic in a short time.
神经退行性疾病通常是患者中枢神经系统(CNS)结构和功能改变的结果。尽管获得了大量关于这些疾病分子基础的基因组信息,并且由于神经紊乱是多因素的,但分子水平上的病理途径与 CNS 紊乱发展之间的因果关系仍然不清楚,需要在很大程度上阐明。
动物模型是理解和发现神经退行性疾病发病机制中因果因素作用以及寻找合适治疗方法的有效且有价值的工具。与啮齿动物和其他小动物相比,大型动物,特别是非人类灵长类动物(NHPs),与人类非常相似;因此,它们建立了合适的模型,可以重现主要的人类神经病理学表现,而这些表现可能不会在啮齿动物模型中看到。此外,由于它们在生理学、进化距离、解剖结构和行为方面与人类相似,因此它们也是发现神经退行性疾病有效治疗靶点的有用模型。
在这篇综述中,我们根据 CRISPR-Cas9 系统推荐了不同的策略,用于生成人类神经退行性疾病的动物模型,并解释了应用于疾病模型的体内 CRISPR-Cas9 递呈程序,以达到治疗目的。
随着 CRISPR/Cas9 作为遗传工程领域一种现代特定基因编辑技术的出现,与传统的基因靶向技术相比,基因敲入和敲除等基因修饰程序变得越来越容易。与旧技术不同,这种多功能技术可以在不需要复杂实验室仪器的情况下,有效地生成转基因大型动物模型。因此,这些动物可以准确地复制神经退行性疾病的迹象。
CRISPR/Cas9 基因编辑技术的临床前应用为建立高度准确的神经退行性疾病动物模型提供了独特的机会,并为神经系统疾病治疗和药物发现的研究突破提供了前景。此外,CRISPR 在各个临床阶段的应用的有益结果有望在短时间内转化为临床应用。