Gadwal A, Roy D, Khokhar M, Modi A, Sharma P, Purohit P
Dept. of Biochemistry, AIIMS, Jodhpur, Rajasthan India.
Indian J Clin Biochem. 2021 Oct;36(4):459-467. doi: 10.1007/s12291-021-00977-y. Epub 2021 Apr 16.
The current pandemic of COVID-19, with its climbing number of cases and deaths, has us searching for tools for rapid, reliable, and affordable methods of detection on one hand, and novel, improved therapeutic strategies on the other. The currently employed RT-PCR method, despite its all-encompassing utility, has its shortcomings. Newer diagnostic tools, based on the Clustered Regularly Interspaced Short Palindromic Repeats/Cas(CRISPR-Cas) system, with its better diagnostic accuracy measures, have come up to fill that void. These assay platforms are expected to slowly take up the place of COVID-19 diagnostics. Further, the current therapeutic options focus mainly on counteracting the viral proteins and components and their entry into host cells. The CRISPR-based system, especially through the RNA-guided Cas13 approach, can identify the genomic characteristics of SARS-CoV-2 and provide a novel inhibition strategy for coronaviruses. In this mini-review, we have discussed the available and upcoming CRISPR-based diagnostic assays and the potential of the CRISPR/Cas system as a therapeutic or prevention strategy in COVID-19. CRISPR-Cas system shows promise in both diagnostics as well as therapeutics and may as well change the face of molecular diagnosis and precision medicine.
当前的新冠疫情,随着病例数和死亡人数的攀升,一方面让我们在寻找快速、可靠且经济实惠的检测方法,另一方面在探寻新颖、改良的治疗策略。目前采用的逆转录聚合酶链反应(RT-PCR)方法,尽管具有广泛的实用性,但也有其缺点。基于成簇规律间隔短回文重复序列/核酸酶(CRISPR-Cas)系统的新型诊断工具,因其更高的诊断准确性,已应运而生来填补这一空白。这些检测平台有望逐步取代新冠病毒的诊断方法。此外,当前的治疗选择主要集中在对抗病毒蛋白和成分以及它们进入宿主细胞的过程。基于CRISPR的系统,特别是通过RNA引导的Cas13方法,可以识别严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的基因组特征,并为冠状病毒提供一种新的抑制策略。在这篇小型综述中,我们讨论了现有的和即将出现的基于CRISPR的诊断检测方法,以及CRISPR/Cas系统作为新冠治疗或预防策略的潜力。CRISPR-Cas系统在诊断和治疗方面都显示出了前景,并且可能会改变分子诊断和精准医学的面貌。