Berlin Institute for Medical Systems Biology, Max Delbrück Center for Molecular Medicine, Berlin, Germany.
Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Nat Biomed Eng. 2021 Jul;5(7):643-656. doi: 10.1038/s41551-021-00760-7. Epub 2021 Jul 16.
The accurate and timely diagnosis of disease is a prerequisite for efficient therapeutic intervention and epidemiological surveillance. Diagnostics based on the detection of nucleic acids are among the most sensitive and specific, yet most such assays require costly equipment and trained personnel. Recent developments in diagnostic technologies, in particular those leveraging clustered regularly interspaced short palindromic repeats (CRISPR), aim to enable accurate testing at home, at the point of care and in the field. In this Review, we provide a rundown of the rapidly expanding toolbox for CRISPR-based diagnostics, in particular the various assays, preamplification strategies and readouts, and highlight their main applications in the sensing of a wide range of molecular targets relevant to human health.
准确、及时的疾病诊断是高效治疗干预和流行病学监测的前提。基于核酸检测的诊断方法是最敏感和最特异的方法之一,但大多数此类检测方法都需要昂贵的设备和经过培训的人员。最近诊断技术的发展,特别是利用成簇规律间隔短回文重复序列(CRISPR)的技术,旨在实现家庭、护理点和现场的准确检测。在这篇综述中,我们概述了基于 CRISPR 的诊断技术的快速扩展工具包,特别是各种检测方法、预扩增策略和检测结果,并强调了它们在检测与人类健康相关的广泛分子靶标方面的主要应用。