Institute of Industrial Biotechnology, 66878Government College University, Lahore, Pakistan.
Pakistan Academy of Sciences, Islamabad, Pakistan.
Technol Cancer Res Treat. 2022 Jan-Dec;21:15330338221132078. doi: 10.1177/15330338221132078.
Cancer is a genetic disease stemming from genetic and epigenetic mutations and is the second most common cause of death across the globe. Clustered regularly interspaced short palindromic repeats (CRISPR) is an emerging gene-editing tool, acting as a defense system in bacteria and archaea. CRISPR/Cas9 technology holds immense potential in cancer diagnosis and treatment and has been utilized to develop cancer disease models such as medulloblastoma and glioblastoma mice models. In diagnostics, CRISPR can be used to quickly and efficiently detect genes involved in various cancer development, proliferation, metastasis, and drug resistance. CRISPR/Cas9 mediated cancer immunotherapy is a well-known treatment option after surgery, chemotherapy, and radiation therapy. It has marked a turning point in cancer treatment. However, despite its advantages and tremendous potential, there are many challenges such as off-target effects, editing efficiency of CRISPR/Cas9, efficient delivery of CRISPR/Cas9 components into the target cells and tissues, and low efficiency of HDR, which are some of the main issues and need further research and development for completely clinical application of this novel gene editing tool. Here, we present a CRISPR/Cas9 mediated cancer treatment method, its role and applications in various cancer treatments, its challenges, and possible solution to counter these challenges.
癌症是一种源自遗传和表观遗传突变的基因疾病,是全球第二大常见死因。成簇规律间隔短回文重复序列(CRISPR)是一种新兴的基因编辑工具,在细菌和古菌中作为一种防御系统发挥作用。CRISPR/Cas9 技术在癌症诊断和治疗方面具有巨大的潜力,已被用于开发癌症疾病模型,如髓母细胞瘤和神经胶质瘤小鼠模型。在诊断方面,CRISPR 可用于快速有效地检测与各种癌症发展、增殖、转移和耐药性相关的基因。CRISPR/Cas9 介导的癌症免疫疗法是手术、化疗和放疗后的一种知名治疗选择。它标志着癌症治疗的一个转折点。然而,尽管它具有优势和巨大的潜力,但仍存在许多挑战,如脱靶效应、CRISPR/Cas9 的编辑效率、CRISPR/Cas9 组件有效递送至靶细胞和组织以及 HDR 效率低下等,这些是一些主要问题,需要进一步的研究和开发,以实现这种新型基因编辑工具的完全临床应用。在这里,我们提出了一种 CRISPR/Cas9 介导的癌症治疗方法,及其在各种癌症治疗中的作用和应用、面临的挑战,以及应对这些挑战的可能解决方案。