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造血干细胞中的碱基编辑——从原理到基于CRISPR的血液疾病治疗

Prime editing in hematopoietic stem cells-From to CRISPR-based treatment of blood disorders.

作者信息

Wolff Jonas Holst, Mikkelsen Jacob Giehm

机构信息

Department of Biomedicine, Aarhus University, Aarhus, Denmark.

出版信息

Front Genome Ed. 2023 Mar 10;5:1148650. doi: 10.3389/fgeed.2023.1148650. eCollection 2023.

Abstract

Prime editing of human hematopoietic stem cells has the potential to become a safe and efficient way of treating diseases of the blood directly in patients. By allowing site-targeted gene intervention without homology-directed repair donor templates and DNA double-stranded breaks, the invention of prime editing fuels the exploration of alternatives to conventional recombination-based genome editing of hematopoietic stem cells. Prime editing is as close as we get today to a true genome editing drug that does not require a separate DNA donor. However, to adapt the technology to perform gene correction, key challenges remain to be solved, such as identifying effective prime editing guide RNAs for clinical targets as well as developing efficient vehicles to deliver prime editors to stem cells . In this review, we summarize the current progress in delivery of prime editors both and and discuss future challenges that need to be adressed to allow prime editing as a cure for blood disorders.

摘要

对人类造血干细胞进行碱基编辑有潜力成为一种直接在患者体内安全有效地治疗血液疾病的方法。通过在无需同源定向修复供体模板和DNA双链断裂的情况下实现位点靶向基因干预,碱基编辑技术的发明推动了对造血干细胞传统重组基因组编辑替代方法的探索。碱基编辑是我们如今最接近真正的基因组编辑药物的技术,这种药物不需要单独的DNA供体。然而,为了使该技术能够进行基因校正,仍有一些关键挑战有待解决,比如为临床靶点鉴定有效的碱基编辑引导RNA,以及开发将碱基编辑器递送至干细胞的有效载体。在本综述中,我们总结了在递送碱基编辑器方面的当前进展,并讨论了为使碱基编辑成为血液疾病的治疗方法而需要应对的未来挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ef2/10036844/813ecfad585d/fgeed-05-1148650-g001.jpg

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