Department of Gastroenterology, The First People's Hospital of Jiande, Hangzhou, 311600, China.
Department of Orthopedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
J Exp Clin Cancer Res. 2023 Nov 22;42(1):308. doi: 10.1186/s13046-023-02901-z.
Colorectal cancer (CRC) is one of the most common malignant cancers worldwide and seriously threatens human health. The clustered regulatory interspaced short palindromic repeat/CRISPR-associate nuclease 9 (CRISPR/Cas9) system is an adaptive immune system of bacteria or archaea. Since its introduction, research into various aspects of treatment approaches for CRC has been accelerated, including investigation of the oncogenes, tumor suppressor genes (TSGs), drug resistance genes, target genes, mouse model construction, and especially in genome-wide library screening. Furthermore, the CRISPR/Cas9 system can be utilized for gene therapy for CRC, specifically involving in the molecular targeted drug delivery or targeted knockout in vivo. In this review, we elucidate the mechanism of the CRISPR/Cas9 system and its comprehensive applications in CRC. Additionally, we discussed the issue of off-target effects associated with CRISPR/Cas9, which serves to restrict its practical application. Future research on CRC should in-depth and systematically utilize the CRISPR/Cas9 system thereby achieving clinical practice.
结直肠癌(CRC)是全球最常见的恶性癌症之一,严重威胁人类健康。簇状规则间隔短回文重复/CRISPR 相关核酸酶 9(CRISPR/Cas9)系统是细菌或古菌的一种适应性免疫系统。自引入以来,CRC 治疗方法的各个方面的研究都得到了加速,包括对致癌基因、肿瘤抑制基因(TSGs)、耐药基因、靶基因、小鼠模型构建的研究,特别是在全基因组文库筛选方面。此外,CRISPR/Cas9 系统可用于 CRC 的基因治疗,特别是涉及体内分子靶向药物递送或靶向敲除。在这篇综述中,我们阐述了 CRISPR/Cas9 系统的机制及其在 CRC 中的综合应用。此外,我们还讨论了与 CRISPR/Cas9 相关的脱靶效应问题,这限制了其实际应用。未来对 CRC 的研究应深入系统地利用 CRISPR/Cas9 系统,从而实现临床实践。