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Updated: May 14, 2026

A Standard Methodology to Examine On-site Mutagenicity As a Function of Point Mutation Repair Catalyzed by CRISPR/Cas9 and SsODN in Human Cells
Published on: August 25, 2017
DNA damage response pathway and replication fork stress during oligonucleotide directed gene editing
Melissa Bonner1, Bryan Strouse, Mindy Applegate
11] Marshall Institute for Interdisciplinary Research, Marshall University, Huntington, West Virginia, USA [2] Present address: St Jude Children's Research Hospital, Memphis, Tennessee, USA.
Gene editing using DNA oligonucleotides (ODNs) can cause DNA breaks and replication stress. Modified ODNs are more damaging to cells, potentially limiting gene therapy applications.
Area of Science:
- Molecular Biology
- Genetics
- Cell Biology
Background:
- Single-stranded DNA oligonucleotides (ODNs) are tools for mammalian gene editing.
- Gene editing involves DNA repair pathways that can cause DNA breaks.
- Phosphorothioated ODNs activate DNA double-strand break markers like γH2AX.
Purpose of the Study:
- To investigate the DNA damage response to gene editing ODNs.
- To assess replication stress induced by various ODNs.
- To evaluate the impact of ODN chemical modifications on DNA damage and gene editing efficiency.
Main Methods:
- Utilized a mutant enhanced green fluorescent protein (eGFP) gene as a target for gene editing.
- Monitored DNA damage response markers, including γH2AX and modified proliferating cell nuclear antigen (PCNA).
- Compared the effects of unmodified and modified (phosphothioate) ODNs on DNA integrity and gene editing outcomes.
Main Results:
- Gene editing with ODNs activates the DNA damage response and PCNA modification, indicating replication stress.
- The gene editing process itself can cause transient DNA breaks, possibly via replication fork collapse.
- Unmodified ODNs induce less replication stress but are also less effective for gene editing compared to modified ODNs.
- Modified phosphothioate oligonucleotides (PTOs) cause significant cellular damage regardless of sequence.
Conclusions:
- Gene editing with ODNs triggers DNA damage and replication stress responses in mammalian cells.
- Chemically modified ODNs, while enhancing gene editing, induce greater collateral DNA damage.
- The collateral damage from modified ODNs may impede the proliferation of gene-edited human cells, posing challenges for therapeutic applications.
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