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Updated: Feb 2, 2026

Using Next Generation Sequencing to Identify Mutations Associated with Repair of a CAS9-induced Double Strand Break Near the CD4 Promoter
Published on: March 31, 2022
Predicting the mutations generated by repair of Cas9-induced double-strand breaks
Felicity Allen1, Luca Crepaldi1, Clara Alsinet1
1Wellcome Sanger Institute, Hinxton, UK.
Abstract:
The DNA mutation produced by cellular repair of a CRISPR-Cas9-generated double-strand break determines its phenotypic effect. It is known that the mutational outcomes are not random, but depend on DNA sequence at the targeted location. Here we systematically study the influence of flanking DNA sequence on repair outcome by measuring the edits generated by >40,000 guide RNAs (gRNAs) in synthetic constructs. We performed the experiments in a range of genetic backgrounds and using alternative CRISPR-Cas9 reagents. In total, we gathered data for >109 mutational outcomes. The majority of reproducible mutations are insertions of a single base, short deletions or longer microhomology-mediated deletions. Each gRNA has an individual cell-line-dependent bias toward particular outcomes. We uncover sequence determinants of the mutations produced and use these to derive a predictor of Cas9 editing outcomes. Improved understanding of sequence repair will allow better design of gene editing experiments.
Insights
The DNA sequence near CRISPR-Cas9 cuts influences mutation types. This study analyzed over 10^9 outcomes to predict gene editing results, improving experimental design.
Area of Science:
- Molecular Biology
- Genetics
- Bioengineering
Background:
- CRISPR-Cas9 gene editing relies on cellular DNA repair mechanisms to introduce specific mutations.
- The precise mutational outcome following a CRISPR-Cas9 double-strand break is influenced by the local DNA sequence.
- Understanding these sequence-dependent repair patterns is crucial for predictable gene editing.
Purpose of the Study:
- To systematically investigate the impact of flanking DNA sequences on the outcomes of CRISPR-Cas9-induced double-strand break repair.
- To identify sequence determinants that govern the types of mutations generated by CRISPR-Cas9.
- To develop a predictive model for Cas9 editing outcomes based on sequence characteristics.
Main Methods:
- Utilized over 40,000 guide RNAs (gRNAs) in synthetic DNA constructs to generate double-strand breaks.
- Analyzed >10^9 mutational outcomes across various genetic backgrounds and CRISPR-Cas9 reagents.
- Employed high-throughput sequencing to quantify insertion and deletion mutations at targeted loci.
Main Results:
- The majority of reproducible mutations were single-base insertions, short deletions, or microhomology-mediated deletions.
- Identified specific DNA sequence features that correlate with distinct repair outcomes.
- Observed cell-line-dependent biases in mutation types for individual gRNAs.
- Developed a predictor tool for Cas9 editing outcomes based on sequence determinants.
Conclusions:
- Flanking DNA sequence is a critical determinant of CRISPR-Cas9 editing outcomes.
- The derived sequence predictor can enhance the precision and reliability of gene editing experiments.
- This research provides a deeper understanding of DNA repair mechanisms post-CRISPR cleavage, facilitating improved experimental design.
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Fixing Double-strand Breaks
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