Erratic journey of CRISPR/Cas9 in oncology from bench-work to successful-clinical therapy

Esha Sarkar1, Afreen Khan1

  • 1Department of Biochemistry, Era's Lucknow Medical College and hospital, Era University, Lucknow, Uttar Pradesh, India.

Insights

CRISPR-Cas9 gene editing offers precise DNA modification for treating diseases like cancer. Early clinical trials show promise, especially in CAR-T cell therapy, though ethical considerations for germline editing remain.

Area of Science:

  • Biotechnology
  • Genetics
  • Molecular Biology

Background:

  • CRISPR-Cas9 is a revolutionary gene editing tool utilizing RNA guides and Cas9 enzyme for precise DNA modification.
  • It has become a leading technology for potential gene therapies targeting cancer and hereditary disorders.

Purpose of the Study:

  • To review the mechanism and discovery of CRISPR-Cas9.
  • To explore its applications in pre-clinical and clinical oncology trials, particularly PD-1 knockout CAR-T cell therapy.
  • To discuss the challenges and ethical debates surrounding CRISPR technology.

Main Methods:

  • Literature review of CRISPR-Cas9 mechanism, discovery, and applications.
  • Focus on pre-clinical and clinical trials in oncology, specifically CAR-T cell therapy.
  • Analysis of ethical considerations, including on-target/off-target effects and germline editing.

Main Results:

  • CRISPR-Cas9 demonstrates simpler, cheaper, and more precise DNA editing than other tools.
  • Promising results reported in targeting cancer and other diseases.
  • First clinical trials show long-term benefits of genetically modified T-cells in cancer treatment.

Conclusions:

  • CRISPR-Cas9 holds significant potential as a preferred technique for treating cancer and other diseases.
  • Further research is required to ensure the safety of germline editing for genetic disorders.
  • Currently, only somatic cell editing is ethically approved.

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