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Updated: Jul 24, 2025

Selection-dependent and Independent Generation of CRISPR/Cas9-mediated Gene Knockouts in Mammalian Cells
Published on: June 16, 2017
Cell cycle arrest and p53 prevent ON-target megabase-scale rearrangements induced by CRISPR-Cas9
G Cullot1, J Boutin1,2, S Fayet1
1Bordeaux University, INSERM, BRIC, U1312, F-33000, Bordeaux, France.
Abstract:
The CRISPR-Cas9 system has revolutionized our ability to precisely modify the genome and has led to gene editing in clinical applications. Comprehensive analysis of gene editing products at the targeted cut-site has revealed a complex spectrum of outcomes. ON-target genotoxicity is underestimated with standard PCR-based methods and necessitates appropriate and more sensitive detection methods. Here, we present two complementary Fluorescence-Assisted Megabase-scale Rearrangements Detection (FAMReD) systems that enable the detection, quantification, and cell sorting of edited cells with megabase-scale loss of heterozygosity (LOH). These tools reveal rare complex chromosomal rearrangements caused by Cas9-nuclease and show that LOH frequency depends on cell division rate during editing and p53 status. Cell cycle arrest during editing suppresses the occurrence of LOH without compromising editing. These data are confirmed in human stem/progenitor cells, suggesting that clinical trials should consider p53 status and cell proliferation rate during editing to limit this risk by designing safer protocols.
Insights
New Fluorescence-Assisted Megabase-scale Rearrangements Detection (FAMReD) systems accurately detect gene editing outcomes. Cell cycle arrest during CRISPR-Cas9 editing reduces loss of heterozygosity (LOH) risk in clinical applications.
Area of Science:
- Genetics
- Molecular Biology
- Genomics
Background:
- CRISPR-Cas9 gene editing offers precise genomic modification with clinical potential.
- Standard PCR methods underestimate on-target genotoxicity from gene editing.
- Sensitive detection of complex gene editing outcomes is crucial.
Purpose of the Study:
- To develop sensitive detection methods for complex gene editing outcomes.
- To quantify megabase-scale loss of heterozygosity (LOH) after gene editing.
- To investigate factors influencing LOH frequency.
Main Methods:
- Development and application of two complementary Fluorescence-Assisted Megabase-scale Rearrangements Detection (FAMReD) systems.
- Detection, quantification, and cell sorting of edited cells exhibiting LOH.
- Analysis of LOH frequency in relation to cell division rate and p53 status.
Main Results:
- FAMReD systems detect rare, complex chromosomal rearrangements induced by Cas9.
- Loss of heterozygosity (LOH) frequency is dependent on cell division rate and p53 status.
- Cell cycle arrest during editing significantly suppresses LOH without affecting editing efficiency.
Conclusions:
- FAMReD provides a sensitive tool for analyzing gene editing products.
- Cell cycle arrest is a viable strategy to mitigate LOH risk during gene editing.
- Clinical trial protocols should consider p53 status and proliferation rates for safer gene editing applications.
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