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Updated: Jan 15, 2026

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Enhanced Genome Editing with Cas9 Ribonucleoprotein in Diverse Cells and Organisms
Published on: May 25, 2018
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Monitoring biological effects of somatic cell genome editing
Benjamin S Freedman1,2, Jeff W M Bulte3, Bruce R Conklin4,5
1Department of Medicine, Division of Nephrology, Kidney Research Institute, and Institute for Stem Cell and Regenerative Medicine, University of Washington, Seattle, WA, USA. benof@uw.edu.
Nature Reviews. Genetics
|January 13, 2026
Summary
New tools are emerging to assess CRISPR gene editing therapies. These technologies monitor DNA changes, cellular responses in organoids, and in vivo imaging, ensuring safety and efficacy from lab to clinic.
Area of Science:
- Biotechnology
- Genetics
- Medical Research
Background:
- CRISPR gene editing therapeutics show great promise but carry risks.
- There's a need for robust preclinical-to-clinical toolkits to ensure safety and efficacy.
- Emerging technologies are crucial for monitoring genome editing effects.
Purpose of the Study:
- To review emerging technologies for monitoring CRISPR genome editing safety and efficacy.
- To highlight tools assessing biological effects across various scales.
- To bridge preclinical development with clinical applications.
Main Methods:
- Direct measurement of DNA editing outcomes (on-target and off-target).
- Utilizing human microphysiological systems (organoids, organs-on-chips) for phenotypic evaluation.
- Employing non-invasive in vivo imaging for biodistribution and activity tracking.
Main Results:
- Technologies assess editing at the DNA, cellular, and whole-organism levels.
- On-target and off-target editing measurements provide functional benchmarks.
- Microphysiological systems allow phenotypic assessment in diverse organ lineages.
- In vivo imaging tracks editor and cell activity and distribution.
Conclusions:
- A suite of complementary technologies monitors genome editors across biological scales.
- These tools are essential for evaluating safety and efficacy in clinical translation.
- Integrated monitoring strategies accelerate the progress of CRISPR therapeutics.
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