2 Neuroscience2.9 Genetics

2.9.7 Gene modification and editing, including CRISPR Cas and similar tools

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Written by Resident Doctor Committee · Published

Site-specific nucleases

  • Site-specific nucleases, such as zinc finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs) and Cas proteins, cut both strands of DNA at a chosen locus, and the cell's repair pathways then make the edit.

  • Cas9 is aimed by a guide RNA (gRNA), whose roughly 20-base targeting region pairs with the target by complementary bases.

ZFNs and TALENs are aimed by engineered proteins that must be redesigned for each target. Cas9 is retargeted just by changing the gRNA, so one nuclease can be aimed at many loci at once.

Repair after a Cas9 double-strand break

Feature

Non-homologous end joining

Homology-directed repair

Template

None

Supplied donor with homology arms

Accuracy

Error prone, leaving small insertions or deletions (indels)

Precise copy of the designed change

Cell cycle

Most cells, including non-dividing ones

S and G2 phases only

Typical use

Gene knockout through loss of function

Correcting a variant or inserting sequence

Follow the two branches after Cas9 cuts both strands: end joining with no template leaves an indel that shifts the reading frame (a knockout), while homology-directed repair copies the designed change from a donor with homology arms, but only in S and G2 phase. Drawn for MRCPsychiatrist

Mature neurones support little conventional homology-directed repair.

Cas9 variants that do not cut both strands

  • Catalytically dead Cas9 (dCas9) binds its target without cutting and blocks transcription by steric hindrance. This is CRISPR interference, and it leaves the sequence intact.

  • Nickases cut one strand only.

Uses in psychiatric research

  • Human induced pluripotent stem cells (hiPSCs) are adult somatic cells, such as fibroblasts, that transcription factors have reprogrammed to a pluripotent state resembling embryonic stem cells.

  • Introducing or correcting a risk variant in hiPSCs gives closely matched lines, so genetic background does not confound the comparison.

  • Off-target edits at similar sites are one technical limit. Incomplete editing is another, because it leaves cells with mixed genotypes.