Zhang Han, McCarty Nami
The Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases (IMM), University of Texas-Health Science Centre at Houston, Houston, TX, USA.
Br J Haematol. 2016 Oct;175(2):208-225. doi: 10.1111/bjh.14297. Epub 2016 Sep 13.
The recent advent of the Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-CRISPR associated protein 9 (Cas9) system for precise genome editing has revolutionized methodologies in haematology and oncology studies. CRISPR-Cas9 technology can be used to remove and correct genes or mutations, and to introduce site-specific therapeutic genes in human cells. Inherited haematological disorders represent ideal targets for CRISPR-Cas9-mediated gene therapy. Correcting disease-causing mutations could alleviate disease-related symptoms in the near future. The CRISPR-Cas9 system is also a useful tool for delineating molecular mechanisms involving haematological malignancies. Prior to the use of CRISPR-Cas9-mediated gene correction in humans, appropriate delivery systems with higher efficiency and specificity must be identified, and ethical guidelines for applying the technology with controllable safety must be established. Here, the latest applications of CRISPR-Cas9 technology in haematological disorders, current challenges and future directions are reviewed and discussed.
用于精确基因组编辑的成簇规律间隔短回文重复序列(CRISPR)-CRISPR相关蛋白9(Cas9)系统的近期出现,彻底改变了血液学和肿瘤学研究的方法。CRISPR-Cas9技术可用于去除和纠正基因或突变,并在人类细胞中引入位点特异性治疗基因。遗传性血液疾病是CRISPR-Cas9介导的基因治疗的理想靶点。在不久的将来,纠正致病突变可能会减轻疾病相关症状。CRISPR-Cas9系统也是阐明血液系统恶性肿瘤分子机制的有用工具。在将CRISPR-Cas9介导的基因校正应用于人类之前,必须确定具有更高效率和特异性的合适递送系统,并建立以可控安全性应用该技术的伦理准则。在此,对CRISPR-Cas9技术在血液疾病中的最新应用、当前挑战和未来方向进行了综述和讨论。