Precision Control: Taming CRISPR's Unintended Edits
Source PublicationExpert Review of Molecular Diagnostics
Primary AuthorsLotfi, Farschian Yazdi, Hashemi et al.

CRISPR-based genome editing has revolutionised molecular science, offering a powerful tool for precise genetic modifications. However, a significant challenge for its use in medicine is its potential for 'off-target effects'—unintended mutations at incorrect locations in the genome, which can lead to genomic instability.
Addressing these safety concerns is crucial for any clinical application. Researchers are pursuing a dual strategy of detection and mitigation. This involves a range of methods to find these errors, including computational modelling and lab-based tests.
To prevent them from happening in the first place, scientists are advancing several key approaches. These include engineering the guide RNA that directs CRISPR to its target, creating improved Cas protein variants that cut more accurately, and employing newer, gentler technologies like base and prime editing. While progress is significant, ensuring long-term safety and accurately assessing these effects within living organisms remains a critical focus for future work.