Delivery of CRISPR/Cas9 for therapeutic genome editing

J Gene Med. 2019 Jul;21(7):e3107. doi: 10.1002/jgm.3107.

Abstract

The clustered, regularly-interspaced, short palindromic repeat (CRISPR)-associated nuclease 9 (CRISPR/Cas9) is emerging as a promising genome-editing tool for treating diseases in a precise way, and has been applied to a wide range of research in the areas of biology, genetics, and medicine. Delivery of therapeutic genome-editing agents provides a promising platform for the treatment of genetic disorders. Although viral vectors are widely used to deliver CRISPR/Cas9 elements with high efficiency, they suffer from several drawbacks, such as mutagenesis, immunogenicity, and off-target effects. Recently, non-viral vectors have emerged as another class of delivery carriers in terms of their safety, simplicity, and flexibility. In this review, we discuss the modes of CRISPR/Cas9 delivery, the barriers to the delivery process and the application of CRISPR/Cas9 system for the treatment of genetic disorders. We also highlight several representative types of non-viral vectors, including polymers, liposomes, cell-penetrating peptides, and other synthetic vectors, for the therapeutic delivery of CRISPR/Cas9 system. The applications of CRISPR/Cas9 in treating genetic disorders mediated by the non-viral vectors are also discussed.

Keywords: drug delivery; gene editing; gene therapy; nanomedicine; non-viral vector.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • CRISPR-Cas Systems* / genetics
  • Gene Editing / methods*
  • Gene Editing / trends
  • Gene Transfer Techniques* / adverse effects
  • Gene Transfer Techniques* / trends
  • Genetic Vectors
  • Humans
  • Liposomes / chemistry
  • Metal Nanoparticles / chemistry
  • Peptides / chemistry
  • Peptides / genetics
  • Polymers / chemistry

Substances

  • Liposomes
  • Peptides
  • Polymers