CRISPR-Based Medicine Approval Insights
CRISPR-Based Medicine Approval Insights
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Plant Transformation Techniques
moving a specific piece of DNA (usually a foreign gene ligated to a plasmid)
into cells
Transient Stable
(Transfer of DNA to express for (Transfer of DNA to stably integrate
only a short period of time) into host genome)
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Transient • Promoter activity study
• Comparison of the promoter activity
• Cellular/subcellular localization of
Stable proteins
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Reporter Genes
Ideal characters:
i. Detection with high sensitivity.
ii. Low endogenous background.
iii. There should be a quantitative assay.
iv. Assay should be nondestructive.
v. Assay should require a minimal amount of
effort and expense.
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Selectable Markers
• Selection of transformed cells
Enable the transformed cells to survive on media containing toxic levels
of selection agent while nontransformed cells get killed
(antibiotic, antimetabolite and herbicide resistance genes, hormone biosynthetic genes and genes
conferring resistance to toxic levels of amino acids or amino acid analogs.)
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Chimaeric or transgene constructs
The nuclear plant gene consists of different regions, each involved in different
functions of transcription and translation of mRNA.
Constitutive expression,
tissue specific expression
environmentally inducible expression
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Vector mediated gene transfer
Agrobacterium mediated transformation
• Agrobacterium are gram-negative and rod shaped
• Found near soil level at the junction of plant stem and root.
A. tumefaciens: It induces crown gall disease.
A. rhizogenes: It induces hairy root disease.
A. radiobacter: It is an avirulent strain
A. tumefaciens
• Induces tumors called crown galls (tumor at root-shoot zone)
• Contain large plasmids called tumor-inducing plasmid (Ti plasmid)
Bacteria do not penetrate into the plant cells that are converted into tumor cells.
Rather, bacteria penetrate into the intercellular spaces and into injured cells
and attach themselves only to the wall of healthy plant cells. Only a small part
of the Ti plasmid, the T-DNA or transferred DNA, is transferred to and
integrated into the host plant nuclear genome
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Tumor induction by Agrobacterium tumefaciens.
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Organization of Ti plasmid (Tumor inducing plasmid)
Octopine / nopaline
Component 1:
T-region
Such disarmed Ti plasmids are capable of transferring T-DNA to plants but will
not cause tumors.
In these disarmed plasmids novel foreign genes can be inserted between the T-
DNA borders.
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Component 2:
Virulence genes (vir)
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Component 2:
Virulence genes (vir)
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Component 3: Chromosomal genes (chvA, chvB)
• Genes chvA and chvB code for exopolysaccharide production, which are
important for attachment of the bacterium to the plant cell.
T-DNA transfer
Wounding
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A. Aactivation of the vir genes via VirA and VirG
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C. Key events in the transfer of T-DNA to plant cell
Restriction enzyme sites are also added into the plasmids (to aid in cloning the gene
Of interest).
Unit 1: A shuttle (more commonly referred to as a binary) vector that contains gene
of interest between the T-DNA borders
Unit 2: A helper Ti plasmid that provides the vir gene products to facilitate transfer
into plant cells
Shuttle
Should contain:
(i) multiple cloning site,
(ii) a broad host range origin of replication functional in both E. coli and
A. tumefaciens
(iii) selectable markers for both bacteria and plants,
(iv) TDNA border sequences
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Example of a typical binary Ti vector system.
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Agrobacterium tumefaciens mediated
transformation of explants.
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Agroinfection: Agrobacterium mediated virus infection
Plant virus genomes cloned into Ti plasmids can be introduced into plants from
Agrobacterium
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Floral dip method for Arabidopsis transformation
• The optimal growth stage for transformation by floral dip was when
plants contained numerous unopened floral buds
The three main requirements for successful transformation were:
(1) correct plant developmental stage (maximum number of unopened floral
bud clusters)
(2) sugar
(3) surfactant and/or vacuum to aid infiltration. 21
Dry and harvest seeds with a
A good stage for floral dipping is
sample bag
when a pot of healthy plants
contain approximately 20–30
inflorescences
1 5
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2. Physical gene transfer methods
(DNA mediated gene transfer (DMGT)
• no natural vector is involved
• direct delivery of naked DNA to
the plant cells
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1. Electroporation
• Electrical impulses of high field strength are used to reversibly permeabilize cell
membranes to facilitate uptake of large molecules, including DNA.
ELECTROPORATION INTO MAMMALIAN CELLS
2. Cells are placed in suspension in an appropriate electroporation buffer and put into an
electroporation cuvette. DNA is added, the cuvette is connected to a power supply,
and the cells are subjected to a high-voltage electrical pulse of defined magnitude and
length
• Factors that can be varied to optimize electroporation effectiveness are pulse width,
number, amplitude and electrode configuration.
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ELECTROPORATION INTO PLANT PROTOPLASTS
Plant cells are stripped of their cell walls and DNA is introduced into the resulting protoplasts.
• Protoplasts is pulsed with high/low voltage pulses in the chamber (cylindrical in form
with a distance of 1cm between parallel steel electrodes) of
an electroporator.
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2. Particle bombardment/microprojectile/biolistics
• High velocity microprojectiles were utilized to deliver nucleic acids into living cells
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• PDS 1000 (gun powder driven device)
or the PDS-1000/He (helium driven particle gun).
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Applications of Microprojectile Bombardment
•Microprojectile bombardment is widely used for introducing foreign genes into plant cells and
producing genetically modified plants with improved traits such as disease resistance and
higher yield.
•Microprojectile bombardment has also been used to generate transgenic animals with specific
desired traits.
•This method of gene delivery allows the study of gene function and expression patterns in
different tissues.
•This method also has applications in gene therapy for delivering therapeutic genes directly
into target tissues to treat genetic disorders, cancer, and other diseases.
•Microprojectile bombardment can also be used to develop DNA vaccines by delivering DNA-
encoding antigens directly into cells.
•It can also be used to deliver fluorescent dyes into cells and tissues to study cellular signaling
processes.
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Advantages of Microprojectile Bombardment
•It is a fast and relatively simple method for delivering desired genetic materials into
cells.
•It can be used to deliver large nucleic acid fragments.
•This method is not dependent on host specificity or species limitations.
•It is a safer method for genetic transformation as it doesn’t require the use of harmful
viruses or toxic chemicals as gene delivery vehicles.
•Unlike other methods that need the cell wall to be removed, gene gun delivery can
penetrate the intact cell wall. This simplifies the process and can be used to transform a
wider range of cells.
Disadvantages:
1. leads to nonhomologous integration into the chromosome, and is characterized
by multiple copies
2. Lack of control over the velocity of bombardment, which often leads to
substantial damage to the target cells.
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3. Macroinjection
• Injection of DNA solution (5–10µl) by micropipettes into the developing floral
side shoots (tillers) of plants.
• The reported protocol could not be repeated.
4. Microinjection
Direct mechanical introduction of DNA under microscopical control into a specific
target (cell within a multicellular structure such as embryo, ovule, and meristem or
protoplasts, cells or a defined compartment of a single cell.
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Recipient cells can be immobilized
using methods such as agarose
embedding, agar embedding, poly-
lysine treated glass surfaces and
suction holding pipettes
Injected cell is cultured properly to ensure its continued growth and development.
Disadvantage:
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• The microinjection process is slow, expensive and requires highly skilled and
experienced personnel.
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5. Liposome-mediated transformation
Liposomes: artificial lipid vesicles surrounded by a synthetic membrane of
phospholipids
• DNA enters the protoplasts due to endocytosis of liposomes
Direct uptake of DNA by protoplasts is stimulated by polyethylene glycol (PEG) and PEG is
the most widely used chemical for this purpose. PEG mediated transformation involves
mixing of freshly isolated protoplasts with DNA and immediately adding PEG dissolved in a
buffer containing divalent cations. This mixture is incubated for 30 minutes; protoplasts are
washed and then plated in Petri plates for culture and growth.
40% PEG 4000 (w/v) dissolved in mannitol and calcium nitrate solution is added
and incubated for few minutes
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Protoplast Isolation
Mechanical Method
(large and highly vacuolated cells of storage tissues such as onion bulb scales,
radish root and beet root tissue could be used for isolation)
1. The cells are plasmolysed resulting in the withdrawal of contents in the
center of cell. 37
2. The tissue is dissected and deplasmolyzed to release the preformed protoplasts.
Disadvantages:
(i) It is restricted to certain tissues which have large vacuolated cells.
(ii) Yield of protoplasts is generally very low.
(iii) The method is tedious and laborious.
(iv) Viability of protoplasts is low because of the presence of substances released
by damaged cells.
Enzymatic Method
• Developed by Cocking in 1960
• Most suitable source of protoplasts is mesophyll tissue from fully expanded
leaves of young plants or new shoots.
• The mesophyll cells are loosely arranged and enzymes have an easy access to
the cell wall.
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Schematic illustration of
protoplast isolation and
culture procedure
Cellulose and hemicellulose are the
components of primary and secondary
structure of cell wall, while pectin
is a component of middle lamella that
joins the cells.
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General conditions :
• pH between 4.7 and 6.0.
• Temp is 25–30°C
• Duration 30min-20hrs
• Balance of osmoticum : The wall pressure that is mechanically supported by cell
wall must be replaced with an appropriate osmotic pressure in the protoplast
isolation mixture and also later in the culture medium.
Mannitol (Mannitol is considered to be relatively inert
metabolically and infuses slowly into the protoplasts.)
• Protoplast purification: get rid of sub-cellular debris, undigested cells, broken
protoplasts
Filtration :stainless steel or nylon mesh (50–100 μm) to remove larger portions
centrifugation :suspension medium to give a final sucrose concentration of about 20% and then
centrifugation is done at about 100x g for 7–10 min
(gradient centrifugation :Ficoll and Percoll are osmotically inert, their use may be
preferable over sucrose flotation)
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Two step or sequential method One step or simultaneous method
Spontaneous fusion
protoplast from adjoining cells fuse
through their plasmodesmata to form
multinucleate protoplasts
• Normally isolated protoplast do not fuse with each other because the
surface of isolated protoplast carries negative charges (-10mV to-
30mV ) around the outside of the plasma membrane.
Chemofusion Electrofusion
isolated protoplasts from the two selected high strength of electric field
parents are mixed in appropriate (100Kv/m) for some micro seconds
proportions and treated with 15–45 % PEG are applied this lead to fusion.
(1,500–6,000 MW) solution.
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Culture techniques for protoplast:
1. Agar culture: protoplast cultured with agar culture medium
2. Liquid culture
3. Liquid droplet method: suspending protoplasts in culture media and
pipetting 100–200 μl droplets into plastic petri dishes.
4. Hanging droplet method: Small drops (40–100 μl) of protoplast suspension
are placed on the inner side of the lid of a petridish.
5. Feeder layer (nurse cells): Protoplasts are plated on this feeder layer at low
density in a thin layer of agar medium.
6. Co-culturing: It is the culturing of two types of protoplasts viz. slow growing
and fast growing. The fast growing protoplasts presumably provide the other
species with growth factors and undefined diffusible chemicals, which aid the
regeneration of a cell wall and cell division.
Culture medium for protoplast:
• Similar to those of cultured plant cells with certain standardization
-devoid of ammonium as it is detrimental to its survival
-Increased calcium concentration may be important for membrane
stability.
-Mannitol and sorbitol for maintaining the osmolarity
-one or more auxins plus one or two cytokinins to stimulate protoplast
division and growth.
Environmental factors for culture: similar to the general condition for protoplast
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isolation described earlier PLUS 200-5000 lux of illumination.
Light units: Photosynthetic photon flux density (PPFD)
µmol photons/ m2/s .
lux meter. PPFD (µmol m-2 s-1) Lux
Sunlight 54
Cool White Fluorescent Lamps 74
PROTOPLAST DEVELOPMENT
Cell Wall Formation
• Protoplasts in culture generally start to regenerate a cell wall within a few hours
after isolation and may take two to several days to complete the process under
suitable conditions.
• Can be tracked by staining it with 0.1% calcofluor white fluorescent stain
• The nuclei of two protoplasts may or may not fuse together even after fusion of
cytoplasms.
• When nuclei and cytoplasm both are fused, the cells are known as somatic hybrid or
synkaryocyte .
• When only cytoplasms fuse and genetic information from one of the two nuclei is lost is
known as cybrid i.e. cytoplasmic hybrid or heteroplast .
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SOMATIC HYBRIDIZATION
*nucleus and cytoplasm of both parents are fused in the hybrid cell
*Sometimes, nuclear genome of only one parent but cytoplasmic genes
(plastome) from both the parents are present in the fused hybrid, which
is known as cybrid or cytoplasmic hybrid.
1. Morphology
2. Isoenzyme analysis
3. Chromosomal constitution
4. Molecular techniques:
Specific restriction patterns of chloroplast and mitochondrial DNA
have been used to great advantage to characterize the nature of
plastoms and chondrioms of somatic hybrids and cybrids.
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Somatic Hybridization Examples
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CYBRIDS
Mechanism of genome editing: Double-strand break (DSB) induced by nucleases can be repaired by non-homologous
end joining (NHEJ) or homology-directed repair (HDR) pathways. NHEJ can introduce random insertions or deletions
(indels) of varying length at the site of the DSB. Alternatively, HDR can introduce precise genomic modifications at the
target site by using a homologous DNA donor template.
RNA-guided CRISPR-Cas nuclease system
edit parts of the genome by removing, adding or altering sections of the DNA sequence.
The guide RNA will only bind to the target sequence and no other regions of the
genome.
The Cas9 follows the guide RNA to the same location in the DNA sequence and
makes a cut across both strands of the DNA.
At this stage the cell recognizes that the DNA is damaged and tries to repair it.
Scientists can use the DNA repair machinery to introduce changes to one or more genes in
the genome of a cell of interest.
Clustered
Regularly
First discovered in the sequences of DNA from
Interspaced Escherichia coli bacteria
Short
Palindromic
Repeats
and CRISPR-associated protein 9
CRISPER
helicase
CAS nuclease
Immune system of bacteria that could fight the bacteriophages
Case 1: when the bacteria has the spacer DNA specific to the bacteriophage
Case 2: when the bacteria do not have a spacer DNA specific to the bacteriophage
Not all sequences can serve as a CRISPR/Cas target site; this is because all target sites
require a PAM sequence immediately adjacent to its target. PAM is required for Cas
enzyme function and PAM sequence serves as a binding signal for Cas nuclease; without a
PAM sequence, Cas enzyme does not know where to bind and where to cut the sequence.
Thus, PAM sequence is required for all current CRISPR/Cas systems used for genome
editing.
Based on the DNA double strand break
(DSB) repair mechanism, CRISPR can
directly cause gene knockout (silencing)
by insertion or deletion of a couple of
nucleotides and repaired by non-
homologous end join (EHEJ); however, if
the homologue-directed repair (HDR)
happed, with a DNA donor, CRISPR/Cas
genome editing can be used to replace an
undesirable gene or over express
(knockin) and an individual gene.
Limitations
•difficult to deliver the CRISPR/Cas material to mature cells in large numbers, which remains
a problem for many clinical applications.
•not 100% efficient, so even the cells that take in CRISPR/Cas may not have genome editing
activity.
•not 100% accurate, and “off-target” edits, while rare, may have severe consequences,
particularly in clinical applications.
Advantage: Eliminating Transgenic Sequences Through Genetic Segregation
Schematics showing the main strategies for isolating transgene-free and genome-edited
plants Eliminating transgenic sequence through genetic segregation. CRISPR/Cas DNA
(represented by red double helix) is delivered into plant cells using Agrobacterium
tumefaciens or particle bombardment. The transgenic plants are isolated, and then genome
edited plants are selected through target site genotyping. The transgene-free and genome
edited plants are isolated from progenies of transgenic genome edited plants which is
facilitated by counter-selection
Gu X, Liu L and Zhang H (2021 Transgene-free Genome Edit in in Plants [Link] Ed. 3:805317.
doi: 10.3389/fgeed.2021.805317 72
Delivering editors in a DNA independent manner. CRISPR/Cas9 RNA or Ribonucleoproteins
(RNPs) are delivered into plant cells by polyethylene glycol (PEG)-, virus- or particle
bombardment mediated transformation, and then transgene-free and genome edited plants
are isolated from all the regenerated seedlings by target site genotyping. Mutation on target
site is represented by yellow star and transgene integration by red dot.
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Comparison of traditional genetic engineering and CRISPR-Cas editing technique
Ahmad A, Jamil A and Munawar N (2023) GMOs or non-GMOs? The CRISPR Conundrum. Front. Plant Sci. 14:1232938. 74
doi: 10.3389/fpls.2023.1232938
• the use of antibiotic resistant marker genes for the selection of transformants was also a
concern in their public acceptance.
• Majority of the transgenic crops contain genes from unrelated species, transferred
through Agrobacterium, to improve crops against insects or to withstand herbicides.
These crops could induce pest resistance by releasing toxins in soil and destroying crop
biodiversity, thus could have an adverse environmental impact.
• GM crops having bacterial or insect genes have raised health concerns such as allergic
reactions which have been reported in humans in different countries
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Depending on the repair outcomes of DSBs, CRISPR mediated modifications are classified
into three main categories:
Site-Directed Nuclease types 1, 2, and 3 (SDN1, SDN2, and SDN3),
➢ In SDN1, DSBs are repaired through NHEJ repair system which introduces indels (adds
or deletes nucleotides) without using any repair template.
• The resultant plants in both SDN1 and SDN2 are indistinguishable from conventionally
bred plants, and thus could be considered non-GM.
• Most countries like the US, Japan, India, Australia, and Ecuador consider SDN1 and
SDN2 modified plants safe and do not regulate them under conventional GM
regulations.
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There are TWO main regulatory triggers for the regulation of GM crops in the world
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Timeline of articles describing the application of the CRISPR/Cas9 method in cereals within the first decade after the CRISPR discovery (2013-
June, 2023).
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“In late 2023, we saw the first-ever approval of CRISPR-based medicine: Casgevy, a cure
for sickle cell disease (SCD) and transfusion-dependent beta thalassemia (TDT).”
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contains five functional genes designated:
All the hemoglobins formed from the different -like globins carry oxygen in the
β blood, but they exhibit somewhat different properties that are suited to specific
δ roles in human physiology. For example, hemoglobins containing either the A γ or
Aγ G γ polypeptides are expressed only during fetal life. Because these fetal
hemoglobins have a higher affinity for oxygen than adult hemoglobins, they can
Gγ
effectively extract oxygen from the maternal circulation in the placenta. The
ε lower oxygen affinity of adult hemoglobins, which are expressed after birth,
permits better release of oxygen to the tissues, espcially muscles, which have a
high demand for oxygen during
exercise
Sickle cell disease (SCD) and another genetic disorder affecting the hemoglobin in red blood
cells, transfusion-dependent beta thalassemia (TDT), were among the first targets of CRISPR-
based treatments. CRISPR Therapeutics and Vertex, the makers of Casgevy, as well as a
number of other groups, take the approach of inducing expression of fetal hemoglobin (HbF),
a kind of hemoglobin usually only found in fetuses and very young infants. If the gene for fetal
hemoglobin is turned “on” in adults, it can do the job of the healthy adult hemoglobin that
individuals with SCD and TDT are missing.
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