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Iran J Public Health, Vol. 49, No.12, Dec 2020, pp.2235-2239 Viewpoint

CRISPR Pioneers Win 2020 for Chemistry

*Dariush D. FARHUD 1,2,3, Marjan ZARIF-YEGANEH 3,4

1. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Basic Sciences/Ethics, Academy of Medical Sciences, Tehran, Iran 3. Farhud Genetic Clinic, Tehran, Iran 4. Cellular and Molecular Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

*Corresponding Author: Email: [email protected]

(Received 12 Oct 2020; accepted 21 Oct 2020)

Abstract Over the last few years, the development of has revolutionized research on the human genome. Recent advances in developing programmable nucleases, such as meganucleases, ZFNs, TALENs and Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)/Cas, has greatly expedited the progress of gene edit- ing from concept to clinical practice. The CRISPR has advantages over other nuclease-based genome editing tools due to its high accuracy, efficiency, and strong specificity. Eight years after CRISPR application for human ge- nome edition by Emmanuelle Charpentier and Jennifer A. Doudna, the 2020 has been jointly given to them for development of CRISPR- gene editing, allows scientists to precisely cut and edit of DNA.

Keywords: Clustered regularly interspaced short palindromic repeats; Gene therapy; Nobel Prize

Background

The Nobel Prize 2020 in Chemistry has been and Jennifer A. Doudna for their discovery of jointly awarded to Emmanuelle Charpentier “a gene editing technology” (Fig. 1).

Fig. 1: Emmanuelle Charpentier (Max Planck Institute, , Germany) and (University of California, Berkely, USA) share the 2020 Nobel chemistry prize for their discovery of gene-editing technique. After reference (1)

2235 Available at: http://ijph.tums.ac.ir Farhud & Zarif-Yeganeh: CRISPR Pioneers Win 2020 Nobel …

According to the Royal Swedish Academy of Sci- So far only 56 women have won the Nobel Prize, ences the technology that allows for precise instead of 817 men laureate (4) (Gender inequali- changes to the genetic code of organisms has a ty!). As Rosalyn Franklin, who played a major "revolutionary impact on the life sciences" and role in discovering of the DNA molecule struc- "may make the dream of curing genetic diseases ture in 1953, was ignored by the Nobel Prize come true". Committee, despite the emphasis and approval of . Introduction Doudna and Charpentier and their colleagues did very mordant early work characterizing the sys- Jennifer Anne Doudna tem, but several other researchers have a key con- Jennifer Doudna is the biggest household name tributors in the development of CRISPR. They in the world of CRISPR, and for good reason - include at the Broad Institute of she is credited as the one who co-invented Clus- MIT and Harvard in Cambridge, Massachusetts tered Regularly Interspaced Short Palindromic (5); George Church at Harvard Medical School in Repeats (CRISPR). She (born February 19, 1964) Boston, Massachusetts (6), and biochem- is an American Biochemist known for her pio- ist Virginijus Siksnys at Vilnius University in neering work in CRISPR gene editing. Doudna Lithuania (7). was among the first scientists to propose that this microbial immunity mechanism could be har- Other Scientists who have worked on nessed for programmable genome editing. This CRISPR/Cas system tool effectively change the genetic makeup of any : Discovered the Existence of organism and fix a near-infinite number of prob- CRISPR Sequence in Bacteria (8), Matthew Por- lems. Doudna says “I am really kind of humbled” teus: The Pioneer of Cell-Based CRISPR Thera- (2). pies (9), David Liu: Introducing Base-Editor En- zymes (10), Stephen Tsang: Pioneer of Ophthal- Emmanuelle Charpentier mological Genome Surgery Options (11), Kevin Emmanuelle Charpentier is the co-inventor of Esvelt: Changing the Game with Responsible CRISPR. She was involved in the biochemical Gene Drives (12), Prashant Mali: Taking the Mul- characterization of guide RNA and Cas9 enzyme- tidisciplinary Approach (4), Stanley Qi: Develop- mediated DNA cleavage. ing the Next Stage of CRISPR Tech (13), Patrick Her expertise in the fields of , bio- Hsu: Expanding CRISPR Toolkit to RNA (14), chemistry, and helped pave the way for Michel Sadelain: Novel Therapies Targeting Can- the discovery of CRISPR. She unexpectedly dis- cer (15), Jacob Corn: The Intersection of Ge- covered what would form the basis of the tech- nome Editing and DNA Repair (16), Alison Van nology within the immune system of Streptococ- Eenennaam: Using CRISPR to Edit Cattle (17). cus pyogenes, one of the bacteria that cause the most harm to human, when she noticed that a Development of CRISPR Genome Editing molecule in its immune system was capable of Tool disarming viruses by slicing up their DNA (2). , are repeating DNA sequences in the After publishing her findings in 2012 (3), Char- genomes of bacteria and archaea and prokaryotes pentier went on to collaborate with US Biochem- have long utilized CRISPR as a powerful defen- ist Jennifer A. Doudna. They were able to recre- sive strategy against viral invaders. CRISPRs were ate the bacteria's genetic scissors in the lab, sim- first identified in E. coli in 1987 by a Japanese sci- plifying the molecular components. Charpentier, entist, Yoshizumi Ishino (18), who accidentally said she was “very emotional” after getting a call cloned an unusual series of repeated sequences from Stockholm with the news. interspersed with spacer sequences while analyz- ing a gene responsible for the conversion of alka-

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line phosphatase .However, the function of these This prokaryotic immune system is used as a flex- sequences remained unclear, because of insuffi- ible genome engineering tool. This system is use- cient DNA data (19). ful for research applications and influences oth- In 1993, researchers led by J.D. van Embden (20) er genome engineering technologies such as zinc in the Netherlands, discovered that different finger nucleases (ZFNs) and transcription activa- strains of Mycobacterium tuberculosis had differ- tor-like effectors (TALENs) (19). ent spacer sequences between the DNA repeats The most frequently used subtype of CRISPR and were identified in several bacterial and ar- systems is the type II CRISPR/ Cas9 system, chaeal genomes. For the first time, Francisco which depends on a single Cas protein from Mojica and Ruud Jansen mentione these se- (SpCas9) (21) (Fig. 2). quences as CRISPRs (8).

Fig. 2: An overview of CRISPR and NHEJ/HDR. The Cas9/gRNA complex produces a DSB at the target genomic locus. Repair will proceed through NHEJ or HDR depending on the experimental conditions. After reference (19)

CRISPR/Cas Genome Engineering Mecha- pair (HDR) which introduces small insertions nism and deletions (indels)in the repair site (22). The CRISPR/Cas9 system comprises of a single- Genome editing with CRISPR is not only simple, stranded guide RNA (sgRNA) and a Cas9 endo- but also scalable. Multiple gRNAs targeting mul- nuclease. The sgRNA (about 20 bp) designed to tiple loci can be easily expressed in the same cell target DNA in a sequence-specific manner, and or organism. The ability to precisely target this must be followed by a short DNA sequence CRISPR to a given locus makes it especially ame- upstream essential for the compatibility with the nable to genetic screens (19). Cas9 protein used, which is termed the “proto- CRISPR Applications (19): spacer adjacent motif” (PAM) of an “NGG” or Scientists use the targeting capability of CRISPR “NAG”. After sgRNA binding to the target se- to make modifications at specific loci, including: quence by Watson–Crick base pairing and Cas9  Knocking out of a specific gene (induced by precisely cleaves the DNA to generate a double- NHEJ mechanism). strand break (DSB) and DNA-DSB repair mech- anisms initiate genome repair including, non-  Repairing disease-causing mutations (correct- homologous end joining (NHEJ), an error-prone ed by HDR mechanism). process, or high-fidelity Homology-directed re-

2237 Available at: http://ijph.tums.ac.ir Farhud & Zarif-Yeganeh: CRISPR Pioneers Win 2020 Nobel …

 Activating or Repressing of a specific gene, in functional gene screening, disease mechanism dCas9 fused to transcriptional activators or research and drug development. CRISPR can also repressors can modulate transcription in a re- use as a Gene diagnostic tools, specifically for versible manner. cancer gene mutation diagnosis (24). Hopefully, there are many CRISPR gene editing  Epigenetics, dCas9 fused to epigenetic modifi- clinical trials for treatment of human diseases that ers can modulate transcriptions and create are in phases I/II (24). heritable epigenetic marks. Although CRISPR technology is a powerful tool  Visualize: Fluorescently labeled dCas9 or for genetic studies, it has challenges in therapeu- gRNAs that bind fluorescent proteins can be tic approaches, therefore, scientists should con- used to image genomic loci in live cells. sider many aspects of this new technology espe- cially for human genome manipulations includ-  RNA ing, increasing the specificity of gene correction,  Targeting, Cas13 enzymes target RNA rather improving the efficiency of nuclease editing, op- than DNA, sometimes requiring a protospacer timizing the delivery system. flanking sequence (PFS). In bacteria, Cas13 Finally, it is our honor that since 2017 our group targeting also promotes non-specific RNA and some other scientists in Iran has started the cleavage, but this non-specific cleavage does CRISPR studies in various fields, successfully not occur in mammalian cells. (25-27).

 Purify, Epitope-tagged dCas9 can also be used to purify a genomic locus and its associated Acknowledgments proteins or RNAs through ChIP (enChIP) or biotin-streptavidin pulldown (CAPTURE). We thank Dr. Feridoun Azizi, Dr. Mehdi He- dayati, Dr. Sima Kheradmand Kia, and Dr. Azam  Tag: Multiple methods make it easier to tag Rahim Pour that are members of our research endogenous loci with epitope tags or fluores- group, who work with us very warmly. cent markers. Conflict of interest The Future of CRISPR Directions CRISPR/Cas9 has emerged as an extremely The authors declare that there is no conflict of powerful tool across many fields. interests. The applications of this technology are limitless.

Researchers are working on new ways to cure many diseases such as Cancer, Hereditary eye dis- References eases, Cardiovascular disease, Metabolic diseases, diagnosis and treatment of Infectious diseases 1. Ledford H, Callaway E (2020). Pioneers of revo- such as HIV and COVID-19 infections (CRISPR lutionary CRISPR gene editing win chemistry Nobel technology as an emerging pan-antiviral therapy) https://www.nature.com/articles/d41586- (23), neurodegenerative disorders such as Hun- 020-02765-9 tington (HD), Alzheimer, and Parkinson, Hema- 2. Synthego (2020).16 CRISPR Scientists & Pi- tological diseases such as hemophilia, Sickle ane- oneers: The Real Heroes of Genome En- mia, β-thalassemia, and Duchenne muscular dys- gineering trophy (DMD) (24). https://www.synthego.com/blog/crispr- Moreover, CRISPR/Cas9 gRNA library screen- scientists ing is an ideal tool for drug screening or the tar- 3. Jinek M, Chylinski K, Fonfara I, et al (2012). A geted screening of specific pathways. The genera- programmable dual-RNA-guided DNA tion of gRNA libraries will play an important role

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