Biased and unbiased methods for the detection of off-target cleavage by CRISPR/Cas9: An overview
Open accessAbstract
The clustered regularly interspaced short palindromic repeat (CRISPR)-associated protein 9 endonuclease (Cas9) derived from bacterial adaptive immune systems is a revolutionary tool used in both basic and applied science. It is a versatile system that enables the genome of different species to be modified by generating double strand breaks (DSBs) at specific locations. However, all of the CRISPR/Cas9 systems can also produce DSBs at off-target sites that differ substantially from on-target sites. The generation of DSBs in locations outside the intended site can produce mutations that need to be carefully monitored, especially when using these tools for therapeutic purposes. However, off-target analyses of the CRISPR/Cas9 system have been very challenging, particularly when performed directly in cells. In this manuscript, we review the different strategies developed to identify off-targets generated by CRISPR/cas9 systems and other specific nucleases (ZFNs, TALENs) in real target cells.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
IDLV has low sensitivity and a high false positive rate, probably due to non-specific IDLV integration and PCR amplification.
“The disadvantages of IDLV include its low sensitivity and high false positive rate, probably due to non-specific IDLV integration and PCR amplification (Martin et al., 2016).”
From Off-target effects in CRISPR/Cas9 gene editing (2023) · cites this paper as Martin et al., 2016
Section 3.2 (page unavailable) says IDLV capture detects off-target cleavage at a frequency of 1% and that many IDLV insertions occur at non-relevant genomic sites, requiring controls. Section 3.3 (page unavailable) describes GUIDE-seq detecting a lower frequency of 0.1%, supporting a relative sensitivity limitation. The paper does not attribute a high false-positive rate to PCR amplification or quantify such a rate for IDLV. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A Programmable Dual-RNA–Guided DNA Endonuclease in Adaptive Bacterial Immunity
Jinek, M., Chylinski, K., Fonfara, I., Hauer, M., Doudna, J. A., & Charpentier, E. (2012) · Science · doi:10.1126/science.1225829 · Cited by 17,116 · cited 1× · see citing works
“The CRISPR/Cas9 system derived from bacterial adaptive immune systems [1–3] is one of the most powerful genome editing technology [4,5].”
BackgroundMultiplex Genome Engineering Using CRISPR/Cas Systems
Cong, L., Ran, F. A., Cox, D., Lin, S., Barretto, R., Habib, N., Hsu, P. D., Wu, X., Jiang, W., Marraffini, L. A., et al. (2013) · Science · doi:10.1126/science.1231143 · Cited by 15,339 · cited 1× · see citing works
“Since then, various research groups have produced abundant data on off-target sites from different systems using different strategies [10–17].”
BackgroundThe new frontier of genome engineering with CRISPR-Cas9
Doudna, J. A., & Charpentier, E. (2014) · Science · doi:10.1126/science.1258096 · Cited by 7,062 · see citing works
DNA targeting specificity of RNA-guided Cas9 nucleases
Hsu, P. D., Scott, D. A., Weinstein, J. A., Ran, F. A., Konermann, S., Agarwala, V., Li, Y., Fine, E. J., Wu, X., Shalem, O., et al. (2013) · Nature Biotechnology · doi:10.1038/nbt.2647 · Cited by 4,741 · see citing works
Double nicking by RNA-guided CRISPR Cas9 for enhanced genome editing specificity
Ran, F. A., Hsu, P. D., Lin, C.-Y., Gootenberg, J. S., Konermann, S., Trevino, A. E., Scott, D. A., Inoue, A., Matoba, S., Zhang, Y., et al. (2013) · Cell · doi:10.1016/j.cell.2013.08.021 · Cited by 3,299 · see citing works
High-Frequency off-Target Mutagenesis Induced by CRISPR-Cas Nucleases in Human Cells
Fu, Y., Foden, J. A., Khayter, C., Maeder, M. L., Reyon, D., Joung, J. K., & Sander, J. D. (2013) · Nature Biotechnology · doi:10.1038/nbt.2623 · Cited by 3,292 · cited 2× · see citing works
“Other authors have come up with different results using deep sequencing assays to identify a limited number of off-target cleavages [9,13,17,21] and have generally concluded that high-frequency mutagenesis is possible even at locations quite different from the intended target site.”
BackgroundCRISPR-Cas systems for editing, regulating and targeting genomes
Sander, J. D., & Joung, J. K. (2014) · Nature Biotechnology · doi:10.1038/nbt.2842 · Cited by 3,153 · cited 1× · see citing works
“The generation of DSBs in off-target genomic locations can produce insertions and deletions (indels) as well as translocations that need to be carefully monitored [6].”
BackgroundBae, S., Park, J., & Kim, J.-S. (2014) · Bioinformatics · doi:10.1093/bioinformatics/btu048 · Cited by 2,339 · cited 1× · see citing works
“net/cas-offinder/) [18], the Feng Zhang lab’s Target Finder (available online: http://crispr.”
BackgroundGUIDE-seq enables genome-wide profiling of off-target cleavage by CRISPR-Cas nucleases
Tsai, S. Q., Zheng, Z., Nguyen, N. T., Liebers, M., Topkar, V. V., Thapar, V., Wyvekens, N., Khayter, C., Iafrate, A. J., Le, L. P., et al. (2015) · Nature Biotechnology · doi:10.1038/nbt.3117 · Cited by 2,268 · cited 3× · see citing works
“Keith Joung’s team recently developed a revolutionary new platform called GUIDE-seq (genome-wide unbiased identification of DSBs evaluated by sequencing) [30].”
BackgroundMethodInfluentialIntervening Sequences of Regularly Spaced Prokaryotic Repeats Derive from Foreign Genetic Elements
Mojica, F. J. M., D�ez-Villase�or, C., Garc�a-Mart�nez, J., & Soria, E. (2005) · Journal of Molecular Evolution · doi:10.1007/s00239-004-0046-3 · Cited by 2,219 · cited 1× · see citing works
“The CRISPR/Cas9 system derived from bacterial adaptive immune systems [1–3] is one of the most powerful genome editing technology [4,5].”
BackgroundChIP–seq: advantages and challenges of a maturing technology
Park, P. J. (2009) · Nature Reviews Genetics · doi:10.1038/nrg2641 · Cited by 2,217 · cited 1× · see citing works
“Cross-linking chromatin immunoprecipitation (ChIP) detects the in situ interaction of proteins with DNA [22,23].”
BackgroundIdentification of genes that are associated with DNA repeats in prokaryotes
Jansen, R., van Embden, J. D. A., Gaastra, W., & Schouls, L. M. (2002) · Molecular Microbiology · doi:10.1046/j.1365-2958.2002.02839.x · Cited by 2,035 · cited 1× · see citing works
“The CRISPR/Cas9 system derived from bacterial adaptive immune systems [1–3] is one of the most powerful genome editing technology [4,5].”
BackgroundEngineered CRISPR-Cas9 nucleases with altered PAM specificities
Kleinstiver, B. P., Prew, M. S., Tsai, S. Q., Topkar, V. V., Nguyen, N. T., Zheng, Z., Gonzales, A. P. W., Li, Z., Peterson, R. T., Yeh, J.-R. J., et al. (2015) · Nature · doi:10.1038/nature14592 · Cited by 1,624 · see citing works
Analysis of off-target effects of CRISPR/Cas-derived RNA-guided endonucleases and nickases
Cho, S. W., Kim, S., Kim, Y., Kweon, J., Kim, H. S., Bae, S., & Kim, J.-S. (2014) · Genome Research · doi:10.1101/gr.162339.113 · Cited by 1,356 · cited 1× · see citing works
“[11] used a bioinformatic approach to search for potential binding sites for gRNAs targeting the CCR5 gene, which is a target for the treatment of AIDS.”
MethodDigenome-seq: Genome-wide profiling of CRISPR-cas9 off-target effects in human cells
Kim, D., Bae, S., Park, J., Kim, E., Kim, S., Yu, H. R., Hwang, J., Kim, J.-I., & Kim, J.-S. (2015) · Nature Methods · doi:10.1038/nmeth.3284 · Cited by 992 · see citing works
E-CRISP: fast CRISPR target site identification
Heigwer, F., Kerr, G., & Boutros, M. (2014) · Nature Methods · doi:10.1038/nmeth.2812 · Cited by 866 · cited 1× · see citing works
“org/E-CRISP/) [19], and the Breaking-cas (available online: http://bioinfogp.”
Mojica, F. J. M., Díez‐Villaseñor, C., Soria, E., & Juez, G. (2000) · Molecular Microbiology · doi:10.1046/j.1365-2958.2000.01838.x · Cited by 821 · cited 1× · see citing works
“The CRISPR/Cas9 system derived from bacterial adaptive immune systems [1–3] is one of the most powerful genome editing technology [4,5].”
BackgroundGenome-wide analysis reveals characteristics of off-target sites bound by the Cas9 endonuclease
Kuscu, C., Arslan, S., Singh, R., Thorpe, J., & Adli, M. (2014) · Nature Biotechnology · doi:10.1038/nbt.2916 · Cited by 777 · cited 1× · see citing works
“[25] mapped genome-wide binding sites of catalytically inactive Cas9 (dCas9) with 12 different single guide RNAs (sgRNAs) and found significant cleavage at almost 50% of the predicted off-target sites.”
BackgroundGenome-wide detection of DNA double-stranded breaks induced by engineered nucleases
Frock, R. L., Hu, J., Meyers, R. M., Ho, Y.-J., Kii, E., & Alt, F. W. (2015) · Nature Biotechnology · doi:10.1038/nbt.3101 · Cited by 673 · cited 5× · see citing works
“Indeed, several unbiased technologies have been described (WGS, IDLV capture, GUIDE-seq, and LAM-HTGTS) that have shed light to the real specificity of several SNs, confirming some off-target sites predicted by bioinformatic algorithms and uncovering many more.”
MethodInfluentialBroadening the targeting range of Staphylococcus aureus CRISPR-Cas9 by modifying PAM recognition
Kleinstiver, B. P., Prew, M. S., Tsai, S. Q., Nguyen, N. T., Topkar, V. V., Zheng, Z., & Joung, J. K. (2015) · Nature Biotechnology · doi:10.1038/nbt.3404 · Cited by 611 · cited 1× · see citing works
“Several manuscripts have used the GUIGE-Seq to investigate real off-target sites of the CRISPR/Cas9 systems [31–33].”
MethodCRISPR/Cas9 systems targeting β-globin and CCR5 genes have substantial off-target activity
Cradick, T. J., Fine, E. J., Antico, C. J., & Bao, G. (2013) · Nucleic Acids Research · doi:10.1093/nar/gkt714 · Cited by 590 · see citing works
An unbiased genome-wide analysis of zinc-finger nuclease specificity
Gabriel, R., Lombardo, A., Arens, A., Miller, J. C., Genovese, P., Kaeppel, C., Nowrouzi, A., Bartholomae, C. C., Wang, J., Friedman, G., et al. (2011) · Nature Biotechnology · doi:10.1038/nbt.1948 · Cited by 526 · cited 4× · see citing works
“[27] as a tool to develop the first unbiased approach to detecting off-target sites generated by ZFNs (Figure 3, right).”
BackgroundMethodInfluentialVeres, A., Gosis, B. S., Ding, Q., Collins, R., Ragavendran, A., Brand, H., Erdin, S., Cowan, C. A., Talkowski, M. E., & Musunuru, K. (2014) · Cell Stem Cell · doi:10.1016/j.stem.2014.04.020 · Cited by 474 · see citing works
Wang, X., Wang, Y., Wu, X., Wang, J., Wang, Y., Qiu, Z., Chang, T., Huang, H., Lin, R.-J., & Yee, J.-K. (2015) · Nature Biotechnology · doi:10.1038/nbt.3127 · Cited by 442 · cited 4× · see citing works
“[29] found off-target sites harboring one-base bulge or up to 13 mismatches between the gRNA and its genomic target.”
BackgroundMethodInfluentialHighly expressed loci are vulnerable to misleading ChIP localization of multiple unrelated proteins
Teytelman, L., Thurtle, D. M., Rine, J., & van Oudenaarden, A. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1316064110 · Cited by 389 · see citing works
Smith, C., Gore, A., Yan, W., Abalde-Atristain, L., Li, Z., He, C., Wang, Y., Brodsky, R. A., Zhang, K., Cheng, L., et al. (2014) · Cell stem cell · doi:10.1016/j.stem.2014.06.011 · Cited by 342 · cited 2× · see citing works
“In theory, as the entire genome of a cell can now be sequenced, the WGS of edited cells could be used to study CRISPR/Cas9 specificity [36,37].”
BackgroundUse of the CRISPR/Cas9 system as an intracellular defense against HIV-1 infection in human cells
Liao, H., Gu, Y., Diaz, A., Marlett, J. M., Takahashi, Y., Li, M., Suzuki, K., Xu, R., Hishida, T., Chang, C.-J., et al. (2015) · Nature Communications · doi:10.1038/ncomms7413 · Cited by 338 · cited 1× · see citing works
“Since then, various research groups have produced abundant data on off-target sites from different systems using different strategies [10–17].”
BackgroundFriedland, A. E., Baral, R., Singhal, P., Loveluck, K., Shen, S., Sanchez, M. E., Marco, E., Gotta, G. M., Maeder, M. L., Kennedy, E. M., et al. (2015) · Genome biology · doi:10.1186/s13059-015-0817-8 · Cited by 280 · cited 1× · see citing works
“Several manuscripts have used the GUIGE-Seq to investigate real off-target sites of the CRISPR/Cas9 systems [31–33].”
MethodBreaking-Cas—interactive design of guide RNAs for CRISPR-Cas experiments for ENSEMBL genomes
Oliveros, J. C., Franch, M., Tabas‐Madrid, D., León, D. S., Montoliu, L., Cubas, P., & Pazos, F. (2016) · Nucleic Acids Research · doi:10.1093/nar/gkw407 · Cited by 204 · see citing works
Evaluation of TCR Gene Editing Achieved by TALENs, CRISPR/Cas9, and megaTAL Nucleases
Osborn, M. J., Webber, B. R., Knipping, F., Lonetree, C.-L., Tennis, N., DeFeo, A. P., McElroy, A. N., Starker, C. G., Lee, C., Merkel, S., et al. (2016) · Molecular Therapy · doi:10.1038/mt.2015.197 · Cited by 201 · cited 1× · see citing works
“This approach has also been used to detect off-target sites of other specific nucleases, including the CRISPR/Cas9 system [28,29].”
MethodOff-target mutations are rare in Cas9-modified mice
Iyer, V., Shen, B., Zhang, W., Hodgkins, A., Keane, T., Huang, X., & Skarnes, W. C. (2015) · Nature Methods · doi:10.1038/nmeth.3408 · Cited by 185 · cited 1× · see citing works
“In theory, as the entire genome of a cell can now be sequenced, the WGS of edited cells could be used to study CRISPR/Cas9 specificity [36,37].”
BackgroundMundade, R., Özer, H. G., Han, W., Prabhu, L., & Lu, T. (2014) · Cell Cycle · doi:10.4161/15384101.2014.949201 · Cited by 172 · cited 1× · see citing works
“Cross-linking chromatin immunoprecipitation (ChIP) detects the in situ interaction of proteins with DNA [22,23].”
BackgroundEngineering Human Stem Cell Lines with Inducible Gene Knockout using CRISPR/Cas9
Chen, Y., Cao, J., Xiong, M., Petersen, A. J., Dong, Y. W., Tao, Y., Huang, C. T.-L., Du, Z., & Zhang, S. (2015) · Cell stem cell · doi:10.1016/j.stem.2015.06.001 · Cited by 160 · see citing works
Chromosomal Loop Domains Direct the Recombination of Antigen Receptor Genes
Hu, J., Zhang, Y., Zhao, L., Frock, R. L., Du, Z., Meyers, R. M., Meng, F., Schatz, D. G., & Alt, F. W. (2015) · Cell · doi:10.1016/j.cell.2015.10.016 · Cited by 157 · cited 5× · see citing works
“Indeed, several unbiased technologies have been described (WGS, IDLV capture, GUIDE-seq, and LAM-HTGTS) that have shed light to the real specificity of several SNs, confirming some off-target sites predicted by bioinformatic algorithms and uncovering many more.”
MethodInfluentialProtospacer adjacent motif (PAM)-distal sequences engage CRISPR Cas9 DNA target cleavage
Cencic, R., Miura, H., Malina, A., Robert, F., Ethier, S., Schmeing, T. M., Dostie, J., & Pelletier, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0109213 · Cited by 117 · cited 1× · see citing works
“found that, of the 43 ChIP-seq predicted sites for a Cas9-gRNA targeting the Trp53 locus, only the in-target site and one off-target were confirmed [24].”
BackgroundOusterout, D. G., Kabadi, A. M., Thakore, P. I., Pérez‐Piñera, P., Brown, M. T., Majoros, W. H., Reddy, T. E., & Gersbach, C. A. (2014) · Molecular Therapy · doi:10.1038/mt.2014.234 · Cited by 117 · cited 1× · see citing works
“Other authors have come up with different results using deep sequencing assays to identify a limited number of off-target cleavages [9,13,17,21] and have generally concluded that high-frequency mutagenesis is possible even at locations quite different from the intended target site.”
BackgroundThe genome editing revolution: A CRISPR‐Cas TALE off‐target story
Stella, S., & Montoya, G. (2016) · BioEssays · doi:10.1002/bies.201670903 · Cited by 64 · see citing works
Cradick, T. J., Antico, C. J., & Bao, G. (2014) · Methods in molecular biology · doi:10.1007/978-1-62703-761-7_22 · Cited by 13 · cited 1× · see citing works
“Since then, various research groups have produced abundant data on off-target sites from different systems using different strategies [10–17].”
Background
Flagged first, then by citations
1 of the 39 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Off-target effects in CRISPR/Cas9 gene editing
Guo, C., Ma, X., Gao, F., & Guo, Y. (2023) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2023.1143157 · Cited by 625 · see citing works
“The disadvantages of IDLV include its low sensitivity and high false positive rate, probably due to non-specific IDLV integration and PCR amplification (Martin et al., 2016).”
BackgroundManghwar, H., Li, B., Ding, X. L., Hussain, A., Lindsey, K., Zhang, X., & Jin, S. (2020) · Advanced Science · doi:10.1002/advs.201902312 · Cited by 394 · see citing works
Delivery Aspects of CRISPR/Cas for in Vivo Genome Editing
Wilbie, D., Walther, J., & Mastrobattista, E. (2019) · Accounts of Chemical Research · doi:10.1021/acs.accounts.9b00106 · Cited by 300 · see citing works
Abadi, S., Yan, W. X., Amar, D., & Mayrose, I. (2017) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1005807 · Cited by 200 · see citing works
CRISPR-Cas9 off-targeting assessment with nucleic acid duplex energy parameters
Alkan, F., Wenzel, A., Anthon, C., Havgaard, J. H., & Gorodkin, J. (2018) · Genome biology · doi:10.1186/s13059-018-1534-x · Cited by 167 · see citing works
Modrzejewski, D., Hartung, F., Lehnert, H., Sprink, T., Kohl, C., Keilwagen, J., & Wilhelm, R. (2020) · Frontiers in Plant Science · doi:10.3389/fpls.2020.574959 · Cited by 151 · see citing works
“Two different strategies have been used to detect offtarget effects: biased and unbiased detection methods (Martin et al., 2016).”
BackgroundMethodInfluentialModrzejewski, D., Hartung, F., Sprink, T., Krause, D., Kohl, C., & Wilhelm, R. (2019) · Environmental Evidence · doi:10.1186/s13750-019-0171-5 · Cited by 124 · see citing works
Young, J. K., Zastrow‐Hayes, G., Deschamps, S., Svitashev, S. K., Zaremba, M., Acharya, A., Paulraj, S., Peterson-Burch, B. D., Schwartz, C. S., Djukanovic, V., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-43141-6 · Cited by 103 · see citing works
Duchêne, B. L., Cherif, K., Iyombe-Engembe, J.-P., Guyon, A., Rousseau, J., Ouellet, D. L., Barbeau, X., Lagüe, P., & Tremblay, J. P. (2018) · Molecular Therapy · doi:10.1016/j.ymthe.2018.08.010 · Cited by 87 · see citing works
Omer, L., Hudson, E., Zheng, S., Hoying, J. B., Shan, Y., & Boyd, N. L. (2017) · Hepatology Communications · doi:10.1002/hep4.1110 · Cited by 78 · see citing works
“In addition to candidate off-target sites, it is known that other off-target modifications may occur in places not predicted in the candidate list due to a variety of reasons, including genomic and epigenomic properties that may affect cleavage frequency; therefore, unbiased detection of off-target cleavage, such as w…”
BackgroundEvolution of CRISPR/Cas Systems for Precise Genome Editing
Hryhorowicz, M., Lipiński, D., & Zeyland, J. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241814233 · Cited by 65 · see citing works
“…of endonuclease-mutant Cas9 (ChIP-dCas9), integrative-deficient lentiviral vectors (IDLV) capture, detection of off-target cleavage by CRISPR/Cas9 using GUIDE-seq methods, LAM-PCR-based high-throughput genomewide translocation sequencing (LAM-HTGTS), or whole genome sequencing (WGS) [80].”
CRISPR system: Discovery, development and off-target detection
Chen, S., Yao, Y., Zhang, Y., & Fan, G. (2020) · Cellular Signalling · doi:10.1016/j.cellsig.2020.109577 · Cited by 61 · see citing works
Kujoth, G. C., Sullivan, T. D., Merkhofer, R. M., Lee, T.-J., Wang, H., Brandhorst, T. T., Wüthrich, M., & Klein, B. S. (2018) · mBio · doi:10.1128/mbio.00412-18 · Cited by 58 · see citing works
Breton, C. A., Clark, P., Wang, L., Greig, J. A., & Wilson, J. M. (2020) · BMC Genomics · doi:10.1186/s12864-020-6655-4 · Cited by 57 · see citing works
Characterization of Cas12a nucleases reveals diverse PAM profiles between closely-related orthologs
Jacobsen, T. L., Ttofali, F., Liao, C., Manchalu, S., Gray, B. N., & Beisel, C. L. (2020) · Nucleic Acids Research · doi:10.1093/nar/gkaa272 · Cited by 55 · see citing works
“It would also be important to evaluate the propensity for off-targeting using well-established methodologies (43) given the potential of altered PAM recognition to impact targeting across a genome.”
BackgroundBouwman, B. A. M., & Crosetto, N. (2018) · Genes · doi:10.3390/genes9120632 · Cited by 54 · see citing works
“Fixed cells or tissue sections (at least 103 cells) • Etoposide-induced DSBs, natural DSBs in cells and tissues, and Cas9 and Cpf1 specificity [201] • AsiSI-induced DSBs in DIvA cells [211] BLESS [122] and i-BLESS [203] Direct In situ or in agarose blunting and ligation of biotinylated adapters.”
BackgroundMethodInfluentialGutiérrez-Guerrero, A., Sánchez-Hernández, S., Galvani, G., Pinedo-Gomez, J., Martín-Guerra, R., Sánchez‐Gilabert, A., Aguilar-González, A., Cobo, M., Gregory, P. D., Holmes, M. C., et al. (2017) · Human Gene Therapy · doi:10.1089/hum.2017.047 · Cited by 49 · see citing works
Babačić, H., Mehta, A., Merkel, O. M., & Schoser, B. G. H. (2019) · PLoS ONE · doi:10.1371/journal.pone.0212198 · Cited by 47 · see citing works
Genome-wide detection of DNA double-strand breaks by in-suspension BLISS
Bouwman, B. A. M., Agostini, F., Garnerone, S., Petrosino, G., Gothe, H. J., Sayols, S., Moor, A. E., Itzkovitz, S., Bienko, M., Roukos, V., et al. (2020) · Nature Protocols · doi:10.1038/s41596-020-0397-2 · Cited by 43 · see citing works
Using Gene Editing Approaches to Fine-Tune the Immune System
Pavlovic, K., Tristán‐Manzano, M., Maldonado‐Pérez, N., Cortijo-Gutierréz, M., Sánchez-Hernández, S., Justicia-Lirio, P., Carmona-Luque, M. D., Herrera, C., Martı́n, F., & Benabdellah, K. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.570672 · Cited by 45 · see citing works
CRISPR-Cas9: from Genome Editing to Cancer Research
Chen, S., Sun, H., Miao, K., & Deng, C. (2016) · International Journal of Biological Sciences · doi:10.7150/ijbs.17421 · Cited by 40 · see citing works
“As it currently stands, CRISPR-Cas9 system may sometimes suffer an off-target problem by generating DSBs at non-specific sites [87].”
BackgroundPaving the way towards precise and safe CRISPR genome editing
Śledziński, P., Dabrowska, M., Nowaczyk, M., & Olejniczak, M. (2021) · Biotechnology Advances · doi:10.1016/j.biotechadv.2021.107737 · Cited by 41 · see citing works
Computational Analysis Concerning the Impact of DNA Accessibility on CRISPR-Cas9 Cleavage Efficiency
Chung, C.-H., Allen, A. G., Sullivan, N. T., Atkins, A., Nonnemacher, M. R., Wigdahl, B. L., & Dampier, W. (2019) · Molecular Therapy · doi:10.1016/j.ymthe.2019.10.008 · Cited by 38 · see citing works
Cell and Gene Therapy for Anemia: Hematopoietic Stem Cells and Gene Editing
Anurogo, D., Budi, N. Y. P., Ngo, M.-H. T., Huang, Y., & Pawitan, J. A. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22126275 · Cited by 37 · see citing works
Elsharawy, H., & Refat, M. (2023) · Functional & Integrative Genomics · doi:10.1007/s10142-023-01190-1 · Cited by 40 · see citing works
Delivery Platforms for CRISPR/Cas9 Genome Editing of Glial Cells in the Central Nervous System
Meneghini, V., Peviani, M., Luciani, M., Zambonini, G., & Gritti, A. (2021) · Frontiers in Genome Editing · doi:10.3389/fgeed.2021.644319 · Cited by 36 · see citing works
“Safety concerns against the application of CRISPR/Cas9 systems for gene therapy are mainly associated with their potential off-target activity, usually involving genomic loci with up to six mismatched nucleotides compared with the sgRNA, which is complementary to the on-target locus (Martin et al., 2016).”
BackgroundDNA, RNA, and Protein Tools for Editing the Genetic Information in Human Cells
Chen, X., & Gonçalves, M. A. F. V. (2018) · iScience · doi:10.1016/j.isci.2018.08.001 · Cited by 35 · see citing works
CRISPR-Cas systems: Challenges and future prospects
Gohil, N., Bhattacharjee, G., Lam, N. L., Perli, S. D., & Singh, V. (2021) · Progress in molecular biology and translational science · doi:10.1016/bs.pmbts.2021.01.008 · Cited by 32 · see citing works
Current advances in overcoming obstacles of CRISPR/Cas9 off-target genome editing
Aquino‐Jarquín, G. (2021) · Molecular Genetics and Metabolism · doi:10.1016/j.ymgme.2021.08.002 · Cited by 32 · see citing works
Estève, J., Blouin, J., Lalanne, M., Martin, L. A., Dubus, P. R., Bidet, A., Harambat, J., Llanas, B., Moranvillier, I., Bedel, A., et al. (2019) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2019.07.109 · Cited by 26 · see citing works
Zhang, Y., Arango, G., Li, F., Xiao, X., Putatunda, R., Yu, J., Yang, X. F., Wang, H., Watson, L. T., Zhang, L., et al. (2018) · BMC Medical Genomics · doi:10.1186/s12920-018-0394-2 · Cited by 25 · see citing works
Aljanahi, A. A., Lazzarotto, C. R., Chen, S., Shin, T., Cordes, S., Fan, X., Jabara, I., Zhou, Y., Young, D. J., Lee, B., et al. (2021) · Molecular Therapy · doi:10.1016/j.ymthe.2021.06.016 · Cited by 26 · see citing works
Miao, K., Zhang, X., Su, S. M., Zeng, J., Huang, Z., Chan, U. I., Xu, X., & Deng, C. (2018) · Journal of Biological Chemistry · doi:10.1074/jbc.ra118.006496 · Cited by 21 · see citing works
An Update of Nucleic Acids Aptamers Theranostic Integration with CRISPR/Cas Technology
Roueinfar, M., Templeton, H., Sheng, J. A., & Hong, K. L. (2022) · Molecules · doi:10.3390/molecules27031114 · Cited by 21 · see citing works
“Although whole-genome sequencing can remediate the limitation, it is associated with high costs [83].”
BackgroundChallenges of Gene Editing Therapies for Genodermatoses
Brooks, I., Sheriff, A., Moran, D., Wang, J.-B., & Jacków, J. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24032298 · Cited by 17 · see citing works
“Studies have revealed that SpCas9, which traditionally binds to a ‘5′-NGG-3′ PAM site, has a mild affinity to 5′-NAG-3′ or 5′-NGA-3′ sequences and can also tolerate up to six ‘mismatches’ (six different nucleotides in the protospacer to the target) and still bind [81].”
BackgroundApplications of CRISPR systems in respiratory health: Entering a new ‘red pen’ era in genome editing
Moses, C., & Kaur, P. (2019) · Respirology · doi:10.1111/resp.13527 · Cited by 22 · see citing works
Genome-edited adult stem cells: Next-generation advanced therapy medicinal products
Benabdellah, K., Sánchez-Hernández, S., Aguilar-González, A., Maldonado‐Pérez, N., Gutiérrez-Guerrero, A., Cortijo-Gutierréz, M., Ramos-Hernández, I., Tristán‐Manzano, M., Galindo‐Moreno, P., Herrera, C., et al. (2020) · Stem Cells Translational Medicine · doi:10.1002/sctm.19-0338 · Cited by 21 · see citing works
“However, none of the methods for detecting the distribution and frequency of off-targets introduced by SENs are regarded as sufficiently robust to be implemented in clinical trials.(14) Nevertheless, it is very useful to compare different off-target SEN activities in order to develop more effective and safer strategie…”
BackgroundControlling CRISPR with small molecule regulation for somatic cell genome editing
Khajanchi, N., & Saha, K. (2021) · Molecular Therapy · doi:10.1016/j.ymthe.2021.06.014 · Cited by 19 · see citing works
Wang, Q., Liu, J., Janssen, J. M., & Gonçalves, M. A. F. V. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkad165 · Cited by 19 · see citing works
Development of New Genome Editing Tools for the Treatment of Hyperlipidemia
Preta, G. (2023) · Cells · doi:10.3390/cells12202466 · Cited by 18 · see citing works
“Differences among the several off-target detection methods are outside the scope of this manuscript, but several reviews extensively describe the available tools [140,141].”
BackgroundLi, W., Huang, C., & Chen, J. (2022) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2022.890155 · Cited by 18 · see citing works
Genome and transcriptome engineering by compact and versatile CRISPR-Cas systems
Aquino‐Jarquín, G. (2023) · Drug Discovery Today · doi:10.1016/j.drudis.2023.103793 · Cited by 15 · see citing works
CRISPR GENOME SURGERY IN THE RETINA IN LIGHT OF OFF-TARGETING
Cho, G. Y., Schaefer, K. A., Bassuk, A. G., Tsang, S. H., & Mahajan, V. B. (2018) · Retina · doi:10.1097/iae.0000000000002197 · Cited by 15 · see citing works
Genome-wide CRISPR off-target DNA break detection by the BLISS method
Ballarino, R., Bouwman, B. A. M., & Crosetto, N. (2021) · Methods in molecular biology · doi:10.1007/978-1-0716-0687-2_15 · Cited by 8 · see citing works
Challenges and Future Prospects of CRISPR Technology
Khan, Z., Khan, S. H., & Ahmad, A. (2021) · Springer eBooks · doi:10.1007/978-981-16-6305-5_10 · Cited by 8 · see citing works
Minet, C., Thévenon, S., Chantal, I., Solano, P., & Berthier, D. (2018) · Infection Genetics and Evolution · doi:10.1016/j.meegid.2018.02.030 · Cited by 8 · see citing works
Wattad, H., Molcho, J., Manor, R., Weil, S., Aflalo, E. D., Caspi, V. C., & Sagi, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252312530 · Cited by 7 · see citing works
“GUIDE-seq is considered one of the most sensitive methods for detecting off-target effects in human cells [50].”
Gutiérrez-Guerrero, A., Perian, S., Leray, A., Martinello, C., Abrey-Recalde, M. J., Costa, C., Herrero, C. I., Bouzelha, M., Álvarez‐Dorta, D., Gouin, S. G., et al. (2025) · Molecular Therapy — Nucleic Acids · doi:10.1016/j.omtn.2025.102495 · Cited by 7 · see citing works
“9,17 The same methodology allowed rAAV6 donor-mediated homologous recombination in the b -globin encoding and MyD88 loci 18 and also in the pyruvate kinase L/R locus for the treatment of pyruvate kinase de fi ciency.”
Cortijo-Gutierréz, M., Sánchez-Hernández, S., Tristán‐Manzano, M., Maldonado‐Pérez, N., López-Onieva, L., Real, P. J., Herrera, C., Marchal, J. A., Martı́n, F., & Benabdellah, K. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13081217 · Cited by 7 · see citing works
“The capacity of IDLVs to integrate into DNA DSBs has been used by several research teams for unbiased detection of off-target sites generated by endonucleases [22], such as zinc finger nucleases (ZFNs) [23], the CRISPR/Cas9 system and transcription activator-like effector nucleases (TALENs) [24].”
BackgroundA Review: Computational Approaches to Design sgRNA of CRISPR-Cas9
Nasir, M. A., Nawaz, S., & Huang, J. H. (2021) · Current Bioinformatics · doi:10.2174/1574893616666210601105553 · Cited by 7 · see citing works
CRISPR off-target analysis platforms
Xu, C. L., Ruan, M. Z., Ragi, S. D., & Tsang, S. H. (2023) · Methods in molecular biology · doi:10.1007/978-1-0716-2651-1_26 · Cited by 6 · see citing works
Li, Z., Lan, J., Shi, X., Lu, T., Hu, X., Liu, X., Chen, Y., & He, Z. (2024) · The CRISPR Journal · doi:10.1089/crispr.2023.0034 · Cited by 6 · see citing works
“20 As an unbiased approach, WGS provides a comprehensive database to characterize the off-target effects better than Sanger or targeted deep sequencing.”
Thevendran, R., & Solayappan, M. (2023) · Biotechnology Journal · doi:10.1002/biot.202300077 · Cited by 6 · see citing works
CRISPR/CAS as a Powerful Tool for Human Immunodeficiency Virus Cure: A Review
Komninakis, S. V., Domingues, W., Sanabani, S. S., Folgosi, V. Â., Barbosa, I. N., & Casseb, J. (2024) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2022.0148 · Cited by 6 · see citing works
“66 67–69 This may be attributed to the compromised functionality of DNA repair pathways in tumor cells, leading to an elevated incidence of off-target effects.”
Applications of CPPs in Genome Editing of Plants
Soliman, A., Laurie, J. D., Bilichak, A., & Ziemienowicz, A. (2021) · Methods in molecular biology · doi:10.1007/978-1-0716-1752-6_39 · Cited by 6 · see citing works
Advances in identifying GM plants: toward the routine detection of ‘hidden’ and ‘new’ GMOs
Bertheau, Y. (2021) · Burleigh Dodds series in agricultural science · doi:10.19103/as.2021.0097.22 · Cited by 6 · see citing works
Chemistry, manufacturing and controls for gene modified hematopoietic stem cells
Soni, S., & Kohn, D. B. (2019) · Cytotherapy · doi:10.1016/j.jcyt.2018.12.001 · Cited by 6 · see citing works
New genetic modification techniques: challenges and prospects
Head, G., & Tzotzos, G. T. (2023) · Present Knowledge in Food Safety · doi:10.1016/b978-0-12-819470-6.00017-2 · Cited by 5 · see citing works
Baidya, S., Choudhury, S., & De, R. K. (2022) · Applied Intelligence · doi:10.1007/s10489-022-03871-z · Cited by 5 · see citing works
“We have considered only the sequences s i , instead of the entire genome, as the regions for off-target analysis known as biased off-target analysis [42].”
BackgroundCRISPR and gene editing technologies for bleeding disorders
VandenDriessche, T., Janssens, M., & Chuah, M. (2025) · Therapeutic Advances in Hematology · doi:10.1177/20406207251387402 · Cited by 4 · see citing works
Advances in Off-Target Detection for CRISPR-Based Genome Editing
Wang, H., Wang, Y., Luo, Z., Lin, X., Liu, M., Wu, F., Shao, H., & Zhang, W. (2022) · Human Gene Therapy · doi:10.1089/hum.2022.198 · Cited by 4 · see citing works
Applications of CRISPR/CAS9 Technology in Mice and Livestock Genome Editing: Current Research
Maj, D., & Górka, K. (2024) · Annals of Animal Science · doi:10.2478/aoas-2024-0078 · Cited by 3 · see citing works
Off-target effects in genome editing
Kovalchuk, I. (2021) · Elsevier eBooks · doi:10.1016/b978-0-323-85679-9.00038-6 · Cited by 3 · see citing works
Wang, Y., Wang, H., Jian, Y.-Z., Luo, Z., Shao, H., & Zhang, W. (2021) · Human Gene Therapy · doi:10.1089/hum.2021.283 · Cited by 3 · see citing works
“25 The 4 nucleotides (nt) at positions + 4 to + 7 upstream of the 3 ¢ end PAM are highly sensitive to target mismatches.”
Evidence synthesis on the impact of genome editing on plant breeding
Modrzejewski, D. (2020) · doi:10.53846/goediss-8324 · Cited by 3 · see citing works
The Need for Transfer Learning in CRISPR-Cas Off-Target ScoringPreprint
Kota, P. K., Pan, Y., Vu, H.-A., Cao, M., Baraniuk, R. G., & Bao, G. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.08.28.457846 · Cited by 3 · see citing works
de Barros, V. M., Flores, L. C. B., Lopes, M., Fachel, F. N. S., Martins, G. R., Siebert, M., Carniel, W. D. S., Garcez, T. N. A., Teixeira, H. F., Matte, Ú. D. S., et al. (2025) · Pharmaceutics · doi:10.3390/pharmaceutics17050656 · Cited by 2 · see citing works
“This method is highly relevant for genotoxicity assessment, as it offers a more accurate estimate of the genomic instability caused by editing events [34,35].”
Off-Target Effects of Crop Genome Editing and Its Minimization
Movahedi, A., Barati, B., Wang, S., Wei, H., Ruan, H., & Zhuge, Q. (2022) · Springer eBooks · doi:10.1007/978-981-19-0600-8_10 · Cited by 2 · see citing works
CRISPR Gene Editing of Hematopoietic Stem and Progenitor Cells
Shahbazi, R., Lipson, P., Gottimukkala, K. S. V., Lane, D. D., & Adair, J. E. (2022) · Methods in molecular biology · doi:10.1007/978-1-0716-2679-5_4 · Cited by 2 · see citing works
CRISPR: A Promising Toolbox for Better Crops
Sharma, N., Batta, S., Bhagta, S., Pathania, S., Dipta, B., Kumar, A., Singh, B., Siddappa, S., Sood, S., & Bhardwaj, V. (2024) · Springer eBooks · doi:10.1007/978-981-97-1223-6_2 · Cited by 2 · see citing works
Sánchez-Hernández, S., Aguilar-González, A., Guijarro-Albaladejo, B., Maldonado‐Pérez, N., Ramos-Hernández, I., Cortijo-Gutierréz, M., Sanchez-Martin, R. M., Benabdellah, K., & Martı́n, F. (2020) · Cells · doi:10.3390/cells9061492 · Cited by 2 · see citing works
Sun, T. R., Yuan, A., Xie, W., Jiang, G., & Peng, H. (2026) · Angewandte Chemie International Edition · doi:10.1002/anie.202600004 · Cited by 1 · see citing works
Sun, T. R., Yuan, A., Xie, W., Jiang, G., & Peng, H. (2026) · Angewandte Chemie · doi:10.1002/ange.202600004 · Cited by 1 · see citing works
Exposure of chimaeric embryos to exogenous FGF4 leads to the production of pure ESC-derived mice
Soszyńska, A., Krawczyk, K., Szpila, M., Winek, E., Szpakowska, A., & Suwińska, A. (2024) · Theriogenology · doi:10.1016/j.theriogenology.2024.03.017 · Cited by 1 · see citing works
CRISPR-Based Plant Improvements for Boosting the Natural Products
Sidhic, J., Prakāsh, C., Sarath, N. G., Narayanankutty, A., George, S., & Sebastian, D. P. (2024) · Springer eBooks · doi:10.1007/978-981-97-2166-5_5 · Cited by 1 · see citing works
Aljanahi, A. A., Lazzarotto, C. R., Chen, S., Shin, T., Cordes, S., Jabara, I., Zhou, Y., Young, D. J., Lee, B., Yu, K., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.07.05.186858 · Cited by 1 · see citing works
CRISPR-Cas9: a powerful tool to efficiently engineer Saccharomyces cerevisiae
Costa, J. M. R., Rodrigues, J. L., & Rodrigues, L. R. (2021) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.3390/life11010013
“Methods for the identification of CRISPR-Cas9 off-target sites have been developed and are reviewed elsewhere [31].”
BackgroundGenome Editing Technologies: From Bench Side to Bedside
Tuncay, F. Y., & Dinçer, P. (2018) · Acta Medica · doi:10.32552/2018.actamedica.282
“[63] Martin F, Sánchez-Hernández S, Gutiérrez-Guerrero A, et al.”
BackgroundCholesterol metabolism and statin effects on an FH class II LDL-receptor mutation.
Omer, L. (2018) · doi:10.18297/etd/3080
“It is known that other off-target modifications may occur in places not predicted in the candidate list (Table 6) due to a variety of reasons including genomic and epigenomic properties that may affect cleavage frequency; therefore, unbiased detection of off-target cleavage such as whole genome sequencing is recommend…”
BackgroundCRISPR driven Cyanobacterial Metabolic Engineering and its role in metabolite production
Chakraborty, S., Mukhopadhyay, R., Dutta, R., Samanta, S., Bagchi, A., Mitra, O., & Majumder, R. (2024) · Journal of Experimental Biology and Agricultural Sciences · doi:10.18006/2024.12(3).446.456
Wairimu, D. M. (2024) · European Business & Management · doi:10.11648/j.ebm.20241005.11
Application of CRISPR/Cas9 based therapy in SCD, DMD and HIV
Shen, M. (2024) · Theoretical and Natural Science · doi:10.54254/2753-8818/2024.la18761
Breton, C. A., Clark, P., Wang, L., Greig, J. A., & Wilson, J. M. (2020) · Figshare · doi:10.6084/m9.figshare.11999370
Breton, C. A., Clark, P. M., Wang, L., Greig, J. A., & Wilson, J. M. (2020) · Figshare · doi:10.6084/m9.figshare.11999367
Breton, C. A., Clark, P., Wang, L., Greig, J. A., & Wilson, J. M. (2020) · Figshare · doi:10.6084/m9.figshare.11999373
Opto-CRISPR technologies in translational neuropharmacology
Lau, C., Xia, Q., Liang, Q., Guo, R., & Zhu, H. (2026) · Neuropharmacology · doi:10.1016/j.neuropharm.2026.111185
CRISPR-Based Genome Editing and Delivery Systems: Advances, Challenges and Future Directions
Kaur, A., Chanan, R., Sharma, M., Sharma, S., & Sharma, D. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1016405
Mohiuddin, M., & Ahsan, M. A. M. (2026) · Health Science Reports · doi:10.1002/hsr2.73308
“CRISPR‐Cas9 may also contribute to the future development of personalized cancer therapies by enabling therapeutic strategies tailored to tumor‐specific genetic alterations [155–157].”
- Authors
- Martin, F., Sánchez-Hernández, S., Gutiérrez-Guerrero, A., Pinedo-Gomez, J., & Benabdellah, K.
- Affiliations
- Genomic Medicine Department, GENYO—Centre for Genomics and Oncological Research Pfizer-Universidad de Granada-Junta de Andalucía, Avda de la Ilustración 114, 18007 Granada, Spain
- Universidad de Granada (ES)
- Corresponding author
- Benabdellah, Karim
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2016-09-08
- Volume
- 17
- Issue
- 9
- Pages
- 1507
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC5037784
- OpenAlex
- W2515083702
- Cited by
- 92
- References
- 39
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 10 · 2023: 9 · 2022: 9 · 2021: 16 · 2020: 16 · 2019: 8 · 2018: 12 · 2017: 3 · 2016: 1
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fondo de Investigaciones Sanitarias ISCIII (PI12/01097, PI15/02015)
- Consejería de Economía, Innovación, Ciencia y Empleo (P09-CTS-04532, PI-57069, PI-0001/2009)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA regulation and disease
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Keywords
- CRISPR/Cas9, off-target cleavage, off-target detection, DNA double-strand breaks, genome editing, zinc finger nucleases, TALEN
- MeSH terms
- Gene Editing, Animals, Humans, Bias, Gene Targeting, CRISPR-Cas Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review