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      Target-Specific Precision of CRISPR-Mediated Genome Editing

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          Summary

          The CRISPR-Cas9 system has successfully been adapted to edit the genome of various organisms. However, our ability to predict the editing outcome at specific sites is limited. Here, we examined indel profiles at over 1,000 genomic sites in human cells and uncovered general principles guiding CRISPR-mediated DNA editing. We find that precision of DNA editing (i.e., recurrence of a specific indel) varies considerably among sites, with some targets showing one highly preferred indel and others displaying numerous infrequent indels. Editing precision correlates with editing efficiency and a preference for single-nucleotide homologous insertions. Precise targets and editing outcome can be predicted based on simple rules that mainly depend on the fourth nucleotide upstream of the protospacer adjacent motif (PAM). Indel profiles are robust, but they can be influenced by chromatin features. Our findings have important implications for clinical applications of CRISPR technology and reveal general patterns of broken end joining that can provide insights into DNA repair mechanisms.

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          Highlights

          • The outcome of CRISPR-mediated editing can be predicted

          • Not all target sites are edited in a predictable manner

          • The precision of DNA editing is mainly determined by the fourth nucleotide upstream of the PAM site

          • Chromatin states affect editing of imprecise, but not precise, target sites

          Abstract

          Chakrabarti, Henser-Brownhill, Monserrat et al. show that the genome-editing outcome can be predicted based on simple rules that mainly depend on the target site sequence. Since editing precision varies considerably across sites, careful selection of a predictable target is critical to induce a desired modification in a cell-type-independent manner.

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          Most cited references12

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          Repair of double-strand breaks induced by CRISPR–Cas9 leads to large deletions and complex rearrangements

          CRISPR-Cas9 is poised to become the gene editing tool of choice in clinical contexts. Thus far, exploration of Cas9-induced genetic alterations has been limited to the immediate vicinity of the target site and distal off-target sequences, leading to the conclusion that CRISPR-Cas9 was reasonably specific. Here we report significant on-target mutagenesis, such as large deletions and more complex genomic rearrangements at the targeted sites in mouse embryonic stem cells, mouse hematopoietic progenitors and a human differentiated cell line. Using long-read sequencing and long-range PCR genotyping, we show that DNA breaks introduced by single-guide RNA/Cas9 frequently resolved into deletions extending over many kilobases. Furthermore, lesions distal to the cut site and crossover events were identified. The observed genomic damage in mitotically active cells caused by CRISPR-Cas9 editing may have pathogenic consequences.
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            Predicting the mutations generated by repair of Cas9-induced double-strand breaks

            The DNA mutation produced by cellular repair of a CRISPR/Cas9-generated double-strand break determines its phenotypic effect. It is known that the mutational outcomes are not random, and depend on DNA sequence at the targeted location. Here we systematically study the influence of flanking DNA sequence on repair outcome by measuring the edits generated by >40,000 guide RNAs in synthetic constructs. We performed the experiments in a range of genetic backgrounds and using alternative CRISPR/Cas9 reagents. In total, we gathered data for >10 9 mutational outcomes. The majority of reproducible mutations are insertions of a single base, short deletions, or longer microhomology-mediated deletions. Each gRNA has an individual cell-line dependent bias toward particular outcomes. We uncover sequence determinants of the produced mutations, and use these to derive a predictor of Cas9 editing outcomes. Improved understanding of sequence repair will allow better design of gene editing experiments.
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              • Record: found
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              Microhomology-based choice of Cas9 nuclease target sites.

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                Author and article information

                Contributors
                Journal
                Mol Cell
                Mol. Cell
                Molecular Cell
                Cell Press
                1097-2765
                1097-4164
                21 February 2019
                21 February 2019
                : 73
                : 4
                : 699-713.e6
                Affiliations
                [1 ]Bioinformatics and Computational Biology Laboratory, The Francis Crick Institute, 1 Midland Road, London NW1 1AT, UK
                [2 ]UCL Genetics Institute, Department of Genetics, Evolution and Environment, University College London, London WC1E 6BT, UK
                [3 ]Cancer Epigenetics Laboratory, The Francis Crick Institute, 1 Midland Road, London NW1 1AT, UK
                [4 ]Okinawa Institute of Science and Technology Graduate University, Onna-son, Okinawa, Japan
                [5 ]UCL Cancer Institute, University College London, London WC1E 6DD, UK
                Author notes
                []Corresponding author arpoetsch@ 123456gmail.com
                [∗∗ ]Corresponding author paola.scaffidi@ 123456crick.ac.uk
                [6]

                These authors contributed equally

                [7]

                Lead Contact

                Article
                S1097-2765(18)31001-3
                10.1016/j.molcel.2018.11.031
                6395888
                30554945
                7e0b9080-e362-4149-9940-1bbccfa2f495
                © 2018 The Author(s)

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 30 July 2018
                : 25 October 2018
                : 20 November 2018
                Categories
                Article

                Molecular biology
                crispr,cas9,precision,predictability,precise,indel profiles,genome editing,chromatin,large-scale,sgrna

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