Abstract

Clustered regularly interspaced short palindromic repeats (CRISPR)-Cas system has recently gained growing attention as a diagnostic tool due to its capability of specific gene targeting. It consists of Cas enzymes and a guide RNA (gRNA) that can cleave the target DNA or RNA based on the sequence of the gRNA, making it an attractive genetic engineering technique. In addition to the target-specific binding and cleavage, the trans-cleavage activity was reported for some Cas proteins, including Cas12a and Cas13a, which is to cleave the surrounding single-stranded DNA or RNA upon the target binding of Cas-gRNA complex. All these activities of the CRISPR-Cas system are based on its target-specific binding, making it applied to develop diagnostic methods by detecting the disease-related gene as well as microRNAs and the genetic variations such as single nucleotide polymorphism and DNA methylation. Moreover, it can be applied to detect the non-nucleic acids target such as proteins. In this review, we cover the various CRISPR-based diagnostic methods by focusing on the activity of the CRISPR-Cas system and the form of the target. The CRISPR-based diagnostic methods without target amplification are also introduced briefly.

Highlights

  • Clustered regularly interspaced short palindromic repeats (CRISPR) is an array of short repeated DNA sequences interspaced with spacers having unique sequences, which has been found in approximately 50% of the bacterial genomes and in 87% of the genomes of archaea so far [1]

  • We introduce the various diagnostic methods based on the CRISPR-Cas system, focusing on the functional activity of Cas proteins used for detecting disease-related genetic molecules and the various form of the genetic molecules such as genomic DNA, mRNA, microRNA, single nucleotide polymorphism (SNP)

  • Nucleic acids are the main target of the CRISPR-Cas system, so various forms of nucleic acids such as genomic DNA, mRNA, miRNA, SNP, and methylated DNA

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Summary

Introduction

Clustered regularly interspaced short palindromic repeats (CRISPR) is an array of short repeated DNA sequences interspaced with spacers having unique sequences, which has been found in approximately 50% of the bacterial genomes and in 87% of the genomes of archaea so far [1] It was firstly discovered in the Escherichia coli genome in 1987 as repeated 29-nt fragments separated by 32-nt fragments, and the first evidence to show that the CRISPR-Cas system is a part of an adaptive immune system in archaea or bacteria was reported in 2005 [2,3]. Biomolecules 2021, 11, 1162 attention to CRISPR and CRISPR-based diagnostics are well reflected in the histograms displaying the number of the published research papers per year over the last few decades that were searched by PubMed (https://pubmed.ncbi.nlm.nih.gov, accessed on 10 May. 2021) using one keyword, “CRISPR” (Figure 1C, left) and two keywords “CRISPR” and “diagnosis” (Figure 1C, right). CRISPR-based diagnostic methods for detecting non-nucleic acids and non-amplified targets are discussed briefly in the last part of this review

Gene Detection Based on the Various Activity of CRISPR-Cas
Gene Detection Based on the Sequence-Specific Binding of CRISPR-Cas
Gene Detection Based on the Sequence-Specific DNA Cleavage by CRISPR-Cas
Gene Detection Based on the Trans-Cleavage Activity of CRISPR-Cas
SNP Detection
DNA Methylation Detection
Non-nucleic Acid Target Detection
Non-Amplification Methods
Findings
Conclusions
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