CRISPR
Imagine a future where genetic anomalies can be precisely targeted and corrected using genome editing – a giant leap from our ability to sequence or read human genomes two decades ago. The world of medicine is currently abuzz with news of regulatory agencies’ approval for two highly anticipated CRISPR-based therapies for sickle-cell disease and -thalassaemia in the U.K. and the U.S. The approval is groundbreaking because it signals an era that could transform the lives of millions of patients and families grappling with these inherited blood disorders. To put this in perspective, more than a million people worldwide suffer from thalassemia, of whom 100,000 depend on regular blood transfusions. Another 20 million people around the world are estimated to be suffering from sickle-cell anaemia
2. About CRISPR
- The journey to uncover the CRISPR system spanned nearly thirty years of dedicated academic pursuit. Initially identified in 1993 by Spanish researchers in archaea, these DNA elements, known as Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR), were later observed in various bacterial genomes.
- Comprising genetic material fragments from viruses attacking bacteria, along with CRISPR-associated proteins known as Cas, these elements intrigued researchers aiming to comprehend their impact on antiviral immunity. By 2005, it became evident that the collaboration between CRISPR and Cas proteins formed a defensive system in bacteria, enabling them to resist viral infections.
- The pivotal breakthroughs occurred subsequently: in 2010, scientists demonstrated that CRISPR, when paired with specific Cas9 proteins, possessed the capability to precisely cut double-stranded DNA at defined points.
- They also unveiled RNA molecules guiding Cas9 to specific positions within a genome. Further progress emerged in 2012 when researchers devised synthetic RNA that could bind to Cas9, directing it to edit DNA at specified locations.
- Emmanuelle Charpentier and Jennifer Doudna led this groundbreaking research, earning the 2020 Nobel Prize in Chemistry for their contributions. Shortly after, Virginijus Siksnys and colleagues published similar findings, proposing that Cas9 could be guided to specific genome spots by CRISPR RNA.
- Collectively, these studies showcased the CRISPR-Cas9 system's potential as a customizable 'molecular scissor,' precisely cutting DNA at designated spots. Altering the crRNA enabled scientists to target specific genomic locations accurately. The subsequent year, teams led by Feng Zhang and George Church demonstrated the use of CRISPR-Cas9 for genome editing in eukaryotic organisms.
- This innovation sparked a multitude of applications, from targeted genetic therapies to advancements in agriculture. The 2020 Nobel Prize not only recognized these researchers but also marked the onset of an era where manipulating human genetic code went beyond reading, potentially revolutionising medicine and genetic engineering
CRISPR technology has introduced transformative possibilities in medicine due to its precision in altering genetic material. Here are some ways it's proving beneficial:
Gene Therapy: CRISPR enables precise modifications in genes associated with hereditary diseases. It offers a potential avenue for treating genetic disorders by editing or replacing problematic genes with healthy ones.
Cancer Treatment: CRISPR is being explored to target and modify cancer-related genes. It may assist in creating more effective and personalized treatments, such as enhancing the immune system's ability to recognize and destroy cancer cells.
Infectious Diseases: Researchers are investigating CRISPR's potential to combat viruses like HIV or herpes by editing the viral DNA within infected cells, potentially leading to a cure or long-term viral suppression.
Drug Development: CRISPR aids in understanding the genetic basis of diseases, enabling more accurate modeling of diseases in the lab. This understanding is crucial for developing and testing new drugs and treatments.
Organ Transplants: By editing genes related to organ rejection, CRISPR might help generate organs more compatible with a recipient's body, potentially reducing rejection rates.
Rare Diseases: CRISPR offers hope for treating rare genetic disorders that have no existing cures or treatments. It can target the specific genetic defects causing these conditions.
Diagnostic Tools: CRISPR-based systems, such as CRISPR-Cas detection, are being developed as highly sensitive diagnostic tools to identify diseases more efficiently and accurately.
The precision, versatility, and potential to target specific genes make CRISPR technology a groundbreaking tool in medicine, paving the way for more effective treatments and therapies across various diseases and conditions
3. Way forward
None of these technologies are without caveats. Researchers have already reported several safety and accuracy issues. An important one is off-target events: where a CRISPR-Cas9 system becomes inaccurate and edits some other part of the genome, with unintended consequences.So while there is enormous potential for these technologies, the risk needs to be balanced with both short- and long-term benefits. Many of these therapies are also too early in their development cycle. Continued scrutiny and surveillance may yet reveal ‘side effects’ that we aren’t aware of today
For Prelims: CRISPR cas9 technology, Nano Technology For Mains: General Studies III: Science & Technology, The era of CRISPR therapeutics |
Previous Year Questions 1.What is the Cas9 protein that is often mentioned in news? (UPSC CSE 2019) A.A molecular scissors used in targeted gene editing B. A biosensor used in the accurate detection of pathogens in patients C. A gene that makes plants pest-resistant D. A herbicidal substance synthesized in genetically modified crops Answer (A) |
Source: The Hindu