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Review
. 2020 Jun;28(1):295-304.
doi: 10.1007/s40199-019-00240-z. Epub 2019 Jan 21.

CRISPR/Cas9 for overcoming drug resistance in solid tumors

Affiliations
Review

CRISPR/Cas9 for overcoming drug resistance in solid tumors

Ali Saber et al. Daru. 2020 Jun.

Abstract

Objectives: In this review, we focus on the application of clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR associated nuclease 9 (Cas9), as a powerful genome editing system, in the identification of resistance mechanisms and in overcoming drug resistance in the most frequent solid tumors.

Data acquisition: Data were collected by conducting systematic searching of scientific English literature using specific keywords such as "cancer", "CRISPR" and related combinations.

Results: The review findings revealed the importance of CRISPR/Cas9 system in understanding drug resistance mechanisms and identification of resistance-related genes such as PBRM1, SLFN11 and ATPE1 in different cancers. We also provided an overview of genes, including RSF1, CDK5, and SGOL1, whose disruption can synergize with the currently available drugs such as paclitaxel and sorafenib.

Conclusion: The data suggest CRISPR/Cas9 system as a useful tool in elucidating the molecular basis of drug resistance and improving clinical outcomes. Graphical abstract The mechanisms of CRISPR/Cas9-mediated genome editing and double-strand breaks (DSBs) repair.

Keywords: CRISPR/Cas9; Clinical outcome; Drug resistance; Drug response; Solid tumor; Targeted therapy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Graphical abstract
Graphical abstract
The mechanisms of CRISPR/Cas9-mediated genome editing and double-strand breaks (DSBs) repair.
Fig. 1
Fig. 1
The mechanisms of CRISPR/Cas9-mediated genome editing and double-strand breaks (DSBs) repair. CRISPR/Cas9 can introduce DSBs in DNA. The DSBs is repaired by either non-homologous end joining (NHEJ) or homology-directed repair (HDR). Insertions, deletions or other alterations of DNA will occur during this process to achieve gene modifications. PAM: protospacer adjacent motif; sgRNA: single-guide RNA

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