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CRISPR 系统在肿瘤治疗与诊断中的应用

英文原题:CRISPR systems in cancer therapeutics and diagnostics.

PubMed 2026/03/31(内容时间) Cell Mol Biol (Noisy-le-grand)

研究概要

癌症是全球发病和死亡的首位原因,凸显了对精准诊断方法和有效治疗策略的需求。

中文摘要

癌症是全球发病和死亡的首要原因,凸显精准诊断和有效治疗策略的必要性。CRISPR(成簇规律间隔短回文重复序列)系统的发明,通过实现准确、高效的基因组编辑,改变了癌症研究。本综述全面概述CRISPR在癌症治疗和诊断中的应用,首先介绍癌症生物学及CRISPR/Cas9作用机制。文章重点讨论CRISPR的治疗潜力,包括靶向癌基因、恢复肿瘤抑制基因功能,以及通过CAR-T细胞工程等方式推动癌症免疫治疗。本文还考察利用CRISPR筛选平台识别耐药相关基因的做法,并介绍当前挑战,包括脱靶效应、递送受限和伦理考量,以及临床转化的未来方向。此外,综述重点介绍CRISPR技术的诊断能力,包括检测循环肿瘤DNA、癌症相关细胞外囊泡、蛋白质生物标志物和微RNA,并总结提高检测灵敏度和特异性的CRISPR/Cas策略近期进展。总体而言,本文强调CRISPR系统在癌症诊断和治疗中的作用不断扩大,并指出其有望推动更个体化、更有效的癌症管理策略。

展开英文摘要原文

Cancer is the leading cause of morbidity and mortality globally, underscoring the need for precise diagnostic approaches and effective therapeutic strategies. The invention of the CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) system has transformed cancer research by enabling accurate and efficient genome editing. This review provides a comprehensive overview of CRISPR-based applications in cancer therapeutics and diagnostics, beginning with an introduction to cancer biology and the CRISPR/Cas9 mechanism of action. The therapeutic potential of CRISPR is discussed with a focus on targeting oncogenes, restoring tumor suppressor gene function, and advancing cancer immunotherapy through approaches such as CAR-T cell engineering. The use of CRISPR-based screening platforms to identify genes associated with drug resistance is also examined, along with current challenges including off-target effects, delivery limitations, and ethical considerations, as well as future directions for clinical translation. In addition, the diagnostic capabilities of CRISPR technologies are highlighted, including the detection of circulating tumor DNA, cancer-associated extracellular vesicles, protein biomarkers, and microRNAs. Recent advances in CRISPR/Cas-based strategies aimed at improving detection sensitivity and specificity are summarized. Overall, this review highlights the expanding role of CRISPR systems in cancer diagnosis and therapy and emphasizes their potential to contribute to the development of more personalized and effective cancer management strategies.

论文信息

作者
Almakrami M、Ahmed Z、Alali GM、Alqurashi A
第一作者单位
Ministry of Heath Regional Lab and central Blood Bank Najran 66271, Saudi Arabia. mmalmakrami@moh.gov.sa.Saudi Arabia
通讯作者单位
Department of Biology, College of Science, Taibah University, Medina, Saudi Arabia. aqurashi@taibahu.edu.sa.Saudi Arabia
文献类型
综述
期刊
Cellular and molecular biology (Noisy-le-Grand, France)2026 Mar 31
原文标识
PubMed 42322576 · DOI 10.14715/cmb/2025.72.3.2