Skip to main content
Log in

The application of CRISPR-Cas in disease diagnosis and treatment

  • Mini Reviews
  • Published:
Science China Chemistry Aims and scope Submit manuscript

Abstract

Clustered regularly interspaced short palindromic repeat (CRISPR) has been gaining much attention in the modern medical field and has been widely used for the diagnosis and treatment of diseases in recent years. In this review, we will introduce the application of CRISPR in disease diagnosis and treatment, including its use in detecting pathogens, gene mutations, and genetic diseases, as well as its application in gene therapy for single-gene diseases, cancer, viral infectious diseases, and cardiovascular diseases. Additionally, we will discuss the potential future directions and challenges of CRISPR in the diagnosis and treatment of diseases, and provide a thorough overview of the ways in which CRISPR is used for diagnosing and treating diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ishino Y, Shinagawa H, Makino K, Amemura M, Nakata A. J Bacteriol, 1987, 169: 5429–5433

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Jansen R, Embden JDA, Gaastra W, Schouls LM. Mol Microbiol, 2002, 43: 1565–1575

    Article  CAS  PubMed  Google Scholar 

  3. Barrangou R, Fremaux C, Deveau H, Richards M, Boyaval P, Moineau S, Romero DA, Horvath P. Science, 2007, 315: 1709–1712

    Article  CAS  PubMed  Google Scholar 

  4. Wang JY, Doudna JA. Science, 2023, 379: eadd8643

    Article  CAS  PubMed  Google Scholar 

  5. Gasiunas G, Barrangou R, Horvath P, Siksnys V. Proc Natl Acad Sci USA, 2012, 109: E2579–2586

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Jinek M, Chylinski K, Fonfara I, Hauer M, Doudna JA, Charpentier E. Science, 2012, 337: 816–821

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Cong L, Ran FA, Cox D, Lin S, Barretto R, Habib N, Hsu PD, Wu X, Jiang W, Marraffini LA, Zhang F. Science, 2013, 339: 819–823

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Mali P, Yang L, Esvelt KM, Aach J, Guell M, DiCarlo JE, Norville JE, Church GM. Science, 2013, 339: 823–826

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Rallapalli KL, Komor AC. Annu Rev Biochem, 2023, 92: 43–79

    Article  PubMed  Google Scholar 

  10. Chen PJ, Liu DR. Nat Rev Genet, 2023, 24: 161–177

    Article  CAS  PubMed  Google Scholar 

  11. Zetsche B, Gootenberg JS, Abudayyeh OO, Slaymaker IM, Makarova KS, Essletzbichler P, Volz SE, Joung J, van der Oost J, Regev A, Koonin EV, Zhang F. Cell, 2015, 163: 759–771

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Chen JS, Ma E, Harrington LB, Da Costa M, Tian X, Palefsky JM, Doudna JA. Science, 2018, 360: 436–439

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Nguyen LT, Rananaware SR, Yang LG, Macaluso NC, Ocana-Ortiz JE, Meister KS, Pizzano BLM, Sandoval LSW, Hautamaki RC, Fang ZR, Joseph SM, Shoemaker GM, Carman DR, Chang L, Rakestraw NR, Zachary JF, Guerra S, Perez A, Jain PK. Cell Rep Med, 2023, 4: 101037

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Fozouni P, Son S, Díaz de León Derby M, Knott GJ, Gray CN, D’Ambrosio MV, Zhao C, Switz NA, Kumar GR, Stephens SI, Boehm D, Tsou CL, Shu J, Bhuiya A, Armstrong M, Harris AR, Chen PY, Osterloh JM, Meyer-Franke A, Joehnk B, Walcott K, Sil A, Langelier C, Pollard KS, Crawford ED, Puschnik AS, Phelps M, Kistler A, DeRisi JL, Doudna JA, Fletcher DA, Ott M. Cell, 2021, 184: 323–333.e9

    Article  CAS  PubMed  Google Scholar 

  15. East-Seletsky A, O’Connell MR, Knight SC, Burstein D, Cate JHD, Tjian R, Doudna JA. Nature, 2016, 538: 270–273

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Gootenberg JS, Abudayyeh OO, Lee JW, Essletzbichler P, Dy AJ, Joung J, Verdine V, Donghia N, Daringer NM, Freije CA, Myhrvold C, Bhattacharyya RP, Livny J, Regev A, Koonin EV, Hung DT, Sabeti PC, Collins JJ, Zhang F. Science, 2017, 356: 438–442

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Chen WZ, Zhang HY, Zhang YF, Wang Y, Gan JH, Ji QJ. PLoS Biol, 2019, 17: e3000496

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Ma E, Chen K, Shi H, Stahl EC, Adler B, Trinidad M, Liu J, Zhou K, Ye J, Doudna JA. Nucleic Acids Res, 2022, 50: 12689–12701

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Wu Z, Zhang Y, Yu H, Pan D, Wang Y, Wang Y, Li F, Liu C, Nan H, Chen W, Ji Q. Nat Chem Biol, 2021, 17: 1132–1138

    Article  CAS  PubMed  Google Scholar 

  20. Liu JJ, Orlova N, Oakes BL, Ma E, Spinner HB, Baney KLM, Chuck J, Tan D, Knott GJ, Harrington LB, Al-Shayeb B, Wagner A, Brötzmann J, Staahl BT, Taylor KL, Desmarais J, Nogales E, Doudna JA. Nature, 2019, 566: 218–223

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Pausch P, Al-Shayeb B, Bisom-Rapp E, Tsuchida CA, Li Z, Cress BF, Knott GJ, Jacobsen SE, Banfield JF, Doudna JA. Science, 2020, 369: 333–337

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Al-Shayeb B, Skopintsev P, Soczek KM, Stahl EC, Li Z, Groover E, Smock D, Eggers AR, Pausch P, Cress BF, Huang CJ, Staskawicz B, Savage DF, Jacobsen SE, Banfield JF, Doudna JA. Cell, 2022, 185: 4574–4586.e16

    Article  CAS  PubMed  Google Scholar 

  23. Kato K, Zhou W, Okazaki S, Isayama Y, Nishizawa T, Gootenberg JS, Abudayyeh OO, Nishimasu H. Cell, 2022, 185: 2324–2337.e16

    Article  CAS  PubMed  Google Scholar 

  24. Dmytrenko O, Neumann GC, Hallmark T, Keiser DJ, Crowley VM, Vialetto E, Mougiakos I, Wandera KG, Domgaard H, Weber J, Gaudin T, Metcalf J, Gray BN, Begemann MB, Jackson RN, Beisel CL. Nature, 2023, 613: 588–594

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Schultzhaus Z, Wang Z, Stenger D. Biotechnol Adv, 2021, 46: 107672

    Article  CAS  PubMed  Google Scholar 

  26. Malekshoar M, Azimi SA, Kaki A, Mousazadeh L, Motaei J, Vatankhah M. J Mol Diagnostics, 2023, 25: 249–262

    Article  CAS  Google Scholar 

  27. Lee SH, Yu J, Hwang GH, Kim S, Kim HS, Ye S, Kim K, Park J, Park DY, Cho YK, Kim JS, Bae S. Oncogene, 2017, 36: 6823–6829

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Gilpatrick T, Lee I, Graham JE, Raimondeau E, Bowen R, Heron A, Downs B, Sukumar S, Sedlazeck FJ, Timp W. Nat Biotechnol, 2020, 38: 433–438

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Aalipour A, Dudley JC, Park S, Murty S, Chabon JJ, Boyle EA, Diehn M, Gambhir SS. Clin Chem, 2018, 64: 307–316

    Article  CAS  PubMed  Google Scholar 

  30. Li L, Shen G, Wu M, Jiang J, Xia Q, Lin P. Trends Biotechnol, 2022, 40: 1326–1345

    Article  CAS  PubMed  Google Scholar 

  31. Kaminski MM, Abudayyeh OO, Gootenberg JS, Zhang F, Collins JJ. Nat Biomed Eng, 2021, 5: 643–656

    Article  CAS  PubMed  Google Scholar 

  32. Cao G, Chen X, Deng Y, Nie F, Liu Y, Wang G, Huo D, Hou C. Anal Chim Acta, 2021, 1182: 338943

    Article  CAS  PubMed  Google Scholar 

  33. Lee Yu H, Cao Y, Lu X, Hsing IM. Biosens Bioelectron, 2021, 189: 113382

    Article  CAS  PubMed  Google Scholar 

  34. Chen Y, Mei Y, Jiang X. Chem Sci, 2021, 12: 4455–4462

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Broughton JP, Deng X, Yu G, Fasching CL, Servellita V, Singh J, Miao X, Streithorst JA, Granados A, Sotomayor-Gonzalez A, Zorn K, Gopez A, Hsu E, Gu W, Miller S, Pan CY, Guevara H, Wadford DA, Chen JS, Chiu CY. Nat Biotechnol, 2020, 38: 870–874

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Welch NL, Zhu M, Hua C, Weller J, Mirhashemi ME, Nguyen TG, Mantena S, Bauer MR, Shaw BM, Ackerman CM, Thakku SG, Tse MW, Kehe J, Uwera MM, Eversley JS, Bielwaski DA, McGrath G, Braidt J, Johnson J, Cerrato F, Moreno GK, Krasilnikova LA, Petros BA, Gionet GL, King E, Huard RC, Jalbert SK, Cleary ML, Fitzgerald NA, Gabriel SB, Gallagher GR, Smole SC, Madoff LC, Brown CM, Keller MW, Wilson MM, Kirby MK, Barnes JR, Park DJ, Siddle KJ, Happi CT, Hung DT, Springer M, MacInnis BL, Lemieux JE, Rosenberg E, Branda JA, Blainey PC, Sabeti PC, Myhrvold C. Nat Med, 2022, 28: 1083–1094

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Weng Z, You Z, Yang J, Mohammad N, Lin M, Wei Q, Gao X, Zhang Y. Angew Chem Int Ed, 2023, 62: e202214987

    Article  CAS  Google Scholar 

  38. Joung J, Ladha A, Saito M, Kim NG, Woolley AE, Segel M, Barretto RPJ, Ranu A, Macrae RK, Faure G, Ioannidi EI, Krajeski RN, Bruneau R, Huang MLW, Yu XG, Li JZ, Walker BD, Hung DT, Greninger AL, Jerome KR, Gootenberg JS, Abudayyeh OO, Zhang F. N Engl J Med, 2020, 383: 1492–1494

    Article  CAS  PubMed  Google Scholar 

  39. Wu L, Wang X, Wu C, Cao X, Tang T, Huang H, Huang X. Anal Chim Acta, 2022, 1221: 340120

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Zhang X, Shi Y, Chen G, Wu D, Wu Y, Li G. Small Methods, 2022, 6: e2200794

    Article  PubMed  Google Scholar 

  41. Xie Y, Li H, Chen F, Udayakumar S, Arora K, Chen H, Lan Y, Hu Q, Zhou X, Guo X, Xiu L, Yin K. Adv Sci, 2022, 9: e2204172

    Article  Google Scholar 

  42. Freije CA, Myhrvold C, Boehm CK, Lin AE, Welch NL, Carter A, Metsky HC, Luo CY, Abudayyeh OO, Gootenberg JS, Yozwiak NL, Zhang F, Sabeti PC. Mol Cell, 2019, 76: 826–837.e11

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Hang XM, Liu PF, Tian S, Wang HY, Zhao KR, Wang L. Biosens Bioelectron, 2022, 211: 114393

    Article  CAS  PubMed  Google Scholar 

  44. Jiao J, Yang M, Zhang T, Zhang Y, Yang M, Li M, Liu C, Song S, Bai T, Song C, Wang M, Pang H, Feng J, Zheng X. J Hazard Mater, 2022, 426: 128038

    Article  CAS  PubMed  Google Scholar 

  45. Bruch R, Baaske J, Chatelle C, Meirich M, Madlener S, Weber W, Dincer C, Urban GA. Adv Mater, 2019, 31: 1905311

    Article  CAS  Google Scholar 

  46. Tian T, Shu B, Jiang Y, Ye M, Liu L, Guo Z, Han Z, Wang Z, Zhou X. ACS Nano, 2021, 15: 1167–1178

    Article  CAS  PubMed  Google Scholar 

  47. Broto M, Kaminski MM, Adrianus C, Kim N, Greensmith R, Dissanayake-Perera S, Schubert AJ, Tan X, Kim H, Dighe AS, Collins JJ, Stevens MM. Nat Nanotechnol, 2022, 17: 1120–1126

    Article  CAS  PubMed  Google Scholar 

  48. Yan H, Wen Y, Tian Z, Hart N, Han S, Hughes SJ, Zeng Y. Nat Biomed Eng, 2023, doi: https://doi.org/10.1038/s41551-023-01033-1

  49. Dai Y, Somoza RA, Wang L, Welter JF, Li Y, Caplan AI, Liu CC. Angew Chem Int Ed, 2019, 58: 17399–17405

    Article  CAS  Google Scholar 

  50. Liu H, Wang L, Luo Y. Synth Syst Biotechnol, 2018, 3: 217–228

    Article  PubMed  PubMed Central  Google Scholar 

  51. Zhang X, Wang L, Liu M, Li D. Sci China Life Sci, 2017, 60: 468–475

    Article  CAS  PubMed  Google Scholar 

  52. Wu SS, Li QC, Yin CQ, Xue W, Song CQ. Theranostics, 2020, 10: 4374–4382

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. McCullough KT, Boye SL, Fajardo D, Calabro K, Peterson JJ, Strang CE, Chakraborty D, Gloskowski S, Haskett S, Samuelsson S, Jiang H, Witherspoon CD, Gamlin PD, Maeder ML, Boye SE. Hum Gene Ther, 2019, 30: 571–589

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Maeder ML, Stefanidakis M, Wilson CJ, Baral R, Barrera LA, Bounoutas GS, Bumcrot D, Chao H, Ciulla DM, DaSilva JA, Dass A, Dhanapal V, Fennell TJ, Friedland AE, Giannoukos G, Gloskowski SW, Glucksmann A, Gotta GM, Jayaram H, Haskett SJ, Hopkins B, Horng JE, Joshi S, Marco E, Mepani R, Reyon D, Ta T, Tabbaa DG, Samuelsson SJ, Shen S, Skor MN, Stetkiewicz P, Wang T, Yudkoff C, Myer VE, Albright CF, Jiang H. Nat Med, 2019, 25: 229–233

    Article  CAS  PubMed  Google Scholar 

  55. Gee P, Lung MSY, Okuzaki Y, Sasakawa N, Iguchi T, Makita Y, Hozumi H, Miura Y, Yang LF, Iwasaki M, Wang XH, Waller MA, Shirai N, Abe YO, Fujita Y, Watanabe K, Kagita A, Iwabuchi KA, Yasuda M, Xu H, Noda T, Komano J, Sakurai H, Inukai N, Hotta A. Nat Commun, 2020, 11: 1334

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Petkova MV, Stantzou A, Morin A, Petrova O, Morales-Gonzalez S, Seifert F, Bellec-Dyevre J, Manoliu T, Goyenvalle A, Garcia L, Richard I, Laplace-Builhé C, Schuelke M, Amthor H. Neuropathol Appl Neurobiol, 2020, 46: 602–614

    Article  CAS  PubMed  Google Scholar 

  57. Ruan J, Hirai H, Yang D, Ma L, Hou X, Jiang H, Wei H, Rajagopalan C, Mou H, Wang G, Zhang J, Li K, Chen YE, Sun F, Xu J. Mol Ther Nucleic Acids, 2019, 16: 73–81

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Telen MJ, Malik P, Vercellotti GM. Nat Rev Drug Discov, 2019, 18: 139–158

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Xu S, Luk K, Yao Q, Shen AH, Zeng J, Wu Y, Luo HY, Brendel C, Pinello L, Chui DHK, Wolfe SA, Bauer DE. Blood, 2019, 133: 2255–2262

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Wu Y, Zeng J, Roscoe BP, Liu P, Yao Q, Lazzarotto CR, Clement K, Cole MA, Luk K, Baricordi C, Shen AH, Ren C, Esrick EB, Manis JP, Dorfman DM, Williams DA, Biffi A, Brugnara C, Biasco L, Brendel C, Pinello L, Tsai SQ, Wolfe SA, Bauer DE. Nat Med, 2019, 25: 776–783

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Kim K, Park SW, Kim JH, Lee SH, Kim D, Koo T, Kim K, Kim JH, Kim JS. Genome Res, 2017, 27: 419–426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Chung SH, Mollhoff IN, Nguyen U, Nguyen A, Stucka N, Tieu E, Manna S, Meleppat RK, Zhang P, Nguyen EL, Fong J, Zawadzki R, Yiu G. Mol Ther-Methods Clin Dev, 2020, 17: 409–417

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Huang CH, Lee KC, Doudna JA. Trends Cancer, 2018, 4: 499–512

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Guo X, Jiang H, Shi B, Zhou M, Zhang H, Shi Z, Du G, Luo H, Wu X, Wang Y, Sun R, Li Z. Front Pharmacol, 2018, 9: 1118

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Zhang W, Shi L, Zhao Z, Du P, Ye X, Li D, Cai Z, Han J, Cai J. Cancer Chemother Pharmacol, 2019, 83: 911–920

    Article  CAS  PubMed  Google Scholar 

  66. Chavez M, Chen X, Finn PB, Qi LS. Nat Rev Nephrol, 2023, 19: 9–22

    Article  CAS  PubMed  Google Scholar 

  67. Liu S, Wang QK, Yu X, Li YL, Guo YD, Liu ZP, Sun FY, Hou W, Li CM, Wu L, Guo DY, Chen SL. Sci Rep, 2018, 8: 1–11

    Google Scholar 

  68. Yang YC, Chen YH, Kao JH, Ching C, Liu IJ, Wang CC, Tsai CH, Wu FY, Liu CJ, Chen PJ, Chen DS, Yang HC. Mol Ther Nucleic Acids, 2020, 20: 480–490

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Zhen S, Qiang R, Lu J, Tuo X, Yang X, Li X. J Med Virol, 2023, 95: e28144

    Article  CAS  PubMed  Google Scholar 

  70. Yin D, Ling S, Wang D, Dai Y, Jiang H, Zhou X, Paludan SR, Hong J, Cai Y. Nat Biotechnol, 2021, 39: 567–577

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Li ZH, Wang J, Xu JP, Wang J, Yang X. Military Med Res, 2023, 10: 12

    Article  CAS  Google Scholar 

  72. Xie BC, Shi XC, Li Y, Xia B, Zhou J, Du MJ, Xing XY, Bai L, Liu EQ, Alvarez F, Jin L, Deng SP, Mitchell GA, Pan DK, Li MZ, Wu JW. PLoS Genet, 2021, 17: e1009891

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Musunuru K, Chadwick AC, Mizoguchi T, Garcia SP, DeNizio JE, Reiss CW, Wang K, Iyer S, Dutta C, Clendaniel V, Amaonye M, Beach A, Berth K, Biswas S, Braun MC, Chen HM, Colace TV, Ganey JD, Gangopadhyay SA, Garrity R, Kasiewicz LN, Lavoie J, Madsen JA, Matsumoto Y, Mazzola AM, Nasrullah YS, Nneji J, Ren H, Sanjeev A, Shay M, Stahley MR, Fan SHY, Tam YK, Gaudelli NM, Ciaramella G, Stolz LE, Malyala P, Cheng CJ, Rajeev KG, Rohde E, Bellinger AM, Kathiresan S. Nature, 2021, 593: 429–434

    Article  CAS  PubMed  Google Scholar 

  74. Doudna JA. Nature, 2020, 578: 229–236

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Jeong SH, Kim HB, Kim MC, Lee J, Lee JH, Kim JH, Kim JW, Park WY, Kim SY, Kim JB, Kim H, Kim JM, Choi HS, Lim DS. J Clin Invest, 2018, 128: 1010–1025

    Article  PubMed  PubMed Central  Google Scholar 

  76. Wei T, Cheng Q, Min YL, Olson EN, Siegwart DJ. Nat Commun, 2020, 11: 3232

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Ryu SM, Koo T, Kim K, Lim K, Baek G, Kim ST, Kim HS, Kim D, Lee H, Chung E, Kim JS. Nat Biotechnol, 2018, 36: 536–539

    Article  CAS  PubMed  Google Scholar 

  78. Li C, Georgakopoulou A, Newby GA, Chen PJ, Everette KA, Paschoudi K, Vlachaki E, Gil S, Anderson AK, Koob T, Huang L, Wang H, Kiem HP, Liu DR, Yannaki E, Lieber A. Blood, 2023, 141: 2085–2099

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was supported by the National Natural Science Foundation of China (21907077, 92153303, 21721005, 91940000) and Fundamental Research Funds for the Central Universities (2042023kf0118).

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Fuling Zhou or Yafen Wang.

Ethics declarations

Conflict of interest The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, Z., Liu, Y., Zhou, F. et al. The application of CRISPR-Cas in disease diagnosis and treatment. Sci. China Chem. 66, 2734–2742 (2023). https://doi.org/10.1007/s11426-023-1765-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11426-023-1765-0

Navigation