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Crispr – gene editing
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CRISPR gene editing: revolution or evolution?

Erika Brunet
Erika Brunet
Inserm Research Director at Institut Imagine

In 2020, the Nobel Prize in Chem­istry was awar­ded to Emmanuelle Char­pen­ti­er and Jen­nifer Doudna for a tech­nique they had inven­ted only 8 years before. Known as CRISPR/Cas9 – or “molecu­lar scis­sors” – they first presen­ted the meth­od to the world when they pub­lished their paper in pres­ti­gi­ous journ­al, Sci­ence, in 2012. Since then, the tech­nique has been touted as a revolu­tion in the world of molecu­lar bio­logy and beyond.

INSERM research­er Dr. Erika Bru­net at Insti­tut Ima­gine, in the field cel­lu­lar and molecu­lar bio­logy, uses the tech­nique reg­u­larly in her labor­at­ory. She says that whilst CRISPR/Cas9 has been cited as a revolu­tion, pre­vi­ous tech­niques shouldn’t be for­got­ten. For her, it could not have happened had oth­er research­ers not paved the way.

As a sci­ent­ist in the field of can­cer research, how has CRIS­PR-Cas9 trans­formed biology?

Erika Bru­net. CRIS­PR-Cas9 is a highly effect­ive tech­nique for cut­ting DNA at a pre­cise loc­a­tion, allow­ing the user to replace the sequence cut out with anoth­er one; a fun­da­ment­al basic of ‘gene edit­ing’. Whilst this is not the first meth­od of DNA alter­a­tion that exists, it is a highly effect­ive, “easy to use” and flex­ible meth­od. As such, it opens the door to many applic­a­tions – most not­ably gene ther­apies, in which we could replace defect­ive genes in patients to treat them for cer­tain diseases.

There are also many research applic­a­tions too, though. In my field, can­cer­o­logy, we use CRISPR/Cas9 to seek new thera­peut­ic tar­gets. We cut out genes in cells to re-trace the steps of tumour growth. The tool its highly flex­ible, all that is needed is to order a desired RNA sequence or to make it – which is a sur­pris­ingly easy thing for a bio­lo­gist to do!

For me, how­ever, it is import­ant to point out that CRISPR/Cas9 would not exist had it not been for the many years of research that had paved the way before it. Yes, the CRIPSR-Cas9 that won the Nobel Prize is the ‘new gen­er­a­tion’ of molecu­lar scis­sors. But it is a tech­nique that is more of an evol­u­tion in molecu­lar tech­no­logy rather than a com­pletely new idea. We don’t hear enough about that.

CRISPR is a fant­ast­ic tech­nique as it works “in the blink of an eye” – the design of CRISPR/cas9 sys­tem for one DNA tar­get only takes a few days. Also, before when we wanted to cut DNA in a pre­cise loc­a­tion, we would be suc­cess­ful in 1 cell out of very ~1 mil­lion tested. With CRISPR, we are fre­quently suc­cess­ful in 1 cell per 100 – so the jump is enorm­ous.

Pre­vi­ously, when we wanted to cut the DNA at a spe­cif­ic point, we suc­ceeded in about one cell in a million.

In your research, you seek to bet­ter under­stand tumours. How do you use CRISPR-Cas9?

In my labor­at­ory we study tumor­al cells, spe­cific­ally the pro­cess of how a nor­mal cell becomes can­cer­ous. Many can­cers such as leuk­aemia and lymph­o­mas devel­op because of an acci­dent­al genet­ic alter­a­tion in a pro­cess called ‘gen­om­ic trans­lo­ca­tion’. It hap­pens when two chro­mo­somes in a cell cros­sov­er and swap a long piece of their DNA with one anoth­er. Most of the time when this hap­pens the cell will “cope” with this exchange of chro­mo­some seg­ment as it does not occur on an import­ant gene sequence. But on some occa­sions a new ‘can­cer’ gene called onco­gene will be formed that will make the cells to “trans­form” and grow chaot­ic­ally, even­tu­ally lead­ing to a tumour. 

We can use CRISPR/Cas9 to study how this pro­cess works, from the moment that a nor­mal cell acquires the ‘gen­om­ic trans­lo­ca­tion’. To do so, we simply cut the DNA of a cell of ori­gin of the dis­ease (a blood cell for example), to recre­ate the new ‘can­cer’ gene thus turn­ing the healthy cell into a can­cer­ous one. These can­cer cells rep­lic­ate uncon­trol­lably, grow­ing into a tumour, which we then put into a mouse for study. The import­ant aspect is that, under exper­i­ment­al con­di­tions, we can rep­lic­ate the very same series of DNA ‘events’ that would hap­pen in real-life and dis­sect the tumour pro­cess from the ori­gin. This allows us to bet­ter under­stand how each DNA alter­a­tion of a cell can even­tu­ally become leuk­aemia, lymph­oma, or any oth­er can­cer. Ulti­mately, we can identi­fy new tumour mark­ers and thera­peut­ic targets.

What advant­ages does the CRIS­PR-Cas9 tech­nique have in your field?

We work on spe­cif­ic can­cers such as Ewing’s sar­coma, a bone can­cer which mainly affects chil­dren and adoles­cents. Cur­rently in most cases, the pro­gnost­ic is very bad – the can­cer meta­stas­ises (mean­ing it spreads to the rest of the body) in as many as 30% of patients. Whilst we have a hard time effect­ively treat­ing Ewing’s sar­coma, we do know a fair amount about its ori­gins. In ~90% of cases, the dis­ease stems from a gen­om­ic trans­lo­ca­tion that hap­pens when chro­mo­somes 11 and 22 cros­sov­er acci­dent­ally. As such, we use CRIS­PR-Cas9 re-cre­ate the error by pre­cisely cut­ting chro­mo­somes 11 and 22 that can occur in cells at the ori­gin of Ewing’s sar­coma tumours. Using com­bin­a­tions of dif­fer­ent patient muta­tions induced by CRISPR/Cas9, we recently obtained a unique mod­el of Ewing sar­comagen­es­is that should be valu­able for the sci­entif­ic com­munity work­ing on this par­tic­u­larly aggress­ive pae­di­at­ric cancer.

What exis­ted before CRISPR-Cas9?

At the very begin­ning, when I star­ted my research in cell bio­logy, I would use short pieces of DNA attached to chem­ic­als to alter DNA. They were very niche and could be used to tar­get mul­tiple short DNA sequences. Next, there were what we called mega­nuc­leases and zinc-fin­ger nuc­le­ases, which were a step up but still dif­fi­cult to design and engin­eer – so not access­ible to every­one. Import­antly, how­ever, using this ‘first gen­er­a­tion’ of DNA nuc­le­ases we saw real achieve­ments based on these tech­niques; zinc-fin­ger nuc­le­ases are used to reach clin­ic­al tri­als for cures to HIV infec­tion. Then, in 2010 we saw the arrival of TALENs. They were much easi­er to handle, being assembled in the labor­at­ory in under three weeks with a sim­pli­fied code to recog­nise each base pair of DNA. This really put nuc­le­ases on the map for wide­spread use. But two years later CRISPR/Cas9 arrived, knock­ing TALENs off their throne. There­fore, it could be said that oth­ers had done a lot of the leg work devel­op­ing tech­niques and get­ting gene edit­ing out there for numer­ous types of cells in dif­fer­ent spe­cies, pav­ing the way for CRISPR.

Interview by James Bowers

Contributors

Erika Brunet

Erika Brunet

Inserm Research Director at Institut Imagine

Erika Brunet works on cancer biology to understand how DNA alterations induce the appearance of cancers. Using genome editing methods like CRISPR/Cas9, she deciphers how normal cells become cancerous in order to identify new therapeutic targets. She works as research director at the INSERM, in the Genome Dynamics in the Immune System lab at the Imagine Institute, Paris.

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