2017). It can also distinguish SNP in human
genotyping (Gootenberg et al. 2017).
During the COVID-19 pandemic, Joung et al.
discovered STOPCovid, a technique used to rapidly
detect the genetic material of SARS-CoV-2 from oral
or nasal swab samples giving either positive or
negative outcomes using detection strips or specific
values of viral RNA counts under fluorescence
readers (Joung et al. 2020). The overall sensitivity is
93.1% and specificity is 98.3% among 402 candidates
(Joung et al. 2020).
The rapid, inexpensive, and sensitive detection
enables CRISPR-Cas system to be highly used since
2015 in genetic regulation and genomic editing
(Gootenberg et al. 2017, Joung et al. 2020).
Recently, studies have shown that the success of
CRISPR-Cas9 technology inspired therapy in
Huntington’s disease, sickle cell diseases, cancer, and
B-thalassemia, indicating more potential treatments
available in the future targeting different diseases
(György 2021).
3 DISCUSSION
Owing to the concern of creating genetic mutation
due to permanent change in genes in human cells by
the CRISPR-Cas9 technology, it is better having
safely regulate the on-and off-switches of the
CRISPR-Cas9 system (Shivram et al. 2021). In case
of observing relatively high off-target effect that may
lead to serious genetic defects as well as
unpredictable diseases of an organism, having types
of “emergency shut down system” is necessary for
more complicated gene editing events, especially
when introducing DNA cut and gene segment
replacement in mammalian cells or even in human
cells. Regulators from Escherichia coli and
Salmonella typhi are identified as having H-NS and
LRP which are responsible for negative regulation of
Cas expression, while LeuO can positively regulate
Cas promoter to further simulate CRISPR-Cas cutting
(Shivram et al. 2021). Those genes, in theory, are
responsible for regulating Cas system, as well as
being potential switches for CRISPR-Cas9 system,
but the future investigation is needed to make sure
those factors found in bacteria can be equally
beneficial with high efficiency in mammalian cells.
Moreover, even though the off-target effect is
significantly lowered by Zhang et al. after several
steps of upgrading, it is not possible for now to achive
0 off-target effects and as a result, it is still unknown
if the efficiency can promote a positive outcome in
clinical trials (Cong et al. 2013, Zetsche et al. 2015).
4 CONCLUSION
The existence of components located in CRISPR-
Cas9 system allow further investigation and
advancement in other fields. The revelation of the
ability to practice precise cut by RuvC-like and HNH
domain, engineer sgRNA, and replicate the
mechanism in eucaryotic cells results in a higher
frequency of the usage of the CRISPR-Cas9
technique in labs regarding the aim of doing gene
editing. This technique is known as the most rapid
and the easiest method in genetic regulation and
genomic engineering. Not only the Noble Prize
winner Emmanuelle Charpentier and Jennifer
Doudna but also other scientists progressively and
largely contribute to the refinement of the CRISPR-
Cas9 system in their research fields. Based on all of
the existing gene editing products by the CRISPR-
Cas9 system, investigating an efficient way of fully
controlling the on and off of CRISPR-Cas9 is critial
as well as worth studying in order to make CRISPR-
Cas9 a precise gene editing machinery. This paper
about CRISPR-Cas9, an influential topic in the
science field, hopefully, will promote thinking as well
as more discoveries that may lead to better and novel
disease treatments in the future.
ACKNOWLEDGEMENT
I would like to extend my sincere thanks to Dr.
Gerwald Jogl at Brown University for providing
advice on how to improve this paper.
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