Cory Smith · Nucleic Acids Research 2020 · In vitro molecular engineering study · n=?

Enabling large-scale genome editing at repetitive elements by reducing DNA nicking

Cited 75 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Bench research / in vitro cell culture study (design analogy for non-clinical technology)

OpenAlex W3016711432 · doi:10.1093/nar/gkaa239 · record verified 2026-08-30

What was done

Researchers tested dead-Cas9 base editor (dBE) variants designed to overcome cell death caused by double-strand and single-strand DNA breaks during high-copy genome engineering. They applied guide RNAs targeting repetitive mammalian genomic elements with copy numbers ranging from approximately 32 to 161,000 per cell across human 293T cells and human induced pluripotent stem cells (hiPSCs).

What was found

The dBE variants enabled cell survival during massive multiplex editing, achieving targeted mutations at up to approximately 13,200 loci in 293T cells and up to approximately 12,200 loci in hiPSCs. According to the abstract, this increases the number of successfully targeted repetitive sites per cell by three orders of magnitude over prior records.

Why it matters

Reducing nicking-associated DNA toxicity enables ultra-high-throughput multiplex genome editing at tens of thousands of repetitive loci in human stem and somatic cells without triggering fatal cell death pathways.

Limits

This is an in vitro bench study restricted to two cultured human cell models (293T and hiPSCs). The abstract does not report specific percentage editing efficiencies, off-target rates, comprehensive cytotoxicity metrics, or long-term karyotype stability.

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