Gene Editing and Cystic Fibrosis: A Deep Dive into Precision Medicine

Jaein Park
3 min readJan 21, 2024

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Hello, and welcome back to my ongoing exploration of advancements in biochemistry and Gene Editing. Today, I will elaborate on the practical applications of gene editing and its potential impact on treating Cystic Fibrosis.

Brief Explanation of Gene Editing and Cystic Fibrosis:

Cystic Fibrosis is a genetic disease characterized by the production of thick, obstructive mucus due to mutations in the CFTR gene. Gene editing, a set of techniques like CRISPR-Cas9 and zinc finger nucleases, aims to cure these mutations. Our focus today is on CRISPR-Cas9 — a tool designed to precisely cut out problematic genetic sequences and replace them with the correct DNA sequence for a functional CFTR gene.

Example of F508del Cystic Fibrosis Gene Mutation

The F508del Mutation:

let’s first address a specific mutation central to Cystic Fibrosis — the F508del mutation. This mutation involves the deletion of an amino acid, which helps manage the amount of mucus produced.

The CRISPR-Cas9 Repair System:

In practical terms, CRISPR-Cas9 functions like a genetic surgery. It involves a guide RNA (gRNA) that locates and binds to the specific location in the DNA affected by the mutation. The Cas9 nuclease enzyme then makes a precise cut at this location, allowing for the introduction of a repair template. This template carries the correct genetic sequence, facilitating the repair process to potentially rectify the genetic mutations associated with Cystic Fibrosis.

Current Solution to Cystic Fibrosis and Its Issues:

As of now, treatments for Cystic Fibrosis mainly focus on managing symptoms and preventing complications. This often involves a combination of medications, airway clearance techniques, and, in severe cases, lung transplants that hinge on donor availability. While these interventions aim to improve the quality of life, they do not directly address the root genetic mutations causing the disease.

Effectiveness of Gene Editing Compared to Current Treatments:

Contrasting with current therapies, gene editing offers a potential game-changer. Unlike traditional treatments, gene editing could directly target and rectify the genetic mutations responsible for Cystic Fibrosis. This precision-focused approach holds the promise of a more enduring solution, surpassing the limitations of existing methods.

Insert F508del Mutation and Cellular Repair Mechanism:

Returning to our focus on the F508del mutation, this specific genetic glitch disrupts the normal folding and function of the CFTR protein. As we discuss gene editing, we must acknowledge the role of the cellular repair mechanism. Triggered by the precise cuts made by the CRISPR-Cas9 system, the cell’s innate repair mechanisms, specifically homology-directed repair (HDR), work to replace the mutated sequence with the correct genetic code. This process is crucial for restoring the normal function of the CFTR gene.

Why Gene Editing is Not Currently Used:

Despite the potential benefits, the widespread use of gene editing in treating Cystic Fibrosis faces significant challenges. One major obstacle is ensuring the precise delivery of gene editing tools to the specific cells affected by Cystic Fibrosis, particularly those in the lungs. Additionally, guaranteeing the precision, safety, and efficacy of gene editing applications remains an ongoing area of research and development.

In conclusion, we’ve dissected the science behind gene editing and its potential role in treating Cystic Fibrosis. If you found this breakdown informative, consider sharing this article with others interested in the practical applications of precision medicine. Thank you for reading!

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