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. 2023 Jul 17;10:32. doi: 10.1186/s40779-023-00468-6

Table 6.

Summarizes the most common delivery approaches that can be used for both in vivo and in vitro CRISPR/Cas system delivery

Delivery methods Carrying capacity Toxicity Biosafety level Advantages Challenges Strategies References
Adenovirus 38 kb High BSL-2

The host genome disruption risk is low

Having trouble transducing certain cell types

High immunogenicity Targeting immune privilege orangs [215, 216]
AAV in vitro 4.7 kb Very low BSL-1

Animal models with long-term transgenic expression

AAV has not been linked to any diseases in humans

Very low immunogenicity

Limited size capacity

Preexisting immunity to natural serotypes

Exposes constantly for a long time after injection

Hepatotoxicity

Splicing the Cas protein into two vector

Targeting infant and immune privilege organs

Using anti-Cas proteins

[88]
Retrovirus 8 kb Low BSL-2+ 

Ability to transform their single-stranded RNA genome into a double stranded DNA molecule

Ability to stably integrate into the target cell genome

[119]
Lentiviral vector 8 kb Moderate BSL-2+ 

Large genetic capacity

Ability to transduce both dividing and non-dividing cells

De novo protein expression may cause immunological responses that result in the removal of transduced cells and the production of antibodies that block the action of released factors Tacrolimus, cyclophosphamide, and cyclosporine can stop the production and release of cytokines as well as the activation and expansion of T cells [78]
Baculovirus 38 kb Very low BSL-1

Flexible enough to contain many genes or big inserts

By infecting insect cells, recombinant baculoviruses can easily be created and yield high titers

[217, 218]
Electroporation 15 kb Very low BSL-2

Takes less time and cost

Used in in vivo, in vitro, and ex vivo research

Limited experiences in vivo [219, 220]
Microinjection No size limitation BSL-1

Successful approach to inject macromolecules into embryos

Guaranty of delivery to the targeted cell

Time consuming

Require skill and facilities

Performed generally in vitro

A high level of sophistication and physical skills are needed to reduce cell damage [87, 221]
Inorganic compound-based nanoparticle Very low BSL-1

Non immunogenic

Low cytotoxicity

High packaging capacity

Delivery efficiency is low [222]
Polymeric delivery system Very low BSL-1

Non immunogenic

Transient expression

High packaging capacity

Cytotoxicity

In vivo efficacy is low

[222]

AAV adeno-associated virus, Cas CRISPR-associated protein