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. 2023 Aug 5;33(3):030601. doi: 10.11613/BM.2023.030601

Table 1. Summary of CRISPR-Cas9 top achievements and proof-of-concept evidence in its first decade of testing.

Disease Design Target gene Outcomes References
β-thalassemia and sickle cell disease In human phase I trial BCL11A Increased concentrations of fetal haemoglobin (HbF) (7, 8)
Sickle cell disease Ex vivo β-globin gene Synthesis of wild-type haemoglobin (23)
Resistant CD19+ B cell acute lymphoblastic leukemia In human phase I trial Anti-CD19 chimeric antigen receptor Generation of universal T cell populations that target tumour cells, leading to negative flow cytometry (9)
Multiple refractory solid cancers including colorectal cancer, hormone-receptor-positive breast cancer, ovarian cancer, melanoma, and lung cancer In human phase I trial Mutational neoantigens-related genes Achievement of disease stability in about third of the subjects (10)
Orthotopic glioblastoma In vivo PLK1 Reduction in primary and metastatic tumour growth and significant increase in mice survival (24)
Transthyretin amyloidosis In human phase I trial TTR Significant drop in TTR protein (11)
Cystic fibrosis In vitro CFTR Increase in functional CFTR by more than 70% (25, 26)
Alpha-1 antitrypsin deficiency In vivo SERPINA1 Decrease in the expressed mutation (Pi*ZZ) and its related phenotypic features (27-29)
Duchenne muscular dystrophy In vivo DMD gene Restoration of functional dystrophin with subsequent improvement in muscular contractility (30-33)
HIV-1 infection In vivo endogenous Igh locus in B cells Induction of sustainable humoral response (35)
In vivo Gag Elimination of integrated proviral DNA and clearance of viremia (36)
In vitro tat and rev Suppression of viral infection (37)
In vitro CCR5 Induction of indels in the CCR5 protein (38)
Tyrosinemia type 1 In utero of mice models HPD Survival of Fah–/– mice and amelioration in liver function (40)
Autosomal dominant hypercholesterolemia In vivo PCSK9 Decrease in LDL cholesterol concentrations (42-44)
In vivo LDLR Restoration of wild-type LDLR, and decrease in atherogenic dyslipidemia as well as pathological features of atherosclerosis (45)
In vitro LDLR Permanent repair of homozygous deletion in LDLR gene (46)
Leber congenital amaurosis type 10 In vitro and in vivo CEP290 Correction of the disease-causing mutation (48, 49)
In vitro MAK Restoration of the retinal transcript and protein in patient cells (50)
Retinitis pigmentosa In vivo RPGR Expression of full length RPGR ORF15 protein and disappearance of hallmark features of RPGR mutation (51)
Amyotrophic lateral sclerosis In vitro SOD1 and FUS Correction of SOD1 mutation in patient iPSCs (52)
In vivo SOD1 Increase in motoneurons, delay in disease onset, and prolongation in lifespan (53)
In vitro and in vivo C9ORF72 Reversal of major disease mechanisms (57)
Huntington’s disease In vivo HTT Decrease in neurotoxic inclusions, increase in survival and partial recovery in motor dysfunction (54)
Parkinson’s disease In vitro LRRK2 Resuscitation of parkinsonism phenotypes in iPSC-derived dopaminergic neurons (55)
In vitro and in vivo SNCA Reduction of α-synuclein overexpression, reactive microgliosis, dopaminergic neurodegeneration, and parkinsonian motor symptoms (58)
Alzheimer’s disease In vivo App Down-expression of amyloid precursor protein (59)
In vitro PSEN1 Partial restoration of amyloid-β 42/40 in human fibroblasts carrying PSEN1 mutation (56)
CRISPR-Cas9 - clustered regularly interspaced short palindromic repeats-associated protein 9.