Schematic of possible outcomes of genome editing that are relevant to the prevention and treatment of atherosclerosis. On the left, standard CRISPR-Cas9 is directed to a genomic site by the protospacer-adjacent motif (PAM) in the DNA and protospacer sequence in the guide RNA, whereupon it generates a double-strand break (location indicated by arrows pointing to DNA strands). The break is repaired by either nonhomologous end-joining (NHEJ) or homology-directed repair (HDR), which yield different outcomes. On the right, the base editor does not generate a double-strand break but rather converts a cytosine base (or bases) into a uracil base, which is ultimately replaced with a thymine base (with a complementary change of guanine-to-adenine on the opposite strand).