The process of CRISPR-mediated gene knock-in involves several coordinated steps:
sgRNA Design : A single guide RNA (sgRNA) is designed to direct the Cas9 enzyme to a precise genomic locus where the modification will occur.
Double-Strand Break (DSB) : Cas9 induces a double-strand break at the target site, activating the cell’s natural DNA repair machinery.
Donor Template Introduction : A donor DNA template carrying the desired genetic modification — flanked by homologous arms (~500–1000 bp) — is delivered into the cell along with the CRISPR components.
Homology-Directed Repair (HDR) : During the S/G2 phase of the cell cycle , the cell repairs the DSB via HDR , using the donor DNA as a blueprint. This results in precise integration of the new sequence at the intended location.
Screening and Validation : After editing, successfully modified cells must be identified through selection markers (e.g., antibiotic resistance) and validated using techniques like PCR, sequencing, or Western blotting .
Homology-Directed Repair (HDR) vs Non-Homologous End Joining (NHEJ)
In CRISPR-mediated genome editing, the cellular response to Cas9-induced double-strand breaks (DSBs) is governed by two primary repair pathways: Homology-Directed Repair (HDR) and Non-Homologous End Joining (NHEJ) . HDR is a high-fidelity repair mechanism that relies on the presence of a homologous DNA template—typically provided as a donor sequence—to accurately restore the broken DNA. This pathway enables precise gene knock-in , allowing researchers to insert, replace, or correct specific genetic sequences with base-pair accuracy. However, HDR is largely restricted to the S and G2 phases of the cell cycle , and its efficiency tends to be low, especially in non-dividing or difficult-to-transfect cells. In contrast, NHEJ operates throughout the cell cycle and directly ligates the broken DNA ends without requiring a template. While this makes NHEJ more efficient, it also introduces small insertions or deletions (indels) at the break site, often disrupting gene function—a mechanism typically exploited for gene knockout rather than precise integration . Understanding the balance and competition between these two pathways is crucial for optimizing CRISPR-based genome engineering strategies, particularly when aiming for targeted knock-in modifications.