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Glossary

CRISPR

CRISPR is a technique that lets researchers cut at a chosen spot in DNA or edit genetic material very precisely. It was borrowed from a defence mechanism of bacteria.

CRISPR is a way of editing the DNA of a cell in a targeted manner. DNA is the blueprint of an organism, written down as a long series of letters. With CRISPR you can find a particular piece of that text and change something there, much as the search function in a word processor takes you to a word.

How does it work?

The technique comes from nature. Bacteria use a system called CRISPR to recognise viruses and make them harmless. Researchers discovered that they could use that system as a tool.

The tool has two parts. The first is a piece of RNA, a copy of a stretch of genetic code, which looks for the spot in the DNA that matches it. The second is a protein, for example Cas9, which cuts the DNA there. The cell repairs the break itself, and researchers can steer that repair to switch a gene off or change it.

Newer variants do not cut the DNA all the way through. With base editing, a single letter is replaced. With prime editing, a small piece of text is rewritten, like a find-and-replace function. Other variants only switch a gene on or off, without changing the code itself.

Why it matters

Many hereditary diseases are caused by a fault in a single gene. CRISPR techniques are therefore an important area of research for treatments that tackle the cause. The company Prime Medicine treated a patient for the first time with prime editing directly inside the body: a single infusion is meant to repair a DNA fault in the liver in Wilson's disease, a hereditary copper disorder. The study has only just begun, and first results follow in 2027 (link). In Melbourne, researchers switched a group of non-working genes back on in Prader-Willi syndrome, using the healthy spare copy that every cell has, in patients' cells and in mice (link).

It also plays a role in cell therapy, in which immune cells are used as a medicine. Researchers at WEHI in Melbourne edited those cells with prime editing so that doctors can steer them with two existing medicines: one helps the cells grow, the other slows them down again (link). The next step is a first study in people.

All of these applications are in research or at an early stage of treatment. A doctor assesses what suits a patient.

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