1. Base Editing
Core mechanism:
- Combines a CRISPR-Cas nickase (or dead Cas) with a nucleotide-modifying enzyme, usually a cytidine or adenine deaminase
- Directly converts one base to another without making a double-strand DNA break
- Uses a guide RNA to target a specific DNA sequence
Key outcome:
- Permanent single-nucleotide changes
- Highly precise within a defined “editing window”
2. Prime Editing
Core mechanism:
- Combines a Cas9 nickase with a reverse transcriptase enzyme
- Uses a prime editing guide RNA (pegRNA) that both specifies the target and encodes the desired edit
- The nickase creates a single-strand nick, then the reverse transcriptase writes the new sequence directly onto DNA
Key outcome:
- Can install insertions, deletions, or substitutions
- No double-strand break required, but more versatile than base editing
- Edits are programmable and longer than a single nucleotide
3. Epigenetic Editing
Core mechanism:
- Uses a dead Cas (dCas) fused to an epigenetic effector domain
- Effector can add or remove chemical marks (e.g., methylation, acetylation) on DNA or histones
- Guide RNA targets the locus, but the DNA sequence itself is not altered
Key outcome:
- Changes gene expression rather than sequence
- Reversible and tunable
- Useful for regulation-focused therapies or functional studies
Summary
| Feature | Base Editing | Prime Editing | Epigenetic Editing |
|---|---|---|---|
| DNA Break | No | No (single-strand nick) | No |
| DNA Change | Single base | Substitutions, insertions, deletions | None |
| Enzyme | Deaminase + Cas nickase | Reverse transcriptase + Cas nickase | Epigenetic effector + dCas |
| Reversibility | Permanent | Permanent | Often reversible |
| Complexity | Simple | More complex | Moderate |
| Therapeutic focus | Monogenic disease | Broader mutation types | Gene regulation / dosage* |
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