Targeting the Superbugs
Leveraging CRISPR-Cas Systems to Combat Antibiotic-Resistant Bacteria
DOI:
https://doi.org/10.58445/rars.1961Keywords:
CRISPR-Cas antimicrobial therapy, Antibiotic resistance mechanisms, Gene editing in bacteria, Antimicrobial resistance, CRISPR for drug-resistant infections, Bacterial superbugs, Biotechnology solutions for resistance, Genome editing in infectious disease, Precision gene therapy for bacteria, Innovative treatments for resistant pathogensAbstract
Antibiotic resistance represents a critical challenge in the global health landscape, threatening to render current medical treatments for bacterial infections ineffective. This paper explores the multifaceted phenomenon of antibiotic resistance, focusing on its biological mechanisms, the role of human activities in its propagation, and the subsequent impact on public health systems worldwide. We highlight the adaptive strategies employed by bacteria, including the development of resistance through genetic mutations and horizontal gene transfer, exacerbated by the misuse of antibiotics in healthcare and agriculture. The review extends to innovative approaches combating this issue, particularly the application of CRISPR-Cas systems. These gene-editing technologies promise to revolutionize our approach by directly targeting and modifying the genetic elements responsible for resistance. The potential of CRISPR-based strategies is discussed through various case studies and theoretical frameworks, assessing their efficacy and addressing the technical and ethical challenges they pose. Our analysis emphasizes the necessity for an integrated approach that combines new scientific methods with stringent policy reforms and international collaboration to manage antibiotic resistance effectively. This comprehensive examination not only elucidates the complexities of antibiotic resistance but also outlines the imperative for urgent and coordinated action to mitigate this escalating crisis.
References
Centers for Disease Control and Prevention. "About Antibiotic Resistance." CDC, 2020. https://www.cdc.gov/drugresistance/about.html.
World Health Organization. "Antibiotic Resistance." WHO, 2020. https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance.
World Health Organization. "Global Priority List of Antibiotic-Resistant Bacteria to Guide Research, Discovery, and Development of New Antibiotics." WHO, 2017. https://www.who.int/news-room/detail/27-02-2017-who-publishes-list-of-bacteria-for-which-new-antibiotics-are-urgently-needed.
The Pew Charitable Trusts. "Antibiotic Resistance Project." The Pew Charitable Trusts, 2020. https://www.pewtrusts.org/en/projects/antibiotic-resistance-project.
Jinek, Martin, et al. "A Programmable Dual-RNA–Guided DNA Endonuclease in Adaptive Bacterial Immunity." Science, vol. 337, no. 6096, 2012, pp. 816-821. https://science.sciencemag.org/content/337/6096/816.
Adli, Mazhar. "The CRISPR tool kit for genome editing and beyond." Nature Communications, vol. 9, no. 1, 2018. https://www.nature.com/articles/s41467-018-04252-2.
Knott, Gavin J., and Jennifer A. Doudna. "CRISPR-Cas guides the future of genetic engineering." Science, vol. 361, no. 6405, 2018, pp. 866-869. https://science.sciencemag.org/content/361/6405/866.
Bikard, David, et al. "Exploiting CRISPR-Cas nucleases to produce sequence-specific antimicrobials." Nature Biotechnology 32.11 (2014): 1146–1150. https://www.nature.com/articles/nbt.3011.
Citorik, Robert J., Mark Mimee, and Timothy K. Lu. "Sequence-specific antimicrobials using efficiently delivered RNA-guided nucleases." Nature Biotechnology 32.11 (2014): 1141–1145. https://www.nature.com/articles/nbt.3011.
Gomaa, Ahmed A., et al. "CRISPR-Cas9 Technologies and Applications in Food Bacteria." Annual Review of Food Science and Technology 8 (2017): 413–437. https://www.annualreviews.org/doi/10.1146/annurev-food-030216-030056.
Abbott, Timothy R., et al. "Development of CRISPR as an Antiviral Strategy to Combat SARS-CoV-2 and Influenza." Cell 181.4 (2020): 865–876.e12. https://www.cell.com/cell/fulltext/S0092-8674(20)30354-7.
Glass, Zachary, et al. "Delivery technologies for genome editing." Nature Reviews Drug Discovery 17, no. 5 (2018): 387–399. https://www.nature.com/articles/nrd.2018.52.
Fu, Yanfang, et al. "High-frequency off-target mutagenesis induced by CRISPR-Cas nucleases in human cells." Nature Biotechnology 31, no. 9 (2013): 822–826. https://www.nature.com/articles/nbt.2623.
Selle, Kurt, and Rodolphe Barrangou. "Harnessing CRISPR-Cas systems for bacterial genome editing." Trends in Microbiology 24, no. 4 (2016): 600–611. https://www.cell.com/trends/microbiology/fulltext/S0966-842X(16)00016-6.
Caplan, Arthur L., et al. "Ethics of CRISPR technology: Considerations and concerns." Science Advances, vol. 2, no. 7, 2016. https://www.science.org/doi/10.1126/sciadv.1600500.
Oye, Kenneth A., et al. "Regulating gene drives." Science, vol. 345, no. 6197, 2014, pp. 626-628. https://science.sciencemag.org/content/345/6197/626.
Jorgensen, Thomas S., et al. "Challenges and Opportunities of CRISPR/Cas9 as a Clinical Tool." Molecular Therapy, vol. 25, no. 1, 2017, pp. 36-45. https://www.cell.com/molecular-therapy-family/molecular-therapy/fulltext/S1525-0016(16)45484-2.
Anzalone, Andrew V., et al. "Search-and-replace genome editing without double-strand breaks or donor DNA." Nature, vol. 576, 2019, pp. 149–157. https://www.nature.com/articles/s41586-019-1711-4.
Pickar-Oliver, Ariel, and Charles A. Gersbach. "The next generation of CRISPR–Cas technologies and applications." Nature Reviews Molecular Cell Biology, vol. 20, 2019, pp. 490–507. https://www.nature.com/articles/s41580-019-0131-5.
Yeh, Po-Jang, et al. "Exploiting CRISPR-Cas nucleases to produce sequence specific antimicrobials." Nature Biotechnology, vol. 32, 2014, pp. 1146–1150. https://www.nature.com/articles/nbt.3011.
Singh, Vipender, et al. "Harnessing the CRISPR/Cas9 system to counteract drug resistance in bacteria." ACS Infectious Diseases, vol. 4, no. 6, 2018, pp. 875-883. https://pubs.acs.org/doi/10.1021/acsinfecdis.7b00262.
Kwon, Diane. "Funding CRISPR research: the path through public and private sectors." Cell, vol. 174, 2018, pp. 499-501. https://www.cell.com/cell/fulltext/S0092-8674(18)30842-4.
O'Neill, James. "Review on Antimicrobial Resistance. Tackling Drug-Resistant Infections Globally: Final Report and Recommendations." AMR Review, 2016. https://amr-review.org/sites/default/files/160525_Final%20paper_with%20cover.pdf.
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