Researchers sequenced the entire genome of mice that had undergone CRISPR gene editing in the team's previous study and looked for all mutations, including those that only altered a single nucleotide.
They determined that CRISPR-Cas9 technology, that allows permanent modification of genes within organisms, had successfully corrected a gene that causes blindness.
However, they found that the genomes of two independent gene therapy recipients had sustained more than 1,500 single- nucleotide mutations and more than 100 larger deletions and insertions.
"We feel it's critical that the scientific community consider the potential hazards of all off-target mutations caused by CRISPR, including single nucleotide mutations and mutations in non-coding regions of the genome," said Stephen Tsang, associate professor at Columbia University in the US.
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"We are still upbeat about CRISPR. We know that every new therapy has some potential side effects - but we need to be aware of what they are," said Vinit Mahajan of Stanford University in the US.
"Researchers who are not using whole genome sequencing to find off-target effects may be missing potentially important mutations. Even a single nucleotide change can have a huge impact," Tsang said.
"We hope our findings will encourage others to use whole-genome sequencing as a method to determine all the off- target effects of their CRISPR techniques and study different versions for the safest, most accurate editing," he said.
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