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Off-target genomic DNA loci are sequences within the genome that are unintentionally modified by genome-editing technologies such as CRISPR-Cas9, Zinc Finger Nucleases (ZFNs), and Transcription Activator-Like Effector Nucleases (TALENs). These sites often share significant sequence homology with the intended target locus, allowing the editing machinery to bind and induce double-strand breaks or other modifications (Zhang et al., 2015). While these loci are not therapeutic targets themselves, their modification is a primary safety concern in the development of gene therapies. Unintended edits at these locations can result in permanent mutations, including gene disruptions or large-scale chromosomal translocations (Fu et al., 2013). Such alterations carry the risk of activating proto-oncogenes or inactivating tumor suppressor genes, potentially leading to tumorigenesis or other adverse cellular outcomes. Therefore, rigorous assessment of off-target activity using methods like GUIDE-seq or whole-genome sequencing is essential for ensuring the safety and specificity of genomic medicines (FDA, 2024).
Unintended enzymatic modification or cleavage of DNA at sites with sequence homology to the guide RNA or DNA-binding domain of a genome editing tool.
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