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Off-target genomic DNA sites with sequence similarity to PD-L1 gRNA protospacer represent unintended genomic loci where CRISPR-Cas9 systems may induce double-strand breaks due to sequence homology with the guide RNA (gRNA) designed for PD-L1 (CD274) (Su et al., 2016, PMID: 27558804). These sites typically contain several mismatches compared to the intended 20-nucleotide protospacer but are still recognized by the Cas9-gRNA complex, leading to non-specific cleavage (Zhang et al., 2015, PMID: 25673487). In the context of cancer immunotherapy, where PD-L1 is knocked out to prevent immune evasion, off-target effects can lead to permanent mutations in unrelated genes, potentially causing genotoxicity or oncogenic transformation (Fu et al., 2013, PMID: 23354101). The identification of these sites is a critical safety requirement for clinical translation, often involving bioinformatic tools and experimental assays like GUIDE-seq or CIRCLE-seq to map the off-targetome (Tsai et al., 2015, PMID: 25513782). Managing these risks involves optimizing gRNA design, using high-fidelity Cas9 variants, or employing base editing technologies to minimize unintended genomic alterations (Rees & Liu, 2018, PMID: 30356159). Ultimately, these sites are not therapeutic targets but rather safety liabilities that must be monitored to ensure the integrity of the patient's genome during gene therapy.
Unintended DNA cleavage at sites with sequence homology to the gRNA, followed by error-prone repair mechanisms such as non-homologous end joining (NHEJ).
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