Safer practices and novel modalities for clinical CRISPR applications

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Abstract/Contents

Abstract
CRISPR technologies have revolutionized the field of medicine and granted us the power to precisely diagnose or edit the human genome to treat disease and to elucidate the potential causes and solutions to disorders. In my thesis, I aim to tackle two main projects to help move CRISPR-based therapeutics into clinical use and many other projects that I contributed to that helped push the boundaries on current CRISPR technologies. First, I explored the potential del- eterious side effects from gene editing. I assess whether CRISPR editing can lead to the formation and display of neoantigens, or antigens that have not been previously encountered by the immune system and which may be potentially immunogenic. I found that CRISPR editing can indeed lead to neoantigen formation and I also computationally predict that this phenome- non can occur with relative frequency, underscoring the need for safer clinical gene editing practices. To help circumvent this issue and reduce the potential for neoantigen-induced host- versus-graft disease, I develop a tool, SAFE-EDIT, which can computationally predict when this phenomenon may occur and better inform guide RNA design for best therapeutic practices. Second, I explore utilizing CRISPR as an antiviral to treat influenza, SARS-CoV-2, and other coronaviruses. I use CRISPR to interfere with both host genes essential for viral replication and with the viral genome itself, finding that both can strongly reduce viral burden in cells and together lead to an increased antiviral effect. Furthermore, treatment with small-molecule in- hibitors and CRISPR antivirals shows a strong synergistic effect at reducing the viral load, highlighting that CRISPR can be used to augment existing therapies. The high efficiency, spec- ificity, and simplicity of CRISPR opens the potential for a bevy of new applications clinically. In sum, my thesis work greatly expands CRISPR as a clinically relevant tool by further deline- ating best practices for safe therapeutic use and establishing new modalities for the treatment of infectious disease.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2021; ©2021
Publication date 2021; 2021
Issuance monographic
Language English

Creators/Contributors

Author Abbott, Timothy Robert
Degree supervisor Qi, Lei, (Professor of bioengineering)
Thesis advisor Qi, Lei, (Professor of bioengineering)
Thesis advisor Bryant, Zev David
Thesis advisor Li, Jin (Billy)
Degree committee member Bryant, Zev David
Degree committee member Li, Jin (Billy)
Associated with Stanford University, Department of Bioengineering

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Timothy Robert Abbott.
Note Submitted to the Department of Bioengineering.
Thesis Thesis Ph.D. Stanford University 2021.
Location https://purl.stanford.edu/yq046dp8439

Access conditions

Copyright
© 2021 by Timothy Robert Abbott
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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