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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">891098</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2022.891098</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Opinion</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Advances in CRISPR-Based Functional Genomics and Nucleic Acid Detection in Pigs</article-title>
<alt-title alt-title-type="left-running-head">Ruan et al.</alt-title>
<alt-title alt-title-type="right-running-head">CRISPR/Cas Technology in Pigs</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ruan</surname>
<given-names>Jinxue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/824467/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Xuying</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1826666/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Shuhong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/24649/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Xie</surname>
<given-names>Shengsong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/529762/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Key Laboratory of Agricultural Animal Genetics</institution>, <institution>Breeding and Reproduction of Ministry of Education &#x26; Key Lab of Swine Genetics and Breeding of Ministry of Agriculture and Rural Affairs</institution>, <institution>Huazhong Agricultural University</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute for Animal Breeding and Genetics</institution>, <institution>University of Veterinary Medicine Hannover</institution>, <addr-line>Hannover</addr-line>, <country>Germany</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Hubei Hongshan Laboratory</institution>, <institution>Huazhong Agricultural University</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/670349/overview">Mike McGrew</ext-link>, University of Edinburgh, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1226107/overview">Channabasavaiah Gurumurthy</ext-link>, University of Nebraska Medical Center, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/605098/overview">Bjoern Petersen</ext-link>, Friedrich Loeffler Institute (FLI), Germany</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Shengsong Xie, <email>ssxie@mail.hzau.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Livestock Genomics, a section of the journal Frontiers in Genetics</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>891098</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Ruan, Zhang, Zhao and Xie.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Ruan, Zhang, Zhao and Xie</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<kwd-group>
<kwd>CRISPR</kwd>
<kwd>functional genomics</kwd>
<kwd>pig</kwd>
<kwd>nucleic acid detection</kwd>
<kwd>human biomedical model</kwd>
</kwd-group>
<contract-num rid="cn001">No. 32072685</contract-num>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The development of high-precision genome editing tools, such as targeted nucleases, has accelerated advances in fundamental human medicine, animal science, animal breeding, as well as disease diagnosis (<xref ref-type="bibr" rid="B10">Doudna and Charpentier, 2014</xref>; <xref ref-type="bibr" rid="B32">Kurtz et al., 2021</xref>; <xref ref-type="bibr" rid="B49">Rieblinger et al., 2021</xref>; <xref ref-type="bibr" rid="B62">Xie et al., 2021</xref>). In particular, the genome editing system known as CRISPR technology has grown rapidly since it was first reported (<xref ref-type="bibr" rid="B29">Jinek et al., 2012</xref>) and has become one of the most popular technologies. CRISPR/Cas9 technology can accurately identify target sequences and achieve efficient DNA cutting, thereby completing gene knock-outs/knock-ins on a genome-wide scale (<xref ref-type="bibr" rid="B8">Cong et al., 2013</xref>; <xref ref-type="bibr" rid="B31">Koike-Yusa et al., 2014</xref>).</p>
<p>However, due to double-strand breaks (DSBs) occurring during the editing process, this technology often introduces a large number of non-ideal InDel (insertion and deletion) mutations (<xref ref-type="bibr" rid="B73">Zhao et al., 2019</xref>). Subsequently, base editors (BEs), which can achieve precise editing of a single nucleotide using cytosine deaminase or adenosine deaminase without inducing DSB were developed (<xref ref-type="bibr" rid="B16">Gaudelli et al., 2017</xref>; <xref ref-type="bibr" rid="B47">Rees and Liu, 2018</xref>). Recently, prime editors (PEs) have further expanded the CRISPR-based-edit toolkit to all twelve possible base-to-base conversions, and insertion and deletion of short DNA fragments. This technology fuses reverse transcriptase and Cas9 protein, and uses a prime editing guide RNA (pegRNA) as the repair template to achieve precise gene editing (<xref ref-type="bibr" rid="B3">Anzalone et al., 2019</xref>). In this mini-review, we summarize and discuss recent applications of the CRISPR technology in pigs.</p>
</sec>
<sec id="s2">
<title>Gene-Edited Pigs for Human Biomedicine</title>
<p>Pigs serve as an important agricultural resource and animal model in biomedical research. A variety of genetically modified pig models have been successfully generated through CRISPR-based technologies (<xref ref-type="table" rid="T1">Table 1</xref>) (<xref ref-type="bibr" rid="B27">Huang et al., 2020</xref>; <xref ref-type="bibr" rid="B66">Xu et al., 2020</xref>; <xref ref-type="bibr" rid="B18">Gu et al., 2021</xref>; <xref ref-type="bibr" rid="B39">Maeng et al., 2021</xref>; <xref ref-type="bibr" rid="B67">Yao et al., 2021</xref>; <xref ref-type="bibr" rid="B70">Yue et al., 2021</xref>; <xref ref-type="bibr" rid="B65">Xu et al., 2022</xref>). Duchenne muscular dystrophy (DMD) is an incurable X-linked inherited neuromuscular disorder and is caused by mutations in the dystrophin gene (<italic>DMD</italic>) (<xref ref-type="bibr" rid="B22">Hoffman et al., 1987</xref>). Studies in <italic>mdx</italic> (<italic>X-linked muscular dystrophy</italic>) mice, rats, dogs and monkey provided only a limited understanding of DMD disease mechanisms, as these possess different pathological manifestations from humans or cost highly (<xref ref-type="bibr" rid="B41">Nakamura et al., 2014</xref>; <xref ref-type="bibr" rid="B7">Chen et al., 2015</xref>; <xref ref-type="bibr" rid="B42">Nelson et al., 2016</xref>; <xref ref-type="bibr" rid="B2">Amoasii et al., 2018</xref>). Pigs (<italic>Sus scrofa</italic>) are closely related to humans in terms of anatomy, genetics and physiology. The generation of <italic>DMD</italic> knockout pig models using CRISPR/Cas9 technology may potentially pave the way for new treatments for patients (<xref ref-type="bibr" rid="B69">Yu et al., 2016</xref>; <xref ref-type="bibr" rid="B75">Zou et al., 2021</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Summary of genetic changes introduced into porcine genome by CRISPR system.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Application</th>
<th align="center">Gene symbol</th>
<th align="center">Full name</th>
<th align="center">Modification</th>
<th align="center">Disease/Trait</th>
<th align="center">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="7" align="left">Pig model for human biomedicine</td>
<td rowspan="2" align="left">DMD</td>
<td rowspan="2" align="left">Dystrophin</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Muscular Dystrophy</td>
<td align="left">
<xref ref-type="bibr" rid="B69">Yu et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B75">Zou et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">PPAR&#x3b3;</td>
<td align="left">Peroxisome proliferator-activated receptor gamma</td>
<td align="left">knock-in (MCK promoter-porcine PPAR&#x3b3;2 cDNA)</td>
<td align="left">Oxidative fiber formation, intramuscular fat deposition</td>
<td align="left">
<xref ref-type="bibr" rid="B18">Gu et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">PBD-2</td>
<td align="left">Porcine &#x3b2;-defensin 2</td>
<td align="left">knock-in (PBD2-T2A-PBD2)</td>
<td align="left">Anti-infection</td>
<td align="left">
<xref ref-type="bibr" rid="B27">Huang et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">MYF5, MYOD, MYF6</td>
<td align="left">Myogenic Factor 5, myogenic differentiation 1</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Autologous muscle grafts</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B39">Maeng et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left"/>
<td align="left">myogenic Factor 6</td>
</tr>
<tr>
<td align="left">MITF</td>
<td align="left">Microphthalmia-associated transcription factor</td>
<td align="left">Point mutation</td>
<td align="left">Waardenburg syndrome 2A</td>
<td align="left">
<xref ref-type="bibr" rid="B67">Yao et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="7" align="left">Agricultural production</td>
<td align="left">CD163</td>
<td align="left">Clusters of differentiation 163</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Porcine reproductive and respiratory syndrome virus and Transmissible gastroenteritis virus infection</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B66">Xu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">ANPEP</td>
<td align="left">Alanyl Aminopeptidase, Membrane</td>
</tr>
<tr>
<td rowspan="2" align="left">CD163</td>
<td rowspan="2" align="left">Clusters of differentiation 163</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Porcine reproductive and respiratory syndrome virus infection</td>
<td align="left">
<xref ref-type="bibr" rid="B60">Whitworth et al., (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B66">Xu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">CSN1S1</td>
<td align="left">Casein Alpha S1</td>
<td align="left">knock-in (porcine lactoferrin gene)</td>
<td align="left">Survival rate of piglets</td>
<td align="left">
<xref ref-type="bibr" rid="B19">Han et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">ANPEP, CD163, MSTN, MC4R</td>
<td align="left">Alanyl Aminopeptidase, Membrane</td>
<td rowspan="2" align="left">Targeted mutations</td>
<td rowspan="2" align="left">Economic traits</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B57">Wang X. et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Clusters of differentiation 163, myostatin, melanocortin-4 receptor</td>
</tr>
<tr>
<td rowspan="10" align="left">Identification of host factors restricting viral infection</td>
<td rowspan="2" align="left">EMC3, CALR</td>
<td align="left">ER Membrane protein complex subunit 3</td>
<td rowspan="2" align="left">PigGeCKO library</td>
<td rowspan="2" align="left">Japanese encephalitis virus infection</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B72">Zhao et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Calreticulin</td>
</tr>
<tr>
<td align="left">TMEM41B</td>
<td align="left">Transmembrane protein 41B</td>
<td align="left">PigGeCKO library</td>
<td align="left">Diverse viruses, Transmissible gastroenteritis virus, especially coronaviruses infection</td>
<td align="left">
<xref ref-type="bibr" rid="B54">Sun et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">ZDHHC17</td>
<td align="left">Zinc finger DHHC-type palmitoyltransferase 17</td>
<td align="left">Human (HeLa cells), GeCKO library screening</td>
<td align="left">Swine acute diarrhea syndrome coronavirus</td>
<td align="left">
<xref ref-type="bibr" rid="B38">Luo et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">COG8</td>
<td align="left">Golgi apparatus complex protein</td>
<td align="left">GeCKO library screening</td>
<td align="left">Influenza virus infection</td>
<td align="left">
<xref ref-type="bibr" rid="B74">Zhou et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">SMS1</td>
<td align="left">Host sphingomyelin synthase 1</td>
<td align="left">GeCKO library screening</td>
<td align="left">Pseudorabies virus infection</td>
<td align="left">
<xref ref-type="bibr" rid="B24">H&#xf6;lper et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">HBEGF</td>
<td rowspan="4" align="left">Heparin-binding EGF-like growth factor, diphthamide biosynthesis 1&#x2013;5, Hsp40 member C24, Zinc Finger And BTB Domain Containing 17</td>
<td rowspan="4" align="left">GeCKO library screening</td>
<td rowspan="4" align="left">Diphtheria toxin</td>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B68">Yu et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">DPH1-5</td>
</tr>
<tr>
<td align="left">DNAJC24</td>
</tr>
<tr>
<td align="left">ZBTB17</td>
</tr>
<tr>
<td rowspan="38" align="left">Xenotransplantation</td>
<td rowspan="4" align="left">GGTA1</td>
<td rowspan="4" align="left">Glycoprotein Alpha-Galactosyltransferase 1</td>
<td rowspan="4" align="left">knock-out</td>
<td rowspan="4" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B5">Butler et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B45">Petersen et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B15">Gao et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">CMAH</td>
<td rowspan="3" align="left">Cytidine monophospho-N-acetylneuraminic acid hydroxylase</td>
<td rowspan="3" align="left">knock-out</td>
<td rowspan="3" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B5">Butler et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B15">Gao et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">&#x3b2;4galNT2</td>
<td align="left">&#x3b2;-1,4-N-acetyl-galactosaminyltransferase 2</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">SLA class I</td>
<td rowspan="2" align="left">class I SLA molecules</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B48">Reyes et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Martens et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">iGb3S</td>
<td align="left">Alpha 1,3-Galactosyltransferase 2</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B35">Li et al. (2015)</xref>
</td>
</tr>
<tr>
<td align="left">ULBP1</td>
<td align="left">UL16 Binding protein 1</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B30">Joanna et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">CIITA</td>
<td align="left">Class II major histocompatibility complex transactivator</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B14">Fu et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">B2M</td>
<td rowspan="2" align="left">Beta-2-Microglobulin</td>
<td rowspan="2" align="left">knock-out</td>
<td rowspan="2" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B14">Fu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">P53</td>
<td align="left">Tumor protein P53</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B34">Li H. et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">A3GALT2</td>
<td align="left">Alpha 1,3-galactosyltransferase 2</td>
<td align="left">knock-out</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B53">Shim et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">CD46</td>
<td rowspan="3" align="left">CD46 Molecule</td>
<td rowspan="3" align="left">Human gene knock-in (66&#xa0;kb 5&#x2032; flanking region-CD46 gene-54&#xa0;kb 3&#x2032; flanking region)</td>
<td rowspan="3" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Fischer et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">CD55</td>
<td rowspan="3" align="left">CD55 Molecule</td>
<td rowspan="3" align="left">Human gene knock-in (10&#xa0;kb 5&#x2032; flanking sequence/1.8&#xa0;kb CAG synthetic promoter- CD55 gene&#x2014;6&#xa0;kb 3&#x2032; flanking region)</td>
<td rowspan="3" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Fischer et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="3" align="left">CD59</td>
<td rowspan="3" align="left">CD59 Molecule</td>
<td rowspan="3" align="left">Human gene knock-in (10&#xa0;kb 5&#x2032; flanking/promoter region-CD59 gene-37&#xa0;kb 3&#x2032; flanking region)</td>
<td rowspan="3" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Fischer et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">CD47</td>
<td align="left">CD47 Molecule</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">CD39</td>
<td align="left">CD39 Molecule</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">HO1</td>
<td rowspan="2" align="left">Heme oxygenase-1</td>
<td rowspan="2" align="left">Human gene knock-in (SV40-driven hHO1 cDNA)</td>
<td rowspan="2" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Fischer et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">A20</td>
<td rowspan="2" align="left">TNF Alpha induced protein 3</td>
<td rowspan="2" align="left">Human gene knock-in (CAG-driven hA20 cDNA)</td>
<td rowspan="2" align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Fischer et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B12">Fischer et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">CD2</td>
<td align="left">CD2 Molecule</td>
<td align="left">Human gene knock-in (anti-CD2 mAb)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B44">Nottle et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">B2M</td>
<td align="left">Beta-2-Microglobulin</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">HLA-E</td>
<td align="left">Major histocompatibility complex, class I, E</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">THBD</td>
<td align="left">Thrombomodulin</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">EPCR</td>
<td align="left">Endothelial cell protein C receptor</td>
<td align="left">Human gene knock-in (0.7-kb hEPCR cDNA)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B33">Lee et al. (2012)</xref>
</td>
</tr>
<tr>
<td align="left">TFPI</td>
<td align="left">Tissue factor pathway inhibitor</td>
<td align="left">Human gene knock-in (PERVKO&#xb7;3KO&#xb7;9TG)</td>
<td align="left">Immunological barriers</td>
<td align="left">
<xref ref-type="bibr" rid="B70">Yue et al. (2021)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3">
<title>Gene-Edited Pigs for Agricultural Production</title>
<p>CRISPR technology offers a new strategy to combat infectious diseases in pigs. Porcine reproductive and respiratory syndrome (PRRS) is one of the most economically important swine infectious diseases worldwide. CD163 was identified as the striking receptor in PRRSV entry, and by knocking it out from the genome or editing the receptor using CRISPR/Cas9, pigs fully resistant to PRRSV have been produced - a milestone in modern pig breeding (<xref ref-type="bibr" rid="B60">Whitworth et al., 2016</xref>; <xref ref-type="bibr" rid="B4">Burkard et al., 2018</xref>; <xref ref-type="bibr" rid="B66">Xu et al., 2020</xref>). Another study reported the construction of genome-edited pigs with marker-free site-specific knock-in of <italic>lactoferrin</italic> gene in the 3&#x2032;-end of <italic>Casein alpha-s1</italic> by CRISPR/Cas9-mediated homologous recombination (<xref ref-type="bibr" rid="B19">Han et al., 2020</xref>). Antibacterial activity of lactoferrin could potentially improve the survival rate of piglets in the genome-edited pigs (<xref ref-type="bibr" rid="B19">Han et al., 2020</xref>). There were abundant evidences that CRISPR-based technologies have great potential in human health and animal production.</p>
</sec>
<sec id="s4">
<title>CRISPR-Based Functional Genomics to Combat Infectious Diseases</title>
<p>CRISPR technology provides an easy way to introduce targeted mutations into mammalian cells to induce loss-of-function phenotypes (<xref ref-type="bibr" rid="B10">Doudna and Charpentier, 2014</xref>; <xref ref-type="bibr" rid="B26">Hsu et al., 2014</xref>; <xref ref-type="bibr" rid="B50">Ruan et al., 2017</xref>). Genome-wide CRISPR screen has now been successfully applied to identify host factors that restrict viral infections, providing a powerful tool for exploring functional genomics of virus-host interactions (<xref ref-type="bibr" rid="B52">Shalem et al., 2014</xref>; <xref ref-type="bibr" rid="B23">Hoffmann et al., 2021</xref>). To identify novel host-dependent factors, a porcine genome-scale CRISPR/Cas9 knockout (PigGeCKO) library was established and successfully used to identify several key genes (<italic>EMC3</italic>, <italic>CALR</italic>, <italic>etc.</italic>) related to Japanese encephalitis virus (JEV) infection (<xref ref-type="bibr" rid="B72">Zhao et al., 2020</xref>). Several reports have identified multiple host factors required for the entry of other viruses and toxins in pigs and humans by using the CRISPR screening strategy (<xref ref-type="bibr" rid="B24">H&#xf6;lper et al., 2021</xref>; <xref ref-type="bibr" rid="B38">Luo et al., 2021</xref>; <xref ref-type="bibr" rid="B54">Sun et al., 2021</xref>; <xref ref-type="bibr" rid="B68">Yu et al., 2021</xref>; <xref ref-type="bibr" rid="B74">Zhou et al., 2021</xref>).</p>
<p>Emerging coronaviruses (CoVs) pose a severe threat to human and animal health worldwide. Through CRISPR screening, transmembrane protein 41B (TMEM41B) was identified as a critical host-dependency factor required for the replication of diverse viruses, especially coronaviruses (<xref ref-type="bibr" rid="B54">Sun et al., 2021</xref>). TMEM41B was found to be involved in the formation of SARS-CoV-2 and transmissible gastroenteritis virus (TGEV) replicative organelles (<xref ref-type="bibr" rid="B54">Sun et al., 2021</xref>). ZDHHC17 (zinc finger DHHC-type palmitoyltransferase 17) was identified as a potential drug target for swine acute diarrhea syndrome coronavirus (SADS-CoV) infection by genome-wide CRISPR knockout library screening in human HeLa cells (<xref ref-type="bibr" rid="B38">Luo et al., 2021</xref>).</p>
<p>Adopting the same strategy, the Golgi apparatus complex protein (COG8) was identified as a pivotal regulator of influenza virus infection (<xref ref-type="bibr" rid="B74">Zhou et al., 2021</xref>). Host sphingomyelin synthase 1 (SMS1) was also found to be involved in pseudorabies virus (PRV) infection when the gD-mediated entry pathway was blocked (<xref ref-type="bibr" rid="B24">H&#xf6;lper et al., 2021</xref>). In addition, HBEGF (heparin-binding EGF-like growth factor), DPH1-5 (diphthamide biosynthesis 1&#x2013;5), DNAJC24 (Hsp40 member C24), and ZBTB17 were determined as diphtheria toxin (DT) receptors (<xref ref-type="bibr" rid="B68">Yu et al., 2021</xref>). These are the key factors involved in the biosynthesis of diphthamide, which serves as the molecular target for DT (<xref ref-type="bibr" rid="B68">Yu et al., 2021</xref>). These data demonstrate that CRISPR screening strategy is a powerful tool for functional genome in livestock.</p>
<p>Furthermore, CRISPR technology can also be used to specifically target infectious viruses (<xref ref-type="bibr" rid="B13">Freije and Sabeti, 2021</xref>). African swine fever (ASF) is a highly contagious viral disease of swine, with a high mortality rate up to 100%. CRISPR/Cas9 has been successfully used to produce recombinant ASF virus (ASFV), which could help speed up vaccine production to combat the infectious virus (<xref ref-type="bibr" rid="B1">Abkallo et al., 2021</xref>). Indeed, the CRISPR/Cas9 in combination with Cre/Lox system has been used to develop a stable anti-pseudorabies virus (PRV) vaccine of pig (<xref ref-type="bibr" rid="B37">Liang et al., 2016</xref>). Vaccination and challenge experiments demonstrate that recombinant vaccine candidates generated by gene editing technology can provide immune protection in pigs (<xref ref-type="bibr" rid="B37">Liang et al., 2016</xref>). These studies showed that development of virus vaccine can be accelerated via CRISPR and synthetic biology technologies.</p>
</sec>
<sec id="s5">
<title>CRISPR-Based Diagnostics</title>
<p>The rapid detection of infectious diseases is highly needed in diagnosis and infection prevention (<xref ref-type="bibr" rid="B46">Pfaller, 2001</xref>; <xref ref-type="bibr" rid="B28">Hwang et al., 2018</xref>). CRISPR-based nucleic acid detection methods have suddenly emerged, with the potential to power the fields of genetic mutation and pathogen detection (<xref ref-type="bibr" rid="B6">Chen et al., 2018</xref>). This technology mainly employs Cas12, Cas13, and Cas14a, which have a target-activated trans-cleavage activity and can efficiently cleave single-stranded DNA (ssDNA) or single-stranded RNA (ssRNA) sequences (<xref ref-type="bibr" rid="B17">Gootenberg et al., 2017</xref>; <xref ref-type="bibr" rid="B6">Chen et al., 2018</xref>; <xref ref-type="bibr" rid="B20">Harrington et al., 2018</xref>).</p>
<p>To achieve point-of-care testing (POCT) of ASFV, a variety of sensitive diagnostic methods based on CRISPR technology have been established (<xref ref-type="bibr" rid="B21">He et al., 2020</xref>; <xref ref-type="bibr" rid="B55">Tao et al., 2020</xref>; <xref ref-type="bibr" rid="B57">Wang X. et al., 2020</xref>; <xref ref-type="bibr" rid="B61">Wu et al., 2020</xref>; <xref ref-type="bibr" rid="B59">Wei et al., 2022</xref>; <xref ref-type="bibr" rid="B63">Xie et al., 2022</xref>), for instance, recombinase-aided amplification (RAA)-Cas12a combined with lateral flow detection assay (<xref ref-type="bibr" rid="B58">Wang Y. et al., 2020</xref>), CRISPR/Cas12a based universal lateral flow biosensor assay (<xref ref-type="bibr" rid="B61">Wu et al., 2020</xref>), CRISPR/Cas12a enhanced fluorescence assay (<xref ref-type="bibr" rid="B55">Tao et al., 2020</xref>), CRISPR/Cas13 combined with lateral flow strip assay (<xref ref-type="bibr" rid="B59">Wei et al., 2022</xref>), as well as high-throughput and all-solution phase ASFV detection assay (<xref ref-type="bibr" rid="B21">He et al., 2020</xref>). Recently, to simplify the detection process, the rapid visual CRISPR assay (RAVI-CRISPR), combining a naked-eye colorimetric detection method based on CRISPR/Cas12a and a convolutional neural network was established (<xref ref-type="bibr" rid="B63">Xie et al., 2022</xref>). This RAVI-CRISPR/MagicEye mobile APP system is perhaps the today&#x2019;s simplest platform for rapid POCT testing.</p>
</sec>
<sec id="s6">
<title>Porcine Genome Engineering for Xenotransplantation</title>
<p>The extreme shortage of human donor organs for the treatment of patients with end-stage organ failure is well known. Pig-to-human xenotransplantation is a most promising strategy to solve this problem, because domestic pigs are similar to humans in terms of anatomy, physiology and organ size, and are highly reproductive and low in maintenance costs (<xref ref-type="bibr" rid="B25">Hryhorowicz et al., 2017</xref>). However, discrepancies between pigs and humans lead to the development of immune barriers, blocking direct xenotransplantation (<xref ref-type="bibr" rid="B56">Vadori and Cozzi, 2015</xref>).</p>
<p>In the last decade, CRISPR technology accelerated the pace and extent of modifications to porcine genomes, such as knockout of major carbohydrate antigens (<italic>GGTA1</italic>, <italic>CMAH</italic>, <italic>&#x3b2;4galNT2</italic>) and tumor suppressor protein (<italic>p53</italic>), as well as knockin of various human complement regulatory proteins (e.g. <italic>CD46</italic>, <italic>CD55</italic>), human coagulation regulatory proteins (e.g. <italic>THBD</italic>, <italic>EPCR</italic>), human anti-inflammatory molecule (<italic>HO1</italic>), and human macrophage-inhibitory ligand (<italic>CD47</italic>), to modulate human immune response (<xref ref-type="bibr" rid="B9">Cooper et al., 2019</xref>; <xref ref-type="bibr" rid="B34">Li H. et al., 2021</xref>). These genetically modified pigs have been used in preclinical studies and greatly improved survival outcomes of xenografts of non-human primate recipients (<xref ref-type="bibr" rid="B43">Niu et al., 2021</xref>). In addition, multiplex CRISPR/Cas9 gene editing technology has enabled multi-fold knockouts of porcine genes in various combinations. Pigs carrying multi-fold xenoprotective transgenes and knockouts of xenoreactive antigens have been generated (<xref ref-type="bibr" rid="B11">Fischer et al., 2016</xref>; <xref ref-type="bibr" rid="B71">Zhang et al., 2018</xref>; <xref ref-type="bibr" rid="B12">Fischer et al., 2020</xref>; <xref ref-type="bibr" rid="B14">Fu et al., 2020</xref>; <xref ref-type="bibr" rid="B53">Shim et al., 2021</xref>; <xref ref-type="bibr" rid="B70">Yue et al., 2021</xref>), with great potential to completely eliminate immunological barriers. It remains a challenge, however, to effectively assess the human immune response induced by various genetic modifications and to identify the ideal gene combinations (<xref ref-type="bibr" rid="B36">Li P. et al., 2021</xref>). Recently, the world&#x2019;s first porcine-to-human transplantation was performed at the University of Maryland Medical Center, successfully transplanting a genetically modified porcine heart into a 57-year-old man with end-stage heart disease, and the patient lived for two months after the transplant (<xref ref-type="bibr" rid="B51">Shah and Han, 2022</xref>). The advent of the CRISPR system has accelerated the field, bringing the successful application of xenotransplantation closer to reality.</p>
</sec>
<sec id="s7">
<title>Conclusion and Regulation of CRISPR Development</title>
<p>CRISPR, a sequence-specific nuclease able to edit target gene sequences, has ignited a revolution in the field of genetic engineering and site-specific editing within malfunctioning genes (<xref ref-type="bibr" rid="B26">Hsu et al., 2014</xref>). The system&#x2019;s efficiency, robustness, and affordability allow its application to endless potential genetic targets (<xref ref-type="fig" rid="F1">Figure 1</xref>). The use of CRISPR in genetic disorders, infectious diseases, defective traits and immunological barriers via gene knockout, gene knockin and gene editing has immense potential for the development of animal production, human medicine and Xenotransplantation (<xref ref-type="bibr" rid="B10">Doudna and Charpentier, 2014</xref>; <xref ref-type="bibr" rid="B26">Hsu et al., 2014</xref>; <xref ref-type="bibr" rid="B50">Ruan et al., 2017</xref>; <xref ref-type="bibr" rid="B51">Shah and Han, 2022</xref>). CRISPR technology has also been extensively employed to develop rapid point-of-care detection methods for viruses (<xref ref-type="bibr" rid="B63">Xie et al., 2022</xref>), with great potential in combating infectious diseases such as CoVs and ASFV. Additionally, the technology exerts important roles in clarifying the pathways of virus-host interactions, and generating recombinant viruses to speed up vaccine production. Future applications of CRISPR will enhance the quality and quantity of gene therapy and animal production, improve human health and animal welfare and will save countless lives.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The CRISPR system and its applications.</p>
</caption>
<graphic xlink:href="fgene-13-891098-g001.tif"/>
</fig>
<p>Gene editing regulations for animals have not yet been globally established and vary greatly between countries. China&#x2019;s regulations on genetically modified organisms (&#x201c;GMOs&#x201d;) mainly focus on Agricultural GMOs. In the U.S., genetically modified crops are regulated by the U.S. Department of Agriculture, which is relaxing its oversight of gene editing. While animal biotechnology is regulated by the Food and Drug Administration (FDA) under an unusual reading of the Federal Food, Drug, and Cosmetic Act of 1938, and gene editing is very strictly regulated by the FDA. In our opinion, using CRISPR technology, we can create an advanced animal that is essentially identical to the original one in all respects. Nevertheless, it is important to establish sound laws and regulations on CRISPR in the worldwide scientific community and between government agencies globally. Despite all risks, we believe that the application of CRISPR will provide benefits for everyone in the not far-distant future.</p>
</sec>
<sec id="s8">
<title>Insights and Prospects</title>
<p>The rapid development of life science has brought us from the &#x201c;reading&#x201d; stage of biological genetic information to the post-genome era, in which &#x201c;rewriting&#x201d; and even &#x201c;new design&#x201d; of genomes are gradually becoming a reality. Synthetic biology, which aims to design and create new living organisms, has developed rapidly under this background and has shown great promise for applications in biomedicine, agriculture, vaccines, manufacturing, and energy. In continuous exploration and research, gene editing technologies, especially CRISPR, have evolved from initial reliance on naturally occurring homologous recombination in cells to targeted cleavage at almost any site, and even to nucleic acid-based diagnostics. The simplicity and efficiency of its operation has greatly facilitated the genetic modification of species and disease diagnosis. Gene editing provides the means for continued modification of synthetic life and opens up more possibilities for the creation of new species through genetic modification. De novo genome synthesis and the large-scale modifications of natural genomes belong to the fields of synthetic genomics and gene editing (<xref ref-type="bibr" rid="B64">Xie et al., 2017</xref>), both subjects are current hot spots topics in synthetic biology research.</p>
<p>Since Science magazine named CRISPR technology the breakthrough of the year in 2015, this new technology has taken the gene-editing field by storm. In the past few years, CRISPR technology has rapidly swept the animal world as a popular gene editing technique. Although the research and application of gene editing technology has been developing rapidly, gene editing technology still faces challenges in terms of off-target, ethics and safety. The future development of gene editing technology needs to pay attention to the following aspects: first, strengthen planning and guidance, and attach great importance to strengthening research on basic theories and innovative methods of gene editing; second, strengthen supervision and scientific guidance, and pay attention to the applications of gene editing; third, strengthen research on ethical norms, improve the legal and policy system for gene editing supervision, and vigorously support the research and development of animal gene editing products; fourth, strengthen the popularization of science, let more people understand and accept gene editing technology, so that gene editing can better benefit mankind.</p>
</sec>
</body>
<back>
<sec id="s9">
<title>Author Contributions</title>
<p>SX, XZ: writing-original draft, review and editing. JR: writing-original draft. SZ: writing-review and editing. All authors have proof-read the final version.</p>
</sec>
<sec id="s10">
<title>Funding</title>
<p>This work was supported by the Natural Science Foundation of China (No: 32072685), the Major Project of Hubei Hongshan Laboratory (No: 2021hszd019) and the Laboratory of Lingnan Modern Agriculture Project (No: NZ2021005).</p>
</sec>
<sec sec-type="COI-statement" id="s11">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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