Evidence map›Paper›PMID 36306733›Full record

ArticleCell2022

Structural basis for Cas9 off-target activity.

Martin Pacesa, Chun-Han Lin, Antoine Cléry, Aakash Saha, Pablo R Arantes, Katja Bargsten, Matthew J Irby, Frédéric H-T Allain, Giulia Palermo, Peter Cameron and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 1 synthesis or guideline pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Molecular mechanisms and biotechnology applications of CRISPR-Cas12a.Nature reviews. Molecular cell biology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Testicular mRNA-LNP Delivery: A Novel Therapy for Genetic Spermatogenic Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Martin PacesaDepartment of Biochemistry, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.
Chun-Han LinCaribou Biosciences, 2929 Seventh Street Suite 105, Berkeley, CA 94710, USA.
Antoine CléryInstitute of Biochemistry, ETH Zurich, Hönggerbergring 64, 8093 Zurich, Switzerland.
Aakash SahaDepartment of Bioengineering, University of California Riverside, 900 University Avenue, Riverside, CA 52512, USA.
Pablo R ArantesDepartment of Bioengineering, University of California Riverside, 900 University Avenue, Riverside, CA 52512, USA.
Katja BargstenDepartment of Biochemistry, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland.
Matthew J IrbyCaribou Biosciences, 2929 Seventh Street Suite 105, Berkeley, CA 94710, USA.
Frédéric H-T AllainInstitute of Biochemistry, ETH Zurich, Hönggerbergring 64, 8093 Zurich, Switzerland.
Giulia PalermoDepartment of Bioengineering, University of California Riverside, 900 University Avenue, Riverside, CA 52512, USA.
Peter CameronCaribou Biosciences, 2929 Seventh Street Suite 105, Berkeley, CA 94710, USA.
Paul D DonohoueCaribou Biosciences, 2929 Seventh Street Suite 105, Berkeley, CA 94710, USA.
Martin JinekDepartment of Biochemistry, University of Zurich, Winterthurerstrasse 190, 8057 Zurich, Switzerland. Electronic address: jinek@bioc.uzh.ch.
Caribou Biosciences (United States) · USUniversity of California, Riverside · USETH Zurich · CHUniversity of Zurich · CHZHAW Zurich University of Applied Sciences · CH

Funding

Investigating the metal-dependent function, allostery and inhibition of CRISPR-Cas9R01GM141329 · NIGMS · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI PALERMO, GIULIA · 2021 to 2025
$1.7M
NIGMS NIH HHS R01 GM141329
6 · The paper itself

Abstract

The target DNA specificity of the CRISPR-associated genome editor nuclease Cas9 is determined by complementarity to a 20-nucleotide segment in its guide RNA. However, Cas9 can bind and cleave partially complementary off-target sequences, which raises safety concerns for its use in clinical applications. Here, we report crystallographic structures of Cas9 bound to bona fide off-target substrates, revealing that off-target binding is enabled by a range of noncanonical base-pairing interactions within the guide:off-target heteroduplex. Off-target substrates containing single-nucleotide deletions relative to the guide RNA are accommodated by base skipping or multiple noncanonical base pairs rather than RNA bulge formation. Finally, PAM-distal mismatches result in duplex unpairing and induce a conformational change in the Cas9 REC lobe that perturbs its conformational activation. Together, these insights provide a structural rationale for the off-target activity of Cas9 and contribute to the improved rational design of guide RNAs and off-target prediction algorithms.

Indexed as

CRISPR-Cas SystemsRNA, Guide, CRISPR-Cas SystemsBase PairingEndonucleasesGene EditingNucleotidesEndonucleasesNucleotidesRNA, Guide, CRISPR-Cas Systemsbase pairingCas9CRISPRgenome editingguide RNAmismatchnucleaseoff-targetX-ray crystallography

Identifiers

PMID36306733
PMCPMC10103147
OpenAlexW4307725211

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.