4.7 Review

Ultra-specific nucleic acid testing by target-activated nucleases

Journal

CRITICAL REVIEWS IN BIOTECHNOLOGY
Volume 42, Issue 7, Pages 1061-1078

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/07388551.2021.1983757

Keywords

Nucleic acid detection; molecular diagnostics; CRISPR/Cas; Argonaute; nucleases; isothermal amplification

Funding

  1. Capital Health Research and Development of Special [2021-1G-4302]
  2. National Natural Science Foundation of China [31971361]
  3. State Key Research Development Program of China [2019YFC1200500, 2019YFC1200502]
  4. Natural Science Foundation of Beijing Municipality [5212013]
  5. Beijing Advanced Innovation Center for Soft Matter Science and Engineering

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Detection of nucleic acids is crucial for clinical diagnostics and biotechnological applications, but the low concentration of targets in real samples often requires amplification steps. While amplification increases sensitivity, the lack of highly accurate precise strategies leads to significant false positives and false negatives. Nucleases with high catalytic activity have been explored for more specific and sensitive nucleic acid testing tools.
Specific and sensitive detection of nucleic acids is essential to clinical diagnostics and biotechnological applications. Currently, amplification steps are necessary for most detection methods due to the low concentration of nucleic acid targets in real samples. Although amplification renders high sensitivity, poor specificity is prevalent because of the lack of highly accurate precise strategies, resulting in significant false positives and false negatives. Nucleases exhibit high catalytic activity for nucleic acid cleavage which is regulated in a programmable manner. This review focuses on the latest progress in nucleic acid testing methods based on the target-activated nucleases. It summarizes the property of enzymes such as CRISPR/Cas, Argonautes, and some gene-editing irrelevant nucleases, which have been leveraged to create highly specific and sensitive nucleic acid testing tools. We elaborate on recent advances in the field of nuclease-mediated DNA recognition techniques for nucleic acid detection, and discuss its future applications and challenges in molecular diagnostics.

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