4.7 Review

Immunotherapy and CRISPR Cas Systems: Potential Cure of COVID-19?

Journal

DRUG DESIGN DEVELOPMENT AND THERAPY
Volume 16, Issue -, Pages 951-972

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/DDDT.S347297

Keywords

COVID-19; SARS-CoV-2; immunotherapy; CRISPR Cas

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This article provides a brief overview of immunotherapeutic options for COVID-19 and discusses the potential of CRISPR Cas system technology in COVID-19 treatment. Immunotherapeutics may serve as a specific cure against COVID-19 by boosting human immune responses. Additionally, CRISPR Cas technology could improve existing cell-based therapeutics and potentially terminate infection by degrading viral RNA.
The COVID-19 has plunged the world into a pandemic that affected millions. The continually emerging new variants of concern raise the question as to whether the existing vaccines will continue to provide sufficient protection for individuals from SARS-CoV-2 during natural infection. This narrative review aims to briefly outline various immunotherapeutic options and discuss the potential of clustered regularly interspaced short palindromic repeat (CRISPR Cas system technology against COVID-19 treatment as specific cure. As the development of vaccine, convalescent plasma, neutralizing antibodies are based on the understanding of human immune responses against SARS-CoV-2, boosting human body immune responses in case of SARS-CoV-2 infection, immunother-apeutics seem feasible as specific cure against COVID-19 if the present challenges are overcome. In cell based therapeutics, apart from the high costs, risks and side effects, there are technical problems such as the production of sufficient potent immune cells and antibodies under limited time to treat the COVID-19 patients in mild conditions prior to progression into a more severe case. The CRISPR Cas technology could be utilized to refine the specificity and safety of CAR-T cells, CAR-NK cells and neutralizing antibodies against SARS-CoV-2 during various stages of the COVID-19 disease progression in infected individuals. Moreover, CRISPR Cas technology are proposed in hypotheses to degrade the viral RNA in order to terminate the infection caused by SARS-CoV-2. Thus personalized cocktails of immunotherapeutics and CRISPR Cas systems against COVID-19 as a strategy might prevent further disease progression and circumvent immunity escape.

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