# Enhancement of prime editing by recruiting engineered or evolved components and implementing novel strategies

**Authors:** Mobina Arabi, Farzaneh Alizadeh, Yasamin Yousefi, Hamed Afarandeh, Sina Mozaffari Jovin, Atieh Eslahi, Majid Mojarrad

PMC · DOI: 10.1016/j.bbrep.2026.102495 · Biochemistry and Biophysics Reports · 2026-02-18

## TL;DR

This review discusses ways to improve prime editing, a CRISPR-based gene editing method, to make it more efficient for treating genetic disorders.

## Contribution

The paper reviews recent advancements in prime editing components and strategies to enhance editing efficiency and therapeutic potential.

## Key findings

- Modifications to Cas9, reverse transcriptase, or PegRNA can boost prime editing efficiency.
- Directed evolution and rational design improve the performance of prime editors.
- Epigenetic modifiers can further enhance editing efficiency for gene therapy applications.

## Abstract

Prime editing has recently gained attention for its promising potential in treating genetic disorders caused by different types of mutations. This method, based on Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR), has led to the development of new strategies that offer improved editing efficiency. Additionally, the components of prime editing—namely, the prime editor (PE) and the prime editing guide RNA (PegRNA)—have been enhanced through rational design and direct evolution of structural modifications. These improvements have resulted in better performance and new capabilities, driven by novel mutations or components. In this review, we compare various studies that report enhanced versions of PE or PegRNA, which achieve more efficient results. These advancements hold the potential to accelerate and simplify the development of gene therapies for a range of genetic disorders.

•Optimizing Prime Editing: Boosting efficiency by modifying Cas9, RT, or PegRNA.•Advancing via Design: Directed evolution & rational design improve editing potential.•Epigenetic Modifiers Help: Enhance efficiency, expanding gene therapy applications.•Delivery Challenges: Efficient targeting remains key for clinical use.

Optimizing Prime Editing: Boosting efficiency by modifying Cas9, RT, or PegRNA.

Advancing via Design: Directed evolution & rational design improve editing potential.

Epigenetic Modifiers Help: Enhance efficiency, expanding gene therapy applications.

Delivery Challenges: Efficient targeting remains key for clinical use.

## Full-text entities

- **Genes:** MLH1 (mutL homolog 1) [NCBI Gene 4292] {aka COCA2, FCC2, HNPCC, HNPCC2, LYNCH2, MLH-1}, H1-0 (H1.0 linker histone) [NCBI Gene 3005] {aka H1.0, H10, H1F0, H1FV}, Dnmt1 (DNA methyltransferase 1) [NCBI Gene 13433] {aka Cxxc9, Dnmt, Dnmt1o, MCMT, MTase, Met-1}, RAD51 (RAD51 recombinase) [NCBI Gene 5888] {aka BRCC5, FANCR, HRAD51, HsRad51, HsT16930, MRMV2}, Trp53-ps (transformation related protein 53, pseudogene) [NCBI Gene 22060], TFAP2C (transcription factor AP-2 gamma) [NCBI Gene 7022] {aka AP2-GAMMA, ERF1, TFAP2G, hAP-2g}, MSH2 (mutS homolog 2) [NCBI Gene 4436] {aka COCA1, FCC1, HNPCC, HNPCC1, LCFS2, LYNCH1}, IGF1 (insulin like growth factor 1) [NCBI Gene 3479] {aka IGF, IGF-I, IGFI, MGF}, TP53BP1 (tumor protein p53 binding protein 1) [NCBI Gene 7158] {aka 53BP1, TDRD30, p202, p53BP1}, Tspan2 (tetraspanin 2) [NCBI Gene 70747] {aka 6330415F13Rik, B230119D02Rik, tspan-2}, CAPG (capping actin protein, gelsolin like) [NCBI Gene 822] {aka AFCP, HEL-S-66, MCP}, Mdm2 (MDM2 proto-oncogene) [NCBI Gene 17246] {aka 1700007J15Rik, Mdm-2}, PMS2 (PMS1 homolog 2, mismatch repair system component) [NCBI Gene 5395] {aka HNPCC4, LYNCH4, MLH4, MMRCS4, PMS-2, PMSL2}, NFATC2IP (nuclear factor of activated T cells 2 interacting protein) [NCBI Gene 84901] {aka ESC2, NIP45, RAD60}, Pah (phenylalanine hydroxylase) [NCBI Gene 18478], SAMHD1 (SAM and HD domain containing deoxynucleoside triphosphate triphosphohydrolase 1) [NCBI Gene 25939] {aka CHBL2, DCIP, HDDC1, MOP-5, SBBI88, hSAMHD1}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, PAM (peptidylglycine alpha-amidating monooxygenase) [NCBI Gene 5066] {aka PAL, PAM-1, PHM}, RELA (RELA proto-oncogene, NF-kB subunit) [NCBI Gene 5970] {aka AIF3BL3, CMCU, NFKB3, p65}
- **Diseases:** SCA1 (MESH:D020754), Duchenne muscular dystrophy (MESH:D020388), genetic disorders (MESH:D030342), infection (MESH:D007239), Leber congenital amaurosis (MESH:D057130), sickle cell anemia (MESH:D000755), CPE (MESH:C566449), phenylketonuria (MESH:D010661), SBMA (MESH:C537017)
- **Chemicals:** PEn (MESH:C058388), PE2 (MESH:C053539), poly(T) (MESH:D011071), oligonucleotide (MESH:D009841), PE3 (MESH:C015467), PE (-)
- **Species:** Saccharomyces cerevisiae (baker's yeast, species) [taxon 4932], Homo sapiens (human, species) [taxon 9606], Human immunodeficiency virus 2 (no rank) [taxon 11709], Mus musculus (house mouse, species) [taxon 10090], Adenoviridae (family) [taxon 10508], Moloney murine leukemia virus (no rank) [taxon 11801], Campylobacter jejuni (species) [taxon 197], Escherichia coli (E. coli, species) [taxon 562], Zika virus (no rank) [taxon 64320], Human alphaherpesvirus 1 (Herpes simplex virus type 1, no rank) [taxon 10298], Schizosaccharomyces pombe (fission yeast, species) [taxon 4896]
- **Mutations:** R288Q, K318E, S297Q, T306K, K106R, K445T, L435K, D200 N, V223 A/M, L603W, N394K, Q492X, K413E, S118K, R221K, E60K, P70T, I260L, I128V, G72V, T330P, S492 N, V129 A, A259D, P196 S/T, K118R, W313F, C-to-T, M102I, E279K, H840A, T-to-G
- **Cell lines:** HeLa — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), HEK293T — Homo sapiens (Human), Transformed cell line (CVCL_0063), hyPE2 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_A628), U2OS — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_0042)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12933861/full.md

## References

97 references — full list in the complete paper: https://tomesphere.com/paper/PMC12933861/full.md

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Source: https://tomesphere.com/paper/PMC12933861