# Droplet Digital CRISPR for Nucleic Acid Detection

**Authors:** Yang Zhang, Roy S. K. Walker, Anwar Sunna, Tracie J. Barber, Ming Li

PMC · DOI: 10.1002/advs.202517470 · Advanced Science · 2026-01-29

## TL;DR

Droplet digital CRISPR combines CRISPR's precision with droplet technology to detect nucleic acids with high sensitivity and accuracy.

## Contribution

This review introduces the integration of CRISPR with droplet digital technology for nucleic acid detection and quantification.

## Key findings

- ddCRISPR enables single-molecule resolution and minimizes background interference through picoliter microdroplets.
- Amplification-based and amplification-free detection strategies have been advanced for DNA and RNA biomarker detection.
- Challenges include workflow automation, droplet stability, and assay portability, with future directions involving AI and point-of-care integration.

## Abstract

Droplet digital (dd) clustered regularly interspaced short palindromic repeats (CRISPR) integrates the high sequence specificity of CRISPR‐based nucleic acid detection with the absolute quantification capability of digital droplet microfluidics, offering high sensitivity, precision, and scalability. By partitioning samples into thousands to millions of picoliter microdroplets, ddCRISPR enables single‐molecule resolution and minimizes background interference. This review summarizes the principles of droplet generation, manipulation, and detection in ddCRISPR platforms, as well as recent advances in amplification‐based and amplification‐free detection strategies. Representative applications are highlighted for viral, bacterial, and other DNA/RNA biomarker detection. Current challenges, including workflow automation, droplet stability, multiplexing, and assay portability, are discussed alongside future perspectives such as artificial intelligence (AI)‐assisted analysis, point‐of‐care integration, and high‐throughput multiplexed detection. These insights aim to guide the translation of ddCRISPR technologies from laboratory research to robust, scalable, and accessible diagnostic solutions.

This review outlines recent advances in droplet digital CRISPR technology for nucleic acid detection, combining CRISPR specificity with droplet digital‐based absolute quantification. It summarizes core principles, amplification‐assisted and amplification‐free strategies, and representative DNA and RNA biomarker applications. Current challenges and future opportunities in multiplexing, automation, and portable integration are discussed to support next‐generation molecular diagnostics.

## Full-text entities

- **Genes:** ZNF763 (zinc finger protein 763) [NCBI Gene 284390] {aka ZNF, ZNF440L}, RPA1 (replication protein A1) [NCBI Gene 6117] {aka HSSB, MST075, PFBMFT6, REPA1, RF-A, RP-A}, SSB (small RNA binding exonuclease protection factor La) [NCBI Gene 6741] {aka LARP3, La, La/SSB, SSB/La}, MIR21 (microRNA 21) [NCBI Gene 406991] {aka MIRN21, hsa-mir-21, miR-21, miRNA21}, MIR17 (microRNA 17) [NCBI Gene 406952] {aka MIR17-5p, MIR91, MIRN17, MIRN91, hsa-mir-17, miR-17}, HCA1 (Hypercalciuria, absorptive, 1) [NCBI Gene 266790] {aka AH, HCA}, BCAR1 (BCAR1 scaffold protein, Cas family member) [NCBI Gene 9564] {aka CAS, CAS1, CASS1, CRKAS, P130Cas}
- **Diseases:** HPV infection (MESH:D030361), bacterial foodborne illness (MESH:D005517), cervical and other cancers (MESH:D002583), respiratory diseases (MESH:D012140), glioma (MESH:D005910), kidney transplant failure (MESH:D051437), cancer (MESH:D009369), adenocarcinoma (MESH:D000230), breast cancer (MESH:D001943), infectious disease (MESH:D003141), CRC (MESH:D015179), PVAN (MESH:D027601), infection (MESH:D007239), COVID-19 (MESH:D000086382)
- **Chemicals:** water (MESH:D014867), magnesium acetate (MESH:C000656591), Mg (MESH:D008274), Cas12a (-), oil (MESH:D009821)
- **Species:** African swine fever virus (no rank) [taxon 10497], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Salmonella enterica (species) [taxon 28901], Salmonella enterica subsp. enterica serovar Typhimurium (no rank) [taxon 90371], Porcine circovirus (species) [taxon 46221], Streptococcus suis (species) [taxon 1307], Sus scrofa (pig, species) [taxon 9823], Hepatitis B virus (no rank) [taxon 10407], Glaesserella parasuis (species) [taxon 738], Escherichia coli (E. coli, species) [taxon 562], Peanut clump virus (no rank) [taxon 28355], Human papillomavirus (species) [taxon 10566], Suid alphaherpesvirus 1 (no rank) [taxon 10345], Escherichia coli O157:H7 (no rank) [taxon 83334], Human papillomavirus 16 (serotype) [taxon 333760], Staphylococcus sp. S (species) [taxon 573870], Listeria monocytogenes (species) [taxon 1639], Severe fever with thrombocytopenia syndrome virus (no rank) [taxon 1003835], Homo sapiens (human, species) [taxon 9606], Polyomavirus sp. (species) [taxon 36362], human gammaherpesvirus 4 (Epstein Barr virus, no rank) [taxon 10376], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395]
- **Cell lines:** MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), Hs578Bst — Homo sapiens (Human), Finite cell line (CVCL_0807), MDA-MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), U87 — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_0022)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12970183/full.md

## References

190 references — full list in the complete paper: https://tomesphere.com/paper/PMC12970183/full.md

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Source: https://tomesphere.com/paper/PMC12970183