現今已知接近有7萬幾種的基因變異會引起疾病。486Please respect copyright.ＰＥＮＡＮＡHV1E6C9UUP
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隨著CRISPR基因編輯技術的興起，將會為根治這些疾病帶來曙光。486Please respect copyright.ＰＥＮＡＮＡN4numu2zQW
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（圖2）圖中將展示「舊式」的編輯方法HDR（Homology Directed Repair)機制。486Please respect copyright.ＰＥＮＡＮＡ36slcycr6V
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sgRNA將會引領Cas9蛋白質抵達不理想的基因突變位置，其後Cas9蛋白質會將基因斬斷成兩截；486Please respect copyright.ＰＥＮＡＮＡGwRLxQLWu7
486Please respect copyright.ＰＥＮＡＮＡNBCQ7j5sjt
根據Cas9蛋白質的特性，可修改至只斬一條特定的DNA位置，其後會再提及。486Please respect copyright.ＰＥＮＡＮＡ0wmiKp5cEO
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（圖3）此時候，如果將盛載想修改的基因排組送到斷成兩截的基因附近，細胞便會加以利用，將原本的紫色區域改成為黃色區域。486Please respect copyright.ＰＥＮＡＮＡ3he0arlUfO
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但這個方法的隨機性非常之高，最終結果有可能會出現基因刪減，又或者是其他基因排組的插入。486Please respect copyright.ＰＥＮＡＮＡiq8V5jrMf3
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套用基因編輯技術於治療病人身上的話，精準度必須要非常之高，此手段明顯並不理想。486Please respect copyright.ＰＥＮＡＮＡXP60HeWizC
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（圖4）至於新式編輯方法Prime Editing方面，同樣亦是套用CRISPR技術，但各組件及理念則有所修改。486Please respect copyright.ＰＥＮＡＮＡBTMVpyAeXj
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擁有Transcriptase Domain的Cas9變種蛋白質將會被含有預想修改基因排組的pegRNA引領到不理想的基因突變位置，而這一次只會斬斷特定的一條DNA。486Please respect copyright.ＰＥＮＡＮＡ82CM8iE9vR
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（圖5）其後，Cas9變種蛋白質會讀取pegRNA內含的預想修改基因排組，並將一條DNA的基因排組成功修改。486Please respect copyright.ＰＥＮＡＮＡcouWuoh1qH
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經過一系列難以深入淺出的程序後，最終亦會完成成功修改雙方兩截的DNA。486Please respect copyright.ＰＥＮＡＮＡvgESMWdZuF
486Please respect copyright.ＰＥＮＡＮＡr4lIrRAjqA
（圖6）紅色區域為不理想的基因修改結果(Ref2)，新式編輯方法PrimeEditing明顯優勝於舊式編輯方法HDR，但仍有一定程度的進步空間。486Please respect copyright.ＰＥＮＡＮＡ0hPWwEbfvw
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有朝一日，CRISPR基因編輯技術定必會在治療疾病上得以普及化。486Please respect copyright.ＰＥＮＡＮＡYkt9NlJkaG
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如果想我快啲出文的話，請入去Penana網站科普專欄–薯不揀單俾一個like以及Bookmark，這對我非常之重要。486Please respect copyright.ＰＥＮＡＮＡFOnsiX5BZ6
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Link: https://www.penana.com/story/66244/%E7%A7%91%E6%99%AE%E5%B0%88%E6%AC%84-%E8%96%AF%E4%B8%8D%E6%8F%80%E5%96%AE/toc486Please respect copyright.ＰＥＮＡＮＡu6qUKZNbkd
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同時亦可以在Penana網站裡按「買一嚿/半嚿薯仔」，以課金的方式推動我繼續搜羅資料寫文，多謝。486Please respect copyright.ＰＥＮＡＮＡnW1f2APn1k
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Link:486Please respect copyright.ＰＥＮＡＮＡNFUXdxPcpZ
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio486Please respect copyright.ＰＥＮＡＮＡxg1zveqH9g
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Ref1:https://www.nature.com/articles/s41586-019-1711-4486Please respect copyright.ＰＥＮＡＮＡidE8ZX2Tv7
Ref2:https://www.nature.com/articles/s41467-020-19136-7
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