現今已知接近有7萬幾種的基因變異會引起疾病。505Please respect copyright.ＰＥＮＡＮＡ2uTUHtGWOc
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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。505Please respect copyright.ＰＥＮＡＮＡxWeQaIMdUl
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（圖2）圖中將展示「舊式」的編輯方法HDR（Homology Directed Repair)機制。505Please respect copyright.ＰＥＮＡＮＡlBOtX9RJtE
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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；505Please respect copyright.ＰＥＮＡＮＡathE4S8v55
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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。505Please respect copyright.ＰＥＮＡＮＡ8mD03lpvEE
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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。505Please respect copyright.ＰＥＮＡＮＡ6We9nKuaKW
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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。505Please respect copyright.ＰＥＮＡＮＡofQPLrFZDk
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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。505Please respect copyright.ＰＥＮＡＮＡZHQpKLO1VU
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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。505Please respect copyright.ＰＥＮＡＮＡaVL8gex61H
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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。505Please respect copyright.ＰＥＮＡＮＡV5rq5fh47x
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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。505Please respect copyright.ＰＥＮＡＮＡAjgJhTdgN2
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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。505Please respect copyright.ＰＥＮＡＮＡToZIpvIeBY
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（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。505Please respect copyright.ＰＥＮＡＮＡQzVhRdK4mf
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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。505Please respect copyright.ＰＥＮＡＮＡjqpwiHXzBb
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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。505Please respect copyright.ＰＥＮＡＮＡ9u3EkMchEM
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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/toc505Please respect copyright.ＰＥＮＡＮＡNOq12e7Zmj
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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。505Please respect copyright.ＰＥＮＡＮＡBIQy6Hy415
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Link:505Please respect copyright.ＰＥＮＡＮＡpOIN6PHVuK
https://www.penana.com/user/27349/%E8%96%AF%E4%BB%94%E8%81%9E%E8%8C%B1%E8%8E%89/portfolio505Please respect copyright.ＰＥＮＡＮＡLba6RYnC4I
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Ref1:https://www.nature.com/articles/s41586-019-1711-4505Please respect copyright.ＰＥＮＡＮＡ01xfDhNsPZ
Ref2:https://www.nature.com/articles/s41467-020-19136-7
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