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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Chem.</journal-id>
<journal-title>Frontiers in Chemistry</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Chem.</abbrev-journal-title>
<issn pub-type="epub">2296-2646</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">786354</article-id>
<article-id pub-id-type="doi">10.3389/fchem.2021.786354</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Chemistry</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Advance of CRISPR-Cas9-Based and NIR/CRISPR-Cas9-Based Imaging System</article-title>
<alt-title alt-title-type="left-running-head">Qiao et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">The Advance of NIR/CRISPR-Cas9-Based Imaging System</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Qiao</surname>
<given-names>Huanhuan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1404076/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Jieting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Xiaodong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/211559/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Jian</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Hao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1379038/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ming</surname>
<given-names>Dong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/180351/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<label>
<sup>1</sup>
</label>Functional Materials Laboratory, Institute of Medical Engineering and Translational Medicine, Tianjin University, <addr-line>Tianjin</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>Palo Alto Veterans Institute for Research, VA Palo Alto Health Care System, <addr-line>Palo Alto</addr-line>, <addr-line>CA</addr-line>, <country>United States</country>
</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>Department of Neurology and Neurological Sciences, School of Medicine, Stanford University, <addr-line>Stanford</addr-line>, <addr-line>CA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<corresp id="c001">&#x2a;Correspondence: Hao Wang, <email>hao_wang@tju.edu.cn</email>; Dong Ming, <email>richardming@tju.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Nanoscience, a section of the journal Frontiers in Chemistry</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/624623/overview">Nasir Mahmood</ext-link>, RMIT University, Australia</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1480679/overview">Faiz Rasul</ext-link>, Peking University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1425535/overview">Bei Liu</ext-link>, University of North Carolina at Chapel Hill, United&#x20;States</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>786354</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Qiao, Wu, Zhang, Luo, Wang and Ming.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Qiao, Wu, Zhang, Luo, Wang and Ming</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>The study of different genes, chromosomes and the spatiotemporal relationship between them is of great significance in the field of biomedicine. CRISPR-Cas9 has become the most widely used gene editing tool due to its excellent targeting ability. In recent years, a series of advanced imaging technologies based on Cas9 have been reported, providing fast and convenient tools for studying the sites location of genome, RNA, and chromatin. At the same time, a variety of CRISPR-Cas9-based imaging systems have been developed, which are widely used in real-time multi-site imaging <italic>in vivo</italic>. In this review, we summarized the component and mechanism of CRISPR-Cas9 system, overviewed the NIR imaging and the application of NIR fluorophores in the delivery of CRISPR-Cas9, and highlighted advances of the CRISPR-Cas9-based imaging system. In addition, we also discussed the challenges and potential solutions of CRISPR-Cas9-based imaging methods, and looked forward to the development trend of the&#x20;field.</p>
</abstract>
<kwd-group>
<kwd>CRISPR-Cas9</kwd>
<kwd>NIR imaging</kwd>
<kwd>NIR fluorophores</kwd>
<kwd>CRISPR-Cas9-based imaging system</kwd>
<kwd>NIR/CRISPR-Cas9-based imaging system</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>From Zinc Finger Nucleases (ZFN) to transcription activator-like Effector Nucleases (TALEN), and then to Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) system, gene editing technology has been continuously explored and developed (<xref ref-type="bibr" rid="B63">Rui et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B39">Li H. et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B33">Kwon et&#x20;al., 2021</xref>). Among them, the CRISPR-Cas9 system has become a revolutionary tool in the field of gene editing with its advantages of high efficiency, simple operation, and wide species adaptability (<xref ref-type="bibr" rid="B60">Pickar-Oliver and Gersbach, 2019</xref>; <xref ref-type="bibr" rid="B78">Yang et&#x20;al., 2019</xref>). This emerging genome editing system can achieve precise knockout and insertion of specific gene sequences and even the genome of the entire organism, which is also known as &#x201c;gene scissors&#x201d; (<xref ref-type="bibr" rid="B30">Jiang and Doudna, 2017</xref>).</p>
<p>The development of genome editing allowed the manipulation of any gene in a variety of species and tissues (<xref ref-type="bibr" rid="B26">Hille et&#x20;al., 2018</xref>). However, there was still a lack of accurate understanding of the relationship between operating gene and protein or phenotype. With the increasing interest in noninvasive imaging <italic>in vivo</italic>, the combination of CRISPR-Cas9 system and optical imaging technology has been studied to a certain extent. A robust CRISPR-Cas9-based imaging system could contribute to us new insights into how the structure and dynamics of molecules influence cell function under normal and abnormal status, which was not easily attainable by current biochemistry-based tools. Therefore, more efforts have been devoted to developing strategies that enable direct visualization of individual molecules by using of CRISPR-Cas9-based imaging system (<xref ref-type="bibr" rid="B85">Fu et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B86">Shao et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B23">Guo et&#x20;al., 2019</xref>).</p>
<p>In this up-to-date review, we summarized a variety of CRISPR-Cas9 systems that have been developed for imaging of gene loci in living cells, especially in combination with NIR fluorescence (<xref ref-type="bibr" rid="B61">Qin et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B35">Li et&#x20;al., 2019</xref>). We expected that with the continuous improvement of CRISPR-Cas9-based imaging technology, important understandings can be obtained to help decipher the function of genes and the mechanisms of diseases.</p>
</sec>
<sec id="s2">
<title>2 The Mechanism of CRISPR-Cas9 System</title>
<p>The CRISPR-Cas9 system consists of two components: A Cas protein with DNase properties (Cas9) and a single-stranded guide RNA (sgRNA) (<xref ref-type="bibr" rid="B32">Knott and Doudna, 2018</xref>; <xref ref-type="bibr" rid="B40">Li L. et&#x20;al., 2018</xref>). Cas9 protein is an RNA-dependent endonuclease containing two nuclease domains, HNH domain and RuvC domain, which are responsible for cutting the complementary and non-complementary strands by pairing sgRNA with the targeting sequence, respectively. (<xref ref-type="fig" rid="F1">Figures 1A,B</xref>) (<xref ref-type="bibr" rid="B30">Jiang and Doudna, 2017</xref>). sgRNA is formed by crRNA and tracrRNA (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). TracrRNA facilitates the processing of crRNA to mature. The crRNA helps the CRISPR-associated complex to recognize a specific target region of the foreign DNA and guide Cas-proteins to cleave foreign nucleic acid. A 20-base length sequence in the 5&#x2032;end of sgRNA can be recognized by Cas9 protein and guide to the characteristic target region. PAM (protein assistant motif), a number of nucleotides adjacent to the target site, is a unique and critical component of invading DNA, because CRISPR-Cas needs it to identify and destroy the foreign DNA to produce a double-strand break (DSB). 5&#x2032;-NGG-3&#x2032; as functional PAM can be recognized by Cas9 (<xref ref-type="bibr" rid="B44">Liu et&#x20;al., 2021</xref>). In addition to CRISPR-Cas9, two other Cas proteins have been studied extensively, Cpf1 (also known as Cas12a) and Cas13a. CRISPR-Cpf1 system is more convenient compared with CRISPR-Cas9 system (<xref ref-type="bibr" rid="B80">Zetsche et&#x20;al., 2015</xref>). On one hand, Cpf1 has a lower molecular weight than Cas9, which makes it easier to enter cells and improves the editing rate. On the other hand, Cpf1 only requires crRNA to mediate cleavage, while Cas9 requires the assistance of crRNA and tracrRNA. The major characteristic of Cas13a is that it edits RNAs (<xref ref-type="bibr" rid="B20">Gootenberg et&#x20;al., 2017</xref>). Once Cas13a recognizes and cleaves the target RNA specified by the crRNA, it switches into an enzymatically activated state to bind and cleave any RNAs, regardless of whether they are homologous to crRNA.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The structure of CRISPR-Cas9 system. <bold>(A)</bold> Basic structure domains of Cas9. Cas9 contains five different domains, RuvC domain, BH domain, REC domain, HNH domain, and PI domain, which are divided into nuclease (NUC) lobe and recognition (REC) lobe. <bold>(B)</bold> Crystal structures of CRISPR-Cas9. The HNH, RuvC, and PI domains reside in the Cas9 NUC lobe. The REC lobe of Cas9 contains other regions that interact with the sgRNA&#x2013;DNA duplex. The HNH nuclease domain is responsible for slicing the complementary DNA strand of sgRNA, while the RuvC domain is responsible for slicing the other strand. Domains with conformational changes are indicated by dashed lines (reproduced from (<xref ref-type="bibr" rid="B23">Guo et&#x20;al., 2019</xref>) with permission from Cell research). <bold>(C)</bold> Schematic of the sgRNA&#x2013;target DNA complex-(N-any nucleotide), and three-dimensional structure of sgRNA. The target DNA shows in blue, PAM is labeled by green. The orange color shows the sequence and structure of sgRNA, which contains three stem loops (reproduced from (<xref ref-type="bibr" rid="B87">Anders et&#x20;al., 2014</xref>) with permission from Nature).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g001.tif"/>
</fig>
<p>The Cas9 induced DSB is repaired under the mechanisms of non-homologous end joining (NHEJ), homology directed repair (HDR) or micro-mediated end joining (MMEJ) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>) (<xref ref-type="bibr" rid="B81">Zhang et&#x20;al., 2017</xref>). The NHEJ pathway is most commonly used to create deletions and specific gene knock-out (<xref ref-type="bibr" rid="B64">Scully et&#x20;al., 2019</xref>). It directly connects the end of the broken strands (<xref ref-type="bibr" rid="B1">Barman et&#x20;al., 2020</xref>). During the NHEJ process, random insertion, substitution or deletion of bases will occur, which will cause gene mutations (<xref ref-type="bibr" rid="B2">Broeders et&#x20;al., 2020</xref>). NHEJ can also cause frameshifts in the coding sequence of a gene to produce premature truncations, leading to an effective gene knock-out. The HDR pathway requires a homologous DNA sequence (donor DNA) (<xref ref-type="bibr" rid="B53">Nami et&#x20;al., 2018</xref>). Typically, donor DNA for HDR is approximately 750&#x2013;1,000&#xa0;kb, which is homologous to that flanking the genomic cleavage site (<xref ref-type="bibr" rid="B59">Petolino, 2015</xref>). Homologous recombination is the desired mechanism for precise genome editing, which only happens in the presence of a homologous duplex template (<xref ref-type="bibr" rid="B16">Devkota, 2018</xref>). Hence, HDR can achieve precise base insertion or replacement by exogenously introducing homologous templates (<xref ref-type="bibr" rid="B73">Wang et&#x20;al., 2017</xref>). However, the frequency of HDR appears to be extremely low. The MMEJ pathway is a way of DSB repair mediated by micro-homology (MH), which requires micro-homology sequences for repairing comparing with HDR (<xref ref-type="bibr" rid="B3">Bukhari and Muller, 2019</xref>). DSB exposed complementary sequences range from 5 to 25 nucleotides (microhomologies) (<xref ref-type="bibr" rid="B65">Seol et&#x20;al., 2018</xref>). These microhomologies are used to align the DNA ends with the occurrence of end bridging. A polymerase then fills in any gaps, ultimately followed by ligation (<xref ref-type="bibr" rid="B84">Zinovkina, 2018</xref>). The mutant efficiency of MMEJ is similar to the NHEJ mechanism, which show a high potential for precise gene editing compared with HDR (<xref ref-type="bibr" rid="B65">Seol et&#x20;al., 2018</xref>). Yao and co-workers showed that the mutation frequencies were as high as 20% by using MMEJ-mediated knock-in, which was approximately 10-fold higher than the HDR-based approach (<xref ref-type="bibr" rid="B71">Van Vu et&#x20;al., 2021</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Overview of mechanism of CRISPR-Cas9-based genome editing. The Cas9/sgRNA can generate DSB resulting in exposed DNA ends that can be recognized by either Ku70/80 or MRN end-recognition complexes (NHEJ). When bond to Ku70/80, DNA repair proceeds through classical non-homologous end joining. The recruitment of DNA-PKcs, Artemis and DNA Pol&#x3bb;/&#xb5; coordinates end processing, resulting in small insertions and deletions less than 20 nucleotides. The ends are then ligated with the DNA LIG4, XRCC4, and XLF1 complex (MMEJ). DNA repair through the MMEJ pathway begins with the recognition of DNA ends by the MRN complex. The recruitment of PARP1 and CtIP results in limited 5&#x2032;-end resection and exposure of 3&#x2032;-ssDNA overhangs that can locally interact with regions of microhomology. Single-stranded DNA overhangs are created by annealing of complementary DNA strands and then removed, and the intervening gap in DNA sequence will be filled in by the activity of DNA Pol &#x3b8;. XRCC1 and DNA LIG3 then contribute to the repair of DNA break (HDR). With sister chromatids, DNA repair can proceed through HDR pathway. The recognition of DSBs by the MRN complex initiates HDR and the recruitment of BRCA1 and CtIP facilitates limited 5&#x2032;end resection followed by longer end resection by the BLM/EXO1 protein complex. The exposed ssDNA is initially bonded and stabilized by the RPA protein, which is subsequently replaced by RAD51 with the assistance of the BRCA1-BRCA2-PALB2 complex. The Rad51 nucleoprotein filaments mediate search and invasion on the homologous template, resulting in faithful incorporation of the homologous sequence with the broken DNA&#x20;ends.</p>
</caption>
<graphic xlink:href="fchem-09-786354-g002.tif"/>
</fig>
</sec>
<sec id="s3">
<title>3 CRISPR-Cas9-Based Imaging System</title>
<sec id="s3-1">
<title>3.1&#x20;Cas9-Based Imaging Systems</title>
<p>Living cell imaging could be achieved by fusing Cas9 with the fluorescent protein (GFP, eGFP or mCherry) to further label and characterize the targeting DNA (<xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>) (<xref ref-type="bibr" rid="B6">Chen et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B49">Maass et&#x20;al., 2018</xref>). sgRNA-labeled targeting genes could be recognized by the Cas9-GFP to create imaging of living cells (<xref ref-type="bibr" rid="B7">Chen et&#x20;al., 2018</xref>). However, this condition is limited by the high cost of oligo probes. Therefore, it is of great significance to develop a simpler, efficient and robust Cas9-based imaging systems. The CASFISH system, which comprised of dCas9 fused Halo and Halo ligands-conjugated fluorescent dyes, showed remarkably rapid imaging and was applicable for the detection of primary tissue sections (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>) (<xref ref-type="bibr" rid="B14">Deng et&#x20;al., 2015</xref>). Similarly, the (Po)STAC system utilized scFv-dCas9 fusion protein and GFP-fused scFv antibody to produce fluorescence (<xref ref-type="bibr" rid="B54">Neguembor et&#x20;al., 2018</xref>). By providing the PAM as part of an oligonucleotide (PAMmer), Ning-He <xref ref-type="bibr" rid="B67">Sun et&#x20;al. (2020)</xref> developed a CRISPR-Sunspot system that allows efficient imaging of low-abundance mRNAs. Based on the SunTag system, dCas9 was linked to 24&#xd7; GCNs, a polypeptide that can recruit specific proteins to achieve signal amplification, could recognized by scFv-GFP proteins, thus the signal was amplified. CRISPR-Sunspot was used to track co-localization of <italic>Camk2a</italic> mRNA with its regulatory protein <italic>Xlr3b</italic> in neurons, which provided a novel strategy to unravel the molecular mechanisms of diseases caused by aberrant mRNA molecules. dCas13b-eGFP fused with sgRNA can also be used to track and study the dynamics of nuclear domain-related lncRNAs (<xref ref-type="bibr" rid="B78">Yang et&#x20;al., 2019</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Modified CRISPR-Cas9-based imaging system. <bold>(A)</bold> Modified Cas9-based imaging systems, including Cas9 directly connect to fluorescent protein (FP), Halo Tag or Sunspot system. The upper part shows the FP fused Cas9 label and characterize the targeting DNA specifically mediated by sgRNA. The middle part shows the Cas9-Halo Tag system. Cas9 is labeled by Halo tag, which can find target DNA by sgRNA, then the FP fused Halo ligand recognize Halo-Cas9-sgRNA-DNA complex, and give the fluorescence to mark the DNA position. The bottom part shows the basic principle of CRISPR-Sunspot system, which is similar to Cas9-Halo Tag system. <bold>(B)</bold> Modified sgRNA-based imaging systems, including sgRNA directly connect to fluorescent dye or RNA aptamers. The upper part shows the fluorescent dye labed sgRNA is directly used to image target DNA and mediate Cas9 to edit genome. The bottom part shows the RCasFISH system for imaging. MS2 labled sgRNA bind with MCP-labeled fluorophores, and this complex target and characterize special DNA through Cas9. <bold>(C)</bold> Modified Cas9/sgRNA-based imaging systems. FP-labeled dCas9 and fluorescent dye labeled sgRNA complexes bind with the target DNA, which realize multiple color imaging. <bold>(D)</bold> Reporter gene imaging systems modified by CRISPR-Cas9. The reporter gene is inserted by CRISPR-Cas9 and bind to the fluorescent probe or radionuclide probe for imaging. Alternatively, the luciferase reporter gene is generated to bind to the substrate for imaging.</p>
</caption>
<graphic xlink:href="fchem-09-786354-g003.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2&#x20;sgRNA-Based Imaging Systems</title>
<p>In addition to use dCas9 fused fluorescent proteins, modified sgRNA can also be performed for imaging. A fluorophore-based imaging system consisting of dCas9 and molecular beacon (MB) linked sgRNA had been developed for live-cell visualization (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>) (<xref ref-type="bibr" rid="B77">Wu et&#x20;al., 2018</xref>). <xref ref-type="bibr" rid="B28">Hong et&#x20;al. (2018)</xref> developed a CRISPR-dCas9 system with bimolecular fluorescence complementation, which used the SunTag system to recruit the N-terminal portion of Venus fluorescent protein and the RNA aptamer (MS2) to recruit the C-terminal portion of Venus fluorescent protein. They were co-transfected with SunTag-dCas9 and MS2-gRNAs for telomere and single genomic locus labeling. Only co-transfection of these two systems could form a complete glowing Venus protein, which solved the false signal interference caused by the accumulation of gRNA. Cell imaging could be achieved by modifying sgRNA with RNA aptamers, which can recruit fluorescent labeled RNA-binding proteins for imaging. The RCasFISH system, which contained sgRNA-linked MS2 and MCP-labeled fluorophores, could be used for <italic>in situ</italic> quantification of RNA transcriptase in paraffin-embedded tissue (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>) (<xref ref-type="bibr" rid="B76">Wang et&#x20;al., 2020</xref>). Similarly, this system could perform by lncRNA-protein complex for live cell imaging (<xref ref-type="bibr" rid="B75">Wang et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B5">Chen B. et&#x20;al., 2020</xref>). When multiple RNA aptamers fused with different sgRNAs, and different fluorescent labeled RNA-binding protein could be recruited to achieve multicolor imaging (<xref ref-type="bibr" rid="B47">Ma et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B72">Wang et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B48">Ma et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B49">Maass et&#x20;al., 2018</xref>). This method was expected to be a powerful tool for studying the dynamic intrachromosomal and inter-chromosomal interactions during cell cycle progression, while multiple fusion proteins complicate the process of building cell&#x20;lines.</p>
</sec>
<sec id="s3-3">
<title>3.3 Multicolor Imaging Systems Based on Cas9/sgRNA</title>
<p>Multicolor imaging could also be achieved by modifying Cas9 and sgRNA simultaneously (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>). Halo tag-labeled dCas9 and Cy3-labeled sgRNA complexes bind their target DNA with high affinity, allowing sequential or simultaneous probing of multiple targets and multicolor labeling of target loci in cells (<xref ref-type="bibr" rid="B14">Deng et&#x20;al., 2015</xref>). Currently, the Cas9/sgRNA-based imaging systems have been used to measure the nuclear dynamics and the on-target residence time of dCas9-sgRNA complexes in living cells. <xref ref-type="bibr" rid="B22">Guan et&#x20;al. (2017)</xref> also reported a multiplexed live imaging via CRISPR-Cas9 system. Genomic loci in cells were identified by dCas9-eGFP and modified sgRNA, which could recruit fluorescence-fused RNA-binding proteins. dCas9-eGFP protein and Cy3-labeled sgRNA as fluorescent ribonucleoproteins could visualize the genomic DNA in human bone osteosarcoma cell (<xref ref-type="bibr" rid="B75">Wang et&#x20;al., 2019</xref>).</p>
</sec>
<sec id="s3-4">
<title>3.4 Reporter Gene Imaging Systems Driven by CRISPR-Cas9</title>
<p>Reporter genes are widely used to detect the distribution, content, and dynamic activity of proteins in tissues/organs. CRISPR-Cas9 system can be used to generate reporters for living cell imaging and molecular processes (<xref ref-type="bibr" rid="B52">Muntean et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B78">Yang et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B58">Peng et&#x20;al., 2020</xref>). For example, the luciferase reporter gene was inserted under the promoter by donor DNA and sgRNA, and luciferin was recruited to produce bioluminescence imaging (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>) (<xref ref-type="bibr" rid="B41">Li Z. et&#x20;al., 2018</xref>). An efficient and scalable system combining CRISPR-Cas9 with fluorescent repressor-operator system, named SHACKTeR, had been reported (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>). Tet operators (TetO) were inserted as a tag, and eGFP-fused Tet repressors (TetR) were used for visualizing the tag. This system successfully labeled the colon cancer cells (<xref ref-type="bibr" rid="B70">Tasan et&#x20;al., 2018</xref>). Moreover, the combination of PET and CRISPR-Cas9 had been applied in clinical translation of cell-based therapeutics (<xref ref-type="bibr" rid="B56">Ostrominski et&#x20;al., 2020</xref>). <italic>HSVtk</italic> gene was integrated into the <italic>AAVS1</italic> locus of human urinary-induced pluripotent stem cell-derived cardiomyocytes (hUiCMs) using CRISPR-Cas9 system. By combining the probe <sup>18</sup>F-FHBG, which could be used for <italic>HSVtk</italic> tracking, PET imaging provided the insight into the fate of hUiCMs after transplantation (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>). In another study, <italic>PSMA</italic> was encoded into human thyroid carcinoma cells by CRISPR-Cas9 and tracked by ACUPA-Cy3-BF3, a small-molecule that delivers positron-emitting fluoride (<sup>18</sup>F) and a fluorophore (Cy3) to report PSMA expression (<xref ref-type="bibr" rid="B23">Guo et&#x20;al., 2019</xref>). PSMA is an attractive target for the diagnosis and treatment of prostate cancer patients, thus this reporter system showed great potential in PET/fluorescence-guided radical prostatectomy.</p>
</sec>
</sec>
<sec id="s4">
<title>4 NIR Imaging and NIR/CRISPR-Cas9-Based Imaging Systems</title>
<sec id="s4-1">
<title>4.1 NIR Directed Delivery and Activation of CRISPR-Cas9 System</title>
<p>Near-infrared (NIR) fluorescence imaging is mainly based on Near-infrared I (NIR-I, 700&#x2013;900&#xa0;nm) and Near-infrared II (NIR-II, 1,000&#x2013;1,700&#xa0;nm) (<xref ref-type="fig" rid="F4">Figure&#x20;4</xref>) (<xref ref-type="bibr" rid="B24">He et&#x20;al., 2018</xref>). Compared with visible light, biological tissues absorb and scatter less light in the near-infrared band. So NIR fluorescence imaging has significant advantages in providing physiological and pathological information with less damage to biological tissues and less interference to background fluorescence (<xref ref-type="bibr" rid="B36">Li et&#x20;al., 2020a</xref>; <xref ref-type="bibr" rid="B29">Huang and Pu, 2020</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Overview of NIR fluorescence imaging. The schematic illustrated the sub-regions of NIR fluorescence, NIR-I (700&#x2013;900&#xa0;nm) and NIR-II (1,000&#x2013;1700&#xa0;nm). After excitation, the NIR fluorophores emit fluorescence with penetration depth of 3.0&#x2013;4.3&#xa0;mm (NIR-I) and 5&#x2013;10&#xa0;mm (NIR-II), respectively. NIR-II imaging shows superiority of low scattering and reflection of the fluorescence as well as low interference of background fluorescence.</p>
</caption>
<graphic xlink:href="fchem-09-786354-g004.tif"/>
</fig>
<p>Programmable and inducible genome editing can be manipulated through optical regulation in the NIR window which include photothermal or photosensitive. For photothermal induced CRISPR-Cas9 release, the nanosystem is composed of a photothermal converter and the Cas9 plasmid driven by a heat-inducible promoter. When the plasmid was delivered to the targeted cells, the photothermal converter transform the harvested external light into intracellular local heat. The local heat induced the activation of heat-inducible promoter, thus results in the transcription of Cas9/sgRNA. However, once the light irradiation is switched off, the decreased temperature loss the capacity of intiating the transcription process. For photosensitive induced CRISPR-Cas9 release, the nanosystem can readily undergo photoisomerization or the chemical bond cleavage to release CRISPR-Cas9 when exposed to NIR&#x20;light.</p>
<sec id="s4-1-1">
<title>4.1.1 Delivery and Activation of CRISPR-Cas9 in NIR-I Region</title>
<p>Better tissue differentiation is progressively afforded using fluorescent constructs in the NIR-I spectral region when compared to those emitting in the visible spectral region. The use of NIR-I fluorescent probe can accurately delineate the contour of superficial tumor, and guide the removal of tumor tissue during the operation (<xref ref-type="bibr" rid="B13">Croce and Bottiroli, 2014</xref>). However, NIR-I imaging suffers from shallow imaging depth, low contrast, and poor clarity caused by light scattering and autofluorescence. The penetration depth is still not enough for solid tumors due to high tissue scattering.</p>
<p>NIR-I probes have been used for CRISPR-Cas9 delivery and gene therapy. NIR light-triggered thermo-responsive copper sulfide was reported to serve as a &#x201c;photothermal converter&#x201d; and stably convert NIR-I light into local thermal effect to release CRISPR-Cas9 (<xref ref-type="bibr" rid="B8">Chen et&#x20;al., 2021</xref>). The codelivery of CRISPR-Cas9 and photosensitizer chlorin e6 (Ce6) can be used in spatial gene editing. Upon NIR irradiation, Ce6 generates reactive oxygen species (ROS), lysosomal escape of nanoparticles was triggered, and Cas9/sgRNA was released in cytoplasm to achieve genome editing (<xref ref-type="fig" rid="F5">Figure&#x20;5A</xref>) (<xref ref-type="bibr" rid="B15">Deng et&#x20;al., 2020</xref>). <xref ref-type="bibr" rid="B69">Tao et&#x20;al. (2021)</xref> developed a nanoplatform based on AuNCs, which could deliver Cas9/sgRNA plasmids to cancer cells and released them to achieve efficient genome editing. <xref ref-type="bibr" rid="B58">Peng et&#x20;al. (2020)</xref> reported a NIR-I laser-activated CRISPR-Cas9 nanomachine (LACM). The LACM was irradiated by NIR-I laser to generate heat for sgRNA releasing, which guided the CRISPR-Cas9 genome editing, successfully knocked out the <italic>PLK1</italic> gene and induced apoptosis of the target cells (<xref ref-type="fig" rid="F5">Figure&#x20;5B</xref>). Combining NIR-I with the photosensitive or light-to-heat conversion elements can spatiotemporally regulate CRISPR-Cas9-based gene editing. <xref ref-type="bibr" rid="B46">Lyu et&#x20;al. (2019)</xref> developed a photolabile semiconducting polymer nanoparticles with NIR-I photoirradiation, which can spontaneously trigger the cleavage of CRISPR-Cas9 by nanoparticles, resulting in the release of CRISPR-Cas9 and subsequent initiation gene editing (<xref ref-type="fig" rid="F5">Figure&#x20;5C</xref>). Upconversion nanoparticles which can convert NIR-I light into local ultraviolet light for the cleavage of photosensitive molecules, resulted in on-demand release of CRISPR-Cas9 (<xref ref-type="fig" rid="F5">Figure&#x20;5D</xref>). By targeting the tumor gene <italic>PLK1</italic>, the proliferation of tumor cell can be successfully inhibited via NIR light activated gene editing (<xref ref-type="bibr" rid="B57">Pan et&#x20;al., 2019</xref>). In addition, the combination of CRISPR-Cas9 and upconversion nanoparticles provided the possibility for remote DNA methylation (<xref ref-type="bibr" rid="B12">Chi et&#x20;al., 2021</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Light-activated NIR-I/CRISPR-Cas9&#x20;genome-editing strategy. <bold>(A)</bold> Schematic of the preparation, delivery, and intracellular fate of NIR-sensitive and reducing agent sensitive nanoparticles containing Nrf2-targeting Cas9/sgRNA and the antitumor photosensitizer Ce6. The self-assembly anionic micelles encapsulating Ce6 bind with His-tagged Cas9/sgRNA, and coat with cationic iRGD-modified copolymer to form nanoparticles, then the nanoparticles target and enter into tumor cells via integrin-iRGD binding. Ce6 generates ROS with the NIR irradiation, and Cas9/sgRNA is released to target the antioxidant gene <italic>Nrf2</italic>, enhancing tumor cell sensitivity to ROS synergistically with Ce6 (reproduced from (<xref ref-type="bibr" rid="B8">Chen et&#x20;al., 2021</xref>) with permission from Science Advances). <bold>(B)</bold> Delivery and intracellular activation of a CRISPR-Cas9 genome-editing nanomachine, activated by a near-infrared laser. A sgRNA is hybridized to a protector DNA that is conjugated on a gold nanorod. NIR irradiation generates heat and results the release of the sgRNA. After sgRNA release, the protector forms a hairpin structure to hinder sgRNA rehybridization. The sgRNA and Cas9 protein then initiate gene editing (reproduced from (<xref ref-type="bibr" rid="B69">Tao et&#x20;al., 2021</xref>) with permission from ACS Nano). <bold>(C)</bold> Illustration of NIR-I photolabile semiconducting polymer nanotransducer (pSPN)-mediated delivery and photoregulation of CRISPR-Cas9 gene editing. pSPN is self-assembled from a polymer whose backbone is grafted with poly (ethylene glycol) (PEG<sub>2000</sub>) and polyethylenimine (PEI<sub>600</sub>) brushes. The polymer backbone is able to generate singlet oxygen under NIR light irradiation, and PEI brushes act as cleavable gene carrier. pSPN can electrostatically bind the CRISPR and the GFP reporter plasmids to form nanocomplexes, and enabling noninvasive remote regulation of CRISPR/Cas9 gene editing using NIR light (reproduced from (<xref ref-type="bibr" rid="B46">Lyu et&#x20;al., 2019</xref>) with permission from Angewandte Chemie (International ed. in English)). <bold>(D)</bold> Design of the UCNP-based CRISPR-Cas9 delivery system for NIR light-controlled gene editing. CRISPR-Cas9 was covalently anchored on UCNPs by photocleavable molecules and then coated with PEI to assist endosomal escape. NIR-triggered the cleavage of Cas9-sgRNA from UCNPs and initiate genome editing (reproduced from (<xref ref-type="bibr" rid="B57">Pan et&#x20;al., 2019</xref>) with permission from Science Advances).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g005.tif"/>
</fig>
</sec>
<sec id="s4-1-2">
<title>4.1.2 Delivery and Activation of CRISPR-Cas9 in NIR-II Region</title>
<p>Due to the reduction of background autofluorescence from biomolecules, photons at longer wavelengths provide higher contrast between the objects of interest and the background and penetrate deeper into living tissue. Biomedical imaging in NIR-II window can fully improve the temporal and spatial resolution of imaging (about 50&#xa0;ms and about 25&#xa0;&#xb5;m) and penetration depth (up to 10&#xa0;mm), obtain better image quality and signal-to-background ratio than NIR-I (<xref ref-type="bibr" rid="B24">He et&#x20;al., 2018</xref>). NIR-II fluorescence imaging has been widely used in tumor imaging, liver imaging, small blood vessel imaging, lymph node imaging, and non-invasive dynamic cerebrovascular imaging over the past years (<xref ref-type="bibr" rid="B27">Hong et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B83">Zhao et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B66">Su et&#x20;al., 2021</xref>). NIR-II imaging can discriminate tumor lesions more effectively than NIR-I imaging and can visualize lesions that are missed in NIR-I imaging (<xref ref-type="bibr" rid="B82">Zhang et&#x20;al., 2021</xref>). A targeted activatable fluorescent nanoprobe in the NIR-II range was reported for <italic>in vivo</italic> optical dynamic imaging of traumatic brain injury (<xref ref-type="bibr" rid="B37">Li et&#x20;al., 2020b</xref>).</p>
<p>Compared with NIR-I imaging, <italic>in vivo</italic> NIR-II fluorescence imaging is a relatively newer field of research. Nanomaterials display intrinsic fluorescence emission in the NIR-II window, allowing modulation of emission wavelengths well past the 1,000-nm mark. With the continuous development of chemical synthesis, new fluorophores are constantly discovered, including organic and inorganic fluorescent probes. Organic dyes are the earliest and most researched fluorophores and have been widely used in NIR-II imaging (<xref ref-type="bibr" rid="B34">Li and Pu, 2019</xref>; <xref ref-type="bibr" rid="B38">Li et&#x20;al., 2021</xref>). While inorganic fluorescent probes have longer fluorescence lifetime, higher quantum efficiency, and higher fluorescence intensity (<xref ref-type="bibr" rid="B25">He et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B55">Nicholas et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B79">Yang et&#x20;al., 2020</xref>).</p>
<p>Delivery of CRISPR-Cas9 applying NIR-II fluorophores has been reported. Light-to-heat conversion elements excited by NIR-II can transmit and regulate the release of CRISPR-Cas9. <xref ref-type="bibr" rid="B11">Chen X. et&#x20;al. (2020)</xref> designed a nanosystem (termed nanoCRISPR), which comprised cationic polymer-coated Au nanorod and a heat-inducible Cas9 (<xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>). Au nanorod not only serves as a carrier but also can convert photonic energy into local heat to induce the expression of Cas9 endonuclease. Once NIR-II irradiation is switched off, the photothermal effects disappear, causing the inactivation of CRISPR-Cas9 transcription process (<xref ref-type="fig" rid="F6">Figure&#x20;6B</xref>). Thus, gene editing can be easily and precisely controlled by fine-tuning the intensity and duration of NIR-II irradiation at multiple time points <italic>in&#x20;vitro</italic> and <italic>in vivo</italic>. The authors also demonstrated that this strategy can be extended to the treatment of deep tumor and fulminant hepatic failure (<xref ref-type="fig" rid="F6">Figures 6C&#x2013;I</xref>). <xref ref-type="bibr" rid="B68">Tang et&#x20;al. (2021)</xref> also reported a cationic gold nanorod for delivering CRISPR-Cas9 and inducing the expression of Cas9 (<xref ref-type="fig" rid="F7">Figure&#x20;7A</xref>). It improved immune checkpoint blockade therapy by CRISPR-Cas9-mediated disruption of <italic>PD-L1</italic> and mild-hyperthermia-induced activation of immunogenic cell death. Gold nanorod converts NIR-II light into mild hyperthermia to induce both immunogenic cell death and the expression of Cas9. The genomic disruption of <italic>PD-L1</italic> significantly augments immune checkpoint blockade therapy by improving the conversion of dendritic cells to T&#x20;cells, thereby reprogramming immunosuppressive tumor microenvironment into immunoactive one (<xref ref-type="fig" rid="F7">Figures 7B&#x2013;H</xref>). The optical regulation of CRISPR-Cas9 by NIR-II light imparts excellent spatial specificity and deep tissue penetration, this strategy therefore can precisely target tumor tissues and circumvent the immune-related adverse events. Moreover, NIR-II spectroscopy was sensitive to changes in chemical bonds of DNA caused by modifying genotype, which has been used in identifying CRISPR-Cas9-based mutants in rice, helping to accelerate the selection and crop breeding process (<xref ref-type="bibr" rid="B18">Feng et&#x20;al., 2017</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>NIR-II/CRISPR-Cas9 system optogenetic regulation of genome editing. <bold>(A)</bold> The schematic of preparation of the APC&#x2013;HSP complex, delivery of APC&#x2013;HSP-Cas9 complexes and deep-tissue penetration. The APC&#x2013;HSP-Cas9 complex is composed of a cationic polymer-coated Au nanorod (APC) and the Cas9 plasmid driven by a heat-inducible HSP70 promoter. APC plasmid is internalized by the targeted cell through endocytosis. The Au nanorod serves as a photothermal transducer to transform the NIR light into intracellular local heat to trigger the transcription of Cas9 and sgRNA. <bold>(B)</bold> The mechanism of inducible optogenetic regulation of Cas9-mediated genome editing. Upon NIR light irradiation, APC quickly generates localized heat, which induce the transformation of the heat-shock factor (HSF) from monomers to trimers. The HSF trimers bind with the heat-shock element (HSE) of the HSP70 promoter results in the transcription of Cas9. Once the light irradiation is switched off, the bound trimer is released from the HSE and back to monomers to inactivate the transcription process. <bold>(C)</bold> Tumor-bearing mice are administered APC&#x2013;HSP-Cas9 complexes through peritumoral injection, and the tumor is then exposed to irradiation for 30&#xa0;min in the presence of breast chicken tissue (5-mm thickness) covering the tumor position to simulate the deep-tissue condition, the luciferase expression shows optogenetic genome editing could be manipulated in the deep tissue of local lesions. <bold>(D)</bold> Indel mutations detected by T7E1 assay. A significant mutation is detected from both the surface and deep layer of the tumor tissues. <bold>(E)</bold> Quantitative analysis of indel mutations. The indel rate of the surface and deep layer of the tumor tissues is 16.0 and 14.9%, respectively. <bold>(F)</bold> Tumor growth curve after the transfection of APC&#x2013;HSP-Cas9 complexes, followed by NIR light irradiation. The tumorbearing mice injected with APC HSP-Cas9 targeting <italic>Plk1</italic> exhibit significant tumor regression under irradiation. <bold>(G)</bold> Images of tumor tissues with different treatments. <bold>(H)</bold> The body-weight change during the treatment. A slight increase in body weight is observed at the end of the APC HSP-Cas9 targeting <italic>Plk1</italic> after irradiation treatment. <bold>(I)</bold> H&#x26;E staining of liver slices from mice 10&#xa0;days after the treatment. The mice treated with galactose-modified APC HSP-Cas9 Fas significantly reduce hyperemia, shows the APC treatment merely induce any liver toxicity (reproduced from (<xref ref-type="bibr" rid="B11">Chen X. et&#x20;al., 2020</xref>) with permission from Proceedings of the National Academy of Sciences of the United&#x20;States of America).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g006.tif"/>
</fig>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>NIR-II/CRISPR-Cas9 system photothermal genome-editing strategy for cancer immunotherapy. <bold>(A)</bold> The frame of ANP/HSP-Cas9 complex synthesis, photothermal activation for PD-L1 genome editing and how to change the immunosuppressive tumor environment. ANR is composed of Au nanorods, biocompatible polystyrene sulfonate (PSS), and a supramolecular polymer (termed as PCM). Au nanorods act as a photothermal converter to induce unactive HSF monomer to active HSF trimer. The efficient intracellular delivery of ANP/HSP-Cas9 plasmid, can induce the transcriptional activation of Cas9 and sgRNA targeting PD-L1 upon NIR-II light irradiation, thereby enabling the precise genome editing of PD-L1. The heat produced by irradiation provide a mild condition which promotes immune memory, activates T&#x20;cells, and improves T&#x20;cell infiltration, transforms immunogenic-cold tumors into immunogenic-hot ones. This reprogramming tumor environment is beneficial for killing other distant tumor. <bold>(B)</bold> The schedule of tumor therapy by NIRII-controlled ANP/HSP-Cas9&#x20;<italic>in vivo</italic>. <bold>(C)</bold> Immunofluorescence analysis of HMGB1, CRT and PD-L1 protein expression from tumor tissue at different tumor depth. The significant CRT exposure within tumors can be implemented at depths up to 6&#xa0;mm under NIR-II laser irradiation. <bold>(D)</bold> T7E1 assay was carried out to indicate indel mutations of PD-L1 in the tumor tissue. A high degree of genome editing was detected in tumor tissues. Western blot analysis of HMGB1, CRT, and PD-L1 proteins expression after different treated. The PD-L1 expression in tumors is significantly decreased by ANP-mediated genome editing. <bold>(E)</bold> Sanger sequencing results at PD-L1 locus from tumor tissue. Significant deletions and insertions are detected at the targeted loci around the PAM. ANP(&#x2b;), ANP with NIR-II laser irradiation. ANP(&#x2212;), ANP without NIR-II laser irradiation. ANP/P(&#x2b;), ANP/HSP-Cas9 with NIR-II laser irradiation. ANP/P(&#x2212;), ANP/HSP-Cas9 without NIR-II laser irradiation. <bold>(F)</bold> Representative <italic>in vivo</italic> bioluminescence images of mice after different treatment at day 21. <bold>(G)</bold> Tumor growth curves after being treated by ANP/HSP-Cas9 complexes with or without irradiation. <bold>(H)</bold> Body weight and Kaplan&#x2013;Meier survival curves of tumor-bearing mice. ANP(&#x2b;) significantly inhibit tumor growth, while the mice treated with ANP/HSP-Cas9 are more potent in delaying tumor growth after NIR-II laser irradiation. ANP(&#x2212;) and ANP/P(&#x2212;) show similar trend of tumor growth in comparison with the control group (reproduced from (<xref ref-type="bibr" rid="B68">Tang et&#x20;al., 2021</xref>) with permission from Advanced Materials (Deerfield Beach, Fla.)).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4-2">
<title>4.2 NIR/CRISPR-Cas9-Based Imaging Systems</title>
<p>In <xref ref-type="table" rid="T1">Table&#x20;1</xref>, we summarize all the NIR fluorophores related to CRISPR-Cas9. Most NIR fluorophores were used for CRISPR-Cas9 delivery, but the NIR/CRISPR-Cas9-based imaging systems have not been widely studied. The NIR fluorescent imaging showed a deep penetration and high resolution in biological tissues, while the Cas9 and sgRNA can be modified to give imaging <italic>in vivo</italic>. Therefore, the combined application of NIR fluorophores and CRISPR-Cas9 has great innovation and potential in multicolor imaging.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Near-infrared-I/II fluorophores related to CRISPR-Cas9.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">NIR-I/II fluorophore</th>
<th align="center">
<italic>Nanoparticles structures</italic>
</th>
<th align="center">Excitation (nm)</th>
<th align="center">Emission (nm)</th>
<th align="center">Character</th>
<th align="center">Targets</th>
<th align="center">Application</th>
<th align="center">Ref</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">SPPF-Dex nps</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx1.tif"/>
</td>
<td align="center">808</td>
<td align="center">1,000&#x2013;1,400</td>
<td align="left">Photothermal conversion, NIR-II imaging, deep tissues</td>
<td align="left">
<italic>MTH1</italic>, HCT 116 cells</td>
<td align="left">CRISPR-Cas9 delivery, real time imaging, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B35">Li et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Au nanorod (APC)</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx2.tif"/>
</td>
<td align="center">1,064</td>
<td align="center">1,000&#x2013;1,700</td>
<td align="left">Photothermal activation, deep tissues</td>
<td align="left">
<italic>AAVS1</italic>, asialoglycoprotein receptors targeting, Liver targeting</td>
<td align="left">CRISPR-Cas9 delivery, tumor therapy, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Chen X. et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">AR@PSS@PCM (ANP)</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx3.tif"/>
</td>
<td align="center">1,064</td>
<td align="center">&#x2014;</td>
<td align="left">Photothermal activation, deep tissues</td>
<td align="left">
<italic>PD-L1</italic> targeting, ICD activation</td>
<td align="left">CRISPR-Cas9 delivery, improving immune checkpoint blockade, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B68">Tang et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Protamine&#x2013;AuNCs</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx4.tif"/>
</td>
<td align="center">700&#x2013;1,000</td>
<td align="center">&#x2014;</td>
<td align="left">NIR-I imaging, deep tissues</td>
<td align="left">
<italic>E7</italic>, U2OS, HeLa cells</td>
<td align="left">CRISPR-Cas9 delivery, tumor therapy, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B69">Tao et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Photolabile semiconducting polymer nanotransducer</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx5.tif"/>
</td>
<td align="center">680/808</td>
<td align="center">700&#x2013;1,000</td>
<td align="left">Photothermal activation, deep tissues</td>
<td align="left">Plk1, Hela cells</td>
<td align="left">CRISPR-Cas9 delivery, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B46">Lyu et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">NTA-SS-PEG-PCL/Ce6 Complex</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx6.tif"/>
</td>
<td align="center">1,064</td>
<td align="center">700&#x2013;1,000</td>
<td align="left">Photothermal conversion, deep tissues</td>
<td align="left">
<italic>Nrf2</italic>, CNE-2 cells</td>
<td align="left">CRISPR-Cas9 delivery, tumor therapy, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B15">Deng et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">UCNPs-Cas9@PEI</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx7.tif"/>
</td>
<td align="center">980</td>
<td align="center">&#x2014;</td>
<td align="left">Photothermal activation, upconversion, deep tissues</td>
<td align="left">Plk1, kB&#x20;cells, A549 cells</td>
<td align="left">CRISPR-Cas9 delivery, tumor therapy, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B57">Pan et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Upconversion nanoparticles</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx8.tif"/>
</td>
<td align="center">700&#x2013;1,000</td>
<td align="center">&#x2014;</td>
<td align="left">Photothermal activation, deep tissues</td>
<td align="left">DNA 5-cytosine methylation, HEK293T&#x20;cells</td>
<td align="left">CRISPR-Cas9 delivery, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B12">Chi et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Gold nanorod (AuNR)</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx9.tif"/>
</td>
<td align="center">808</td>
<td align="center">700&#x2013;1,000</td>
<td align="left">Photothermal therapy, deep tissues</td>
<td align="left">
<italic>EGFP</italic>, <italic>EMX1</italic>, A549, HEK293T&#x20;cells</td>
<td align="left">Gene editing, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B58">Peng et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">NIR light-triggered thermo-responsive copper sulfide (CuS)</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx10.tif"/>
</td>
<td align="center">808</td>
<td align="center">&#x2014;</td>
<td align="left">Photothermal therapy, deep tissues</td>
<td align="left">
<italic>Hsp90&#x3b1;</italic>, A375 cells</td>
<td align="left">CRISPR-Cas9 delivery, tumor therapy, animal model</td>
<td align="left">
<xref ref-type="bibr" rid="B8">Chen et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Si-rhodamine 680SiR</td>
<td align="center">
<inline-graphic xlink:href="fchem-09-786354-fx11.tif"/>
<inline-graphic xlink:href="fchem-09-786354-fx12.tif"/>
</td>
<td align="center">680</td>
<td align="center">700</td>
<td align="left">NIR-I imaging, deep tissues</td>
<td align="left">SNAP targeting, tubulin2 targeting, U2OS cells</td>
<td align="left">Dual-color confocal and STED imaging, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B4">Butkevich et&#x20;al. (2018)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>
<xref ref-type="bibr" rid="B4">Butkevich et&#x20;al. (2018)</xref> used CRISPR-Cas9 to generate and detect an endogenous tagged protein by combining with a newly established pair of NIR STED labels (<xref ref-type="fig" rid="F8">Figure&#x20;8A</xref>). The synthesis of NIR fluorescent Si-Rhodamine Dye 680SiR was based on 8-Bromojulolidine 1. The 680SiR was expected for SNAP combination, and the other STED dye 610CP could be combined with cytoskeletal protein tubulin2 (<xref ref-type="fig" rid="F8">Figure&#x20;8B</xref>). Then the U2OS cell lines expressing SNAP-tagged or Halo-tagged vimentin from its genomic locus were generated by the CRISPR approach. The transgene expression was verified by immunoblotting (<xref ref-type="fig" rid="F8">Figure&#x20;8C</xref>). Both the 680SiR-SNAP and the 610CP-tubulin2 demonstrated high brightness and good imaging performance (<xref ref-type="fig" rid="F8">Figure&#x20;8D</xref>). The cell-to-cell reproducibility of two-color staining was verified by confocal microscopy. U2OS cells with stable expression of vimentin-SNAP fusion proteins were incubated with 610CP-tubulin2 and 680SiR-SNAP, which showed a superior brightness imaging for clear color separation, and no observable cross-talk between two color channels was detected (<xref ref-type="fig" rid="F8">Figures 8E,F</xref>). In this system, CRISPR-Cas9 offered a robust and reproducible label for NIR imaging <italic>in vivo</italic>. This approach of endogenous tagging of protein offered reliable and cell-to-cell reproducible dual-color nanoscale imaging in living&#x20;cells.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>NIR-I/CRISPR-Cas9-based imaging systems. <bold>(A)</bold> CRISPR-mediated endogenous labeling of proteins could combine with NIR dyes, and show NIR imaging following by excitation. CRISPR-Cas9 is used to knockin SNAP-tagged or Halo-tagged protein from its genomic locus. NIR dye bind with SNAP-tagged or Halo-tagged protein to give image. <bold>(B)</bold> Structures of the probes used for two-color imaging. <bold>(C)</bold> Western blots of CRISPR-Cas9 mediated tagging of vimentin with SNAP Tag or Halo Tag show a higher expression. <bold>(D)</bold> Confocal images of vimentin-SNAP knock-in cells labeled with 610CP-tubulin2 and 680SiR-SNAP probes. <bold>(E)</bold> Upper row, confocal images of vimentin-SNAP stained with 680SiR-SNAP, microtubule cytoskeleton stained with 610CP-tubulin2, and merge. Lower row, the corresponding STED images (reproduced from (<xref ref-type="bibr" rid="B4">Butkevich et&#x20;al., 2018</xref>) with permission from ACS chemical biology).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g008.tif"/>
</fig>
<p>NIR fluorophores could not only be used to deliver and control the release of CRISPR-Cas9 through photothermal conversion, but also could be used to monitor the delivery path by NIR imaging. <xref ref-type="bibr" rid="B35">Li et&#x20;al. (2019)</xref> described a type of rationally designed semiconducting polymers (SPs) brush and applied them to NIR-II imaging-guided light-triggered remote control of CRISPR-Cas9 genome editing. SPPF nanoparticles were fabricated by sequentially conjugating alkyl side chains, PEG chains, and fluorinated polyethylenimine (PF) to the backbone of the initial SPs (<xref ref-type="fig" rid="F9">Figure&#x20;9A</xref>). The backbone of SPs served as the photothermal transducer, while the PF bound with CRISPR-Cas9 pDNAs via electrostatic interaction and supramolecular interaction. Dexamethasone (Dex) is used for encapsulating in the hydrophobic core of the formed SPPF nanoparticles. Approximately 30% HCT 116-GFP cells showed decreased GFP after SPPF/Cas9-sgGFP incubation upon laser irradiation, and Dex could further enhance the GFP editing efficiency (<xref ref-type="fig" rid="F9">Figure&#x20;9C</xref>). The tumor tissue showed bright NIR-II fluorescence signal, suggesting that SPPF could be a good approach to monitor genome editing <italic>in vivo</italic>. NIR-II fluorescence signal were only observed in metabolically active organs, liver and spleen, indicating the biodegradability of SPPF (<xref ref-type="fig" rid="F9">Figure&#x20;9D</xref>). SPPF-Dex/Cas9-sgGFP injection without laser irradiation, PBS or SPPF-Dex/Cas9-sgNull injection with laser irradiation, did not affect the GFP gene disruption (<xref ref-type="fig" rid="F9">Figure&#x20;9E</xref>). No abnormal and inflammatory cell infiltration in spleen and liver was observed after treatment, suggesting SPPF exhibited good biocompatibility (<xref ref-type="fig" rid="F9">Figure&#x20;9E</xref>). The innovation of this method is to perform visible and controllable <italic>in vivo</italic> genome editing under near-infrared light guidance and stimulation, which provides a paradigm for tracking the distribution of genome editing system in real time. More studies should be performed to develop this platform in CRISPR-Cas9-based therapeutic approach for genetic disease in the following work. The CRISPR-Cas9-based precise gene therapy and imaging will keep movement clinically in the near future.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>NIR-II/CRISPR-Cas9-based imaging systems. <bold>(A)</bold> Diagram of SPPF-Dex mediated CRISPR-Cas9 imaging, and illustration of the intracellular genome editing process upon 808&#xa0;nm laser irradiation. Upon the NIR-II laser irradiation, the distribution of SPPF-Dex can be tracked <italic>in vivo</italic>. Simultaneously, the photothermal conversion of SPPF facilitates the endolysosomal escape of SPPF-Dex and release of CRISPR-Cas9. Dex dilates the nuclear pores to initiate the translocation of CRISPR-Cas9 for genome editing. <bold>(B)</bold> Agarose gel retardation assay of SPPF/pDNAs, morphologies of SPPF, SPPF/pDNA, and SPPF/pDNA after 808&#xa0;nm laser irradiation detected by TEM showed high efficiency as a carrier. <bold>(C)</bold> GFP gene disruption efficacy after different treatment in engineered GFP labeled cells detected by confocal microscope and flow cytometry. <bold>(D)</bold> <italic>In vivo</italic> NIR-II imaging of the injection of SPPF-Dex/Cas9-GFP and <italic>in&#x20;vitro</italic> NIR-II imaging of the tumor and other organs harvested to analysis of the <italic>in vivo</italic> distribution. <bold>(E)</bold> T7E1 assay was carried out to indicate indel mutations of PCR products of GFP gene retrieved from GFP labeled tumor with different treatment. Histological examination of H&#x26;E staining of spleen and liver sections showed a minimal side effect. G1, GFP labeled tumor treated with PBS and 808&#xa0;nm laser irradiation. G2, GFP labeled tumor treated with SPPF-Dex/Cas9-sgGFP. G3, GFP labeled tumor treated with SPPF-Dex/Cas9-sgGFP and 808&#xa0;nm laser irradiation (reproduced from (<xref ref-type="bibr" rid="B35">Li et&#x20;al., 2019</xref>) with permission from Advanced materials (Deerfield Beach, Fla.)).</p>
</caption>
<graphic xlink:href="fchem-09-786354-g009.tif"/>
</fig>
</sec>
</sec>
<sec id="s5">
<title>5 The Delivery of CRISPR-Cas9-Based Imaging Systems</title>
<p>There are three types of the CRISPR delivery system: 1. delivery the plasmid DNA (pDNA) of Cas9 and sgRNA, 2. deliver the mRNA of Cas9 and sgRNA, 3 deliver the protein (ribonucleoprotein, RNP) of Cas9 and sgRNA, which depend on physical, biological, or chemical manner (<xref ref-type="bibr" rid="B17">Doetschman and Georgieva, 2017</xref>; <xref ref-type="bibr" rid="B9">Chen G. et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B42">Liu et&#x20;al., 2019</xref>). Physical methods, such as electroporation, are most suitable for <italic>in&#x20;vitro</italic> experiments. Viral vectors are commonly used for CRISPR-Cas9 delivery from single cell to <italic>in vivo</italic>. In clinical trials, more than 70% of gene drug carriers are also viruses (<xref ref-type="bibr" rid="B31">Kim et&#x20;al., 2017</xref>). However, viral vectors may cause unnecessary immunogenicity and mutation risks in the host, thereby limiting their clinical transformation. In terms of biosafety, loading and encapsulation capability, non-viral vectors, especially nanocarriers, have broadened the application in CRISPR-Cas9-based gene therapy (<xref ref-type="bibr" rid="B21">Gu et&#x20;al., 2018</xref>). Several nano-delivery systems for CRISPR-Cas9 have been developed, including cationic liposomes, lipid nanoparticles (LNPs), cationic polymers, vesicles, and gold nanoparticles (<xref ref-type="bibr" rid="B21">Gu et&#x20;al., 2018</xref>). Although nanocarriers offer many advantages for CRISPR-Cas9 delivery in the treatment of cancer and other diseases, some problems remain to be solved. For example, nanoparticles are unstable in blood circulation, the biological distribution of nanoparticles is not ideal, low clearance rate and transfection efficiency, etc. Thus the most of nanocarriers used for CRISPR-Cas9 delivery stay in preclinical studies. More research on reforming nanomaterials of higher biocompatibility, higher efficiency and lower toxicity for loading CRISPR-Cas9 will need be developed. <xref ref-type="table" rid="T2">Table&#x20;2</xref> shows the characteristic of different CRISPR-Cas9 delivery systems involved in CRISPR-Cas9-based imaging.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>The delivery system of CRISPR-Cas9-based imaging.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Delivery vehicle</th>
<th align="center">CRISPR-Cas9 format</th>
<th align="center">Character</th>
<th align="center">Efficiency</th>
<th align="center">Advantage</th>
<th align="center">Disadvantage</th>
<th align="center">Application</th>
<th align="center">Ref</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">SPPF-Dex nps</td>
<td align="left">Plasmid</td>
<td align="left">Photothermal regulation</td>
<td align="left">12.8% indel mutation rate in HCT 116-GFP cells</td>
<td align="left">Low toxicity, endolysosomal escape, payloads release</td>
<td align="left">Less loading</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B35">Li et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Au nanorod (APC)</td>
<td align="left">Plasmid</td>
<td align="left">Photothermal regulation</td>
<td align="left">18.0% indel mutation rate in Hepa1-6 cells, 6.7% indel mutation in the liver tissue</td>
<td align="left">Specific binding</td>
<td align="left">Surface modification is needed to bind genes effectively</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Chen X. et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">AR@PSS@PCM(ANP)</td>
<td align="left">Plasmid</td>
<td align="left">Photothermal regulation</td>
<td align="left">39.7% indel mutation rate in B16F10 cells, 21.5% in tumor</td>
<td align="left">Good biocompatibility, promote intracellular delivery</td>
<td align="left">prone to negatively charge cells and proteins</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B68">Tang et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Protamine&#x2013;AuNCs</td>
<td align="left">Plasmid</td>
<td align="left">Cationic protamine facilitates release</td>
<td align="left">27.5% indel mutation rate in HeLa cells</td>
<td align="left">Cell-penetrating properties, nucleus-targeting</td>
<td align="left">Reunion</td>
<td align="left">In cell</td>
<td align="left">
<xref ref-type="bibr" rid="B69">Tao et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Photolabile semiconducting polymer nanotransducer</td>
<td align="left">Plasmid</td>
<td align="left">Photosensitive regulation</td>
<td align="left">Indel 15- and 1.8-fold enhancements in cells and living mice</td>
<td align="left">Efficient release of gene vectors</td>
<td align="left">Low particle surface potential</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B46">Lyu et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">NTA-SS-PEG-PCL/Ce6 Complex</td>
<td align="left">Cas9 RNP</td>
<td align="left">Photosensitive regulation</td>
<td align="left">42.6% indel mutation rate in CNE-2 cells, 31.2% indel mutation rate in tumor</td>
<td align="left">Stability, low toxicity, tumor targeting</td>
<td align="left">Cytotoxicity</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B15">Deng et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">UCNPs-Cas9@PEI</td>
<td align="left">Cas9 RNP</td>
<td align="left">Photosensitive regulation</td>
<td align="left">Inhibited cancer cell proliferation and tumor growth</td>
<td align="left">Endosomal escape</td>
<td align="left">Low particle surface potential, less loading</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B57">Pan et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Upconversion nanoparticles</td>
<td align="left">Plasmid</td>
<td align="left">Photosensitive regulation</td>
<td align="left">Inhibited cancer cell proliferation and tumor growth</td>
<td align="left">Light stability, low potential toxicity, no background light interference</td>
<td align="left">Low particle surface potential</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B12">Chi et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Au nanoparticles</td>
<td align="left">Plasmid</td>
<td align="left">Photothermal regulation</td>
<td align="left">1.24% indel mutation rate inA375 cells, sustainable tumor inhibition</td>
<td align="left">High loading efficiency, good stability, good repetition</td>
<td align="left">Surface modification is needed to bind genes effectively</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B74">Wang et&#x20;al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">NIR light-triggered thermo-responsive copper sulfide (CuS)</td>
<td align="left">Cas9 RNP</td>
<td align="left">Photothermal regulation</td>
<td align="left">37.3%indel mutation rate in A375 cells, 23.8% indel mutationin in tumor</td>
<td align="left">Assist endosomal escape</td>
<td align="left">Reunion, cytotoxicity</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B8">Chen et&#x20;al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Electroporation</td>
<td align="left">RNP, plasmid</td>
<td align="left">Transient transfection, easy to cause damage to cell membranes</td>
<td align="left">High transfection efficiency</td>
<td align="left">Small dependence on cell types, equipment cost</td>
<td align="left">Easy to cause damage to cell membranes</td>
<td align="left">In cell</td>
<td align="left">
<xref ref-type="bibr" rid="B10">Chen S. et&#x20;al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Viral vector (AAV, LV, AdV)</td>
<td align="left">Plasmid</td>
<td align="left">Has been approved for human clinical trials, cause virus contamination</td>
<td align="left">Stable, high transfection efficiency</td>
<td align="left">High capacity</td>
<td align="left">Introduce virus contamination, immune response</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B51">Moreno et&#x20;al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Lipofectamine</td>
<td align="left">RNP, plasmid</td>
<td align="left">Simple preparation, good safety, low cost</td>
<td align="left">High transfection efficiency</td>
<td align="left">Simple preparation, good safety</td>
<td align="left">Prone to immune response</td>
<td align="left">In cell, <italic>in vivo</italic>
</td>
<td align="left">
<xref ref-type="bibr" rid="B43">Liu et&#x20;al. (2020)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s6">
<title>6 Conclusion</title>
<p>The application of the CRISPR-Cas9 system has gradually expanded from genome editing to real-time imaging of living cells. In this review, we described the composition and mechanism of CRISPR-Cas9 system, and summarized the research progress of CRISPR-Cas9-based imaging system in recent research. By modifying Cas9 protein, sgRNA or both with fluorophore, CRISPR-Cas9-based imaging systems achieve multi-color imaging and the combination of PET imaging. We mainly overviewed the NIR imaging and the studies of NIR/CRISPR-Cas9-based imaging systems. We also summarized the application of NIR fluorophores in the delivery of CRISPR-Cas9, which had been widely reported. But there are rarely attempts for combination NIR imaging with CRISPR-Cas9 system. Only two studies have reported NIR/CRISPR-Cas9-based imaging systems, one is for dual-color NIR imaging, and the other is for tracking the location of CRISPR-Cas9 system.</p>
<p>However, there are still some problems need to be solved in this field. Off-target effects have always been a major challenge to limit the application of Cas9 protein, the presence of off-target at high density may lead to false-positive locus detection, thus free fluorescence affects the signal-to-noise ratio and inaccuracy of imaging. More complicated strategies, such as fluorescence resonance energy transfer, can be used to eliminate free luminescence signals (<xref ref-type="bibr" rid="B50">Mao et&#x20;al., 2019</xref>). Improving the FP signal or using a high sensitivity cutting-edge microscope can further optimize the signal-to-noise ratio and improve imaging efficiency (<xref ref-type="bibr" rid="B45">Lu et&#x20;al., 2021</xref>). Delivery is another main challenge in CRISPR-Cas9-based imaging system (<xref ref-type="bibr" rid="B19">Glass et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B62">Qiu et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B88">Xu et&#x20;al., 2021</xref>). The more efficient, higher compatibility, and lower biotoxicity delivery system will help to realize the clinical potential of this technology. Therefore, designing ideal carrier for targeting tissues of interest is the main task at this stage. It is believed that with the continuous deepening of research, the CRISPR-Cas9 system will be expected to exert its due imaging application&#x20;value.</p>
<p>In order to successfully translate CRISPR-Cas9-based imaging in clinical applications, it is necessary to continuously perform human and animal experiments. Although many challenges need to be overcome, the potential of CRISPR-Cas9-based imaging will help solve many genome and chromatin mysteries. With the continuous improvement of the CRISPR-Cas9 application, it is expected to become an epoch-making biological technology in other fields.</p>
</sec>
</body>
<back>
<sec id="s7">
<title>Author Contributions</title>
<p>HQ, XZ, and DM conceived of the presented idea. HQ, JW, and HW wrote the first draft of the manuscript. XZ and DM wrote sections of the manuscript. HQ, JW, and HW prepared figures. DM, JL and HW contributed to manuscript revision. All authors read, and approved the submitted version.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This work was supported by the China Postdoctoral Science Foundation of China (no. 2019M661027). The National Natural Science Foundation of China (Grant nos. 91859101).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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