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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1242129</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2023.1242129</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Functional knockout of long non-coding RNAs with genome editing</article-title>
<alt-title alt-title-type="left-running-head">Lyu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fgene.2023.1242129">10.3389/fgene.2023.1242129</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lyu</surname>
<given-names>Qing Rex</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/603079/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Shikuan</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Zhe</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tang</surname>
<given-names>Zhiyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Medical Research Center</institution>, <institution>Chongqing General Hospital</institution>, <addr-line>Chongqing</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Chongqing Academy of Medical Sciences</institution>, <addr-line>Chongqing</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Key Lab in Healthy Science and Technology of Shenzhen</institution>, <institution>Tsinghua Shenzhen International Graduate School</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Chinese Medical Gastrointestinal of China-Japan Friendship Hospital</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1513872/overview">Bodhisattwa Banerjee</ext-link>, University of Vermont, United States</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/2290508/overview">Malay Chaklader</ext-link>, University of Texas Southwestern Medical Center, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Qing Rex Lyu, <email>lvqing@cigit.ac.cn</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1242129</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>06</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Lyu, Zhang, Zhang and Tang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Lyu, Zhang, Zhang and Tang</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 terms.</p>
</license>
</permissions>
<abstract>
<p>An effective loss-of-function study is necessary to investigate the biological function of long non-coding RNA (lncRNA). Various approaches are available, including RNA silencing, antisense oligos, and CRISPR-based genome editing. CRISPR-based genome editing is the most widely used for inactivating lncRNA function at the genomic level. Knocking out the lncRNA function can be achieved by removing the promoter and the first exon (PE1), introducing pre-termination poly(A) signals, or deleting the entire locus, unlike frameshift strategies used for messenger RNA (mRNA). However, the intricate genomic interplay between lncRNA and neighbor genes makes it challenging to interpret lncRNA function accurately. This article discusses the advantages and disadvantages of each lncRNA knockout method and envisions the potential future directions to facilitate lncRNA functional study.</p>
</abstract>
<kwd-group>
<kwd>long non-coding RNA</kwd>
<kwd>CRISPR-Cas9</kwd>
<kwd>functional knockout</kwd>
<kwd>genome editing</kwd>
<kwd>methodology</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>RNA</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Long non-coding RNA (lncRNA) is a type of RNA transcript that is over 200 nucleotides long and lacks protein-coding potential. Like messenger RNA (mRNA), lncRNA is transcribed mainly by RNA polymerase II and undergoes post-transcriptional modifications (<xref ref-type="bibr" rid="B41">Nojima and Proudfoot, 2022</xref>). The use of high-throughput RNA transcript sequencing has allowed for identifying numerous lncRNAs. Despite being regarded as &#x201c;junk&#x201d; transcripts for a long time, the functions of lncRNAs are still not fully understood. However, many functional lncRNAs have been characterized in recent decades, demonstrating novel gene regulatory patterns. They have ushered in a new paradigm in the field (<xref ref-type="bibr" rid="B48">Rinn and Chang, 2012</xref>). Loss-of-function studies are a critical method for investigating the function of lncRNAs <italic>in vitro</italic> and <italic>in vivo</italic>. While deleting the promoter and first exon of lncRNA has been extensively utilized and demonstrated efficacy in deactivating lncRNA function, the intricate nature of lncRNA gene loci and their interactions with nearby or overlapping genes pose challenges in achieving precise lncRNA knockouts without affecting the expression of nearby or overlapping genes (<xref ref-type="bibr" rid="B34">Li Z. et al., 2021</xref>). In this article, we first introduce the biogenesis and central functional patterns of lncRNAs. We then summarize the prevailing techniques and strategies for knocking out or inactivating lncRNA function. Finally, we discuss the future directions for lncRNA functional inactivation and provide insights into practical approaches aimed at expediting lncRNA functional studies, from individual studies to high-throughput screening.</p>
</sec>
<sec id="s2">
<title>The biogenesis and function of lncRNA</title>
<p>Most lncRNAs are transcribed by RNA polymerase II, which undergoes post-transcriptional modifications such as 5&#x2032;capping, 3&#x2032;poly(A) tailing, and intron splicing (<xref ref-type="bibr" rid="B48">Rinn and Chang, 2012</xref>). LncRNAs can perform biological functions via various mechanisms, either by being exported to the cytoplasm or retained within the nucleus (<xref ref-type="bibr" rid="B48">Rinn and Chang, 2012</xref>). LncRNAs can be categorized into two classes based on their role: sequence-dependent and sequence-independent. The sequence-dependent role of lncRNAs, known as ceRNA (competing endogenous RNA), has been well-studied. LncRNAs can bind with microRNAs via Watson-Crick base-pairing, acting as a &#x201c;miRNA sponge&#x201d; to neutralize targeting miRNA carrying a specific &#x201c;seed region.&#x201d; (<xref ref-type="bibr" rid="B11">Conte et al., 2021</xref>; <xref ref-type="bibr" rid="B64">Zhang et al., 2022</xref>). As a result, the mRNA targeted by the endogenous miRNA is &#x201c;released&#x201d; from miRNA repression, leading to the recovery of translational levels (<xref ref-type="bibr" rid="B54">Tay et al., 2014</xref>). The contribution of ceRNA to gene regulation has been controversial due to the promiscuous miRNA-lncRNA-mRNA interplay, which makes quantitative analysis difficult (<xref ref-type="bibr" rid="B54">Tay et al., 2014</xref>). Another important sequence-dependent function of lncRNAs is serving as a &#x201c;guide.&#x201d; In this mechanism, a partial sequence on the lncRNA can bind to genomic DNA via sequence-specific pairing.</p>
<p>In contrast, another part of the lncRNA can form a specific tertiary structure and associate with a protein via electrostatic force. A well-known example of this category is the small guide RNA (sgRNA) and Cas proteins (<xref ref-type="bibr" rid="B26">Jinek et al., 2012</xref>; <xref ref-type="bibr" rid="B10">Cong et al., 2013</xref>), with derivatives such as prime editing guide RNA (pegRNA) and gene-modified prime editors (<xref ref-type="bibr" rid="B5">Anzalone et al., 2019</xref>; <xref ref-type="bibr" rid="B4">Anzalone et al., 2020</xref>). Another sequence-dependent function of lncRNAs is encoding small or micro peptides. For instance, Anderson et al. discovered that the <italic>LINC00948</italic> lncRNA encodes a peptide called MLN, which interacts with SERCA to regulate the phenotype in skeletal muscle (<xref ref-type="bibr" rid="B1">Anderson et al., 2015</xref>).</p>
<p>Most characterized lncRNAs function sequence independently by forming tertiary structures and interacting with proteins as a scaffold (<xref ref-type="bibr" rid="B61">Yoon et al., 2013</xref>; <xref ref-type="bibr" rid="B3">Andric and Rougemaille, 2021</xref>). Dozens of protein partners of lncRNAs have been reported (<xref ref-type="bibr" rid="B17">Gerstberger et al., 2014</xref>), among which the PRC2 (Polycomb Repressive Complex 2) complex has been well-studied. The PRC2 core complex consists of EED, SUZ12, EZH1, EZH2, etc. (<xref ref-type="bibr" rid="B8">Blackledge and Klose, 2021</xref>). LncRNAs such as <italic>XIST</italic>, <italic>HOTAIR</italic>, <italic>ANRIL</italic>, etc., interact with PRC2 components in the nucleus, regulating H3K27 methylation and gene silencing. These lncRNAs play an essential role in dosage compensation, imprinting, and histone accessibility (<xref ref-type="bibr" rid="B61">Yoon et al., 2013</xref>). LncRNAs can also associate with proteins in the cytosol. For example, the vascular smooth muscle cell and endothelial cell-enriched lncRNA, <italic>SENCR</italic>, interacts with cytoskeletal-associated protein (CKAP4) and modulates the surface localization of cadherin 5 (CDH5) (<xref ref-type="bibr" rid="B37">Lyu et al., 2019</xref>). This interaction plays a critical role in maintaining homeostasis and integrity of the vascular endothelial monolayer (<xref ref-type="bibr" rid="B37">Lyu et al., 2019</xref>). Another noteworthy lncRNA functioning pattern is <italic>in-cis</italic> interacting lncRNA. The lncRNA <italic>Upperhand</italic> (<italic>Uph</italic>) and the protein-coding gene Hand2 localize on chromosome 8 in the mouse genome in a divergent direction (<xref ref-type="bibr" rid="B2">Anderson et al., 2016</xref>). There is merely a 150&#xa0;bp gap between the transcription start site (TSS) between <italic>Uph</italic> and <italic>Hand2</italic>. <italic>Uph</italic> transcription processing establishes a permissive chromatin status and therefore benefits <italic>Hand2</italic> transcription initiation. The blockade of <italic>Uph</italic> transcription, but not the knockdown of <italic>Uph</italic> transcripts, compromises <italic>Hand2</italic> expression, suggesting that <italic>Uph</italic> plays an important role in <italic>Hand2</italic> transcription regulation (<xref ref-type="bibr" rid="B2">Anderson et al., 2016</xref>).</p>
</sec>
<sec id="s3">
<title>The genomic complexity of lncRNA</title>
<p>Most lncRNAs are multi-exons and undergo maturation processes like mRNAs: transcribed by the RNA polymerase II, primary lncRNA transcripts are 5&#x2032;capped, 3&#x2032;polyadenylated, and introns are removed (<xref ref-type="bibr" rid="B52">St Laurent et al., 2015</xref>). Different from mRNAs exported to the cytoplasm for protein synthesis, a portion of lncRNAs retained in the nucleus and play essential roles in gene regulation (<xref ref-type="bibr" rid="B52">St Laurent et al., 2015</xref>). For example, the inactive X chromosome-specific transcript, <italic>XIST</italic>, was discovered in the cell nucleus that dominates the X-inactivation by silencing one of the two female X chromosomes and preventing the dosage effect (<xref ref-type="bibr" rid="B9">Chao et al., 2002</xref>; <xref ref-type="bibr" rid="B30">Lee, 2012</xref>). Here arises a puzzle about how lncRNAs retained in the cell nucleus, unlike their protein-coding counterparts. Yin et al. reported that U1 snRNP regulates the chromatin retention of non-coding RNAs and revealed that mutation of the 3&#x2032;splicing site causes nuclear localization and performs <italic>cis</italic>-regulation on mRNA transcription (<xref ref-type="bibr" rid="B60">Yin et al., 2020</xref>). However, the regulatory function of nuclear lncRNAs is far from clear, partially attributed to the lack of understanding of RNA-binding proteins (RBPs) since RBPs mediate most lncRNA functions. It is estimated that there are &#x223c;1,500 RBPs encoded by the human genome (<xref ref-type="bibr" rid="B17">Gerstberger et al., 2014</xref>), whereas the actual number could be significantly more. Lately, the genome-scale investigation of RNA-binding proteins unveiled the regulatory pattern of lncRNA-protein, suggesting a novel paradigm for lncRNA study (<xref ref-type="bibr" rid="B58">Xiao et al., 2019</xref>; <xref ref-type="bibr" rid="B55">Van Nostrand et al., 2020</xref>).</p>
<p>Bearing multiple introns makes lncRNA occupy a large piece of genomic DNA space for accommodating full-length lncRNA. The longer the lncRNA primary transcript is, the more likely it overlaps and intervenes with another mRNA, lncRNA, or snoRNA coding sequence. Thus, lncRNAs were categorized into long intergenic non-coding RNA, head-to-head overlap, head-to-head non-overlap, tail-to-tail overlap, tail-to-tail non-overlap, embedded, intronic, and complicated form lncRNA according to the relative genomic localization of lncRNA to the nearby protein-coding gene (<xref ref-type="fig" rid="F1">Figure 1</xref>). Due to the complexity of the genomic locus of lncRNAs, it is a big challenge to inactive a target lncRNA without perturbing adjacent or overlapped transcript counterparts, hampering the functional study of lncRNAs.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Relative localization of lncRNA and adjacent protein-coding genes.</p>
</caption>
<graphic xlink:href="fgene-14-1242129-g001.tif"/>
</fig>
</sec>
<sec id="s4">
<title>The strategies for lncRNA functional knockout</title>
<p>Multiple strategies have been established to inactivate the lncRNA function via inheritable and uninheritable approaches, including but not limited to siRNA duplex silencing, antisense oligonucleotides (ASO) inhibition, and CRISPR-based genome editing (<xref ref-type="bibr" rid="B40">Miano et al., 2019</xref>). CRISPR-based genome editing is the primary technique resolution to create stable and transferrable lncRNA knockout cell lines or animals. Here, we summarized the overall knockout or knockdown strategies and discussed the advantages and disadvantages of each method.</p>
<sec id="s4-1">
<title>1 Removing the promoter and the first exon of lncRNA</title>
<p>Like mRNA, most lncRNAs were transcribed by RNA polymerase II and regulated by the accessibility of the chromatin state and the transcriptional factors that directly bind to the DNA duplex to recruit the initiation complex (<xref ref-type="bibr" rid="B52">St Laurent et al., 2015</xref>). Thus, a widely used strategy to inactivate lncRNA expression is to remove the promoter region from the transcription start site (TSS) to 1,000&#x2013;2000 base pair upstream (<xref ref-type="fig" rid="F2">Figure 2A</xref>) (<xref ref-type="bibr" rid="B63">Zhang et al., 2012</xref>; <xref ref-type="bibr" rid="B24">Ho et al., 2015</xref>; <xref ref-type="bibr" rid="B66">Zhen et al., 2017</xref>). Provided that most lncRNAs are multi-exon, the first exon of the target lncRNA is usually excised to ensure the inhibitory effect (<xref ref-type="bibr" rid="B6">Aparicio-Prat et al., 2015</xref>; <xref ref-type="bibr" rid="B33">Li et al., 2021</xref>). In brief, two sgRNAs are designed using sequencing flanking (&#xb1;100&#xa0;bp) target areas (-1k upstream of TSS, the 5&#x2032;splicing site of the first intron). The candidate sequences are analyzed and optimized by the on-targeting and off-targeting computational algorithms. The sgRNAs are synthesized as mature crRNA (<xref ref-type="bibr" rid="B26">Jinek et al., 2012</xref>) or inserted into the sgRNA expression cassette plasmids (<xref ref-type="bibr" rid="B45">Ran et al., 2013</xref>). The delivery of Cas9 protein can be achieved via various approaches, viral-based vectors, <italic>in vitro</italic> transcribed (IVT) RNA, and purified protein (<xref ref-type="bibr" rid="B36">Luther et al., 2018</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Schematic of lncRNA functional knockout strategies. <bold>(A)</bold> the schematic of promoter-exon1 deletion (PE) lncRNA knockout strategy; <bold>(B)</bold> the schematic of poly(A) signal insertion for lncRNA knockout; <bold>(C)</bold> the schematic of BESST lncRNA knockout method.</p>
</caption>
<graphic xlink:href="fgene-14-1242129-g002.tif"/>
</fig>
<p>The genome editing method has been comprehensively described (<xref ref-type="bibr" rid="B49">Rosenlund et al., 2021</xref>), and we are not going through all the details here. The advantages of this strategy include 1) simple: only two sgRNAs and Cas9 to be delivered, the genome editing efficiency is good; 2) excellent inhibition: since the driver of the target transcript is wholly removed, the target lncRNA is very unlikely to be expressed; 3) friendly to genotyping: the editing generates an approximately a thousand base pair gap in the genomic DNA, which is convenient to be detected via genotyping PCR and agarose gel electrophoresis. However, the flaw of this method is also significant, the apparent genome disturbance. Many lncRNA loci are close, overlap, or included in the genomic loci of another transcript, typically protein-coding genes (<xref ref-type="bibr" rid="B51">Sigova et al., 2013</xref>). Thus, removing the promoter and the first exon of the lncRNA is likely to delete the protein-coding sequence of transcripts. It causes direct compromise of the protein-coding genes and transcriptome interference and phenotype change. The collateral intervention could mislead the researcher and mask the natural biological function of the target lncRNA.</p>
</sec>
<sec id="s4-2">
<title>2 The insertion of pre-termination poly(A) signal</title>
<p>Another widely-used method to inactivate the lncRNA function is to introduce a poly(A) signal downstream of the TSS, which causes the detachment of RNA polymerase II from the DNA strand and disassembly (<xref ref-type="fig" rid="F2">Figure 2B</xref>) (<xref ref-type="bibr" rid="B35">Liu et al., 2017</xref>). Only one sgRNA is required for this approach to generate a double-strand break (DSB) by Cas9 protein. Notably, a repair template (single-strand DNA is preferred) is needed to serve as an HDR (homology-directed repair) template to introduce the poly(A) signal containing codons via homologous recombination (<xref ref-type="bibr" rid="B43">Powell et al., 2021</xref>). Notably, this strategy minimizes the perturbance of the genome structure: only a few hundred nucleotides are inserted (<xref ref-type="bibr" rid="B35">Liu et al., 2017</xref>; <xref ref-type="bibr" rid="B29">Lavalou et al., 2019</xref>; <xref ref-type="bibr" rid="B43">Powell et al., 2021</xref>). However, a few significant drawbacks are preventing it from the extensive application: 1) Low efficiency: insertion of poly(A) signal requires 3-component (sgRNA, Cas9, HDR template) CRISPR-based genome editing, compared to the 2-component (sgRNA, Cas9) strategy, the overall genome editing efficiency is limited by the recombination efficiency of the HDR template. 2) Alternative TSS: Like mRNAs, lncRNAs undergo alternative splicing and generate multiple splicing variants. If a lncRNA transcript has an alternative TSS, the knockout could fail if the poly(A) signal insertion site is upstream of the second alternative TSS. A truncated lncRNA transcript will be transcribed if the poly(A) signal insertion is too far from the TSS (<xref ref-type="bibr" rid="B38">McDonel and Guttman, 2019</xref>). Despite the low efficiency, poly(A) signal insertion is still an applicable alternative for terminating RNA transcript <italic>in vitro</italic> and <italic>in vivo</italic>.</p>
</sec>
<sec id="s4-3">
<title>3 The branchpoint to 3&#x2032;splicing site targeting (BESST) knockout strategy</title>
<p>It is well-established that lncRNAs reside in intricate gene contexts within the mammalian genome. Numerous lncRNAs are in close proximity to neighboring protein-coding genes, which can be categorized into various natural antisense transcripts (NATs), including head-to-head, tail-to-tail, and entirely overlapped (<xref ref-type="bibr" rid="B47">Reis and Poirier, 2021</xref>). Therefore, it is highly probable that the conventional CRISPR-based gene knockout strategy, which involves removing the promoter and first exon of an RNA transcript, will affect the neighboring protein-coding gene on the same or opposite strand. Goyal et al. reported that nearly 60 percent of 15,929 lncRNAs were not in secure situations for CRISPR-based gene editing (<xref ref-type="bibr" rid="B18">Goyal et al., 2017</xref>), indicating that deletion of lncRNA almost certainly results in the inactivation of protein-coding genes. The BESST (branchpoint to 3&#x2032;splicing site targeting) gene knockout strategy is a recently described method for inactivating lncRNA and protein-coding genes by removing the branchpoint to the 3&#x2032;splicing site of the last intron within a compact 18&#x2013;44&#xa0;nt region (<xref ref-type="fig" rid="F2">Figure 2C</xref>) (<xref ref-type="bibr" rid="B65">Zhang et al., 2023</xref>). The BESST removes the DNA segment from the branchpoint to the 3&#x2032;splicing site in the last exon of the target lncRNA, resulting in the intron retention and nuclear retention of the target RNA. Further research revealed that the BESST gene knockout induces lncRNA nuclear degradation by decapping via NCBP1-dependent mechanism and poly(A) deadenylation via PABPN1-mediated and CNOT7/CNOT8-dependent mechanism. Notably, the BESST knockout was validated to also function in multi-exon protein-coding genes, providing an alternative method for studying gene function. Another important aspect of the BESST knockout method is that it could facilitate researchers to determine the underlying mechanism of lncRNA. LncRNA has multiple modes of functioning, including <italic>trans-</italic> and <italic>cis</italic>-action. The BESST knockout technique could distinguish between sequence-dependence and transcription-dependence in the mechanism of lncRNAs across their genomic loci (<xref ref-type="bibr" rid="B38">McDonel and Guttman, 2019</xref>; <xref ref-type="bibr" rid="B65">Zhang et al., 2023</xref>). However, since there is no intron to deal with, we were unable to disregard the BESST application&#x2019;s limitations in single-exon RNA transcripts. In brief, the emergence of the BESST knockout strategy provides a convenient tool to inactivate multi-exon RNA transcripts with minimal genomic DNA perturbation, which could be applied to precisely identify gene function via high throughput screening. Notably, the efficiency and feasibility of BESST will be further enhanced by using optimized Cas proteins which allow less stringent PAM (protospacer-adjacent motif) sequence (<xref ref-type="bibr" rid="B56">Walton et al., 2020</xref>).</p>
</sec>
<sec id="s4-4">
<title>4 The uninheritable approach</title>
<p>Besides the CRISPR-based lncRNA knockout strategy, other methods cannot be inherited <italic>in vivo</italic>, including RNA silencing and antisense oligo (<xref ref-type="bibr" rid="B53">Stojic et al., 2018</xref>). RNA silencing is the knockdown gene approach using synthesized siRNA duplex or viral-based shRNA expression vector (<xref ref-type="bibr" rid="B12">Elbashir et al., 2001</xref>; <xref ref-type="bibr" rid="B46">Rao et al., 2009</xref>). RNA silencing is effective for knocking down protein-encoding genes, whereas it only works for a portion of lncRNA. The molecular principle of RNA silencing is the siRNA/shRNA duplex being loaded into the RISC complex and functions as a guide to associate with target mRNA with Watson-Crick pairing and initiating RNA degradation (<xref ref-type="bibr" rid="B46">Rao et al., 2009</xref>). However, RNA silencing does not work for nuclear lncRNA since there is no RISC complex distribution in the cell nucleus (<xref ref-type="bibr" rid="B62">Zeng and Cullen, 2002</xref>; <xref ref-type="bibr" rid="B31">Lennox and Behlke, 2016</xref>). Antisense oligonucleotide (ASO) is a short single-strand DNA that targets lncRNA in a sequence-specific manner and triggers RNase H activity for degradation (<xref ref-type="bibr" rid="B7">Bennett, 2019</xref>). However, ASO can only be delivered by transfection and not be loaded into a plasmid, establishing a stable expression line as shRNA. So, the animal application is limited even if the ASO showed superior efficiency in nuclear lncRNA knockdown. Cas13 is a newly emerged genetic tool that directly edits RNA transcript efficiently (<xref ref-type="bibr" rid="B42">Pickar-Oliver and Gersbach, 2019</xref>), whereas the uninheritable attribute of the method dramatically limits its application in animal study. The pros and cons of the aforementioned methodologies are summarized in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The merit and demerit of the gene knockout/knockdown methods.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Method</th>
<th align="center">Mechanism</th>
<th align="center">Merit</th>
<th align="center">Demerit</th>
<th align="center">FDA approved drugs</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="3" align="left">PE1</td>
<td rowspan="3" align="left">Remove promoter and suppress binding of transcriptional machinery</td>
<td align="left">1) Straightforward for sgRNA designing spanning promoter and first exon</td>
<td align="left">1) Disturb adjacent genes and cause unintended gene suppression, not suitable for clinical objectives</td>
<td rowspan="3" align="center">N/A</td>
</tr>
<tr>
<td align="left">2) Work for both nuclear and cytosolic lncRNAs</td>
<td rowspan="2" align="left">2) remove a large piece of DNA</td>
</tr>
<tr>
<td align="left">3) Can be transferred to descendants</td>
</tr>
<tr>
<td rowspan="4" align="left">BESST</td>
<td rowspan="4" align="left">Cause nuclear retention of target lncRNA, induce intranuclear RNA degradation</td>
<td align="left">1) Straightforward for designing targeted two sgRNAs</td>
<td align="left">1) Not work for single exon RNA transcripts</td>
<td rowspan="4" align="center">N/A</td>
</tr>
<tr>
<td align="left">2) High efficiency</td>
<td rowspan="3" align="left">2) PAM-less Cas protein preferred</td>
</tr>
<tr>
<td align="left">3) work for nuclear and cytosolic lncRNAs</td>
</tr>
<tr>
<td align="left">4) inheritable</td>
</tr>
<tr>
<td rowspan="2" align="left">Poly(A) Insertion</td>
<td rowspan="2" align="left">Pre-terminate RNA transcription by Poly(A) signals</td>
<td align="left">1) Straightforward for designing targeted one sgRNA</td>
<td align="left">1) 3-component CRISPR editing</td>
<td rowspan="2" align="center">N/A</td>
</tr>
<tr>
<td align="left">2) work for nuclear and cytosolic lncRNAs</td>
<td align="left">2) Low efficiency</td>
</tr>
<tr>
<td rowspan="4" align="left">siRNA</td>
<td rowspan="4" align="left">Cleave and degrade target RNA with a sequence-dependent manner</td>
<td align="left">1) Straightforward for designing siRNA duplexes</td>
<td align="left">1) Transient transfection</td>
<td align="left">1) Patisiran, hereditary transthyretin amyloidosis (hTTA)</td>
</tr>
<tr>
<td align="left">2) Mature to deliver by various transfection strategies</td>
<td rowspan="3" align="left">2) Off-targeting</td>
<td align="left">2) Givosiran, acute hepatic porphyrias</td>
</tr>
<tr>
<td align="left">3) Work only for cytosolic lncRNAs</td>
<td align="left">3) Umasiran, primary hyperoxaluria type 1 (PH1)</td>
</tr>
<tr>
<td align="left">4) Apply clinically</td>
<td align="left">4) Inelisiran, hypercholesterolemia</td>
</tr>
<tr>
<td rowspan="3" align="left">Lentiviral shRNA</td>
<td rowspan="3" align="left">Same with siRNA</td>
<td align="left">1) Straightforward for designing siRNA/shRNA</td>
<td align="left">1) The inhibition rate might reduce over time</td>
<td rowspan="3" align="center">N/A</td>
</tr>
<tr>
<td align="left">2) Easy to deliver via lentiviral inoculation</td>
<td rowspan="2" align="left">2) Off-targeting</td>
</tr>
<tr>
<td align="left">3) Work only for cytosolic lncRNAs</td>
</tr>
<tr>
<td rowspan="8" align="left">ASO</td>
<td rowspan="8" align="left">Intranuclear cleavage by RNase H with a sequence-dependent manner</td>
<td align="left">1) Straightforward for designing</td>
<td align="left">1) Transient transfection</td>
<td align="left">1) Formivirsen, CMV</td>
</tr>
<tr>
<td align="left">2) works only for nuclear lncRNAs</td>
<td rowspan="7" align="left">2) Trigger intracellular immune response</td>
<td align="left">2) Mipomersen, hypercholesterolemia</td>
</tr>
<tr>
<td rowspan="6" align="left">3) Apply clinically</td>
<td align="left">3) Eleplinsen, Duchenne muscular dystrophy (DMD)</td>
</tr>
<tr>
<td align="left">4) Musinersen, spinal muscular atrophy (SMA)</td>
</tr>
<tr>
<td align="left">5) Nolersen, hTTA</td>
</tr>
<tr>
<td align="left">6) Golodirsen, DMD</td>
</tr>
<tr>
<td align="left">7) Viltolarsen, DMD</td>
</tr>
<tr>
<td align="left">8) Casimersen, DMD</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s5">
<title>Perspectives</title>
<p>LncRNAs are essential regulatory molecules in cells, but the majority of lncRNAs&#x2019; biological functions are unknown. This is largely due to the fact that current functional studies are restricted to analyzing individual lncRNAs, which is laborious and inefficient. In recent years, the CRISPR-based genome-scale knockout screening and transcriptional activation method for protein-coding genes were established (<xref ref-type="bibr" rid="B15">Fox et al., 2018</xref>). Subsequently, the CRISPR-based genome-scale deletion screening of human lncRNAs was also conducted (<xref ref-type="bibr" rid="B67">Zhu et al., 2016</xref>). Due to technical limitations, these early initiatives can only investigate intergenic lncRNAs and not natural antisense lncRNAs, since large-piece DNA deletion result in unintended protein-coding or non-coding RNA expression intervention and lead to unpredictable effects. The emergence of precise and genome-wide lncRNA functional knockout methodology would no doubt expedite the understanding of lncRNA more efficiently. It will assist researchers to comprehend the importance of non-coding RNAs in various biological and pathological processes and could also be utilized for developing potential therapeutical interventions.</p>
<p>Different from proteins, the biological function of lncRNAs is mainly exerted via interacting with proteins (<xref ref-type="bibr" rid="B28">Kopp and Mendell, 2018</xref>). Rinn et al. introduced diverse patterns of lncRNAs functioning with their protein partners, including decoy, scaffold, guide, and enhancer (<xref ref-type="bibr" rid="B48">Rinn and Chang, 2012</xref>). Nevertheless, the association between lncRNA and protein is promiscuous since the RNA-protein interaction is mediated by the non-covalent bond and depended on the RNA tertiary structure, which is flexible (<xref ref-type="bibr" rid="B19">Gruber et al., 2008</xref>; <xref ref-type="bibr" rid="B14">Ferre et al., 2016</xref>). The tertiary structure of RNA is more dynamic than that of proteins and is influenced by the transcriptome, interacting proteins, ion strength, and so on (<xref ref-type="bibr" rid="B25">Jaeger et al., 1989</xref>; <xref ref-type="bibr" rid="B32">Li and Aviran, 2018</xref>). It is difficult and pointless to determine the &#x201c;true&#x201d; RNA tertiary structure of a target lncRNA in the complex biophysical environment in living cells because different cell types exhibit distinct transcriptomes and proteomes (<xref ref-type="bibr" rid="B32">Li and Aviran, 2018</xref>; <xref ref-type="bibr" rid="B50">Sanchez de Groot et al., 2019</xref>; <xref ref-type="bibr" rid="B57">Wang et al., 2021</xref>). However, we can elucidate the biological function of RNA via the aspect of the interacting proteins, which can be accomplished by a variety of technical resolutions (<xref ref-type="bibr" rid="B39">McHugh et al., 2014</xref>; <xref ref-type="bibr" rid="B44">Ramanathan et al., 2019</xref>). For example, the PAR-CLIP (photoactivatable ribonucleoside enhanced crosslinked immunoprecipitation) is able to pinpoint the exact nucleotides on RNA transcripts that are directly interacting with binding proteins by <italic>in vivo</italic> labeling nascent RNAs with photoreactive nucleosides 4-thiouridine (4-SU) or 6-thioguanosine (6SG) (<xref ref-type="bibr" rid="B20">Hafner et al., 2010</xref>). The information on direct protein-binding nucleotides revealed by PAR-CLIP could also be utilized for calculating the potential RNA tertiary structure in the future.</p>
<p>The lncRNA expression is sophisticatedly coordinated in a spatiotemporal manner. There are two fundamental components of spatiotemporal regulation: where and when. LncRNAs are expressed in different cells, especially during development. For instance, Kim and colleagues reported that lncRNA <italic>Moshe</italic> is detected in the cardiac mesoderm stage (E8.5 to E9.5) along with the expression of <italic>Gata6</italic>, and continues to be expressed and increases in the atrioventricular septum (E12.5) (<xref ref-type="bibr" rid="B27">Kim et al., 2021</xref>). Knock-down of <italic>Moshe</italic> causes transcriptional suppression of <italic>Nkx2.5</italic> and increases the expression of second heart field (SHF) lineage genes, which may play a critical role in ASD. Another level of spatial expression of lncRNAs is subcellular localization. LncRNAs exhibit distinguished biological functional and underlying mechanisms in different cell compartments. Localized lncRNAs in the cell nucleus are primarily involved in epigenetic and transcriptional regulation, whereas cytoplasmic lncRNAs are typically involved in post-transcriptional regulation, protein-protein interactions, etc. (<xref ref-type="bibr" rid="B59">Yao et al., 2019</xref>; <xref ref-type="bibr" rid="B16">Gao et al., 2020</xref>). Accordingly, a new technique, APEX-seq, was developed which can dissect the function of lncRNA in different subcellar localizations, enabling a comprehensive understanding of RNA spatiotemporal regulation (<xref ref-type="bibr" rid="B13">Fazal et al., 2019</xref>).</p>
<p>Last, but not least, the expanding range of RNA-binding proteins (RBPs) also broadens our view of lncRNA functioning. RBPs are proteins containing one or more RNA binding domains (RBDs) that can directly interact with RNA strands and alter their structure and function (<xref ref-type="bibr" rid="B22">Hentze et al., 2018</xref>). Several hundred RBPs have been identified over the years, but studies have found RBPs without conventional RBDs, suggesting the number of RBPs is underestimated (<xref ref-type="bibr" rid="B21">Hentze and Argos, 1991</xref>; <xref ref-type="bibr" rid="B23">Hentze, 1994</xref>). Notably, the unconventional RBPs introduce the subject of phase condensation or phase separation, another crucial phenomenon in cells. A growing body of research has shown that lncRNAs and unconventional RBPs, such as paraspeckles in the nucleus and processing bodies in the cytoplasm, are crucial for organizing nonmembrane organelles and controlling gene expression (<xref ref-type="bibr" rid="B15">Fox et al., 2018</xref>; <xref ref-type="bibr" rid="B68">Elguindy and Mendell, 2021</xref>; <xref ref-type="bibr" rid="B69">Hirose et al., 2023</xref>). The role of lncRNA in the formation of non-membrane organelles and how it supports specific biological processes remain largely unknown. Thus, a comprehensive multi-omics strategy is required to reveal the spatiotemporal function of lncRNA in various biological and pathological processes.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Author contributions</title>
<p>QL, SZ, and ZT drafted the manuscript, QL and ZZ supervised and revised the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by the National Natural Science Funding of China (&#x23;82070486).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<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="s9">
<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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