Follow us on Instagram
Try our free mini crossword
Subscribe to the ‘Prince’
Download the app

Detecting disease earlier: How a simple CRISPR tweak could make diagnostics faster, cheaper, and more accurate

_fog-in-icahn Andrew Somerville DP.jpeg
Students work in the Carl Icahn Laboratory as mist settles on a snow-covered Poe Field. 
Andrew Somerville / The Daily Princetonian

A small change to a powerful molecular tool developed by Princeton researchers could help scientists detect disease faster and with greater accuracy.

Researchers at Princeton University are developing a new diagnostic approach using CRISPR-Cas13, an enzyme that can detect RNA from viruses and cells. Their recent work shows that adding a short piece of DNA, called an occluder, improves Cas13’s ability to identify extremely small genetic mutations. These single-letter mutations in genetic code can play a role in diseases such as cancer or determine how dangerous a virus can become.

ADVERTISEMENT

The research was led by Ofer Kimchi, Branco Weiss Fellow and Assistant Professor of Mathematics at NYU, and Ben Larsen GS in the Department of Molecular Biology. The testing was conducted while Kimchi was a postdoctoral researcher at Princeton. 

The team’s innovation tackles a key challenge with Cas13: It works extremely quickly, but it sacrifices some precision in its ability to detect small mutations. Specifically, the speed with which the Cas enzyme cuts DNA limits its ability to distinguish tiny mutations, known as single nucleotide changes, inducing major effects on virus behavior or disease development.

To solve this problem, the researchers added a short DNA sequence that acts as a physical barrier — tiny DNA speed bump — that slightly slows Cas13 down. This brief pause gives the enzyme time to check whether it has found the exact target sequence rather than a near match, dramatically improving accuracy.

“[The DNA sequence] slows down Cas13 just enough that it can take an extra beat and check, ‘Is this the exact thing that I’m supposed to bind to, or is it just pretty close?’” said Kimchi in an interview with The Daily Princetonian. “And that tiny pause makes a huge difference in specificity.”

The team sees broad potential for the technology. During the COVID-19 pandemic, they focused on viral diagnostics, and the tweak could now allow researchers to track virus mutations in real time and give healthcare workers more time to respond. Beyond infectious disease, the method could improve access to cancer mutation screening and testing for genetic disorders, many of which are caused by single-letter changes in DNA or RNA.

“Before now, the only way to test for them involved very expensive and time-consuming methods like sequencing,” Larsen told the ‘Prince.’ “So practically speaking, it means that many people around the world haven’t had access to diagnostics.”

ADVERTISEMENT
Tiger hand holding out heart
Support nonprofit student journalism. Donate to the ‘Prince.’ Donate now »

The work grew out of curiosity-driven research rather than a direct attempt to build a medical tool. Kimchi highlighted the benefit of the team’s diverse expertise, combining biology, math, physics, and bioengineering, which helped turn a fundamental question about RNA behavior into a practical innovation.

The project also included field testing beyond Princeton. Larsen described traveling to Cambodia to collaborate with scientists at the Pasteur Institute in Phnom Penh, where the team tested the diagnostic tool on patient samples of avian influenza.

Looking ahead, Kimchi said the most exciting part of the project is the unknown.

“Beyond all the things that [Larsen] talked about, the thing that I’m most excited by is the possibility of discovering things we haven’t even imagined yet,” he said.

Subscribe
Get the best of the ‘Prince’ delivered to your doorstep or inbox. Subscribe now »

For readers interested in hearing more about the science and the stories behind the research, the full interview with Kimchi and Larsen is available through The Daily Princetonian.

Aanya Kasera is a News contributor for the ‘Prince.’ She may be reached at aanya[at]princeton.edu.

Please send any corrections to corrections[at]dailyprincetonian.com.

Ofer and Ben Article_mixdown.mp3