An important consideration in gene editing technology.

Typically checked through several complementary approaches, including:

  1. Computational Prediction: computational tools to predict potential off-target sites based on sequence similarity to the target site
    • Tools like Cas-OFFinder or COSMID scan the genome for sequences that match the guide RNA with some allowed mismatches
    • These generate a list of potential off-target sites to check experimentally
  2. Experimental Validation: a) Targeted Sequencing:
    • PCR amplification of predicted off-target sites
    • Deep sequencing of these regions to detect any indels (indel @ off-target site = evidence of off-target editing)
    • GUIDE-seq: Uses integration of double-stranded oligonucleotides at DNA break sites
    • DISCOVER-seq: Tracks DNA repair factors to identify where Cas9 cuts
    • CIRCLE-seq: Uses cell-free DNA to identify potential cut sites
    • These methods can find unpredicted off-target sites
  3. Analysis:

For therapeutic applications, even more stringent methods might be used, including whole genome sequencing to look for any unexpected mutations.