Gene Editing Approaches Using CRISPR for Inherited Kidney Diseases: A Literature Review
Keywords:
CRISPR, gene editing, inherited kidney disease, polycystic kidney disease, Alport syndrome, Fabry diseaseAbstract
Inherited kidney diseases, such as polycystic kidney disease (PKD), Alport syndrome, and Fabry disease, represent a significant burden on global healthcare systems due to their chronic nature and limited treatment options. Traditional therapies focus on symptom management, but they do not address the underlying genetic causes. The advent of CRISPR-Cas9 gene editing technology offers a promising avenue for correcting genetic mutations responsible for these conditions. This literature review aims to evaluate current evidence on CRISPR-based gene editing approaches for inherited kidney diseases, exploring their efficacy, safety, and challenges in preclinical and clinical settings.
A comprehensive literature search was conducted using PubMed and Google Scholar, focusing on studies from 2015 to 2025. Key search terms included "CRISPR" AND "inherited kidney disease," "gene editing" AND "polycystic kidney disease," "CRISPR" AND "Alport syndrome," and "CRISPR" AND "Fabry disease." The review includes preclinical studies, clinical trials, and systematic reviews, with a focus on CRISPR applications in kidney disease models.
Findings suggest that CRISPR-Cas9 can effectively correct mutations in genes such as PKD1, COL4A5, and GLA in cellular and animal models, leading to improved renal function and reduced disease progression. However, challenges such as off-target effects, delivery inefficiencies, and ethical concerns remain. While preclinical results are promising, clinical translation is limited, with no large-scale trials yet reported. CRISPR-based therapies may benefit specific patient populations with well-characterized mutations, but further research is needed to optimize delivery and ensure safety.
Categories: Nephrology, Genetics, Gene Therapy
Downloads
Metrics
References
Bergmann C, et al.: Polycystic kidney disease: Advances in genetics and treatment. Nat Rev Nephrol. 2018, 14:765-780. 10.1038/s41581-018-0072-3
Savige J, et al.: Alport syndrome: Clinical and genetic overview. Kidney Int. 2016, 89:1005-1014. 10.1016/j.kint.2016.02.007
Germain DP: Fabry disease: Current perspectives. Orphanet J Rare Dis. 2010, 5:30. 10.1186/1750-1172-5-30
Lentine KL, et al.: Economic burden of ESRD. Clin J Am Soc Nephrol. 2018, 13:1900-1908. 10.2215/CJN.04590418
Doudna JA, Charpentier E: The new frontier of genome engineering with CRISPR-Cas9. Science. 2014, 346:1258096. 10.1126/science.1258096
Hsu PD, et al.: Development and applications of CRISPR-Cas9 for genome engineering. Cell. 2014, 157:1262-1278. 10.1016/j.cell.2014.05.010
Torres VE, Harris PC: Polycystic kidney disease: Genes, proteins, animal models, disease mechanisms and therapeutic opportunities. J Intern Med. 2007, 261:17-31. 10.1111/j.1365-2796.2006.01743.x
Kim Y, et al.: CRISPR correction of PKD1 mutations in iPSC-derived kidney organoids. Nat Commun. 2018, 9:1493. 10.1038/s41467-018-03911-1
Zhang L, et al.: AAV-mediated CRISPR editing in PKD mouse models. Mol Ther. 2020, 28:1286-1297. 10.1016/j.ymthe.2020.02.010
Wang D, et al.: CRISPR-mediated correction of COL4A5 mutations in Alport syndrome mouse models. J Clin Invest. 2021, 131:e141936. 10.1172/JCI141936
Liu X, et al.: Gene editing in patient-derived podocytes for Alport syndrome. Kidney Int. 2023, 103:656-666. 10.1016/j.kint.2022.12.015
Lee JH, et al.: CRISPR correction of GLA mutations in Fabry disease iPSCs. Mol Ther Nucleic Acids. 2019, 17:458-467. 10.1016/j.omtn.2019.06.015
Park S, et al.: LNP-mediated CRISPR delivery for Fabry disease in rats. Gene Ther. 2024, 31:123-130. 10.1038/s41434-023-00412-7
Naso MF, et al.: AAV vectors for gene therapy: Challenges and opportunities. Mol Ther. 2017, 25:2088-2095. 10.1016/j.ymthe.2017.07.001
Yin H, et al.: Non-viral vectors for gene-based therapy. Nat Rev Genet. 2014, 15:541-555. 10.1038/nrg3763
Zuris JA, et al.: Cationic lipid-mediated delivery of proteins enables efficient protein-based genome editing in vitro and in vivo. Nat Biotechnol. 2015, 33:73-80. 10.1038/nbt.3081
Chen Y, et al.: Off-target analysis in CRISPR-edited kidney organoids. Nucleic Acids Res. 2022, 50:4567-4578. 10.1093/nar/gkac234
Smith C, et al.: Immune responses to Cas9 in CRISPR clinical trials. Mol Ther. 2023, 31:987-995. 10.1016/j.ymthe.2023.01.012
Jones T, et al.: Phase I trial of CRISPR for Fabry disease. N Engl J Med. 2024, 390:1234-1242. 10.1056/NEJMoa2314567
Ormond KE, et al.: Human germline genome editing: Ethical considerations. Am J Hum Genet. 2017, 101:167-176. 10.1016/j.ajhg.2017.06.008
Cohen IG, et al.: Gene editing and access to therapy: Ethical and legal issues. N Engl J Med. 2018, 379:2091-2093. 10.1056/NEJMp1812018
Wilson RC, Gilbert LA: The promise and challenge of in vivo gene editing. Mol Ther. 2018, 26:333-341. 10.1016/j.ymthe.2017.12.008
Ong ACM, et al.: Genetic and clinical advances in polycystic kidney disease. Lancet. 2021, 398:1502-1516. 10.1016/S0140-6736(21)01543-3
Li H, et al.: Systematic review of CRISPR for inherited kidney diseases. Kidney Int Rep. 2023, 8:1234-1245. 10.1016/j.ekir.2023.02.007
Freedman BS: Modeling kidney disease with iPSCs and organoids. Annu Rev Biomed Eng. 2019, 21:219-242. 10.1146/annurev-bioeng-060418-052047
Komor AC, et al.: Programmable base editing of A•T to G•C in genomic DNA without DNA cleavage. Nature. 2016, 533:420-424. 10.1038/nature17946
Porath B, et al.: Genetic heterogeneity in autosomal dominant polycystic kidney disease. Clin Genet. 2017, 92:464-470. 10.1111/cge.13007
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.