Aplicaciones y limitaciones de CRISPR-Cas9 en la terapia del cáncer de mama: Una revisión estructurada de la evidencia (2018-2026)
DOI:
https://doi.org/10.46502/issn.2710-995X/2026.14.04Palavras-chave:
CRISPR- CAS9, Cáncer de mama, Edición génica, Terapia, Medicina personalizada.Resumo
Esta revisión estructurada evaluó las aplicaciones biomédicas y las limitaciones del sistema CRISPR-Cas9 en el tratamiento del cáncer de mama. Se llevó a cabo una búsqueda exhaustiva en PubMed de artículos publicados entre el 1 de enero de 2018 y el 27 de mayo de 2026, utilizando las palabras clave «CRISPR-Cas9», «Breast cancer» y «Clinical trial». El proceso de selección siguió dos etapas rigurosas con criterios de inclusión y exclusión predefinidos, analizando títulos, resúmenes y textos completos. Se identificaron doce estudios, ninguno de los cuales correspondía a ensayos clínicos en humanos. Sin embargo, las investigaciones preclínicas aportaron pruebas alentadoras, incluida la validación exitosa de nuevas dianas terapéuticas, la inhibición del crecimiento tumoral y estrategias para superar la resistencia a los fármacos. Estos hallazgos destacan el potencial de CRISPR-Cas9 como una herramienta poderosa para avanzar en la investigación del cáncer de mama y en futuras aplicaciones terapéuticas. No obstante, su traslación clínica sigue limitada por desafíos importantes, particularmente en lo que respecta a lograr una administración dirigida precisa, minimizar los efectos off-target y gestionar las respuestas inmunitarias. Superar estos obstáculos será esencial para materializar todo el potencial terapéutico de CRISPR-Cas9 en oncología.
Downloads
Referências
Ahmed, M., Daoud, G. H., Mohamed, A., & Harati, R. (2021). New insights into the therapeutic applications of CRISPR/Cas9 genome editing in breast cancer. Genes (Basel), 12(5), 723. https://doi.org/10.3390/genes12050723
Athanasopoulou, K., Adamopoulos, P. G., Tsiakanikas, P., & Scorilas, A. (2025). Exploring the m5C epitranscriptome of mRNAs in breast cancer cells through genome engineering and long-read sequencing approaches. Functional & Integrative Genomics, 25(1), 136. https://doi.org/10.1007/s10142-025-01648-4
Aziz, A., Rehman, U., Sheikh, A., Abourehab, M. A. S., & Kesharwani, P. (2023). Lipid-based nanocarrier mediated CRISPR/Cas9 delivery for cancer therapy. Journal of Biomaterials Science, Polymer Edition, 34(3), 398–418. https://doi.org/10.1080/09205063.2022.2121592
Balaraman, A.K., Babu, M.A., Moglad, E., Mandaliya, V., Rekha, M.M., Gupta, S., Prasad, V.G.S., Kumari, M., Chauhan, A.S., Ali, H., & Goyal, K. (2025). Exosome-mediated delivery of CRISPR-Cas9: A revolutionary approach to cancer gene editing. Pathology - Research and Practice, 266, 155785. https://doi.org/10.1016/j.prp.2024.155785
Barzaman, K., Karami, J., Zarei, Z., Hosseinzadeh, A., Kazemi, M. H., Moradi-Kalbolandi, S., Safari, E., & Farahmand, L. (2020). Breast cancer: Biology, biomarkers, and treatments. International Immunopharmacology, 84, 106535. https://doi.org/10.1016/j.intimp.2020.106535
Batır, M. B., Şahin, E., & Çam, F. S. (2019). Evaluation of the CRISPR/Cas9 directed mutant TP53 gene repairing effect in human prostate cancer cell line PC-3. Molecular Biology Reports, 46(6), 6471–6484. https://doi.org/10.1007/s11033-019-05093-y
Bolotin, A., Quinquis, B., Sorokin, A., & Ehrlich, S.D. (2005). Clustered regularly interspaced short palindrome repeats (CRISPRs) have spacers of extrachromosomal origin. Microbiology, 151, 2551–2561. https://doi.org/10.1099/mic.0.28048-0
Bruno, B., Wäsch, R., Engelhardt, M., Gay, F., Giaccone, L., D’Agostino, M., Rodríguez-Lobato, L. G., Danhof, S., Gagelmann, N., Kröger, N., Popat, R., Van de Donk, N. W. C. J., Terpos, E., Dimopoulos, M. A., Sonneveld, P., Einsele, H., & Boccadoro, M. (2021). European Myeloma Network perspective on CAR T-cell therapies for multiple myeloma. Haematologica, 106(8), 2054–2065. https://doi.org/10.3324/haematol.2020.276402
Caswell-Jin, J.L., Lorenz, C., & Curtis, Ch. (2021). Molecular Heterogeneity and Evolution in Breast Cancer. Annual Review of Cancer Biology, 5, 79-94. https://doi.org/10.1146/annurev-cancerbio-060220-014137
Cerci, B., Saatci, O., Basik, M., & Sahin, O. (2026). Mechanisms of resistance to antibody-drug conjugates in breast câncer. Drug Resistance Updates, 85, 101353, https://doi.org/10.1016/j.drup.2026.101353
Chakraborty, C., Bhattacharya, M., Das, A., Agoramoorthy, G., & Lee, S. S. (2026). CRISPR-Cas9-mediated therapeutics: Current clinical trials and therapy approval landscape to treat human diseases. Molecular Therapy – Nucleic Acids, 37(1), 102859. https://doi.org/10.1016/j.omtn.2026.102859
Chatterjee, B., Majumder, P., Chen, C. C., Wang, J. P., Su, P. H., Lai, H. C., Liu, C. C., Lin, H. N., Yu, C. A., Yuan, H. S., & Shen, C. J. (2025). Hypoxia-induced genome-wide DNA demethylation by DNMT3A and EMT of cancer cells. Cellular & Molecular Biology Letters, 30(1), 95. https://doi.org/10.1186/s11658-025-00775-x
Chen, A., Wen, S., Liu, F., Zhang, Z., Liu, M., Wu, Y., He, B., Yan, M., Kang, T., Lam, E. W., Wang, Z., & Liu, Q. (2021). CRISPR/Cas9 screening identifies a kinetochore-microtubule dependent mechanism for Aurora-A inhibitor resistance in breast cancer. Cancer Communications (London, England), 41(2), 121–139. https://doi.org/10.1002/cac2.12125
Chen, Y., & Zhang, Y. (2018). Application of the CRISPR/Cas9 system to drug resistance in breast cancer. Advanced Science, 5(6), 1700964. https://doi.org/10.1002/advs.201700964
Christopher, C.W., & Zhou, X. (2026). In vivo CRISPR editing for cancer immunotherapy. Frontiers in Immunology, 17, 1872510. https://doi.org/10.3389/fimmu.2026.1872510
Danyaei, A., Ghanbarnasab-Behbahani, R., Teimoori, A., Neisi, N., & Chegeni, N. (2024). El uso simultáneo de CRISPR/Cas9 para eliminar el gen PI3Kca mediante radiación y así mejorar la radiosensibilidad e inhibir el crecimiento tumoral en el cáncer de mama. Iranian Journal of Basic Medical Sciences, 27(12), 1566–1573. https://doi.org/10.22038/ijbms.2024.79249.17167
Dekkers, J. F., Whittle, J. R., Vaillant, F., Chen, H. R., Dawson, C., Liu, K., Geurts, M. H., Herold, M. J., Clevers, H., Lindeman, G. J., & Visvader, J. E. (2020). Modeling breast cancer using CRISPR-Cas9-mediated engineering of human breast organoids. Journal of the National Cancer Institute, 112(5), 540–544. https://doi.org/10.1093/jnci/djz196
Gelsomino, L., Caruso, A., Tasan, E., Leonetti, A. E., Malivindi, R., Naimo, G. D., ... & Andò, S. (2024). Evidence that CRISPR-Cas9 Y537S-mutant expressing breast cancer cells activate Yes-associated protein 1 to driving the conversion of normal fibroblasts into cancer-associated fibroblasts. Cell Communication and Signaling, 22(1), 545. https://doi.org/10.1186/s12964-024-01918-x
Goren, M.G., Doron, S., Globus, R., Amitai, G., Sorek, R., & Qimron, U. (2016). Repeat Size Determination by Two Molecular Rulers in the Type I-E CRISPR Array. Cell reports, 16(11), 2811-2818. https://doi.org/10.1016/j.celrep.2016.08.043
Grigg, S., Shembrey, C., Fareh, M., Blombery, P., Corn, J. E., Seymour, J. F., & Casan, J. M. (2026). CRISPR in clinical oncology: translational advances from molecular diagnostics to therapeutics. Nature Reviews Clinical Oncology, 23, 743–765. https://doi.org/10.1038/s41571-026-01179-2
Hanahan, D. (2022). Hallmarks of Cancer: New Dimensions. Cancer Discov, 12(1), 31-46. https://doi.org/10.1158/2159-8290.CD-21-1059
Hannafon, B. N., Cai, A., Calloway, C. L., Xu, Y. F., Zhang, R., Fung, K. M., & Ding, W. Q. (2019). miR-23b y miR-27b son microARNs oncogénicos en el cáncer de mama: evidencia de un estudio de deleción de CRISPR/Cas9. BMC Cancer, 19(1), 642. https://doi.org/10.1186/s12885-019-5839-2
Ishino, Y., Krupovic, M., & Forterre, P. (2018). History of CRISPR-Cas from encounter with a mysterious repeated sequence to genome editing technology. Journal of bacteriology, 200(7), 10-1128. https://doi.org/10.1128/JB.00580-17
Jafarian, A., Shokri, G., Shokrollahi Barough, M., Moin, M., Pourpak, Z., & Soleimani, M. (2019). Recent Advances in Gene Therapy and Modeling of Chronic Granulomatous Disease. Iranian journal of allergy, asthma, and immunology, 18(2), 131–142. https://pubmed.ncbi.nlm.nih.gov/31066249/
Karn, V., Sandhya, S., Hsu, W., Parashar, D., Singh, H. N., Jha, N. K., Gupta, S., Dubey, N. K., & Kumar, S. (2022). CRISPR/Cas9 system in breast cancer therapy: Advancement, limitations and future scope. Cancer Cell International, 22(1), 234. https://doi.org/10.1186/s12935-022-02654-3
Katsura, C., Ogunmwonyi, I., Kankam, H. K., & Saha, S. (2022). Breast cancer: Presentation, investigation and management. British Journal of Hospital Medicine, 83(2), 1–7. https://doi.org/10.12968/hmed.2021.0459
Li, Z., Wei, H., Li, S., Wu, P., & Mao, X. (2022). The role of progesterone receptors in breast cancer. Drug Design, Development and Therapy, 16, 305–314. https://doi.org/10.2147/DDDT.S336643
Liang, Y., Iqbal, Z., Wang, J., Xu L., Xu, X., Ouyang, K., Zhang, H., Lu, J., Duan, L., & Xia, J. (2022). Cell-derived extracellular vesicles for CRISPR/Cas9 delivery: engineering strategies for cargo packaging and loading. Biomaterials science, 10(15), 4095-4106. https://doi.org/10.1039/d2bm00480a
López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2013). The hallmarks of aging. Cell, 153(6), 1194-1217. https://doi.org/10.1016/j.cell.2013.05.039
Lou, E. (2022). Quantity versus quality: Keys to adoptive cell therapy success in breast cancer. Med, 3(4), 220–222. https://doi.org/10.1016/j.medj.2022.03.007
Madigan, V., Zhang, F., & Dahlman, J. E. (2023). Drug delivery systems for CRISPR-based genome editors. Nature Reviews Drug Discovery, 22(11), 875-894. https://doi.org/10.1038/s41573-023-00762-x
Manzoor, H., Jabeen, I., Saeed, M. T., Kayani, M. U. R., & Huang, L. (2025). Metagenomic analyses reveal E. coli-derived siderophores as potential signatures for breast cancer. Journal of Translational Medicine, 24(1), 84. https://doi.org/10.1186/s12967-025-07513-z
Ministerio de Salud de Chile, División de Prevención y Control de Enfermedades. (s. f.). Guías de práctica clínica: Cáncer de mama – Descripción y epidemiología. https://diprece.minsal.cl/garantias-explicitas-en-salud-auge-o-ges/guias-de-practica-clinica/cancer-de-mama/descripcion-y-epidemiologia/
Mintz, R. L., Lao, Y. H., Chi, C. W., He, S., Li, M., Quek, C. H., Shao, D., Chen, B., Han, J., Wang, S., & Leong, K. W. (2020). CRISPR/Cas9-mediated mutagenesis to validate the synergy between PARP1 inhibition and chemotherapy in BRCA1-mutated breast cancer cells. Bioengineering & Translational Medicine, 5(1), e10152. https://doi.org/10.1002/btm2.10152
Nidhi, S., Anand, U., Oleksak, P., Tripathi, P., Lal, J. A., Thomas, G., Kuca, K., & Tripathi, V. (2021). Novel CRISPR–CAS systems: An updated review of the current achievements, applications, and future research perspectives. International Journal of Molecular Sciences, 22, 3327. https://doi.org/10.3390/ijms22073327
Ng, C. X., Mustafa, S., Yap, X. Y., & Lee, S. H. (2026). CRISPR/Cas9 in cancer therapy: clinical translation, mechanistic strategies, and therapeutic directions. Frontiers in Oncology, 16, 1888734. https://doi.org/10.3389/fonc.2026.1888734
Nuñez, J. K., Kranzusch, P. J., Noeske, J., Wright, A. V., Davies, C. W., & Doudna, J. A. (2014). Cas1-Cas2 complex formation mediates spacer acquisition during CRISPR-Cas adaptive immunity. Nature Structural & Molecular Biology, 21(6), 528–534. https://doi.org/10.1038/nsmb.2820
Oudelaar, A. M., & Higgs, D. R. (2021). The relationship between genome structure and function. Nature Reviews Genetics, 22(3), 154–168. https://doi.org/10.1038/s41576-020-00303-x
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, 71 https://doi.org/10.1136/bmj.n71
Rehman, S. U., & Abbas, G. H. (2026) CRISPR/CAS9-based gene editing in cancer therapy: A systematic review and meta-analysis on current status and future directions. Medicine (Baltimore), 105(2), e47114. https://doi.org/10.1097/MD.0000000000047114
Samadi, P., Saki, S., Dermani, F. K., Pourjafar, M., & Saidijam, M. (2018). Emerging ways to treat breast cancer: Will promises be met? Cellular Oncology (Dordrecht), 41(6), 605–621. https://doi.org/10.1007/s13402-018-0409-1
Samuels, M., Besta, S., Betrán, A. L., Nia, R. S., Xie, X., Gu, X., ... & Giamas, G. (2025). CRISPR screening approaches in breast cancer research. Cancer and Metastasis Reviews, 44(3), 59. https://doi.org/10.1007/s10555-025-10275-1
Sheikh, M., Khobragade, D., Sakore, A., & Telrandhe, U. (2026). Harnessing albumin’s natural tumor-targeting properties: Nanoplatform strategies for triple-negative breast cancer therapy. Discover Nano, 21(1), 3. https://doi.org/10.1186/s11671-025-04411-7
Stadtmauer, E. A., Fraietta, J. A., Davis, M. M., Cohen, A. D., Weber, K. L., Lancaster, E., ... & June, C. H. (2020). CRISPR-engineered T cells in patients with refractory cancer. Science, 367(6481), eaba7365. https://doi.org/10.1126/science.aba7365
Tankka, A. T., Zhang, Y., Einstein, J. M., Zhou, C. J., Pham, V. N., Naritomi, J. T., ... & Yeo, G. W. (2026). Integrative CRISPR screening and RNA analyses discover an essential role for PUF60 interactions with 3′ splice sites in cancer progression. Cancer Research, 86(7), 1586–1604. https://doi.org/10.1158/0008-5472.CAN-25-0453
Tau, S., Chamberlin, M. D., Yang, H., Marotti, J. D., Muskus, P. C., Roberts, A. M., ... & Miller, T. W. (2025). Oxidative phosphorylation is a metabolic vulnerability of endocrine therapy-tolerant persister cells in ER+ breast cancer. Cancer Research, 85(6), 1145–1161. https://doi.org/10.1158/0008-5472.CAN-24-1204
Tiwari, P. K., Ko, T. H., Dubey, R., Chouhan, M., Tsai, L. W., Singh, H. N., Chaubey, K. K., Dayal, D., Chiang, C. W., & Kumar, S. (2023). CRISPR/Cas9 as a therapeutic tool for triple negative breast cancer: From bench to clinics. Frontiers in Molecular Biosciences, 10, 1214489. https://doi.org/10.3389/fmolb.2023.1214489
Turner, K. M., Yeo, S. K., Holm, T. M., Shaughnessy, E., & Guan, J. L. (2021). Heterogeneity within molecular subtypes of breast cancer. American Journal of Physiology-Cell Physiology, 321(2), C343-C354. https://doi.org/10.1152/ajpcell.00109.2021
World Health Organization, International Agency for Research on Cancer. (2024). GLOBOCAN 2024. Cancer Today: Fact sheets – Populations. https://gco.iarc.who.int/today/en/fact-sheets-populations#countries
Xu, J., Cheng, L., Ma, S., Gan, C., Chai, J., Zheng, X., ... & Cheng, H. (2026). In vivo CRISPR/Cas9 Screening Reveals that UBE2L3 Modulates Autophagic Flux through TSC2 Ubiquitination and Potentiates PD-1 Blockade in Triple-Negative Breast Cancer. International Journal of Biological Sciences, 22(6), 2950–2969. https://doi.org/10.7150/ijbs.124937
Xu, Y., & Li, Z. (2020). CRISPR-Cas systems: Overview, innovations and applications in human disease research and gene therapy. Computational and Structural Biotechnology Journal, 18, 2401–2415. https://doi.org/10.1016/j.csbj.2020.08.031
Yang, F., & Scott, T. A. (2026). Advances in lipid nanoparticles delivering genetic medicines for solid cancers. Molecular Therapy – Nucleic Acids, 37(1), 102838. https://doi.org/10.1016/j.omtn.2026.102838
Yang, M., Zeng, C., Li, P., Qian, L., Ding, B., Huang, L., ... & Wu, W. (2019). Impact of CXCR4 and CXCR7 knockout by CRISPR/Cas9 on the function of triple-negative breast cancer cells. OncoTargets and Therapy, 12, 3849–3858. https://doi.org/10.2147/OTT.S195661
Yaremenko, A. V., Khan, M. M., Zhen, X., Tang, Y., & Tao, W. (2025). Clinical advances of mRNA vaccines for cancer immunotherapy. Med, 6(1), 100562. https://doi.org/10.1016/j.medj.2024.11.015
Zhang, H., Qin, C., An, C., Zheng, X., Wen, S., Chen, W., ... & Wu, Y. (2021). Application of the CRISPR/Cas9-based gene editing technique in basic research, diagnosis, and therapy of cancer. Molecular Cancer, 20(1), 126. https://doi.org/10.1186/s12943-021-01431-6
Zhao, Z., Li, C., Tong, F., Deng, J., Huang, G., & Sang, Y. (2021). Review of applications of CRISPR-Cas9 gene-editing technology in cancer research. Biological Procedures Online, 23(1), 14. https://doi.org/10.1186/s12575-021-00151-x
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2026 Patricia Pozo Sanhueza, José Patricio Mondaca Muñoz, Paulo Alexander Diaz Aguirre, Julio César Escalona Arranz

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.







