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Hereditas(Beijing) ›› 2026, Vol. 48 ›› Issue (2): 128-141.doi: 10.16288/j.yczz.25-076

• Review • Previous Articles     Next Articles

Advances in site-specific knock-in techniques for gene editing

Zihao Wang(), Zhaoqing Yang()   

  1. Institute of Medical Biology, Chinese Academy of Medical Sciences & Peking Union Medical College, Kunming 650118, China
  • Received:2025-04-22 Revised:2025-06-20 Online:2026-07-01 Published:2025-07-01
  • Contact: Zhaoqing Yang E-mail:zihaowang_bio@163.com;zyang@imbcams.com.cn
  • Supported by:
    CAMS Innovation Fund for Medical Sciences (CIFMS)(2021-I2M-1-024);Innovative Vaccine Vectors and Innovative Vaccine Development(202405AB350002);Yunnan Provincial Special Project for Cultivation of High-Level Health Technology Talents(L-2018003)

Abstract:

Gene-targeted knock-in technology serves as a cornerstone tool in genetic engineering and gene therapy, designed to circumvent the unpredictability and heterogeneityassociated with conventional random integration methods. However, its practical application has long been constrained by off-target activity and low efficiency during the editing process. Recent advances in site-specific recombinase systems (e.g., Bxb1 integrase) and programmable nuclease systems (e.g., CRISPR/Cas9) have significantly enhanced the precision and efficiency of gene knock-in. Notably, the Cas9-Bxb1 integrase system enables targeted integration of large DNA fragments (5−43 kb) into genomic safe harbor (GSH) sites, offering a transformative platform for disease modeling, functional genomics, and clinical therapeutics. This review systematically summarizes the progress of site-specific recombinase and nuclease systems, discusses GSH screening strategies and the role of multi-omics data in optimizing predictive models, and compares the strengths and limitations of twinPE+Bxb1 and PASTE systems. Future research should focus on developing novel integrases with low off-target activity, refining DSB-free editing technologies, and establishing cross-species GSH databases to advance applications in precision medicine and synthetic biology.

Key words: gene targeted knock-in, genomic safe harbor, CRISPR/Cas9, prime editing, Bxb1 integrase