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Review Open access

CRISPR-Cas systems as precision antimicrobials: Reversing the tide of antimicrobial resistance

Aug 2026 · Virus Research · Vol 371, pp. 199782 · 0 citations · 60 references
Medicine

TL;DR

In vivo models confirm significant reduction of resistant pathogens, supporting clinical translational potential and key challenges remain in off-target effects, manufacturing, and regulatory approval for human use.

Abstract

Highlights • CRISPR-Cas systems enable programmable, sequence-specific elimination of antimicrobial resistance genes.• Diverse Cas effectors (Cas9, Cas3, Cas12a, Cas13, Cas14) and delivery platforms (phages, plasmids, nanoparticles, OMVs) expand therapeutic versatility.• CRISPRi offers reversible resistance suppression, while AI-guided design and toxin-antitoxin systems enhance efficacy and safety.• In vivo models confirm significant reduction of resistant pathogens, supporting clinical translational potential.• Key challenges remain in off-target effects, manufacturing, and regulatory approval for human use.

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