CRISPR-Based Gene Therapy and Bioethics: A Bibliometric Mapping and Systematic Literature Review (2016–2026)
DOI:
https://doi.org/10.32332/al-jahiz.v7i2.14592Keywords:
CRISPR, Gene editing, Gene engineering, Gene therapy, BioethicsAbstract
This study integrates bibliometric mapping and a systematic literature review (SLR) to examine CRISPR-related technologies, therapeutic applications, and bioethical issues. A Scopus search on 9 May 2026 identified 275 records; predefined limits and abstract screening yielded 60 journal-source publications from 2016–2026. Biblioshiny (bibliometrix 5.0) was used to examine annual scientific production, country participation, citations, keyword co-occurrence, and thematic mapping. The highest annual output was nine publications in 2023. The United States (43), Australia (17), Spain (16), and China (13) had the highest country-production values. Gene editing, human, and gene therapy occupied basic-theme positions. Descriptive primary-focus coding of the 60 records identified ethics, governance, and public perceptions (36), therapeutic applications (17), editing mechanisms (4), and diagnostics or infectious disease (3). Reported challenges included off-target activity, delivery, and immunogenicity, while ethical issues involved germline editing, enhancement, public acceptance, and equitable access. Integrating these strands connects mapped terminology to specific technological and normative questions. The conclusions concern the selected corpus, not the clinical effectiveness or worldwide maturity of CRISPR technology.
References
Abuhammad, S., Khabour, O. F., & Alzoubi, K. H. (2021). Researchers’ views about perceived harms and benefits of gene editing: A study from the MENA region. Heliyon, 7(4). https://doi.org/10.1016/j.heliyon.2021.e06860
Ahumada-Ayala, M., Aguilar-López, R., González-Stoylov, N., Palacio-Sosa, E., Cervantes-Barragán, D. E., & Fernández-Hernández, L. (2023). Editing the human genome with CRISPR/Cas: A review of its molecular basis, current clinical applications, and bioethical implications. Revista de Investigación Clínica, 75(1), 13–28. https://doi.org/10.24875/RIC.22000252
Almutairi, F. M., Albahuth, T. B. K., Sahli, M. Y. H., Alanazi, M. M., Al-Qaisi, M. A. H., Al-Ammari, A. H. A., et al. (2024). Chronic pain management: Biochemical pathways, psychological impacts, and nursing care approaches. Egyptian Journal of Chemistry, 67(13), 1557–1565. https://doi.org/10.21608/ejchem.2024.337882.10837
Barthélémy, I., Hitte, C., & Tiret, L. (2019). The dog model in the spotlight: Legacy of a trustful cooperation. Journal of Neuromuscular Diseases, 6(4), 421–451. https://doi.org/10.3233/JND-190394
Ben Yacoub, Wohlschlegel, Sahel, Zeitz, & Audo. (2023). CRISPR/Cas9: From research to therapeutic application. Journal Français d'Ophtalmologie, 46(4), 398–407. https://doi.org/10.1016/j.jfo.2022.10.008
Brokowski, C., & Adli, M. (2019). CRISPR ethics: Moral considerations for applications of a powerful tool. Journal of Molecular Biology, 431(1), 88–101. https://doi.org/10.1016/j.jmb.2018.05.044
Cannon, P., Asokan, A., Czechowicz, A., Hammond, P., Kohn, D. B., Lieber, A., et al. (2021). Safe and effective in vivo targeting and gene editing in hematopoietic stem cells: Strategies for accelerating development. Human Gene Therapy, 32(1–2), 31–42. https://doi.org/10.1089/hum.2020.263
Cavaliere, G., & Palacios-González, C. (2018). Lesbian motherhood and mitochondrial replacement techniques: Reproductive freedom and genetic kinship. Journal of Medical Ethics, 44(12), 835–842.
Chevalier, M., Fadel, F., Májer, T., Magda, D. P., Gerendás, L., Kilin, F., et al. (2025). Engineering infrared light detection in blind human retina using ultrasensitive human TRPV1 channels. Trends in Biotechnology, 43(12), 3236–3252.
Chin, A. H. B., & Sun, N. (2024). Do not overlook the possibility of genome-edited somatic cells ending up in the human germline. Journal of Community Genetics, 15(6), 749–752. https://doi.org/10.1007/s12687-024-00741-8
Courtright-Lim, A. (2022). “CRISPR for Disabilities: How to Self-Regulate” or something? Journal of Bioethical Inquiry, 19(1), 151–161. https://doi.org/10.1007/s11673-021-10162-8
Dandoti, S. S., & Ansari, K. M. N. (2023). Global research assessment of CRISPR: A scientometric analysis of literature published in Scopus. Journal of Scientometric Research, 12(1), 2–16. https://doi.org/10.5530/jscires.12.1.004
Davison, J. (2018). Gene editing: A view through the prism of inherited metabolic disorders. The New Bioethics, 24(1), 2–8. https://doi.org/10.1080/20502877.2018.1443563
de Miguel Beriain, I. (2018). Human dignity and gene editing: Using human dignity as an argument against modifying the human genome and germline is a logical fallacy. EMBO Reports, 19(10). https://doi.org/10.15252/embr.201846789
Dervis, H. (2019). Bibliometric analysis using bibliometrix an R package. Journal of Scientometric Research, 8(3), 156–160.
Donthu, N., Kumar, S., Mukherjee, D., Pandey, N., & Lim, W. M. (2021). How to conduct a bibliometric analysis: An overview and guidelines. Journal of Business Research, 133, 285–296.
El ouar, I., & Djekoun, A. (2021). Therapeutic and diagnostic relevance of CRISPR technology. Biomedicine & Pharmacotherapy, 138. https://doi.org/10.1016/j.biopha.2021.111487
Evans, J. H. (2021). Setting ethical limits on human gene editing after the fall of the somatic/germline barrier. Proceedings of the National Academy of Sciences of the United States of America, 118(22). https://doi.org/10.1073/pnas.2004837117
Friedmann, T. (2019). Genetic therapies, human genetic enhancement, and … eugenics? Gene Therapy, 26(9), 351–353. https://doi.org/10.1038/s41434-019-0088-1
Gabel, I., & Moreno, J. (2019). Genome editing, ethics, and politics. AMA Journal of Ethics, 21(12), E1105–1110. https://doi.org/10.1001/amajethics.2019.1105
Gerardi, C., & Xinaris, C. (2025). Beyond human limits: The ethical, social, and regulatory implications of human enhancement. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1595213
Gómez-Tatay, L., Hernández-Andreu, J. M., & Aznar, J. (2017). Mitochondrial modification techniques and ethical issues. Journal of Clinical Medicine, 6(3). https://doi.org/10.3390/jcm6030025
Gonzalez-Avila, L. U., Vega-López, J. M., Pelcastre-Rodríguez, L. I., Cabrero-Martínez, O. A., Hernández-Cortez, C., & Castro-Escarpulli, G. (2021). The challenge of CRISPR-Cas toward bioethics. Frontiers in Microbiology, 12. https://doi.org/10.3389/fmicb.2021.657981
Gorchakova, N., Belenichev, I., Hnatiuk, V., Oliynyk, S., Kuchkovskyi, O., Moshkivska, J., et al. (2023). Genetic doping: Realities, perspectives of application in sports and bioethical aspects. Phyther Journal, 2023(1), 5–16.
Greenbaum, D., & Cabrera, L. Y. (2020). Editorial: ELSI in human enhancement: What distinguishes it from therapy? Frontiers in Genetics, 11, 618. https://doi.org/10.3389/fgene.2020.00618
Gutiérrez-Rodríguez, A., Cruz-Fuentes, C. S., Genis-Mendoza, A. D., & Nicolini, H. (2023). CRISPR/Cas9 genome editing approaches for psychiatric research. Brazilian Journal of Psychiatry, 45(2), 137–145. https://doi.org/10.47626/1516-4446-2022-2913
Hryhorowicz, M., Lipiński, D., & Zeyland, J. (2023). Evolution of CRISPR/Cas systems for precise genome editing. International Journal of Molecular Sciences, 24(18). https://doi.org/10.3390/ijms241814233
Hung, S. S. C., McCaughey, T., Swann, O., Pébay, A., & Hewitt, A. W. (2016). Genome engineering in ophthalmology: Application of CRISPR/Cas to the treatment of eye disease. Progress in Retinal and Eye Research, 53, 1–20. https://doi.org/10.1016/j.preteyeres.2016.05.001
Ijuin, A., Hayama, T., & Sakakibara, H. (2022). The acceptance to germline gene therapy increased during COVID-19 pandemic among Japanese medical students. Journal of Obstetrics and Gynaecology Research, 48(6), 1495–1496. https://doi.org/10.1111/jog.15246
Ishii, T. (2016). Somatic genome editing for health: Disease treatments and beyond. Current Stem Cell Reports, 2(4), 313–320. https://doi.org/10.1007/s40778-016-0061-5
Janssens, A. C. J. W. (2016). Designing babies through gene editing: Science or science fiction? Genetics in Medicine, 18(12), 1186–1187. https://doi.org/10.1038/gim.2016.28
Kamruzzaman, M., Yan, A., & Castro-Escarpulli, G. (2022). Editorial: CRISPR-Cas systems in bacteria and archaea. Frontiers in Microbiology, 13. https://doi.org/10.3389/fmicb.2022.887778
Kao, Y. T., Fan, H. C., Ro-Lin Chang, G., Chen, J. K., Yen, C. C., Sufian, M., et al. (2025). Transformative approaches in hemophilia management: From traditional therapies to prenatal stem cell treatment. Frontiers in Bioengineering and Biotechnology, 13. https://doi.org/10.3389/fbioe.2025.1684096
Kim, E. J., Kang, K. H., & Ju, J. H. (2017). CRISPR-Cas9: A promising tool for gene editing on induced pluripotent stem cells. The Korean Journal of Internal Medicine, 32(1), 42–61. https://doi.org/10.3904/kjim.2016.198
Lau, R. W., Wang, B., & Ricardo, S. D. (2018). Gene editing of stem cells for kidney disease modelling and therapeutic intervention. Nephrology, 23(11), 981–990. https://doi.org/10.1111/nep.13410
Lee, J. H., Wang, J. H., Chen, J., Li, F., Edwards, T. L., Hewitt, A. W., & Liu, G. S. (2019). Gene therapy for visual loss: Opportunities and concerns. Progress in Retinal and Eye Research, 68, 31–53.
McCarthy, M. W. (2020). Harnessing the potential of CRISPR-based platforms to advance the field of hospital medicine. Expert Review of Anti-Infective Therapy, 18(8), 799–805. https://doi.org/10.1080/14787210.2020.1761333
McCaughey, T., Budden, D. M., Sanfilippo, P. G., Gooden, G. E. C., Fan, L., Fenwick, E., et al. (2019). A need for better understanding is the major determinant for public perceptions of human gene editing. Human Gene Therapy, 30(1), 36–43. https://doi.org/10.1089/hum.2018.033
Mengstie, M. A., & Wondimu, B. Z. (2021). Mechanism and applications of CRISPR/Cas-9-mediated genome editing. Biologics: Targets and Therapy, 15, 353–361. https://doi.org/10.2147/BTT.S326422
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Journal of Clinical Epidemiology, 62(10), 1006–1012.
Motta, B. M., Pramstaller, P. P., Hicks, A. A., & Rossini, A. (2017). The impact of CRISPR/Cas9 technology on cardiac research: From disease modelling to therapeutic approaches. Stem Cells International, 2017. https://doi.org/10.1155/2017/8960236
Mulvihill, J. J., Capps, B., Joly, Y., Lysaght, T., Zwart, H. A. E., & Chadwick, R. (2017). Ethical issues of CRISPR technology and gene editing through the lens of solidarity. British Medical Bulletin, 122(1), 17–29. https://doi.org/10.1093/bmb/ldx002
Neuhaus, C. P., & Caplan, A. L. (2017). Genome editing: Bioethics shows the way. PLOS Biology, 15(3). https://doi.org/10.1371/journal.pbio.2001934
Newson, A. J., & Wrigley, A. (2017). Is mitochondrial donation germ-line gene therapy? Classifications and ethical implications. Bioethics, 31(1), 55–67.
Niazi, S. K. (2023). The dawn of in vivo gene editing era: A revolution in the making. Biologics, 3(4), 253–295. https://doi.org/10.3390/biologics3040014
Peng, W., Zhao, Q., Chen, J., Peng, H., & Jiang, H. (2025). Gene therapy for disorders of sex development: Current applications and future challenges. Frontiers in Genetics, 16. https://doi.org/10.3389/fgene.2025.1661127
Pieczynski, J. N., & Kee, H. L. (2021). “Designer babies?!” A CRISPR-based learning module for undergraduates built around the CCR5 gene. Biochemistry and Molecular Biology Education, 49(1), 80–93. https://doi.org/10.1002/bmb.21395
Ramos, P. D., Almeida, M. S., & Olsson, I. A. S. (2023). What do people think about genetic engineering? A systematic review of questionnaire surveys before and after the introduction of CRISPR. Frontiers in Genome Editing, 5. https://doi.org/10.3389/fgeed.2023.1284547
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, 105(2), e47114. https://doi.org/10.1097/MD.0000000000047114
Rueda, J., Beriain, Í. d. M., & Montoliu, L. (2024). Affordable pricing of CRISPR treatments is a pressing ethical imperative. The CRISPR Journal, 7(5), 220–226. https://doi.org/10.1089/crispr.2024.0042
Santosa, I. S., Purwanto, E. A., Sumaryono, S., & Utomo, P. P. (2025). Understanding work engagement in public administration: A comprehensive bibliometric and systematic review of the past decade. Social Sciences & Humanities Open, 11.
Savulescu, J., & Singer, P. (2019). An ethical pathway for gene editing. Bioethics, 33(2), 221–222. https://doi.org/10.1111/bioe.12570
Schnarr, A., & Mertz, M. (2022). States of uncertainty, risk–benefit assessment and early clinical research: A conceptual investigation. Science and Engineering Ethics, 28(6). https://doi.org/10.1007/s11948-022-00418-w
Spartalis, M., Siasos, G., & Spartalis, E. (2023). Inherited arrhythmias and gene therapy: Are there any ethical considerations to take into account? World Journal of Cardiology, 15(12), 623–626. https://doi.org/10.4330/wjc.v15.i12.623
Sugarman, J., Shivakumar, S., Rook, M., Loring, J. F., Rehmann-Sutter, C., Taupitz, J., et al. (2018). Ethical considerations in the manufacture, sale, and distribution of genome editing technologies. The American Journal of Bioethics, 18(8), 3–6. https://doi.org/10.1080/15265161.2018.1489653
Sykora, P., & Caplan, A. (2017). The Council of Europe should not reaffirm the ban on germline genome editing in humans. EMBO Reports, 18(11), 1871–1872. https://doi.org/10.15252/embr.201745246
Taher, T. Z., Yousefi, M. H., Afkhami, H., Kavianpour, M., & Kheirkhah, A. H. (2026). CRISPR-Cas12 in immunotherapy and beyond: Advances and challenges. Current Research in Biotechnology, 11. https://doi.org/10.1016/j.crbiot.2025.100356
Tripathi, S., Khatri, P., Fatima, Z., Pandey, R. P., & Hameed, S. (2023). A landscape of CRISPR/Cas technique for emerging viral disease diagnostics and therapeutics: Progress and prospects. Pathogens, 12(1). https://doi.org/10.3390/pathogens12010056
Uchiyama, M., Nagai, A., & Muto, K. (2018). Survey on the perception of germline genome editing among the general public in Japan. Journal of Human Genetics, 63(6), 745–748. https://doi.org/10.1038/s10038-018-0430-2
Vassena, R., Heindryckx, B., Peco, R., Pennings, G., Raya, A., Sermon, K., & Veiga, A. (2016). Genome engineering through CRISPR/Cas9 technology in the human germline and pluripotent stem cells. Human Reproduction Update, 22(4), 411–419. https://doi.org/10.1093/humupd/dmw005
Vetter, N. (2017). Sudden cardiac death and ethical issues of CRISPR technology. British Medical Bulletin, 122(1), 1–3. https://doi.org/10.1093/bmb/ldx015
Volarevic, V., Markovic, B. S., Gazdic, M., Volarevic, A., Jovicic, N., Arsenijevic, N., & Lako, M. (2018). Ethical and safety issues of stem cell-based therapy. International Journal of Medical Sciences, 15(1), 36–45.
Walker, R. L., Ferguson, Z., Mitchell, L., & Waltz, M. (2025). Enhancing animals is “still genetics”: Perspectives of genome scientists and policymakers on animal and human enhancement. AJOB Empirical Bioethics, 16(2), 94–102. https://doi.org/10.1080/23294515.2024.2441688
Walters, L., Cook-Deegan, R. M., & Adashi, E. Y. (2021). Governing heritable human genome editing: A textual history and a proposal for the future. The CRISPR Journal, 4(4), 469–476. https://doi.org/10.1089/crispr.2021.0043
Wei, X., Pu, A., Liu, Q., Hou, Q., Zhang, Y., An, X., et al. (2022). The bibliometric landscape of gene editing innovation and regulation in the worldwide. Cells, 11(17), 2682. https://doi.org/10.3390/cells11172682
Yu-Wai-Man, P. (2016). Genetic manipulation for inherited neurodegenerative diseases: Myth or reality? British Journal of Ophthalmology, 100(10), 1322–1331. https://doi.org/10.1136/bjophthalmol-2015-308329
Yuliana, A., Ahmar, Ansari, Kurniasih, N., Irawan, D., Sutiksno, D., Napitupulu, D., Hafid, H., Setiawan, M. I., Simarmata, J., Wibowo, A., Sururi, A., Iskandar, A., Saleky, A., Kurniawan, C., Sagala, D., Novitasari, D., Indriani, D., Kismawadi, E. R., Ende, Souisa, F., & Abraham, J. (2018). Lecturers’ Understanding on Indexing Databases of SINTA, DOAJ, Google Scholar, SCOPUS, and Web of Science: A Study of Indonesians. Journal of Physics: Conference Series, 954(1). https://doi.org/10.1088/1742-6596/954/1/012026
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