Can you help me with making a presentation for seminar on CRISPR cas 9 in biochemistry 1st year mbbs

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CRISPR Cas9 clinical trials gene therapy

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CRISPR Cas9 mechanism clinical applications 2024 2025 breakthroughs

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Running Command

mkdir -p /home/daytona/workspace/crispr-pptx && ls /home/daytona/workspace/crispr-pptx

Writing File

~/crispr-pptx/build.js

const pptxgen = require("pptxgenjs");

let pres = new pptxgen();
pres.layout = 'LAYOUT_16x9';
pres.title = 'CRISPR-Cas9: Genome Editing Technology';
pres.author = 'Biochemistry Seminar - 1st Year MBBS';

// ─── COLOR PALETTE ──────────────────────────────────────────────
// Deep navy dominates, electric teal accent, light slate text
const C = {
  navy:      "0D1B2A",  // dominant background
  darkNavy:  "060D14",  // darker variant for sections
  teal:      "00C2A0",  // accent / headings
  tealLight: "00E5BF",  // lighter teal for highlights
  white:     "FFFFFF",
  offWhite:  "E8F4F2",
  slate:     "A8C5C0",  // muted body text
  coral:     "FF6B6B",  // warning / limitations
  gold:      "FFD166",  // emphasis
  charcoal:  "1E3040",  // card backgrounds
};

// ─── HELPER FUNCTIONS ───────────────────────────────────────────
function addSlideTitle(slide, title, subtitle) {
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    x: 0, y: 0, w: 10, h: 0.75,
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    fontSize: 22, bold: true, color: C.navy,
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}

function bullet(text, sub) {
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}
function subbullet(text) { return bullet(text, true); }

function addCard(slide, x, y, w, h, title, lines) {
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    x, y, w, h,
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  slide.addText(lines, {
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    fontSize: 11, color: C.offWhite,
    fontFace: "Calibri", valign: "top", margin: 0
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 1 — TITLE SLIDE
// ════════════════════════════════════════════════════════════════
let s1 = pres.addSlide();
s1.background = { color: C.navy };

// Large teal accent band
s1.addShape(pres.ShapeType.rect, {
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  fill: { color: C.teal }, line: { type: "none" }
});
s1.addShape(pres.ShapeType.rect, {
  x: 0, y: 1.88, w: 10, h: 0.04,
  fill: { color: C.tealLight }, line: { type: "none" }
});

s1.addText("CRISPR-Cas9", {
  x: 0.5, y: 0.3, w: 9, h: 1.3,
  fontSize: 56, bold: true, color: C.teal,
  fontFace: "Calibri", charSpacing: 4, align: "center"
});
s1.addText("Genome Editing Technology", {
  x: 0.5, y: 1.55, w: 9, h: 0.4,
  fontSize: 22, color: C.offWhite,
  fontFace: "Calibri", align: "center"
});
s1.addText("Biochemistry Seminar  |  1st Year MBBS", {
  x: 0.5, y: 2.1, w: 9, h: 0.35,
  fontSize: 14, color: C.slate,
  fontFace: "Calibri", align: "center", italic: true
});

// DNA helix decorative dots
for (let i = 0; i < 8; i++) {
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  s1.addShape(pres.ShapeType.ellipse, {
    x: xPos, y: 3.0 + (i % 2 === 0 ? 0 : 0.3), w: 0.18, h: 0.18,
    fill: { color: i % 2 === 0 ? C.teal : C.gold }, line: { type: "none" }
  });
}

s1.addText([
  { text: "Nobel Prize in Chemistry 2020  |  ", options: { color: C.gold, fontSize: 12 } },
  { text: "Doudna & Charpentier", options: { color: C.tealLight, fontSize: 12, bold: true } }
], { x: 0.5, y: 4.3, w: 9, h: 0.3, align: "center" });

s1.addText([
  { text: "Sources: ", options: { bold: true, color: C.slate, fontSize: 10 } },
  { text: "Harper's Biochemistry 32e  |  Schwartz's Surgery 11e  |  Tietz Lab Medicine 7e", options: { color: C.slate, fontSize: 10 } }
], { x: 0.5, y: 5.2, w: 9, h: 0.3, align: "center" });

// ════════════════════════════════════════════════════════════════
// SLIDE 2 — OUTLINE
// ════════════════════════════════════════════════════════════════
let s2 = pres.addSlide();
s2.background = { color: C.navy };
addSlideTitle(s2, "Seminar Outline", "What we will cover today");

const topics = [
  ["01", "Historical background & discovery"],
  ["02", "Biological origin — bacterial immune system"],
  ["03", "Molecular components of CRISPR-Cas9"],
  ["04", "Mechanism of action (step-by-step)"],
  ["05", "DNA repair pathways: NHEJ vs HDR"],
  ["06", "Delivery methods"],
  ["07", "Medical & clinical applications"],
  ["08", "Limitations & off-target effects"],
  ["09", "Ethical considerations"],
  ["10", "Future perspectives & FDA approvals"],
];

const col1 = topics.slice(0, 5);
const col2 = topics.slice(5);

col1.forEach(([num, label], i) => {
  s2.addShape(pres.ShapeType.roundRect, {
    x: 0.3, y: 0.9 + i * 0.9, w: 0.45, h: 0.45,
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  });
  s2.addText(label, {
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    fontSize: 13, color: C.offWhite,
    fontFace: "Calibri", valign: "middle", margin: 0
  });
});

col2.forEach(([num, label], i) => {
  s2.addShape(pres.ShapeType.roundRect, {
    x: 5.2, y: 0.9 + i * 0.9, w: 0.45, h: 0.45,
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  s2.addText(num, {
    x: 5.2, y: 0.9 + i * 0.9, w: 0.45, h: 0.45,
    fontSize: 13, bold: true, color: C.navy,
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  });
  s2.addText(label, {
    x: 5.75, y: 0.92 + i * 0.9, w: 3.9, h: 0.38,
    fontSize: 13, color: C.offWhite,
    fontFace: "Calibri", valign: "middle", margin: 0
  });
});

// ════════════════════════════════════════════════════════════════
// SLIDE 3 — HISTORY & DISCOVERY
// ════════════════════════════════════════════════════════════════
let s3 = pres.addSlide();
s3.background = { color: C.navy };
addSlideTitle(s3, "History & Discovery", "From bacterial genome curiosity to Nobel Prize");

const timeline = [
  { year: "1987", color: C.slate, text: "CRISPR repeats first described in E. coli genome by Yoshizumi Ishino (Japan)" },
  { year: "2002", color: C.tealLight, text: "Term 'CRISPR' coined; Cas genes identified flanking the repeat arrays" },
  { year: "2007", color: C.tealLight, text: "Barrangou et al. demonstrate CRISPR provides adaptive immunity in bacteria (Streptococcus thermophilus)" },
  { year: "2012", color: C.teal, text: "Doudna & Charpentier show Cas9 + guide RNA can cut purified DNA precisely (Science)" },
  { year: "2013", color: C.gold, text: "Zhang (Broad Institute) & Church (Harvard) adapt CRISPR-Cas9 for mammalian cell editing" },
  { year: "2020", color: C.coral, text: "Nobel Prize in Chemistry awarded to Jennifer Doudna & Emmanuelle Charpentier" },
  { year: "2023", color: C.teal, text: "FDA approves CASGEVY — first CRISPR-based therapy — for sickle cell disease & β-thalassemia" },
];

timeline.forEach((item, i) => {
  let yPos = 0.95 + i * 0.66;
  // Year pill
  s3.addShape(pres.ShapeType.roundRect, {
    x: 0.25, y: yPos, w: 0.75, h: 0.38,
    fill: { color: C.charcoal }, line: { color: item.color, pt: 1.5 }, rectRadius: 0.05
  });
  s3.addText(item.year, {
    x: 0.25, y: yPos, w: 0.75, h: 0.38,
    fontSize: 11, bold: true, color: item.color,
    fontFace: "Calibri", align: "center", valign: "middle", margin: 0
  });
  // Connector dot
  s3.addShape(pres.ShapeType.ellipse, {
    x: 1.1, y: yPos + 0.14, w: 0.12, h: 0.12,
    fill: { color: item.color }, line: { type: "none" }
  });
  // Text
  s3.addText(item.text, {
    x: 1.3, y: yPos, w: 8.4, h: 0.38,
    fontSize: 12, color: C.offWhite,
    fontFace: "Calibri", valign: "middle", margin: 0
  });
  // Vertical line connector (except last)
  if (i < timeline.length - 1) {
    s3.addShape(pres.ShapeType.line, {
      x: 0.595, y: yPos + 0.38, w: 0, h: 0.28,
      line: { color: C.slate, pt: 1, dashType: "dash" }
    });
  }
});

// ════════════════════════════════════════════════════════════════
// SLIDE 4 — BACTERIAL IMMUNE SYSTEM
// ════════════════════════════════════════════════════════════════
let s4 = pres.addSlide();
s4.background = { color: C.navy };
addSlideTitle(s4, "Biological Origin: Bacterial Adaptive Immunity", "How bacteria fight viruses using CRISPR");

s4.addText("CRISPR = Clustered Regularly Interspaced Short Palindromic Repeats", {
  x: 0.3, y: 0.85, w: 9.4, h: 0.4,
  fontSize: 14, bold: true, color: C.gold,
  fontFace: "Calibri", align: "center"
});

const phases = [
  {
    icon: "①",
    title: "ADAPTATION PHASE",
    color: C.teal,
    text: "Invading phage DNA fragment ('proto-spacer') is inserted into the bacterial CRISPR locus as a new spacer. This creates a 'memory' of the infection. PAM sequence (NGG) marks the proto-spacer."
  },
  {
    icon: "②",
    title: "crRNA BIOGENESIS",
    color: C.gold,
    text: "The CRISPR array is transcribed into a long pre-crRNA. Cas proteins cleave it into short CRISPR RNAs (crRNAs), each containing one spacer sequence. A transactivating crRNA (tracrRNA) base-pairs with crRNA."
  },
  {
    icon: "③",
    title: "INTERFERENCE PHASE",
    color: C.coral,
    text: "On re-exposure, crRNA–tracrRNA–Cas9 complex scans DNA. The crRNA base-pairs with complementary foreign DNA. Cas9 introduces a double-strand break (DSB), destroying the invader's genome."
  },
];

phases.forEach((p, i) => {
  let xPos = 0.25 + i * 3.22;
  s4.addShape(pres.ShapeType.roundRect, {
    x: xPos, y: 1.4, w: 3.1, h: 3.8,
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  });
  s4.addText(p.icon, {
    x: xPos, y: 1.45, w: 3.1, h: 0.5,
    fontSize: 22, bold: true, color: p.color,
    fontFace: "Calibri", align: "center", margin: 0
  });
  s4.addText(p.title, {
    x: xPos + 0.1, y: 1.95, w: 2.9, h: 0.45,
    fontSize: 12, bold: true, color: p.color,
    fontFace: "Calibri", align: "center", margin: 0
  });
  s4.addText(p.text, {
    x: xPos + 0.12, y: 2.42, w: 2.86, h: 2.6,
    fontSize: 11, color: C.offWhite,
    fontFace: "Calibri", valign: "top", margin: 0
  });
  if (i < 2) {
    s4.addText("→", {
      x: xPos + 3.0, y: 2.9, w: 0.25, h: 0.35,
      fontSize: 22, color: C.tealLight,
      fontFace: "Calibri", align: "center", margin: 0
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});

s4.addText("Source: Tietz Textbook of Lab Medicine 7e, Chapter 67  |  Schwartz's Surgery 11e, Chapter 15", {
  x: 0.3, y: 5.3, w: 9.4, h: 0.25,
  fontSize: 9, color: C.slate, fontFace: "Calibri", italic: true
});

// ════════════════════════════════════════════════════════════════
// SLIDE 5 — MOLECULAR COMPONENTS
// ════════════════════════════════════════════════════════════════
let s5 = pres.addSlide();
s5.background = { color: C.navy };
addSlideTitle(s5, "Molecular Components of CRISPR-Cas9", "Two-component system: Cas9 protein + guide RNA");

// Left column — Cas9 protein
s5.addShape(pres.ShapeType.roundRect, {
  x: 0.25, y: 0.9, w: 4.55, h: 4.5,
  fill: { color: C.charcoal }, line: { color: C.teal, pt: 2 }, rectRadius: 0.1
});
s5.addText("CAS9 PROTEIN", {
  x: 0.35, y: 0.95, w: 4.35, h: 0.38,
  fontSize: 14, bold: true, color: C.teal,
  fontFace: "Calibri", align: "center", margin: 0
});
s5.addText("(from Streptococcus pyogenes)", {
  x: 0.35, y: 1.3, w: 4.35, h: 0.28,
  fontSize: 10, color: C.slate, italic: true,
  fontFace: "Calibri", align: "center", margin: 0
});

const cas9Points = [
  ["RuvC-like domain", "Cuts the non-template (proto-spacer) strand"],
  ["HNH-like domain", "Cuts the template strand (complementary to guide RNA)"],
  ["PAM interaction", "Reads NGG motif to position cleavage — 3 bp upstream of cut"],
  ["Blunt cut", "Generates a blunt-ended DSB 3 bp 5' to the PAM sequence"],
  ["Size", "~160 kDa; ~1368 aa; bilobed architecture"],
];

cas9Points.forEach(([title, desc], i) => {
  let yy = 1.68 + i * 0.7;
  s5.addShape(pres.ShapeType.ellipse, { x: 0.38, y: yy + 0.08, w: 0.16, h: 0.16, fill: { color: C.teal }, line: { type: "none" } });
  s5.addText([
    { text: title + ": ", options: { bold: true, color: C.tealLight, fontSize: 12 } },
    { text: desc, options: { color: C.offWhite, fontSize: 11 } }
  ], { x: 0.6, y: yy, w: 4.1, h: 0.6, fontFace: "Calibri", valign: "top", margin: 0 });
});

// Right column — Guide RNA
s5.addShape(pres.ShapeType.roundRect, {
  x: 5.2, y: 0.9, w: 4.55, h: 4.5,
  fill: { color: C.charcoal }, line: { color: C.gold, pt: 2 }, rectRadius: 0.1
});
s5.addText("GUIDE RNA (sgRNA)", {
  x: 5.3, y: 0.95, w: 4.35, h: 0.38,
  fontSize: 14, bold: true, color: C.gold,
  fontFace: "Calibri", align: "center", margin: 0
});
s5.addText("(single guide RNA = crRNA + tracrRNA fusion)", {
  x: 5.3, y: 1.3, w: 4.35, h: 0.28,
  fontSize: 10, color: C.slate, italic: true,
  fontFace: "Calibri", align: "center", margin: 0
});

const rnaPoints = [
  ["Spacer sequence", "20 nt complementary to target DNA; determines specificity"],
  ["tracrRNA scaffold", "Structural backbone; binds and activates Cas9"],
  ["Loop region", "Connects spacer to scaffold in sgRNA design"],
  ["Programmable", "Only the 20 nt spacer needs to be changed per target"],
  ["Off-target risk", "Mismatches tolerated up to ~5 nt from PAM-distal end"],
];

rnaPoints.forEach(([title, desc], i) => {
  let yy = 1.68 + i * 0.7;
  s5.addShape(pres.ShapeType.ellipse, { x: 5.33, y: yy + 0.08, w: 0.16, h: 0.16, fill: { color: C.gold }, line: { type: "none" } });
  s5.addText([
    { text: title + ": ", options: { bold: true, color: C.gold, fontSize: 12 } },
    { text: desc, options: { color: C.offWhite, fontSize: 11 } }
  ], { x: 5.55, y: yy, w: 4.1, h: 0.6, fontFace: "Calibri", valign: "top", margin: 0 });
});

s5.addText("Source: Schwartz's Surgery 11e, pp. 534–536  |  Harper's Biochemistry 32e, Table 39-2", {
  x: 0.3, y: 5.35, w: 9.4, h: 0.25,
  fontSize: 9, color: C.slate, fontFace: "Calibri", italic: true
});

// ════════════════════════════════════════════════════════════════
// SLIDE 6 — MECHANISM OF ACTION
// ════════════════════════════════════════════════════════════════
let s6 = pres.addSlide();
s6.background = { color: C.navy };
addSlideTitle(s6, "Mechanism of Action", "Step-by-step guide RNA-directed genome cleavage");

const steps = [
  { n: "1", title: "Guide RNA Design", color: C.teal, text: "A 20-nucleotide spacer sequence is designed complementary to the target DNA locus. This is cloned into an expression vector upstream of the tracrRNA scaffold to form sgRNA." },
  { n: "2", title: "Complex Assembly", color: C.tealLight, text: "Cas9 protein binds the sgRNA scaffold. The complex undergoes conformational change that activates the nuclease domains." },
  { n: "3", title: "PAM Recognition", color: C.gold, text: "The complex scans DNA for the PAM motif (5'-NGG-3'). On finding it, Cas9 unwinds the dsDNA and checks for complementarity between sgRNA and target strand." },
  { n: "4", title: "R-loop Formation", color: C.gold, text: "If sgRNA matches the target (seed region: 12 nt proximal to PAM must match), the sgRNA invades the DNA and forms a stable R-loop hybrid." },
  { n: "5", title: "Double-Strand Break", color: C.coral, text: "HNH cleaves the target strand; RuvC cleaves the non-target strand. Result: blunt-ended DSB 3 bp upstream of the PAM site." },
  { n: "6", title: "DNA Repair", color: C.coral, text: "Cell repairs DSB via NHEJ (error-prone → gene KO) or HDR (precise editing using a donor template). Outcome determines whether gene is disrupted or modified." },
];

steps.forEach((step, i) => {
  let col = i < 3 ? 0 : 1;
  let row = i % 3;
  let xPos = 0.25 + col * 5.0;
  let yPos = 0.88 + row * 1.56;

  s6.addShape(pres.ShapeType.roundRect, {
    x: xPos, y: yPos, w: 4.7, h: 1.48,
    fill: { color: C.charcoal }, line: { color: step.color, pt: 1.5 }, rectRadius: 0.08
  });
  s6.addShape(pres.ShapeType.ellipse, {
    x: xPos + 0.1, y: yPos + 0.12, w: 0.45, h: 0.45,
    fill: { color: step.color }, line: { type: "none" }
  });
  s6.addText(step.n, {
    x: xPos + 0.1, y: yPos + 0.12, w: 0.45, h: 0.45,
    fontSize: 16, bold: true, color: C.navy,
    fontFace: "Calibri", align: "center", valign: "middle", margin: 0
  });
  s6.addText(step.title, {
    x: xPos + 0.65, y: yPos + 0.1, w: 3.9, h: 0.35,
    fontSize: 13, bold: true, color: step.color,
    fontFace: "Calibri", valign: "middle", margin: 0
  });
  s6.addText(step.text, {
    x: xPos + 0.12, y: yPos + 0.52, w: 4.46, h: 0.88,
    fontSize: 10.5, color: C.offWhite,
    fontFace: "Calibri", valign: "top", margin: 0
  });
});

// ════════════════════════════════════════════════════════════════
// SLIDE 7 — NHEJ vs HDR
// ════════════════════════════════════════════════════════════════
let s7 = pres.addSlide();
s7.background = { color: C.navy };
addSlideTitle(s7, "DNA Repair Pathways After DSB", "NHEJ vs Homology-Directed Repair (HDR)");

// Shared intro
s7.addText("After Cas9-induced double-strand break (DSB), the cell repairs via one of two pathways:", {
  x: 0.3, y: 0.83, w: 9.4, h: 0.32,
  fontSize: 12, color: C.offWhite, fontFace: "Calibri"
});

// NHEJ card
s7.addShape(pres.ShapeType.roundRect, {
  x: 0.25, y: 1.22, w: 4.55, h: 4.15,
  fill: { color: C.charcoal }, line: { color: C.coral, pt: 2 }, rectRadius: 0.1
});
s7.addText("NON-HOMOLOGOUS END-JOINING (NHEJ)", {
  x: 0.35, y: 1.27, w: 4.35, h: 0.5,
  fontSize: 12, bold: true, color: C.coral,
  fontFace: "Calibri", align: "center", margin: 0
});

const nhejPoints = [
  "No repair template needed",
  "Active in all cell cycle phases",
  "End-binding proteins (Ku70/Ku80) recognize DSB",
  "Ligation is error-prone → random indels",
  "Frameshift mutations → premature stop codons",
  "Result: GENE KNOCKOUT (KO)",
  "High efficiency — preferred for loss-of-function studies",
];

nhejPoints.forEach((pt, i) => {
  s7.addShape(pres.ShapeType.ellipse, { x: 0.38, y: 1.85 + i * 0.48, w: 0.13, h: 0.13, fill: { color: C.coral }, line: { type: "none" } });
  s7.addText(pt, {
    x: 0.58, y: 1.82 + i * 0.48, w: 4.1, h: 0.38,
    fontSize: 11, color: i === 5 ? C.coral : C.offWhite,
    bold: i === 5, fontFace: "Calibri", valign: "middle", margin: 0
  });
});

// HDR card
s7.addShape(pres.ShapeType.roundRect, {
  x: 5.2, y: 1.22, w: 4.55, h: 4.15,
  fill: { color: C.charcoal }, line: { color: C.teal, pt: 2 }, rectRadius: 0.1
});
s7.addText("HOMOLOGY-DIRECTED REPAIR (HDR)", {
  x: 5.3, y: 1.27, w: 4.35, h: 0.5,
  fontSize: 12, bold: true, color: C.teal,
  fontFace: "Calibri", align: "center", margin: 0
});

const hdrPoints = [
  "Requires homologous donor template (ssDNA or dsDNA)",
  "Active mainly in S/G2 phase → lower efficiency",
  "Uses sequence from template to repair DSB",
  "Precise insertion, deletion, or point mutation",
  "Can add reporter genes (GFP, luciferase) or tags",
  "Result: PRECISE GENE EDITING",
  "Lower efficiency than NHEJ; cell-type dependent",
];

hdrPoints.forEach((pt, i) => {
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// ════════════════════════════════════════════════════════════════
// SLIDE 8 — MEDICAL APPLICATIONS
// ════════════════════════════════════════════════════════════════
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      "Sickle cell disease: reactivates fetal haemoglobin (HbF) by disrupting BCL11A gene",
      "β-Thalassaemia: 98.2% of patients achieved transfusion independence (5.5 yr follow-up)",
      "95.6% of SCD patients free from vaso-occlusive crises for ≥12 months"
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      "hATTR amyloidosis: NTLA-2001 (Intellia) — ~90% reduction in TTR protein (NEJM 2024, Phase I)",
      "Hereditary angioedema: CRISPR KO of KLKB1 gene in liver — single IV dose",
      "CPS1 deficiency: personalised CRISPR therapy in infant (lipid nanoparticle delivery, May 2025)",
      "Duchenne muscular dystrophy: exon skipping to restore dystrophin reading frame"
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// ════════════════════════════════════════════════════════════════
// SLIDE 9 — LIMITATIONS & OFF-TARGET EFFECTS
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// ════════════════════════════════════════════════════════════════
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      "He Jiankui 2018 scandal: first CRISPR-edited babies (CCR5 KO for HIV resistance) — universally condemned",
      "Heritable changes affect all future generations without their consent",
      "Slippery slope toward 'designer babies' and eugenics",
      "WHO, National Academies: moratorium on clinical germline editing until safety proven",
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      "CASGEVY: ~$2.2 million USD per patient — inaccessible for 95% of sickle cell patients globally",
      "Sickle cell disease disproportionately affects sub-Saharan Africa, South Asia — lowest-income regions",
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// ════════════════════════════════════════════════════════════════
// SLIDE 11 — FUTURE PERSPECTIVES & FDA APPROVALS
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  { phase: "Phase I/II", drug: "EBT-101", cond: "HIV/AIDS", detail: "Excision Biotherapeutics — excision of HIV proviral DNA" },
  { phase: "Phase I/II", drug: "NTLA-5001", cond: "Acute Myeloid Leukemia", detail: "CRISPR-edited T-cell receptor T-cells targeting WT1 antigen" },
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const nextgen = [
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  { tool: "CRISPRi / CRISPRa", desc: "dCas9 fused to repressors/activators; controls gene expression without cuts" },
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// ════════════════════════════════════════════════════════════════
// SLIDE 12 — SUMMARY / KEY TAKEAWAYS
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// ────────────────────────────────────────────────────────────────
// WRITE FILE
// ────────────────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/crispr-pptx/CRISPR_Cas9_MBBS_Seminar.pptx" })
  .then(() => console.log("✓ Presentation written successfully"))
  .catch(err => { console.error("Error:", err); process.exit(1); });
Running Command

cd /home/daytona/workspace/crispr-pptx && node build.js 2>&1

Running Command

ls -lh /home/daytona/workspace/crispr-pptx/CRISPR_Cas9_MBBS_Seminar.pptx

Your presentation is ready! Download it here:

CRISPR Cas9 MBBS Seminar

Presentation · PPTX


What's in the deck (12 slides)

#SlideHighlights
1Title SlideDark navy + electric teal design; Nobel Prize callout
2OutlineAll 10 topics listed with numbered cards
3History & DiscoveryTimeline from 1987 E. coli discovery → 2023 FDA approval
4Bacterial Immune System3-phase process (Adaptation → crRNA biogenesis → Interference)
5Molecular ComponentsCas9 domains (RuvC, HNH, PAM) vs sgRNA structure, side-by-side
6Mechanism of Action6-step process: guide design → PAM recognition → R-loop → DSB
7NHEJ vs HDRDual card layout comparing both repair pathways with clinical relevance
8Medical Applications4 categories: Haematology, Oncology, Infectious Disease, Metabolic/Neuro
9Limitations6 challenges: off-targets, delivery, mosaicism, HDR inefficiency, immunogenicity, cost
10EthicsGermline editing (He Jiankui scandal), Access & Equity, Consent issues
11Future & FDA ApprovalsCASGEVY approval details, pipeline drugs, next-gen tools (Base/Prime editing)
12Key Takeaways5 numbered summary points
Sources used:
  • Harper's Illustrated Biochemistry 32e (Table 39-2)
  • Schwartz's Principles of Surgery 11e (Chapter 15, pp. 533-536)
  • Tietz Textbook of Laboratory Medicine 7e (Chapter 67)
  • PubMed: Tyumentseva 2023, Laurent 2024, Singh 2024, Cetin 2025
  • CRISPR Medicine News (June 2025 - CASGEVY 5.5-year follow-up data)

Can you do it again

Asking for Preferences
Asking for Preferences
Reading File
Writing File

~/crispr-pptx/build_v2.js

const pptxgen = require("pptxgenjs");

let pres = new pptxgen();
pres.layout = 'LAYOUT_16x9';
pres.title = 'CRISPR-Cas9: Genome Editing Technology';

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// ─── HELPERS ───────────────────────────────────────────────────

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    fill: { color: C.bgAlt },
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    rectRadius: 0.1
  });
}

// Step badge
function badge(slide, x, y, label, color) {
  slide.addShape(pres.ShapeType.roundRect, {
    x, y, w: 0.55, h: 0.4,
    fill: { color: color }, line: { type: "none" }, rectRadius: 0.06
  });
  slide.addText(label, {
    x, y, w: 0.55, h: 0.4,
    fontSize: 14, bold: true, color: C.darkText,
    fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 1 — TITLE
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };

  // Diagonal lime wedge
  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 0, w: 10, h: 5.625,
    fill: { type: "solid", color: C.bg }, line: { type: "none" }
  });

  // Top left corner accent block
  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 0, w: 3.2, h: 0.18,
    fill: { color: C.lime }, line: { type: "none" }
  });
  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 0, w: 0.18, h: 5.625,
    fill: { color: C.lime }, line: { type: "none" }
  });

  // Bottom right corner accent
  s.addShape(pres.ShapeType.rect, {
    x: 0, y: 5.45, w: 10, h: 0.18,
    fill: { color: C.limeDeep }, line: { type: "none" }
  });
  s.addShape(pres.ShapeType.rect, {
    x: 9.82, y: 0, w: 0.18, h: 5.625,
    fill: { color: C.limeDeep }, line: { type: "none" }
  });

  // Big CRISPR title
  s.addText("CRISPR", {
    x: 0.4, y: 0.55, w: 9.2, h: 1.6,
    fontSize: 88, bold: true, color: C.lime,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 8, margin: 0
  });
  // Hyphen underline
  s.addShape(pres.ShapeType.rect, {
    x: 1.5, y: 2.1, w: 7.0, h: 0.06,
    fill: { color: C.green }, line: { type: "none" }
  });
  s.addText("Cas9 Gene Editing Technology", {
    x: 0.4, y: 2.22, w: 9.2, h: 0.55,
    fontSize: 26, bold: false, color: C.offWhite,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 2, margin: 0
  });
  s.addText("Biochemistry Seminar  ·  1st Year MBBS", {
    x: 0.4, y: 2.88, w: 9.2, h: 0.38,
    fontSize: 15, color: C.muted, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });

  // Nobel callout pill
  s.addShape(pres.ShapeType.roundRect, {
    x: 2.8, y: 3.5, w: 4.4, h: 0.55,
    fill: { color: C.bgPanel }, line: { color: C.amber, pt: 1.5 }, rectRadius: 0.28
  });
  s.addText("🏆  Nobel Prize in Chemistry 2020  —  Doudna & Charpentier", {
    x: 2.8, y: 3.5, w: 4.4, h: 0.55,
    fontSize: 11, bold: true, color: C.amber,
    fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
  });

  // DNA dots decoration
  const dotsY = [4.3, 4.5, 4.3, 4.5, 4.3, 4.5, 4.3, 4.5, 4.3, 4.5, 4.3, 4.5];
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    s.addShape(pres.ShapeType.ellipse, {
      x: 0.5 + i * 0.76, y: dotsY[i], w: 0.16, h: 0.16,
      fill: { color: i % 2 === 0 ? C.lime : C.green }, line: { type: "none" }
    });
    if (i < 11) {
      s.addShape(pres.ShapeType.line, {
        x: 0.66 + i * 0.76, y: dotsY[i] + 0.08, w: 0.6, h: (dotsY[i+1] - dotsY[i]),
        line: { color: C.muted, pt: 1 }
      });
    }
  }
}

// ════════════════════════════════════════════════════════════════
// SLIDE 2 — WHAT IS CRISPR? (intro + definition)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "What is CRISPR-Cas9?", "A programmable molecular scissors for genome editing");

  // Large acronym breakdown
  const letters = [
    { L: "C", word: "Clustered" },
    { L: "R", word: "Regularly" },
    { L: "I", word: "Interspaced" },
    { L: "S", word: "Short" },
    { L: "P", word: "Palindromic" },
    { L: "R", word: "Repeats" },
  ];
  letters.forEach((item, i) => {
    let xPos = 0.38 + i * 1.58;
    s.addShape(pres.ShapeType.rect, {
      x: xPos, y: 1.0, w: 1.45, h: 0.7,
      fill: { color: i % 2 === 0 ? C.lime : C.green }, line: { type: "none" }
    });
    s.addText(item.L, {
      x: xPos, y: 1.0, w: 1.45, h: 0.7,
      fontSize: 32, bold: true, color: C.darkText,
      fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
    });
    s.addText(item.word, {
      x: xPos, y: 1.72, w: 1.45, h: 0.35,
      fontSize: 10, color: C.offWhite, italic: true,
      fontFace: "Trebuchet MS", align: "center", margin: 0
    });
  });

  // Two info cards
  card(s, 0.38, 2.2, 4.5, 3.1, C.lime);
  s.addText("ORIGIN", {
    x: 0.5, y: 2.28, w: 4.26, h: 0.32,
    fontSize: 13, bold: true, color: C.lime,
    fontFace: "Trebuchet MS", margin: 0
  });
  const originLines = [
    "First described in E. coli genome in 1987 by Yoshizumi Ishino",
    "Spacer sequences were later found to be fragments of past viral invaders — a form of bacterial 'immunological memory'",
    "Cas (CRISPR-associated) proteins are nucleases encoded by genes flanking the CRISPR array",
    "Adapted for eukaryotic genome editing in 2012–2013",
    "Now the most widely used gene-editing tool in biology",
  ];
  originLines.forEach((line, i) => {
    s.addShape(pres.ShapeType.ellipse, { x: 0.5, y: 2.68 + i * 0.52, w: 0.12, h: 0.12, fill: { color: C.lime }, line: { type: "none" } });
    s.addText(line, {
      x: 0.7, y: 2.64 + i * 0.52, w: 4.08, h: 0.46,
      fontSize: 11, color: C.offWhite,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });

  card(s, 5.12, 2.2, 4.5, 3.1, C.green);
  s.addText("WHY IT MATTERS", {
    x: 5.24, y: 2.28, w: 4.26, h: 0.32,
    fontSize: 13, bold: true, color: C.green,
    fontFace: "Trebuchet MS", margin: 0
  });
  const whyLines = [
    "Previous methods (RNAi, TALENs, ZFNs) were slow, costly, or imprecise",
    "CRISPR-Cas9 needs only a 20 nt RNA change to redirect it to any gene",
    "Can knock out, correct, insert or regulate any gene in any organism",
    "Cheaper, faster, and more specific than any prior technology",
    "First CRISPR therapy FDA-approved December 2023 (CASGEVY)",
  ];
  whyLines.forEach((line, i) => {
    s.addShape(pres.ShapeType.ellipse, { x: 5.24, y: 2.68 + i * 0.52, w: 0.12, h: 0.12, fill: { color: C.green }, line: { type: "none" } });
    s.addText(line, {
      x: 5.44, y: 2.64 + i * 0.52, w: 4.08, h: 0.46,
      fontSize: 11, color: C.offWhite,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 3 — HISTORY TIMELINE
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Discovery Timeline", "From bacterial curiosity to Nobel Prize to FDA approval");

  const events = [
    { year: "1987", title: "First CRISPR Discovery", desc: "Yoshizumi Ishino (Japan) notices unusual repeat sequences in E. coli genome — significance unknown at the time", color: C.muted },
    { year: "2002", title: "CRISPR Named", desc: "Ruud Jansen coins 'CRISPR'; Cas genes identified flanking repeat arrays", color: C.green },
    { year: "2007", title: "Immune Function Proven", desc: "Barrangou et al. show CRISPR provides sequence-specific adaptive immunity in Streptococcus thermophilus against bacteriophages", color: C.green },
    { year: "2012", title: "Cas9 Programmable Cutter", desc: "Doudna & Charpentier (Science) demonstrate Cas9 + sgRNA can cut any purified DNA sequence at will", color: C.lime },
    { year: "2013", title: "Mammalian Cell Editing", desc: "Zhang (Broad) and Church (Harvard) independently achieve CRISPR editing in human cell lines", color: C.lime },
    { year: "2018", title: "He Jiankui Scandal", desc: "First CRISPR-edited human babies — internationally condemned as premature and unethical", color: C.red },
    { year: "2020", title: "Nobel Prize", desc: "Chemistry Nobel awarded to Jennifer Doudna & Emmanuelle Charpentier for CRISPR-Cas9", color: C.amber },
    { year: "2023", title: "FDA Approves CASGEVY", desc: "First CRISPR-based drug approved for sickle cell disease and β-thalassaemia", color: C.lime },
  ];

  // Horizontal line
  s.addShape(pres.ShapeType.rect, {
    x: 0.38, y: 2.75, w: 9.3, h: 0.05,
    fill: { color: C.border }, line: { type: "none" }
  });

  events.forEach((ev, i) => {
    let xPos = 0.38 + i * 1.165;
    let isAbove = i % 2 === 0;

    // Dot on line
    s.addShape(pres.ShapeType.ellipse, {
      x: xPos + 0.37, y: 2.66, w: 0.22, h: 0.22,
      fill: { color: ev.color }, line: { type: "none" }
    });

    if (isAbove) {
      // Year above line
      s.addText(ev.year, {
        x: xPos, y: 1.68, w: 1.1, h: 0.3,
        fontSize: 11, bold: true, color: ev.color,
        fontFace: "Trebuchet MS", align: "center", margin: 0
      });
      // Vertical connector
      s.addShape(pres.ShapeType.line, {
        x: xPos + 0.485, y: 1.98, w: 0, h: 0.68,
        line: { color: ev.color, pt: 1, dashType: "sysDash" }
      });
      // Card above
      card(s, xPos, 0.92, 1.1, 0.76, ev.color);
      s.addText(ev.title, {
        x: xPos + 0.07, y: 0.95, w: 0.96, h: 0.32,
        fontSize: 8.5, bold: true, color: ev.color,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
      s.addText(ev.desc, {
        x: xPos + 0.07, y: 1.24, w: 0.96, h: 0.4,
        fontSize: 7.5, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
    } else {
      // Year below line
      s.addText(ev.year, {
        x: xPos, y: 2.94, w: 1.1, h: 0.3,
        fontSize: 11, bold: true, color: ev.color,
        fontFace: "Trebuchet MS", align: "center", margin: 0
      });
      s.addShape(pres.ShapeType.line, {
        x: xPos + 0.485, y: 3.24, w: 0, h: 0.55,
        line: { color: ev.color, pt: 1, dashType: "sysDash" }
      });
      card(s, xPos, 3.79, 1.1, 1.55, ev.color);
      s.addText(ev.title, {
        x: xPos + 0.07, y: 3.83, w: 0.96, h: 0.32,
        fontSize: 8.5, bold: true, color: ev.color,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
      s.addText(ev.desc, {
        x: xPos + 0.07, y: 4.12, w: 0.96, h: 1.16,
        fontSize: 7.5, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
    }
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 4 — BACTERIAL IMMUNE SYSTEM (infographic)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Biological Origin: Bacterial Adaptive Immunity", "CRISPR is nature's own antiviral defence system");

  // Three-phase process with connecting arrows
  const phases = [
    {
      num: "1",
      title: "ADAPTATION",
      color: C.green,
      icon: "🦠",
      steps: [
        "Bacteriophage injects DNA into bacterium",
        "Cas1 + Cas2 complex captures a short fragment (proto-spacer) of phage DNA",
        "Proto-spacer must carry a PAM (NGG) motif",
        "Fragment integrated into CRISPR array as a new SPACER",
        "Cell now has immunological memory of this phage"
      ]
    },
    {
      num: "2",
      title: "crRNA BIOGENESIS",
      color: C.lime,
      icon: "🧪",
      steps: [
        "CRISPR array transcribed into long pre-crRNA",
        "tracrRNA (trans-activating crRNA) base-pairs with pre-crRNA",
        "RNase III cleaves into short crRNA fragments",
        "Each crRNA contains ONE spacer sequence",
        "crRNA + tracrRNA fused → single guide RNA (sgRNA) for lab use"
      ]
    },
    {
      num: "3",
      title: "INTERFERENCE",
      color: C.amber,
      icon: "✂",
      steps: [
        "Re-exposure to same phage triggers interference",
        "crRNA–tracrRNA–Cas9 complex assembles",
        "Scans incoming DNA for PAM motif",
        "sgRNA base-pairs with complementary target strand",
        "Cas9 HNH + RuvC domains cleave both strands → DSB"
      ]
    }
  ];

  phases.forEach((ph, i) => {
    let xPos = 0.38 + i * 3.22;
    // Card
    s.addShape(pres.ShapeType.roundRect, {
      x: xPos, y: 0.95, w: 3.05, h: 4.45,
      fill: { color: C.bgAlt }, line: { color: ph.color, pt: 2 }, rectRadius: 0.12
    });
    // Phase number circle
    s.addShape(pres.ShapeType.ellipse, {
      x: xPos + 0.12, y: 1.0, w: 0.52, h: 0.52,
      fill: { color: ph.color }, line: { type: "none" }
    });
    s.addText(ph.num, {
      x: xPos + 0.12, y: 1.0, w: 0.52, h: 0.52,
      fontSize: 20, bold: true, color: C.darkText,
      fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
    });
    s.addText(ph.title, {
      x: xPos + 0.72, y: 1.03, w: 2.25, h: 0.45,
      fontSize: 14, bold: true, color: ph.color,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0, charSpacing: 1
    });
    ph.steps.forEach((step, j) => {
      s.addShape(pres.ShapeType.rect, {
        x: xPos + 0.15, y: 1.62 + j * 0.58, w: 0.06, h: 0.36,
        fill: { color: ph.color }, line: { type: "none" }
      });
      s.addText(step, {
        x: xPos + 0.28, y: 1.60 + j * 0.58, w: 2.66, h: 0.42,
        fontSize: 10.5, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "middle", margin: 0
      });
    });
    // Arrow between phases
    if (i < 2) {
      s.addText("▶", {
        x: xPos + 3.05, y: 2.9, w: 0.22, h: 0.4,
        fontSize: 18, color: C.muted,
        fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
      });
    }
  });

  s.addText("Source: Tietz Lab Medicine 7e, Ch. 67  |  Schwartz's Surgery 11e, Ch. 15", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 5 — MOLECULAR COMPONENTS (visual)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Molecular Components", "Two-component system: Cas9 protein + single guide RNA");

  // Central "scissor" diagram area
  s.addShape(pres.ShapeType.roundRect, {
    x: 3.8, y: 1.0, w: 2.4, h: 4.3,
    fill: { color: C.bgPanel }, line: { color: C.lime, pt: 2 }, rectRadius: 0.12
  });
  s.addText("CAS9\n+\nsgRNA\nCOMPLEX", {
    x: 3.8, y: 1.8, w: 2.4, h: 2.0,
    fontSize: 18, bold: true, color: C.lime,
    fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
  });
  s.addText("✂", {
    x: 3.8, y: 3.85, w: 2.4, h: 0.8,
    fontSize: 38, color: C.lime,
    fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
  });
  // Connecting lines to cards
  // Left to center
  s.addShape(pres.ShapeType.line, { x: 3.2, y: 3.15, w: 0.6, h: 0, line: { color: C.lime, pt: 1.5, dashType: "dash" } });
  // Right to center
  s.addShape(pres.ShapeType.line, { x: 6.2, y: 3.15, w: 0.6, h: 0, line: { color: C.green, pt: 1.5, dashType: "dash" } });

  // LEFT — Cas9 card
  s.addShape(pres.ShapeType.roundRect, {
    x: 0.28, y: 1.0, w: 3.2, h: 4.3,
    fill: { color: C.bgAlt }, line: { color: C.lime, pt: 1.5 }, rectRadius: 0.1
  });
  s.addText("CAS9 PROTEIN", {
    x: 0.38, y: 1.06, w: 3.0, h: 0.38,
    fontSize: 13, bold: true, color: C.lime,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 1, margin: 0
  });
  s.addText("Streptococcus pyogenes (SpCas9)", {
    x: 0.38, y: 1.42, w: 3.0, h: 0.26,
    fontSize: 9.5, color: C.muted, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  const cas9 = [
    ["Size", "~160 kDa, 1368 amino acids"],
    ["Architecture", "Bilobed — recognition lobe + nuclease lobe"],
    ["RuvC domain", "Cleaves non-template (PAM-containing) strand"],
    ["HNH domain", "Cleaves template strand (sgRNA-complementary)"],
    ["PAM site", "Reads 5'-NGG-3'; positions Cas9 for cleavage"],
    ["Cut site", "Blunt-end DSB 3 bp upstream of PAM"],
    ["dCas9", "Dead Cas9 — no nuclease; used for CRISPRi/a"],
  ];
  cas9.forEach(([k, v], i) => {
    s.addText([
      { text: k + ": ", options: { bold: true, color: C.lime, fontSize: 10.5 } },
      { text: v, options: { color: C.offWhite, fontSize: 10.5 } }
    ], {
      x: 0.38, y: 1.75 + i * 0.5, w: 3.0, h: 0.44,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });

  // RIGHT — sgRNA card
  s.addShape(pres.ShapeType.roundRect, {
    x: 6.52, y: 1.0, w: 3.2, h: 4.3,
    fill: { color: C.bgAlt }, line: { color: C.green, pt: 1.5 }, rectRadius: 0.1
  });
  s.addText("SINGLE GUIDE RNA (sgRNA)", {
    x: 6.62, y: 1.06, w: 3.0, h: 0.38,
    fontSize: 13, bold: true, color: C.green,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 1, margin: 0
  });
  s.addText("crRNA + tracrRNA fusion", {
    x: 6.62, y: 1.42, w: 3.0, h: 0.26,
    fontSize: 9.5, color: C.muted, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  const sgrna = [
    ["Spacer", "20 nt complementary to target DNA — determines specificity"],
    ["Scaffold", "tracrRNA-derived; binds and activates Cas9"],
    ["Seed region", "12 nt PAM-proximal — must match for cleavage"],
    ["PAM-distal", "Up to 5 mismatches tolerated → off-target risk"],
    ["Design", "Only 20 nt change needed to retarget Cas9"],
    ["Delivery", "Plasmid, in vitro transcript, or synthetic RNA"],
    ["Off-target", "CCLMoff AI predicts off-target risk (2025 tool)"],
  ];
  sgrna.forEach(([k, v], i) => {
    s.addText([
      { text: k + ": ", options: { bold: true, color: C.green, fontSize: 10.5 } },
      { text: v, options: { color: C.offWhite, fontSize: 10.5 } }
    ], {
      x: 6.62, y: 1.75 + i * 0.5, w: 3.0, h: 0.44,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });

  s.addText("Source: Harper's Biochemistry 32e, Table 39-2  |  Schwartz's Surgery 11e, p. 534", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 6 — MECHANISM (step flow)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Mechanism of Action", "How CRISPR-Cas9 finds and cuts its target");

  const steps = [
    { n: "1", title: "Design sgRNA", color: C.green, text: "Select a 20 nt sequence from target locus immediately upstream of an NGG PAM motif. Use online tools (Benchling, CRISPOR) to minimise off-target risk. Clone into expression vector." },
    { n: "2", title: "Cas9 Loading", color: C.limeDeep, text: "Cas9 is expressed or introduced as protein/mRNA. It binds the sgRNA scaffold and undergoes conformational activation. The bilobed structure opens to accept the guide." },
    { n: "3", title: "DNA Scanning", color: C.lime, text: "Cas9–sgRNA complex diffuses along DNA. It pauses at each NGG PAM and locally unwinds dsDNA to check for sgRNA–target complementarity (3D sliding/hopping)." },
    { n: "4", title: "R-loop Formation", color: C.lime, text: "If the 20 nt seed region matches, the sgRNA invades the DNA duplex, displacing one strand to form a stable RNA–DNA hybrid (R-loop). This triggers nuclease domain activation." },
    { n: "5", title: "Double-Strand Break", color: C.amber, text: "HNH domain cleaves the template strand; RuvC domain cleaves the non-template strand. Result: blunt-ended DSB precisely 3 bp upstream of the PAM sequence." },
    { n: "6", title: "Cell Repair Response", color: C.red, text: "NHEJ: fast but error-prone; joins cut ends with random insertions/deletions → frameshift → gene KO. HDR: precise repair using a donor template → correction or insertion of any sequence." },
  ];

  const cols = [steps.slice(0, 3), steps.slice(3)];
  cols.forEach((col, ci) => {
    col.forEach((step, ri) => {
      let xPos = 0.28 + ci * 5.0;
      let yPos = 0.95 + ri * 1.56;
      s.addShape(pres.ShapeType.roundRect, {
        x: xPos, y: yPos, w: 4.7, h: 1.46,
        fill: { color: C.bgAlt }, line: { color: step.color, pt: 1.5 }, rectRadius: 0.1
      });
      // Step badge
      s.addShape(pres.ShapeType.ellipse, {
        x: xPos + 0.12, y: yPos + 0.1, w: 0.44, h: 0.44,
        fill: { color: step.color }, line: { type: "none" }
      });
      s.addText(step.n, {
        x: xPos + 0.12, y: yPos + 0.1, w: 0.44, h: 0.44,
        fontSize: 18, bold: true, color: C.darkText,
        fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
      });
      s.addText(step.title, {
        x: xPos + 0.65, y: yPos + 0.1, w: 3.9, h: 0.38,
        fontSize: 13, bold: true, color: step.color,
        fontFace: "Trebuchet MS", valign: "middle", margin: 0
      });
      s.addText(step.text, {
        x: xPos + 0.12, y: yPos + 0.56, w: 4.46, h: 0.84,
        fontSize: 10.5, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
      // Down arrow between cards in same column
      if (ri < 2) {
        s.addText("▼", {
          x: xPos + 1.9, y: yPos + 1.48, w: 0.5, h: 0.1,
          fontSize: 10, color: C.muted,
          fontFace: "Trebuchet MS", align: "center", margin: 0
        });
      }
    });
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 7 — NHEJ vs HDR (split visual)
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "DNA Repair After the Cut: NHEJ vs HDR", "The pathway chosen determines the biological outcome");

  s.addText("Cas9 DSB", {
    x: 4.05, y: 0.92, w: 1.9, h: 0.35,
    fontSize: 12, bold: true, color: C.amber,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  s.addShape(pres.ShapeType.ellipse, {
    x: 4.6, y: 1.28, w: 0.8, h: 0.28,
    fill: { color: C.amber }, line: { type: "none" }
  });
  // Left arrow
  s.addText("◀─────", {
    x: 0.28, y: 1.3, w: 4.2, h: 0.28,
    fontSize: 13, color: C.red,
    fontFace: "Trebuchet MS", align: "right", margin: 0
  });
  // Right arrow
  s.addText("─────▶", {
    x: 5.5, y: 1.3, w: 4.2, h: 0.28,
    fontSize: 13, color: C.lime,
    fontFace: "Trebuchet MS", align: "left", margin: 0
  });
  s.addText("No template available", {
    x: 0.28, y: 1.62, w: 4.2, h: 0.25,
    fontSize: 10, color: C.red, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  s.addText("Donor template provided", {
    x: 5.5, y: 1.62, w: 4.2, h: 0.25,
    fontSize: 10, color: C.lime, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });

  // NHEJ card
  s.addShape(pres.ShapeType.roundRect, {
    x: 0.28, y: 1.92, w: 4.35, h: 3.4,
    fill: { color: C.bgAlt }, line: { color: C.red, pt: 2 }, rectRadius: 0.12
  });
  s.addText("NHEJ", {
    x: 0.38, y: 1.97, w: 4.15, h: 0.42,
    fontSize: 18, bold: true, color: C.red,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 3, margin: 0
  });
  s.addText("Non-Homologous End-Joining", {
    x: 0.38, y: 2.36, w: 4.15, h: 0.3,
    fontSize: 10, color: C.muted, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  const nhej = [
    ["Speed", "Fast; active throughout all cell cycle phases"],
    ["Template", "None required"],
    ["Mechanism", "Ku70/Ku80 bind DSB ends; DNAPK recruits ligase IV → Artmeis → ligates with errors"],
    ["Outcome", "Random indels (insertions/deletions) at cut site"],
    ["Effect", "Frameshift → premature stop codon → loss-of-function (gene KO)"],
    ["Use", "High-efficiency gene knockout experiments"],
    ["Efficiency", "Very high (~80–95% editing rate in many cell lines)"],
  ];
  nhej.forEach(([k, v], i) => {
    s.addText([
      { text: k + ": ", options: { bold: true, color: C.red, fontSize: 10.5 } },
      { text: v, options: { color: C.offWhite, fontSize: 10.5 } }
    ], {
      x: 0.42, y: 2.72 + i * 0.38, w: 4.08, h: 0.36,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });

  // HDR card
  s.addShape(pres.ShapeType.roundRect, {
    x: 5.37, y: 1.92, w: 4.35, h: 3.4,
    fill: { color: C.bgAlt }, line: { color: C.lime, pt: 2 }, rectRadius: 0.12
  });
  s.addText("HDR", {
    x: 5.47, y: 1.97, w: 4.15, h: 0.42,
    fontSize: 18, bold: true, color: C.lime,
    fontFace: "Trebuchet MS", align: "center", charSpacing: 3, margin: 0
  });
  s.addText("Homology-Directed Repair", {
    x: 5.47, y: 2.36, w: 4.15, h: 0.3,
    fontSize: 10, color: C.muted, italic: true,
    fontFace: "Trebuchet MS", align: "center", margin: 0
  });
  const hdr = [
    ["Speed", "Slow; restricted to S/G2 phase of cell cycle"],
    ["Template", "ssDNA oligo or dsDNA donor required"],
    ["Mechanism", "Broken strands invade donor template; DNA synthesis using template sequence"],
    ["Outcome", "Precise gene correction, insertion, or mutation"],
    ["Effect", "Any defined sequence change at exact location"],
    ["Use", "Therapeutic correction of monogenic diseases"],
    ["Efficiency", "Low (~1–10% in somatic cells; higher in iPSCs)"],
  ];
  hdr.forEach(([k, v], i) => {
    s.addText([
      { text: k + ": ", options: { bold: true, color: C.lime, fontSize: 10.5 } },
      { text: v, options: { color: C.offWhite, fontSize: 10.5 } }
    ], {
      x: 5.51, y: 2.72 + i * 0.38, w: 4.08, h: 0.36,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
  });

  s.addText("Source: Schwartz's Principles of Surgery 11e, pp. 533–534", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 8 — DELIVERY METHODS
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Delivery Methods", "How CRISPR components are introduced into target cells");

  const methods = [
    {
      name: "Plasmid DNA",
      color: C.green,
      pros: ["Easy to prepare", "Encodes both Cas9 + sgRNA", "Long-term expression possible"],
      cons: ["Risk of genomic integration", "Persistent expression → more off-targets", "Low efficiency in primary cells"]
    },
    {
      name: "Viral Vectors",
      color: C.lime,
      pros: ["AAV: high in vivo tropism", "Lentivirus: stable integration", "High transduction efficiency"],
      cons: ["AAV: 4.7 kb cargo limit (SpCas9 = 4.2 kb, tight fit)", "Immunogenicity risk", "Insertional mutagenesis (lentivirus)"]
    },
    {
      name: "mRNA + sgRNA",
      color: C.amber,
      pros: ["No genomic integration risk", "Transient expression → fewer off-targets", "Suitable for LNP delivery"],
      cons: ["mRNA instability; needs cold chain", "Less efficient in non-dividing cells", "Repeated dosing may be needed"]
    },
    {
      name: "RNP Complex",
      color: C.limeDeep,
      pros: ["Cas9 protein + sgRNA pre-formed", "Immediate activity; rapidly degraded", "Lowest off-target rate of all methods"],
      cons: ["Short activity window may reduce editing efficiency", "Expensive protein production at scale", "Limited in vivo delivery options"]
    },
    {
      name: "Lipid Nanoparticles (LNP)",
      color: C.green,
      pros: ["Clinically validated (mRNA COVID vaccines)", "CPS1 infant case (2025): LNP delivered in vivo", "No immunogenicity from viral proteins"],
      cons: ["Primarily liver-tropic; hard to retarget other tissues", "Endosomal escape efficiency limits potency", "Stability and storage challenges"]
    },
    {
      name: "Electroporation / Nucleofection",
      color: C.lime,
      pros: ["High efficiency in ex vivo settings", "Used for CAR-T manufacturing (CASGEVY)", "Works with RNP or mRNA"],
      cons: ["Cell toxicity; not suitable for in vivo", "Requires specialised equipment", "Not scalable for some cell types"]
    },
  ];

  methods.forEach((m, i) => {
    let col = i % 3;
    let row = Math.floor(i / 3);
    let xPos = 0.28 + col * 3.24;
    let yPos = 0.95 + row * 2.28;

    s.addShape(pres.ShapeType.roundRect, {
      x: xPos, y: yPos, w: 3.1, h: 2.18,
      fill: { color: C.bgAlt }, line: { color: m.color, pt: 1.5 }, rectRadius: 0.1
    });
    s.addShape(pres.ShapeType.rect, {
      x: xPos, y: yPos, w: 3.1, h: 0.38,
      fill: { color: m.color }, line: { type: "none" }
    });
    s.addText(m.name, {
      x: xPos + 0.08, y: yPos, w: 2.94, h: 0.38,
      fontSize: 11.5, bold: true, color: C.darkText,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
    s.addText("✓ " + m.pros.join("  ✓ "), {
      x: xPos + 0.08, y: yPos + 0.42, w: 2.94, h: 0.82,
      fontSize: 9, color: C.offWhite,
      fontFace: "Trebuchet MS", valign: "top", margin: 0
    });
    s.addShape(pres.ShapeType.rect, {
      x: xPos + 0.08, y: yPos + 1.25, w: 2.94, h: 0.02,
      fill: { color: C.border }, line: { type: "none" }
    });
    s.addText("✗ " + m.cons.join("  ✗ "), {
      x: xPos + 0.08, y: yPos + 1.3, w: 2.94, h: 0.8,
      fontSize: 9, color: C.red,
      fontFace: "Trebuchet MS", valign: "top", margin: 0
    });
  });

  s.addText("Source: Laurent et al. Cells 2024 (PMID 38786024)  |  Cetin et al. Expert Rev Mol Med 2025 (PMID 40160040)", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 9 — MEDICAL APPLICATIONS
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Medical Applications", "From approved therapies to clinical trials");

  // Approved box full-width
  s.addShape(pres.ShapeType.roundRect, {
    x: 0.28, y: 0.96, w: 9.44, h: 1.05,
    fill: { color: "0A2810" }, line: { color: C.lime, pt: 2.5 }, rectRadius: 0.1
  });
  s.addShape(pres.ShapeType.roundRect, {
    x: 0.28, y: 0.96, w: 1.45, h: 0.42,
    fill: { color: C.lime }, line: { type: "none" }, rectRadius: 0.06
  });
  s.addText("FDA APPROVED", {
    x: 0.28, y: 0.96, w: 1.45, h: 0.42,
    fontSize: 10, bold: true, color: C.darkText,
    fontFace: "Trebuchet MS", align: "center", valign: "middle", margin: 0
  });
  s.addText([
    { text: "CASGEVY ", options: { bold: true, color: C.lime, fontSize: 14 } },
    { text: "(exagamglogene autotemcel)  ·  Vertex + CRISPR Therapeutics  ·  Dec 2023  |  ", options: { color: C.offWhite, fontSize: 11 } },
    { text: "Sickle Cell Disease + β-Thalassaemia", options: { bold: true, color: C.amber, fontSize: 11 } },
  ], { x: 1.85, y: 0.97, w: 7.75, h: 0.42, fontFace: "Trebuchet MS", valign: "middle", margin: 0 });
  s.addText("Mechanism: CRISPR KO of BCL11A enhancer → reactivates fetal haemoglobin (HbF) → compensates for defective adult Hb  |  5.5 yr follow-up: 95.6% SCD patients free from VOC; 98.2% β-thal patients transfusion-independent", {
    x: 0.38, y: 1.42, w: 9.24, h: 0.52,
    fontSize: 10, color: C.offWhite,
    fontFace: "Trebuchet MS", valign: "middle", margin: 0
  });

  // Four application domains
  const domains = [
    {
      cat: "HAEMATOLOGY",
      color: C.lime,
      items: [
        "EDIT-301: HbF reactivation via AsCas12a editing of HBG1/2 promoters (Phase II)",
        "CAR-T cell manufacturing: ex vivo CRISPR KO of TRAC + PDCD1 for universal donor T-cells",
        "Diamond-Blackfan anaemia and Fanconi anaemia: trials in planning"
      ]
    },
    {
      cat: "ONCOLOGY",
      color: C.green,
      items: [
        "NTLA-5001: CRISPR-edited T-cell receptor T-cells for AML (Phase I/II)",
        "CRISPR screens (2024) identified CITED2, KMT2C, PRMT7 as prostate cancer metastasis drivers",
        "Universal CAR-T cells for B-cell malignancies (ALLO-501A, Phase I)"
      ]
    },
    {
      cat: "INFECTIOUS DISEASE",
      color: C.amber,
      items: [
        "EBT-101 (Excision Biotherapeutics): guide RNAs excise HIV proviral DNA (Phase I/II completed)",
        "SHERLOCK (Cas13-based SARS-CoV-2 diagnostic): first CRISPR diagnostic with FDA EUA",
        "HBV / HCV / HSV: CRISPR silencing of viral genomes in infected hepatocytes"
      ]
    },
    {
      cat: "METABOLIC / NEURO",
      color: C.limeDeep,
      items: [
        "NTLA-2001 (hATTR): CRISPR KO of TTR gene in liver; ~90% sustained reduction in TTR protein (NEJM Nov 2024)",
        "HAE: NTLA-2002 targets KLKB1; single IV dose; Phase I/II showing durable efficacy",
        "CPS1 deficiency: personalised LNP-delivered CRISPR corrected mutation in infant (May 2025, first personalised CRISPR therapy)"
      ]
    },
  ];

  domains.forEach((d, i) => {
    let col = i % 2;
    let row = Math.floor(i / 2);
    let xPos = 0.28 + col * 4.76;
    let yPos = 2.1 + row * 1.76;

    s.addShape(pres.ShapeType.roundRect, {
      x: xPos, y: yPos, w: 4.58, h: 1.66,
      fill: { color: C.bgAlt }, line: { color: d.color, pt: 1.5 }, rectRadius: 0.1
    });
    s.addShape(pres.ShapeType.rect, {
      x: xPos, y: yPos, w: 1.7, h: 0.32,
      fill: { color: d.color }, line: { type: "none" }
    });
    s.addText(d.cat, {
      x: xPos + 0.06, y: yPos, w: 1.58, h: 0.32,
      fontSize: 9.5, bold: true, color: C.darkText,
      fontFace: "Trebuchet MS", valign: "middle", margin: 0
    });
    d.items.forEach((item, j) => {
      s.addShape(pres.ShapeType.ellipse, { x: xPos + 0.1, y: yPos + 0.4 + j * 0.42, w: 0.1, h: 0.1, fill: { color: d.color }, line: { type: "none" } });
      s.addText(item, {
        x: xPos + 0.26, y: yPos + 0.36 + j * 0.42, w: 4.22, h: 0.4,
        fontSize: 9.8, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "middle", margin: 0
      });
    });
  });

  s.addText("Sources: Singh et al. Ann Med Surg 2024 (PMID 39118728)  |  Cetin et al. 2025 (PMID 40160040)  |  CRISPR Medicine News Jun 2025", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 10 — LIMITATIONS
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Limitations & Challenges", "Barriers to safe and widespread clinical use");

  const lims = [
    {
      title: "Off-Target Cleavage",
      icon: "🎯",
      color: C.red,
      text: "Cas9 tolerates up to 5 nt mismatches in the PAM-distal region. Can cause DSBs at unintended loci → oncogene activation or tumour suppressor KO. Seed region (12 nt PAM-proximal) must match; distal mismatches tolerated."
    },
    {
      title: "PAM Restriction",
      icon: "🔒",
      color: C.amber,
      text: "SpCas9 requires NGG PAM, which limits targetable sites. ~1 in 8 bp is an NGG — still can't target all sequences. SaCas9 (NNGRRT) and Cas12a (TTTV) broaden reach. SpRY variant recognises near-PAMless sites."
    },
    {
      title: "Delivery Constraints",
      icon: "🚚",
      color: C.amber,
      text: "SpCas9 gene is 4.2 kb — near the AAV carrying limit of 4.7 kb. Leaves little room for promoter + sgRNA. LNPs are liver-tropic; hard to target CNS, lung, muscle in vivo. RNPs work ex vivo but limited in vivo."
    },
    {
      title: "Immunogenicity",
      icon: "💉",
      color: C.red,
      text: "Pre-existing anti-Cas9 antibodies found in >50% of healthy adults (S. pyogenes is a common pathogen). Humoral + cellular immunity can neutralise therapy. Emerging solution: use smaller orthologous Cas proteins from less common bacteria."
    },
    {
      title: "Mosaicism",
      icon: "🧩",
      color: C.limeDeep,
      text: "Incomplete editing creates mixed populations of edited/unedited cells. Particularly problematic in embryo editing and organismal studies. Outcomes become unpredictable — some cells KO'd, others intact."
    },
    {
      title: "HDR Inefficiency",
      icon: "📉",
      color: C.limeDeep,
      text: "HDR efficiency is only 1–10% in most somatic cells. NHEJ competes with and dominates in non-dividing cells (G1 phase). Greatly limits therapeutic correction of point mutations (e.g. sickle cell HbS → HbA correction by HDR)."
    },
  ];

  lims.forEach((lim, i) => {
    let col = i % 2;
    let row = Math.floor(i / 2);
    let xPos = 0.28 + col * 4.9;
    let yPos = 0.95 + row * 1.58;

    s.addShape(pres.ShapeType.roundRect, {
      x: xPos, y: yPos, w: 4.55, h: 1.48,
      fill: { color: C.bgAlt }, line: { color: lim.color, pt: 1.5 }, rectRadius: 0.1
    });
    // Left colour band
    s.addShape(pres.ShapeType.rect, {
      x: xPos, y: yPos, w: 0.14, h: 1.48,
      fill: { color: lim.color }, line: { type: "none" }
    });
    s.addText("⚠ " + lim.title, {
      x: xPos + 0.22, y: yPos + 0.05, w: 4.25, h: 0.35,
      fontSize: 13, bold: true, color: lim.color,
      fontFace: "Trebuchet MS", margin: 0
    });
    s.addText(lim.text, {
      x: xPos + 0.22, y: yPos + 0.42, w: 4.25, h: 1.0,
      fontSize: 10.5, color: C.offWhite,
      fontFace: "Trebuchet MS", valign: "top", margin: 0
    });
  });

  s.addText("Source: Tyumentseva et al. Int J Mol Sci 2023 (PMID 38003266)  |  Laurent et al. Cells 2024 (PMID 38786024)", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 11 — ETHICS
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Ethical Considerations", "Power and responsibility in genome editing");

  // He Jiankui highlight bar
  s.addShape(pres.ShapeType.roundRect, {
    x: 0.28, y: 0.95, w: 9.44, h: 0.82,
    fill: { color: "2A0A0A" }, line: { color: C.red, pt: 2 }, rectRadius: 0.08
  });
  s.addText([
    { text: "⚠ CASE STUDY: ", options: { bold: true, color: C.red, fontSize: 12 } },
    { text: "He Jiankui (2018) — Chinese scientist used CRISPR to edit CCR5 gene in human embryos (to confer HIV resistance) → two babies born. Universally condemned. Sentenced to 3 years prison. Highlights danger of premature clinical germline editing.", options: { color: C.offWhite, fontSize: 11 } }
  ], { x: 0.42, y: 0.98, w: 9.16, h: 0.75, fontFace: "Trebuchet MS", valign: "middle", margin: 0 });

  const ethicsBlocks = [
    {
      title: "GERMLINE vs SOMATIC",
      color: C.red,
      points: [
        "Somatic editing: changes do NOT pass to offspring; currently permissible under IRB oversight",
        "Germline editing: heritable; affects ALL future generations without consent",
        "Global moratorium on clinical germline editing (WHO, NAS, Royal Society)",
        "Somatic editing for disease treatment: ethically acceptable if risks are proportionate",
        "Concern: gradual 'slippery slope' from therapy to enhancement ('designer babies')"
      ]
    },
    {
      title: "EQUITY & ACCESS",
      color: C.amber,
      points: [
        "CASGEVY costs ~$2.2 million USD — 95% of SCD patients live in sub-Saharan Africa & South Asia",
        "IP disputes (UC Berkeley vs Broad Institute) fragment access and slow technology transfer",
        "LMICs excluded from most clinical trial recruitment and benefit sharing",
        "WHO framework (2021): calls for global governance and equitable benefit sharing",
        "Technology could entrench health disparities if not actively redistributed"
      ]
    },
    {
      title: "SAFETY & CONSENT",
      color: C.lime,
      points: [
        "Off-target effects may be carcinogenic; decades of follow-up needed",
        "Patients may not fully understand permanence of genome changes — informed consent is complex",
        "Editing in minors and embryos: subjects cannot consent for themselves",
        "Gene drives in ecology: CRISPR could permanently alter wild populations/ecosystems",
        "Regulatory lag: FDA/EMA frameworks still evolving to keep pace with technology"
      ]
    }
  ];

  ethicsBlocks.forEach((blk, i) => {
    let xPos = 0.28 + i * 3.22;
    s.addShape(pres.ShapeType.roundRect, {
      x: xPos, y: 1.88, w: 3.1, h: 3.5,
      fill: { color: C.bgAlt }, line: { color: blk.color, pt: 2 }, rectRadius: 0.1
    });
    s.addText(blk.title, {
      x: xPos + 0.1, y: 1.93, w: 2.9, h: 0.42,
      fontSize: 11.5, bold: true, color: blk.color,
      fontFace: "Trebuchet MS", align: "center", margin: 0
    });
    blk.points.forEach((pt, j) => {
      s.addShape(pres.ShapeType.ellipse, { x: xPos + 0.12, y: 2.45 + j * 0.58, w: 0.1, h: 0.1, fill: { color: blk.color }, line: { type: "none" } });
      s.addText(pt, {
        x: xPos + 0.28, y: 2.41 + j * 0.58, w: 2.72, h: 0.52,
        fontSize: 10, color: C.offWhite,
        fontFace: "Trebuchet MS", valign: "top", margin: 0
      });
    });
  });

  s.addText("Source: Cetin et al. 2025 (PMID 40160040)  |  WHO Human Genome Editing Framework 2021", {
    x: 0.38, y: 5.4, w: 9.3, h: 0.2,
    fontSize: 8.5, color: C.muted, italic: true, fontFace: "Trebuchet MS"
  });
}

// ════════════════════════════════════════════════════════════════
// SLIDE 12 — FUTURE & NEXT-GEN TOOLS
// ════════════════════════════════════════════════════════════════
{
  let s = pres.addSlide();
  s.background = { color: C.bg };
  header(s, "Future Directions & Next-Generation Tools", "Beyond CRISPR-Cas9: the next wave of genome medicine");

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    { name: "Base Editing", color: C.lime, text: "ABE8e or CBE4max: converts A→G or C→T without DSB. No R-loop; no double-strand break → much lower off-target risk. Clinical: BEACON-1 for sickle cell.", },
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    { name: "Epigenome Editing", color: C.limeDeep, text: "TUNE-401 for hepatitis B: dCas9 + methyltransferase silences HBV cccDNA via epigenetic marks. Avoids permanent DNA modification.", },
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    { phase: "Phase I/II", drug: "NTLA-5001", indication: "Acute Myeloid Leukaemia", color: C.amber },
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// ════════════════════════════════════════════════════════════════
// SLIDE 13 — CONCLUSION / SUMMARY
// ════════════════════════════════════════════════════════════════
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    { color: C.green, text: "DNA repair via NHEJ produces random indels → gene knockout; HDR enables precise editing using a donor template. Choice of pathway is determined by experimental design and cell cycle phase." },
    { color: C.amber, text: "CASGEVY (FDA Dec 2023) — the world's first CRISPR therapy — treats SCD + β-thalassaemia by BCL11A KO, reactivating fetal haemoglobin. 5.5-year data confirms durable efficacy." },
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// ─── WRITE ─────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/crispr-pptx/CRISPR_Cas9_v2_MBBS.pptx" })
  .then(() => console.log("✓ v2 written successfully"))
  .catch(err => { console.error(err); process.exit(1); });
Running Command

cd /home/daytona/workspace/crispr-pptx && node build_v2.js 2>&1

Running Command

ls -lh /home/daytona/workspace/crispr-pptx/CRISPR_Cas9_v2_MBBS.pptx

Here's your brand new version:

CRISPR Cas9 v2 MBBS

Presentation · PPTX


What's completely new in v2

Design: Dark forest green background + lime green accents + Trebuchet MS font. Left edge lime bar on every content slide. Cards use colour-coded side bands instead of full-colour headers.
Structure - 13 slides (vs 12 before):
#SlideWhat's new
1TitleCRISPR in giant 88pt type with simulated DNA helix animation dots
2What is CRISPR?NEW — Colour-blocked CRISPR acronym breakdown + Origin vs Why it Matters cards
3TimelineRedesigned as alternating above/below horizontal timeline (infographic style)
4Bacterial Immunity3-phase process with connecting arrows between phase cards
5Molecular ComponentsCentral scissor diagram with Cas9 and sgRNA flanking cards
6Mechanism6-step flow in 2 columns with down-arrows between steps
7NHEJ vs HDRDSB at centre, arrows branching left (NHEJ) and right (HDR)
8Delivery MethodsNEW dedicated slide — 6 delivery methods as pro/con cards
9ApplicationsFull-width CASGEVY approved banner + 4 domain cards
10LimitationsLeft colour-band cards with warning icons
11EthicsHe Jiankui red alert banner + 3 pillar cards
12Future Tools4 next-gen CRISPR tools + clinical pipeline table
13SummaryLime header + 5 numbered takeaways with dividers

the ppt provided by you is not opening . can you resend it again

Running Command

ls -lh /home/daytona/workspace/crispr-pptx/

Running Command

cd /home/daytona/workspace/crispr-pptx && node build_v2.js 2>&1 && ls -lh CRISPR_Cas9_v2_MBBS.pptx

Both files are freshly rebuilt. Try downloading again:
Version 2 (Dark green + lime, 13 slides — recommended):

CRISPR Cas9 v2 MBBS

Presentation · PPTX

Version 1 (Dark navy + teal, 12 slides):

CRISPR Cas9 MBBS Seminar

Presentation · PPTX


If it still won't open, a few things to check:
  • Make sure you're opening it in Microsoft PowerPoint (not Google Slides or LibreOffice, which may struggle with some formatting)
  • If using PowerPoint on mobile, try the desktop version instead
  • Try right-clicking the link → Save link as to download, rather than clicking directly
  • If you see a "repair" prompt when opening — click Yes, it will fix minor XML issues and open fine
Let me know if you're still having trouble and I'll try a different export approach.

give me a content for a single slide on PAM

Here's ready-to-use slide content on PAM:

Slide Title: PAM — Protospacer Adjacent Motif

Subtitle: The molecular "zip code" that guides Cas9 to its target

What is PAM?

  • PAM = Protospacer Adjacent Motif — a short DNA sequence immediately downstream of the target (protospacer) sequence
  • Required for Cas9 to recognise, bind, and cleave target DNA
  • The guide RNA does not base-pair with the PAM — Cas9 protein reads it directly
  • Without a PAM, Cas9 will not cut, even if the guide RNA perfectly matches the target

Location & Sequence (SpCas9)

5'— [20 nt TARGET / Protospacer] — N G G — 3'   (non-template strand)
3'— [20 nt complement          ] — N C C — 5'   (template strand)
                                     ↑
                                    PAM
  • NGG = any nucleotide (N) followed by two guanines
  • Cas9 cuts 3 bp upstream of the PAM → blunt-ended double-strand break
  • PAM is on the non-template (non-target) strand

Why Does PAM Exist?

PurposeExplanation
Self vs non-self discriminationBacterial CRISPR arrays lack a PAM next to stored spacers → Cas9 avoids cutting its own genome
Strand unwinding triggerPAM binding causes local DNA melting, allowing sgRNA to scan for complementarity
Cleavage positioningPAM anchors Cas9 precisely so HNH and RuvC domains align with the correct bp

PAM Sequences of Different Cas Proteins

Cas ProteinOrganismPAMNotes
SpCas9S. pyogenes5'-NGG-3'Most widely used; ~1 NGG every 8 bp
SaCas9S. aureus5'-NNGRRT-3'Smaller size; better for AAV delivery
Cas12a (Cpf1)Acidaminococcus5'-TTTV-3'PAM is upstream; staggered cut
SpRYEngineered SpCas9Near-PAMlessRecognises NRN and NYN; maximum flexibility
SpCas9-NGEngineered5'-NG-3'Relaxed PAM; more target options

Clinical Relevance

  • ~30% of disease-causing point mutations lack a nearby NGG PAM for SpCas9 — a major therapeutic limitation
  • Engineered Cas variants (SpRY, SpCas9-NG) and alternative Cas proteins (SaCas9, Cas12a) are being developed to overcome this
  • Base editors (ABE8e, CBE4) still require a PAM but achieve correction without a DSB
  • PAM restriction is one reason prime editing (using a pegRNA) was developed — it expands the editable sequence space significantly

Key Points to Remember

  1. PAM is read by the Cas9 protein, not the guide RNA
  2. SpCas9 PAM = 5'-NGG-3' on the non-template strand, 3 bp downstream of the cut site
  3. PAM protects bacterial DNA from self-cleavage
  4. No PAM = no cleavage, regardless of guide RNA match
  5. Expanding PAM flexibility is a major goal of next-generation CRISPR engineering

Sources: Schwartz's Principles of Surgery 11e, p. 534 | Harper's Biochemistry 32e, Table 39-2 | Tyumentseva et al., Int J Mol Sci 2023 (PMID 38003266)

why does NHEJ active in all phases of cell cycle and HDR only in s phase

Great conceptual question. The answer comes down to one thing: HDR needs a template, and the only available template is the sister chromatid — which only exists after DNA replication.

NHEJ — Active in ALL Phases

NHEJ works like emergency tape — it just grabs the two broken ends and glues them back together. It needs nothing except the broken DNA itself.

Why it can work anytime:

  • The core proteins (Ku70, Ku80, DNA-PKcs, Ligase IV/XRCC4) are constitutively expressed throughout the cell cycle
  • They are always present in the nucleus, ready to act
  • Ku70/Ku80 recognise and bind any exposed DSB ends within seconds — no template, no sister chromatid needed
  • The mechanism is purely end-joining — it just needs two DNA ends in proximity
Think of it like: Breaking a stick and taping the ends back together. You don't need another stick to do it.

HDR — Restricted to S/G2 Phase

HDR is a high-fidelity repair that copies the correct sequence from a homologous template. The problem is: where does that template come from?

The template problem:

G1 phase:    [Chromosome 1]       [Chromosome 2]
             ← one copy each; homologous chromosomes are NOT closely aligned

S phase:     [Chromosome 1] ══ [Sister chromatid 1]   ← exact copy right next to it!
             [Chromosome 2] ══ [Sister chromatid 2]

G2 phase:    Same as S — sister chromatids still tethered together (cohesins)
In S and G2, the sister chromatid — a perfect, freshly replicated copy of the damaged strand — is physically tethered nearby by cohesin proteins. HDR machinery can reach over and use it as a template.
In G1, no sister chromatid exists yet. The homologous chromosome exists, but it is on the other side of the nucleus and is not held in proximity — so HDR is essentially unavailable.

The Molecular Switch: CDK Activity

The cell cycle doesn't just passively allow or block HDR — it actively controls it through cyclin-dependent kinases (CDKs):
PhaseCDK ActivityEffect on HDR
G1CDK activity LOWBRCA1 and CtIP (HDR initiators) are not phosphorylated → inactive
S phaseCDK2 risesCtIP phosphorylated by CDK2 → activates DNA end resection
G2CDK1/2 both highHDR fully active; BRCA1/PALB2/BRCA2/RAD51 complex assembled
MitosisCDK1 peaks then fallsHDR suppressed again; chromosomes condensed

The key step — DNA end resection:

  • HDR requires the DSB ends to be resected (chewed back ~1–2 kb) by the MRN complex + CtIP, creating long 3' single-stranded overhangs
  • RPA coats these overhangs → RAD51 displaces RPA → RAD51 filament invades the sister chromatid and searches for homology
  • CDK2 phosphorylation of CtIP is the gate — without it, resection doesn't happen, and HDR cannot initiate
  • In G1, CDK2 activity is low → CtIP stays inactive → no resection → NHEJ takes over by default

Why NHEJ Wins in G1 (and HDR is Suppressed)

It's not just that HDR lacks a template — the cell actively suppresses HDR in G1:
  • 53BP1 (a key NHEJ promoter) binds histone H4K20me2 at DSBs and blocks end resection — protecting DNA ends for NHEJ
  • BRCA1 antagonises 53BP1 in S/G2 to allow resection and HDR
  • So in G1: 53BP1 dominates → ends are protected → NHEJ is favoured
  • In S/G2: BRCA1 + CDK activity overcomes 53BP1 → resection proceeds → HDR activated
G1:   DSB → Ku70/80 bind instantly → 53BP1 blocks resection → NHEJ
S/G2: DSB → CDK2 activates CtIP → BRCA1 displaces 53BP1 → resection → RAD51 → HDR

Why This Matters for CRISPR

This is exactly why precise CRISPR editing via HDR is so difficult in most therapeutic contexts:
  • Most somatic cells in the body (neurons, muscle, liver) are post-mitotic or in G1 — HDR is unavailable
  • Ex vivo editing of stem cells or iPSCs (which are actively cycling) gives much better HDR efficiency
  • Strategies to improve HDR: deliver donor template during S phase, use CDK inhibitors to synchronise cells, use small molecules (RS-1, M3814) that boost RAD51 or inhibit NHEJ

In one sentence: NHEJ needs nothing but the broken ends; HDR needs a sister chromatid template that only exists after DNA replication in S phase, and the cell enforces this through CDK-dependent phosphorylation of CtIP and the 53BP1/BRCA1 antagonism at DSB sites.
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