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Rewriting Life - EXCLUSIVE: Chinese scientists are creating CRISPR babies (gene editing)
MIT Technology Review ^ | November 25, 2018 | Antonio Regalado

Posted on 11/29/2018 1:45:26 AM PST by a fool in paradise

A daring effort is under way to create the first children whose DNA has been tailored using gene editing.

When Chinese researchers first edited the genes of a human embryo in a lab dish in 2015, it sparked global outcry and pleas from scientists not to make a baby using the technology, at least for the present.

It was the invention of a powerful gene-editing tool, CRISPR, which is cheap and easy to deploy, that made the birth of humans genetically modified in an in vitro fertilization (IVF) center a theoretical possibility.

Now, it appears it may already be happening.

According to Chinese medical documents posted online this month (here - http://www.chictr.org.cn/showprojen.aspx?proj=32758 and here - http://www.chictr.org.cn/uploads/file/201811/bb9c5996d8fd476eacb4aeecf5fd2a01.pdf), a team at the Southern University of Science and Technology, in Shenzhen, has been recruiting couples in an effort to create the first gene-edited babies. They planned to eliminate a gene called CCR5 in hopes of rendering the offspring resistant to HIV, smallpox, and cholera.

The clinical trial documents describe a study in which CRISPR is employed to modify human embryos before they are transferred into women’s uteruses.

The scientist behind the effort, He Jiankui, did not reply to a list of questions about whether the undertaking had produced a live birth. Reached by telephone, he declined to comment.

However, data submitted as part of the trial listing shows that genetic tests have been carried out on fetuses as late as 24 weeks, or six months. It’s not known if those pregnancies were terminated, carried to term, or are ongoing.

[After this story was published, the Associated Press reported that according to He, one couple in the trial gave birth to twin girls this month, though the agency wasn't able to confirm his claim independently. He also released a promotional video about his project. https://www.youtube.com/watch?v=th0vnOmFltc]

The birth of the first genetically tailored humans would be a stunning medical achievement, for both He and China. But it will prove controversial, too. Where some see a new form of medicine that eliminates genetic disease, others see a slippery slope to enhancements, designer babies, and a new form of eugenics.

“In this ever more competitive global pursuit of applications for gene editing, we hope to be a stand-out,” He and his team wrote in an ethics statement they submitted last year. They predicted their innovation “will surpass” the invention of in vitro fertilization, whose developer was awarded a Nobel Prize in 2010.

Gene-editing summit

The claim that China has already made genetically altered humans comes just as the world’s leading experts are jetting into Hong Kong for the Second International Summit on Human Genome Editing.

The purpose of the international meeting is to help determine whether humans should begin to genetically modify themselves, and if so, how. That purpose now appears to have been preempted by the actions of He, an elite biologist recruited back to China from the US as part of its “Thousand Talents Plan.”

The technology is ethically charged because changes to an embryo would be inherited by future generations and could eventually affect the entire gene pool. “We have never done anything that will change the genes of the human race, and we have never done anything that will have effects that will go on through the generations,” David Baltimore, a biologist and former president of the California Institute of Technology, who chairs the international summit proceedings, said in a pre-recorded message ahead of the event, which begins Tuesday, November 27.

It appears the organizers of the summit were also kept in the dark about He’s plans.

Regret and concern

The genetic editing of a speck-size human embryo carries significant risks, including the risks of introducing unwanted mutations or yielding a baby whose body is composed of some edited and some unedited cells. Data on the Chinese trial site indicate that one of the fetuses is a “mosaic” of cells that had been edited in different ways.

A gene-editing scientist, Fyodor Urnov, associate director of the Altius Institute for Biomedical Sciences, a nonprofit in Seattle, reviewed the Chinese documents and said that, while incomplete, they do show that “this effort aims to produce a human” with altered genes.

Urnov called the undertaking cause for “regret and concern over the fact that gene editing—a powerful and useful technique—was put to use in a setting where it was unnecessary.” Indeed, studies are already under way to edit the same gene in the bodies of adults with HIV. “It is a hard-to-explain foray into human germ-line genetic engineering that may overshadow in the mind of the public a decade of progress in gene editing of adults and children to treat existing disease,” he says.

Big project

In a scientific presentation in 2017 at Cold Spring Harbor Laboratory, which is posted to YouTube (https://www.youtube.com/watch?v=llxNRGMxyCc), He described a very large series of preliminary experiments on mice, monkeys, and more than 300 human embryos. One risk of CRISPR is that it can introduce accidental or “off target” mutations. But He claimed he found few or no unwanted changes in the test embryos.

He is also the chairman and founder of a DNA sequencing company called Direct Genomics (http://www.directgenomics.com/). A new breed of biotech companies could ultimately reap a windfall should the new methods of conferring health benefits on children be widely employed.

According to the clinical trial plan, genetic measurements would be carried out on embryos and would continue during pregnancy to check on the status of the fetuses. During his 2017 presentation, He acknowledged that if the first CRISPR baby were unhealthy, it could prove a disaster.

“We should do this slow and cautious, since a single case of failure could kill the whole field,” he said.

A listing describing the study was posted in November, but other trial documents are dated as early as March of 2017. That was only a month after the National Academy of Sciences in the US gave guarded support (https://www.technologyreview.com/s/603633/us-panel-endorses-designer-babies-to-avoid-serious-disease/) for gene-edited babies, although only if they could be created safely and under strict oversight.

Currently, using a genetically engineered embryo to establish a pregnancy would be illegal in much of Europe and prohibited in the United States. It is also prohibited in China under a 2003 ministerial guidance to IVF clinics. It is not clear if He got special permission or disregarded the guidance, which may not have the force of law.

Public opinion

In recent weeks, He has begun an active outreach campaign, speaking to ethics advisors, commissioning an opinion poll in China, and hiring an American public-relations professional, Ryan Ferrell.

“My sense is that the groundwork for future self-justification is getting laid,” says Benjamin Hurlbut, a bioethicist from Arizona State University who will attend the Hong Kong summit.

The new opinion poll, which was carried out by Sun Yat-Sen University, found wide support for gene editing among the sampled 4,700 Chinese, including a group of respondents who were HIV positive. More than 60% favored legalizing edited children if the objective was to treat or prevent disease. (Polls by the Pew Research Center have found similar levels support in the US for gene editing.)

He’s choice to edit the gene called CCR5 could prove controversial as well. People without working copies of the gene are believed to be immune or highly resistant to infection by HIV. In order to mimic the same result in embryos, however, He’s team has been using CRISPR to mutate otherwise normal embryos to damage the CCR5 gene.

The attempt to create children protected from HIV also falls into an ethical gray zone between treatment and enhancement. That is because the procedure does not appear to cure any disease or disorder in the embryo, but instead attempts to create a health advantage, much as a vaccine protects against chicken pox.

For the HIV study, doctors and AIDS groups recruited Chinese couples in which the man was HIV positive. The infection has been a growing problem in China.

So far, experts have mostly agreed that gene editing shouldn’t be used to make “designer babies” whose physical looks or personality has been changed.

He appeared to anticipate the concerns his study could provoke. “I support gene editing for the treatment and prevention of disease,” He posted in November to the social media site WeChat, “but not for enhancement or improving I.Q., which is not beneficial to society.”

Still, removing the CCR5 gene to create HIV resistance may not present a particularly strong reason to alter a baby’s heredity. There are easier, less expensive ways to prevent HIV infection. Also, editing embryos during an IVF procedure would be costly, high-tech, and likely to remain inaccessible in many poor regions of the world where HIV is rampant.

A person who knows He said his scientific ambitions appear to be in line with prevailing social attitudes in China, including the idea that the larger communal good transcends individual ethics and even international guidelines.

Behind the Chinese trial also lies some bold thinking about how evolution can be shaped by science. While the natural mutation that disables CCR5 is relatively common in parts of Northern Europe, it is not found in China. The distribution of the genetic trait around the world—in some populations but not in others—highlights how genetic engineering might be used to pick the most useful inventions discovered by evolution over the eons in different locations and bring them together in tomorrow’s children.

Such thinking could, in the future, yield people who have only the luckiest genes and never suffer Alzheimer’s, heart disease, or certain infections.

The text of an academic website that He maintains shows that he sees the technology in the same historic, and transformative, terms. “For billions of years, life progressed according to Darwin’s theory of evolution,” it states. More recently, industrialization has changed the environment in radical ways posing a “great challenge” that humanity can meet with “powerful tools to control evolution.”

It concludes: “By correcting the disease genes … we human[s] can better live in the fast-changing environment.”

Note: This story was updated after publication to include claims by He Jiankui that the trial had produced live births.


TOPICS: Science; Society; Weird Stuff
KEYWORDS: china; crispr; eugenics; geneediting; gmo; helixmakemineadouble; humanexperiments; humanguineapigs; moralabsolutes
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1 posted on 11/29/2018 1:45:26 AM PST by a fool in paradise
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To: Morgana

More

https://www.technologyreview.com/s/612466/the-chinese-scientist-who-claims-he-made-crispr-babies-has-been-suspended-without-pay/

The Chinese scientist who claims he made CRISPR babies is under investigation
He Jiankui says he created twin girls whose genes were edited to make them resistant to HIV. Was that ethical? Or even legal?
by Antonio Regalado November 26, 2018

https://www.technologyreview.com/s/612465/crispr-inventor-feng-zhang-calls-for-moratorium-on-baby-making/

CRISPR inventor Feng Zhang calls for moratorium on gene-edited babies
A leading scientist wants Chinese researchers to halt a project to create genetically modified children.
by Antonio Regalado November 26, 2018


2 posted on 11/29/2018 1:46:47 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: a fool in paradise

What could possibly go wrong?


3 posted on 11/29/2018 1:55:40 AM PST by thoughtomator (Number of arrested coup conspirators to date: 2)
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To: a fool in paradise

Courtesy of Western companies handing over their IP in return for access to prison labor and human guinea pigs.


4 posted on 11/29/2018 1:56:13 AM PST by fso301
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To: a fool in paradise
It’s a slippery slope. Today: reduce disease and defects. Tomorrow: sociopathic strengthened soldiers.

Can the Lord’s return be far away?

5 posted on 11/29/2018 2:14:59 AM PST by The Truth Will Make You Free
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To: thoughtomator

God will turn out the lights on humans running things soon. This ghoulish endeavour is the final straw in my view. A rubicon that humans will cross that God will not tolerate. That is my belief anyhow.


6 posted on 11/29/2018 2:22:25 AM PST by Long Jon No Silver
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To: The Truth Will Make You Free

Agreed


7 posted on 11/29/2018 2:23:27 AM PST by Long Jon No Silver
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To: Long Jon No Silver

I am reminded that things will get far worse before the second coming. Although I hadn’t included this particular item to my personal list of possible scenarios, it certainly fits the pattern. Stay safe.


8 posted on 11/29/2018 2:26:52 AM PST by Pecos (Better the one you have with you than the one you left at home.)
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To: fso301

“Courtesy of Western companies handing over their IP in return for access to prison labor and human guinea pigs.”

Yes. That!
It is also the result of molecular biologists seeking fame and stature by being first to do something that most graduate students in molecular biology could do. This technology was developed scientifically, but what the Chinese are doing with it at this point is way premature and is more showboating than science. I suspect their government encourages this.


9 posted on 11/29/2018 2:40:43 AM PST by neverevergiveup
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To: Pecos

The words of Psalm 2 kind of leap off the page after reading about this gene editing stuff. Human arrogance and self will be the ruin of many unfortunately.


10 posted on 11/29/2018 2:49:05 AM PST by Long Jon No Silver
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To: The Truth Will Make You Free

or introduce genetic defects through mutation
or spurn new even more aggressive less resistant forms of HIV etc


11 posted on 11/29/2018 3:19:37 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: a fool in paradise

Seriously, the main difference between CRISPR and other gene editing technologies is the hype. We have had the technology to alter genomes for a long time; we do not use them on humans.

This scientist He was looking for publicity, nothing more.

Influenza kills far more Chinese than AIDS. Many Chinese have a variant of the major histocompatibility comp!ex, a protein involved in immune function, that makes them very susceptible to severe effects of influenza infection. Why didn’t He go after that, and potentially save more people?

Also, I find it highly disturbing that there is evidence of genetic testing of preborn babies up to 6 months old. That opens the possibility that He has been killing babies for research.


12 posted on 11/29/2018 3:31:04 AM PST by exDemMom (Current visual of the hole the US continues to dig itself into: http://www.usdebtclock.org/)
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To: exDemMom

In other articles (not necessarily about CRISPR) there are scientists who strive for “near human” test subjects by doping human DNA into other “things”.

If they can create a “subhuman” class they believe they are ethically clear to experiment on “it” or harvest “parts” from “it”.

https://www.telegraph.co.uk/science/2017/01/26/human-pig-hybrids-created-scientists-breakthrough-organ-transplants/


13 posted on 11/29/2018 3:39:02 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: exDemMom

Just as if they can establish a “cure” using fetal stem cells there will be a demand and a “need” for such cells to be created to be harvested (creating human organisms to harvest parts).


14 posted on 11/29/2018 3:40:33 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: a fool in paradise

The technique described in the article you linked is actually the use of pig embryos as petri dishes to direct the formation of human organs from cells. No human DNA was inserted into pig cells. The human cells injected into the pig embryos receive the growth signals from the surrounding pig cells, and that is what directs them to form organs.

My main concern is about the source of the human cells. Were they harvested from murdered babies? Or do they come from another source of stem cells, for example placenta tissue? Also, I would have concerns about retroviruses. Our genomes have a high content of retroviruses, which are mostly inert. So do the genomes of most multicellular organisms. While pig and human genomes probably share a large number of retroviruses, they are not all the same. What if an inert pig retrovirus enters human cells and becomes “ert”? What if the pig retrovirus then infects the human recipient of the organs grown in pigs? The potential of pig viruses infecting humans has been a long-standing concern of researchers who have been looking into the potential of using pig organs for transplant.

Of course pigs die for all of this research, but I don’t think there is much concern for them.


15 posted on 11/29/2018 4:05:36 AM PST by exDemMom (Current visual of the hole the US continues to dig itself into: http://www.usdebtclock.org/)
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To: exDemMom

https://news.nationalgeographic.com/2018/02/sheep-human-hybrids-chimeras-crispr-organ-transplant-health-science/

This pig embryo was injected with human cells early in its development and grew to be four weeks old. The experiment made headlines when it was announced in early 2017; now, researchers have improved the procedure and tested it on sheep...

...The breakthrough moves researchers a small step closer to growing human organs for medical transplant.”

“To make chimeras, researchers isolate one animal’s stem cells, which can develop into any cell type in the body. They then inject some stem cells from one species into the embryo of another—a tricky procedure to get right...

...Stem-cell experts lauded the human-pig study, but they noted that the pig embryos’ counts of human cells—about one in a hundred thousand—were too low for successful organ transplants.

On Saturday at the 2018 American Association for the Advancement of Science annual meeting in Austin, Texas, researcher Pablo Ross of the University of California, Davis, announced that he and his colleagues have fine-tuned the procedure—boosting human cell counts in sheep embryos to one in ten thousand...

...And to prevent immune rejection, extra steps would be needed to ensure that leftover bits of animal viruses are struck from the pig or sheep’s DNA. But the work shows progress toward more viable organs...

...The U.S. National Institutes of Health currently forbid public funding of human-animal hybrids, though it signaled in 2016 that it might lift the moratorium. (So far, private donors have funded early research.)...

...“The contribution of human cells so far is very small. It’s nothing like a pig with a human face or human brain,” Stanford University researcher Hiro Nakauchi, Ross’s collaborator, said at the meeting. Nakauchi added that researchers are trying to target where human cells proliferate, to ensure that they don’t set up shop in animals’ brains or sex organs...


16 posted on 11/29/2018 4:15:34 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: a fool in paradise

odd choice of a disease to modify for...

arthritis?

Some cancers?

ALS?

But HIV?


17 posted on 11/29/2018 6:26:02 AM PST by Chickensoup (Never count on anyone, ever.)
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To: The Truth Will Make You Free

Its a slippery slope because only after-the-fact will they find out they’ve unintentionally edited-out other genes or functions too, leaving these people crippled, deformed and in pain.

Unintended consequences.


18 posted on 11/29/2018 6:42:14 AM PST by PGR88
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To: Chickensoup

HIV is where the reaearch money is


19 posted on 11/29/2018 6:49:41 AM PST by a fool in paradise (Denounce DUAC - The Democrats Un-American Activists Committtee)
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To: a fool in paradise

In China??


20 posted on 11/29/2018 6:58:06 AM PST by Chickensoup (Never count on anyone, ever.)
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