Sunday, February 26, 2017

Gene Editing and the Question of Ethics

Imagine a world where expecting mothers and fathers could guarantee that their child would not inherit any genetic diseases such as muscular dystrophy, sickle cell anemia, cystic fibrosis, and Down syndrome. A world like that may seem too good to be true, but recent medical advances have made this medically idealized world a real possibility. A new, complex tool called CRISPR-CAS9 has the ability splice, delete, and insert portions of genetic code. This, "gene editing" is a process that can remove inherited diseases from human embryos, eggs, and sperm. The technology is not widely used nor tested because, while it is promising, the science is not perfected. The procedure is rare and has worked in some cases, but in others it has not and has instead increase the chances of genetic disease. Because of the great risk involved, ethics have forced scientists to ask: should research be spurred to perfect the science of genetic editing considering the risks involved? 
It is certain that more research is needed to eliminate the risks involved with genetic editing, but some would argue that research should be stopped altogether. Halting any practice of genetic editing would consequently halt any advances, but would guarantee that no child suffer the adverse effects of a high profile science experiment.
              Reversely, some scientists would say that research should be hastened and even practiced in clinics. The increase in procedures performed would result in the testing of thousands of human embryos and would surely risk negative results in some cases; however, some cases would yield positive results. Eventually, the procedure could be perfected and inherited diseases would be irradiated from our DNA and future generations would never be afflicted with such impairments.
              Moreover, it’s important to consider the option of simply continuing research at the current rate, which is slowly, but surely. In the United States, genetic editing research is only permitted in cases where it is predetermined that the child would, without the procedure, be born with major defects or die. This solution would take more time, but advancement after advancement would eventually yield enough research to guarantee the procedures success without risking a child’s health.

              If no more research is conducted, genetic disorders and diseases will continue to plague future generations. If research is spurred, many children could suffer at the expense of an experiment. And if research continues, albeit at a near standstill, it will take years to perfect the procedure and many who could have been helped, will live with a disease. One thing is certain. The subject in question, genetic editing and the CRISPR-CAS9 tool, exist in an ethical gray area.

Matt Mietchen
BIOL 1610-008
Dr. Dr. Gazdik Stofer

Source: https://www.nytimes.com/2017/02/14/health/human-gene-editing-panel.html?_r=0

4 comments:

  1. I believe Matt is correct in pointing out that there are many ethical concerns to consider when it comes to the use of the CRISPR-CAS9 gene editing tool, or any process by which genetics can be modified. I disagree however, that there is a question in how we should in regard to the actual development of the technology.

    Like any policy, the decision to research gene editing is not a choice between absolutes where one is good and one is bad, but a decision between alternatives. While there are potential risks to gene editing, there are also huge benefits that are probably more ethically significant then the risks. For example:
    "Approximately 4 million babies are born each year. About 3 to 4% will be born with a genetic disease or major birth defect."
    "Approximately 1% of all babies will be born with chromosomal abnormality, which can cause physical problems and mental retardation."
    "More than 20% of infant deaths are caused by birth defects or genetic conditions (e.g. congenital heart defects, abnormalities of the nervous system, or chromosomal abnormalities)."
    "Approximately 10% of all adults and 30% of children in hospitals are there due to genetically related problems."

    Reference: http://www.netwellness.org/healthtopics/idbd/2.cfm

    That is death and suffering humanity can typically only attribute to plagues and diseases, and it is probably preventable. We are not talking about a minor improvement in medical technology, gene editing of children could be the biggest advancement in medical technology since the discovery of penicillin (Antibiotic that has saved uncountable lives, including my own.)

    The other major factor in our decision to develop this technology or not is simply that of competition. If we do not, others will and we will lose control of any ethical decisions that are made over this technologies use or development. China has already allowed trials of CRISPR genetic treatments on human embryos (Reference:http://www.nature.com/news/chinese-scientists-genetically-modify-human-embryos-1.17378) and are likely to continue doing so regardless of any other country's policy on the subject.

    Given the overwhelming potential for gene editing for great good, and the potential for its abuse (countries such as North Korea) the best decision in the face of possible alternatives is probably to expedite, and certainly not slow down, the development of this technology.

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    1. whoops.... my initials are TH

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  2. Wow very interesting concept and post, great job! It is awesome to imagine genetic diseases and problems eventually being a thing of the past. My question is more of after they have perfected and successfully performed these gene changes. Would people be able to compete in competitions such as say the olympics with "normal people" or would they have to be separated from compititions and other things due to being on "different level" or just different for the rest of their lives?

    -ZP

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    1. That is an intriguing question, I believe that it would depend on the level of genetic changes preformed. For example if one person has his genetic information changed to exclude certain diseases is much different then a person being genetically changed to be able to improve certain athletic abilities. If this was the case I believe there would be separate Olympics for both conditions with a choice for "normal people" to compete with the different level. I hope this answers your question a bit. -EM

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