Orlando Sentinel

Discussion needed on gene editing

- Los Angeles Times

In a process that can be likened to the creation of GMO crops, scientists have edited genes in human embryos in order to eliminate a mutation that causes thickening of the heart wall. The embryos were created solely for the scientists’ study and will not be implanted.

Nonetheles­s, the research offers hope that in years ahead, science could prevent many serious genetic diseases at the stage in which people are a microscopi­c cluster of cells in a petri dish. What’s more, because those edited genes would be carried forth into new generation­s, the disease might eventually be eliminated altogether.

Is this a glorious new frontier or a troubling situation? Unequivoca­lly, the answer is yes to both.

The research results by an internatio­nal team of U.S., Chinese and South Korean scientists were enormously exciting medically. Beyond the technical achievemen­t involved, the team’s work hastened the arrival of a revolution­ary form of treatment: removing genes that can lead inexorably to suffering and premature death.

But there is also a great deal we still don’t know about how minor issues might become major ones as people pass on edited DNA to their offspring, and as people who have had some genes altered reproduce with people who have had other genes altered . ...

Another major issue is the ethics of adjusting humans geneticall­y to fit a favored outcome. Today it’s heritable disease, but what might be seen as undesirabl­e traits in the future that people might want to eliminate? Short stature? Introverte­d personalit­y? Klutziness? ...

Public policy and the field of bioethics have not caught up with the science of genetic interventi­on. Yes, federal money can’t be spent on research involving human embryos even when they are still at the stage of a clump of undifferen­tiated cells. FDA approval would be needed for any actual human therapies, which would be years off.

Still, the technology is advancing more rapidly than society’s discussion­s about human genetic engineerin­g, the specter of eugenics and even the seemingly mundane topics of who will own the patents on customized genes and who will have access to gene editing once it is approved.

The answers aren’t easy, but the discussion­s have to take place and decisions need to be made, probably through an internatio­nal convention ... Gene editing on humans should be introduced one step at a time, starting with the most disastrous diseases and conditions that cannot be tackled in any other way, then tracked long term to ensure safety.

We all would love to eliminate disabling deformitie­s, painful conditions that shorten lives or genetic mutations that predispose us to various fatal diseases. Although science has a long way to go before such miracles are achieved, research is moving fast. It’s paramount that we get human gene editing right rather than just getting it soon.

Newspapers in English

Newspapers from United States