A group of 18
scientists and ethicists today warned that a revolutionary new tool to cut and
splice DNA should be used cautiously when attempting to fix human genetic
disease, and strongly discouraged any attempts at making changes to the human
genome that could be passed on to offspring.
Among the authors of
this warning is Jennifer Doudna, the co-inventor of the technology, called
CRISPR-Cas9, which is driving a new interest in gene therapy, or “genome
engineering.” She and colleagues co-authored a perspective piece that appears
in the March 20 issue of Science, based on discussions at a meeting that took
place in Napa on Jan. 24. The same issue of Science features a collection of
recent research papers, commentary and news articles on CRISPR and its
implications.
“Given the speed with
which the genome engineering field is evolving, our group concluded that there
is an urgent need for open discussion of the merits and risks of human genome
modification by a broad cohort of scientists, clinicians, social scientists,
the general public and relevant public entities and interest groups,” the
authors wrote.
Doudna, director of UC
Berkeley’s Innovative Genomics Initiative, was joined by five current and two
former UC Berkeley scientists, plus David Baltimore, a Nobel laureate and
president emeritus of the California Institute of Technology, Stanford Nobelist
Paul Berg and eminent scientists from UC San Francisco, Stanford, Harvard and
the universities of Wisconsin and Utah. Several of these scientists are
currently involved in gene therapy to cure inherited diseases.
Such warnings have
been issued numerous times since the dawn of genetic engineering in 1975, but
until now the technology to actually fix genetic defects was hard to use.
“However, this
limitation has been upended recently by the rapid development and widespread
adoption of a simple, inexpensive and remarkably effective genome engineering
method known as CRISPR-Cas9,” the scientists wrote. “The simplicity of the
CRISPR-Cas9 system enables any researcher with knowledge of molecular biology
to modify genomes, making feasible many experiments that were previously
difficult or impossible to conduct.”
Correcting genetic
defects
Scientists today are
changing DNA sequences to correct genetic defects in animals as well as
cultured tissues generated from stem cells, strategies that could eventually be
used to treat human disease. The technology can also be used to engineer
animals with genetic diseases mimicking human disease, which could lead to new
insights into previously enigmatic disorders.
The CRISPR-Cas9 tool
is still being refined to ensure that genetic changes are precisely targeted,
Doudna said. Nevertheless, the authors met “… to initiate an informed
discussion of the uses of genome engineering technology, and to identify
proactively those areas where current action is essential to prepare for future
developments. We recommend taking immediate steps toward ensuring that the
application of genome engineering technology is performed safely and
ethically.”
Of particular concern
are changes to genes in “germline cells” – sperm and egg – that can be passed
on to offspring. Even a germline modification that eliminated a genetic disease
that has plagued a family for generations could have unintended consequences,
given current limitations on our knowledge of human genetics.
“We believe that
initiating these fascinating and challenging discussions now will optimize the
decisions society will make at the advent of a new era in biology and
genetics,” the authors concluded.
The UC Berkeley
authors are Michael Botchan, a professor of molecular and cell biology and IGI
co-director; G. Steven Martin, dean of biological sciences and a professor of
molecular and cell biology; chemistry researcher Samuel Sternberg; IGI
scientific director Jacob Corn; and IGI program director Marsha Fenner. Edward
Penhoet, a former dean of the UC Berkeley School of Public Health, and Martin
Jinek, a co-inventor of CRISPR now at the University of Zurich, also signed the
commentary.
Doudna is also the Li
Ka Shing Chancellor’s Chair in Biomedical and Health Sciences and a Howard
Hughes Medical Institute investigator at UC Berkeley.
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