[HN Gopher] CRISPR Editing in Primates
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       CRISPR Editing in Primates
        
       Author : jwcooper
       Score  : 114 points
       Date   : 2021-05-20 16:31 UTC (6 hours ago)
        
 (HTM) web link (blogs.sciencemag.org)
 (TXT) w3m dump (blogs.sciencemag.org)
        
       | PolandKid wrote:
       | Reminds me of a story from Ursula Le Guin's Changing Planes short
       | story collection - Porridge on Islac.
        
       | [deleted]
        
       | [deleted]
        
       | LatteLazy wrote:
       | So the actual tech here is:
       | 
       | * mRNA and lipid nano particles to get the mRNA into cells
       | 
       | * 2 pieces of mRNA. One codes for the change to break the gene
       | for the protein being targeted and another to create a enzyme to
       | edit the first piece into the genome
       | 
       | * both bits of mRNA need to be in the cell, then the enzyme and
       | gene are created and the enzyme edits in the gene
       | 
       | So any cell where this works correctly (and its descendents) no
       | longer produces the protein. It appears that about 60% of cells
       | get hit successfully (based on a 60% drop on the protein level).
       | 
       | They only targeted liver cells. That's good because the liver
       | tends to soak up foreign materials from blood. But edits were
       | found at low levels in other organs (spleen etc). That shouldn't
       | make much difference as the protein in question is only produced
       | in the liver. But beware I guess as a multi-use protein could be
       | altered in multiple organs.
       | 
       | Also, it looks like the edit was very accurate and didn't break
       | other genes at anything like the rate it broke the target.
       | 
       | This is pretty incredible stuff. The biochemical equivalent of
       | keyhole surgery.
        
       | entee wrote:
       | My biggest worry with this would be the low level of off target
       | edits and the number of recombination events that yielded an
       | unwelcome product. Looks like those were very low, but with an N
       | of 4, hard to know long term. The reason being that when you
       | screw around with DNA you can get cancer. This has been an issue
       | in a variety of cases with gene therapy, though is clearly
       | getting much better. This is really cool though, exciting times!
        
         | [deleted]
        
         | carbocation wrote:
         | For what it's worth, unlike earlier CRISPR technology which
         | made DSBs at desired locations, base editing does not make
         | double strand breaks. This is described pretty well, I think,
         | in the journal manuscript[1].
         | 
         | 1 = https://www.nature.com/articles/s41586-021-03534-y
        
       | alextheparrot wrote:
       | Lipid nanoparticle delivery vehicle is really simplifying a lot
       | of therapeutics. Looking forward to seeing Moderna and Acuitas
       | continue to build out the platform for more targeted or effective
       | actuator delivery.
        
         | ChaitanyaSai wrote:
         | What are some good books to learn more about this? Thanks.
        
           | alextheparrot wrote:
           | Sadly, I don't have a book to recommend.
           | 
           | Most of the targeting today is happening through antibodies,
           | but the majority of LNP delivery at this point is done
           | passively without targeting mechanisms on the LNP (Needle
           | injection point aside).
           | 
           | That's actually one advantage of CRISPR over just injecting
           | mRNA - you can target specific cell-lines (Even if you change
           | the genome of many cell types) by using cell-specific
           | promoters for the edits you make instead of relying on
           | surface affinity based targeting of the LNP.
           | 
           | Interesting resources:
           | 
           | [0]: https://www.nature.com/articles/nrd.2017.243 (General
           | review 1)
           | 
           | [1]: https://www.frontiersin.org/articles/10.3389/fmolb.2020.
           | 5879... (General review 2)
           | 
           | [2]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498813/
           | (PCSK9 target again, but via siRNA actuator)
           | 
           | [3]: https://genomebiology.biomedcentral.com/articles/10.1186
           | /s13... (Example of cell-specific CRISPR integration)
        
             | ChaitanyaSai wrote:
             | Thanks for the pointers! A big fan of birds-eye-view books
             | that let readers then follow individual trees. I guess
             | these take time to put together and some fields (like
             | genomics / genetic engineering, are too fast moving now?)
        
       | victor106 wrote:
       | > The actual therapy is a long mRNA encoding the sequence of the
       | base editor (with all the appropriate modifications to make it
       | express well - this is very much like making an mRNA vaccine,
       | just with a very different payload. The mRNA vaccines just make
       | an antigen protein, but this one will of course produce a
       | functional enzyme that is itself capable of modifying DNA. That
       | mRNA and the guide mRNA (to tell the newly produced enzyme where
       | to go) are encapsulated in a lipid nanoparticle formulation
       | (again, similar to the vaccines and the existing RNAi therapies).
       | 
       | This is mind blowing stuff. I wish our best and brightest put
       | their mind on this rather than working on online ads
        
         | whymauri wrote:
         | If we paid scientists even half what engineers building ads at
         | FAANG make, we might get our wish here. I was once jokingly
         | told by a mentor that if I got too hungry as a research
         | assistant that I should eat some of our lab rodents :)
         | 
         | Yeah, I'll get a job instead, lol.
        
           | stanford_labrat wrote:
           | I feel this pain, especially since I'm hoping to get my PhD
           | over the next 6 years.
        
             | Obi_Juan_Kenobi wrote:
             | > PhD over the next 6 years.
             | 
             | Bruh
             | 
             | If you shoot for 5 it might take six. If you shoot for 6 it
             | will take 8. I know you can't read too much into such a
             | short comment, but do some serious introspection. You're
             | setting off like every alarm bell for someone that's about
             | to get absolutely hosed by a doc program.
        
               | rflrob wrote:
               | This is really program dependent. The NSF actually
               | publishes statistics on all kinds of aspects of degree
               | programs. Life Sciences (which doesn't have the
               | reputation as a super speedy science program) has a
               | median time in PhD program of around 5.5 years. Obviously
               | the distribution is going to be skewed, but some fields
               | have had a push towards really reducing the time to
               | graduation.
               | 
               | I'm all for doing serious introspection before (and
               | during!) a PhD, but the comment is way too short to set
               | off many alarm bells for me.
               | 
               | https://ncses.nsf.gov/pubs/nsf21308/data-tables#group7
        
           | Turing_Machine wrote:
           | Some years back there was a guy who did an online experiment
           | living on monkey chow for a period of time, logging his
           | results as the experiment progressed.
           | 
           | Jerry Pournelle, the late science fiction author, mentioned
           | on his own blog that there was a period of time as a
           | psychology PhD student when he, too, lived on monkey chow.
           | However, he did it out of poverty, not out of a spirit of
           | scientific inquiry.
        
           | mushishi wrote:
           | How about the top minds build monetization systems that give
           | a percentage of ads/subscriptions stream to science? Build
           | patron-esque systems that are dedicated to specific science
           | projects and for slow but fundamental research.
           | 
           | How about one could opt-in to be taxed in state so that money
           | goes out to science. (Where I live there is a tax for a de-
           | facto church if one belongs to that church)
        
             | robotresearcher wrote:
             | Science is largely paid for by taxes with budgets
             | controlled by elected representatives. Top minds like
             | Alexander Hamilton created this revenue stream already.
             | 
             | Vote for science.
             | 
             | Earmarked taxes are exactly how we get funds favoring
             | religion. Let your representative represent, but choose
             | them wisely.
        
               | mushishi wrote:
               | Sure, I'm all for taxes.
               | 
               | As an individual after I've voted, and I still want to
               | contribute some of the earnings I've made, how do I go
               | about that? Is it the best just to start political
               | influencing. Why not directly give money to specific
               | areas of science. Making science a little bit transparent
               | to general public might give motivation for people spend
               | some money that is not distributed similarly as tax
               | payers.
               | 
               | Currently people are supporting e.g. musicians through
               | patron-like systems, why not scientist. I think there
               | could be a risk in that scientist would need to start
               | wasting their time managing some kind of public display
               | of what they do.
               | 
               | There definitely should be a really solid financing from
               | tax only, and it would be horrible if a system was
               | created to undermine that so that you would need public
               | collection of money for projects. I'm not saying that.
        
               | robotresearcher wrote:
               | There are many charities funding research. They tend to
               | be medical, but not always.
               | 
               | The Royal Society funds basic research, and is funded by
               | donations. It's been running since 1660.
               | 
               | https://royalsociety.org/about-us/funding-finances/
        
           | pvarangot wrote:
           | I have some experience with academic policy and stuff like
           | that.
           | 
           | While I don't philosophically agree with the sentiment what
           | someone making actual policy will tell you is that scientists
           | are, in average, already being payed way more than the
           | "value" they add to "the economy" in their lifetime. There
           | doesn't seem to be a supply crunch for people wanting to
           | pursue a career as a biomedical researcher and the field is
           | highly competitive, as most people on it can tell you.
           | 
           | To change that, being completely blunt and with no nuance, I
           | think three things can help:
           | 
           | - As a society scientists get "moved out of the market". They
           | kinda already are "out of the market" if you think that most
           | of the money they make comes from strategic government grants
           | backed by monetary emission or by discretionary allocation by
           | "illuminated" boards that are sitting on a stash of money
           | that patents from a very small percentage of previous
           | "science" makes.
           | 
           | - We low the barrier for someone to be able to do the
           | "science" we need. Like with music production. A lot of
           | people will be able to self-finance. This is happening with
           | lab equipment but it will likely never happen with research
           | trials and human experimentation.
           | 
           | - More money is thrown to whatever "science" we want in
           | general. Like what happened with space exploration or AI.
           | 
           | I hope a little bit of the three keep on slowly happening and
           | maybe eventually we will reach a breaking point where
           | everyone has access to personalized cutting edge
           | medicine/diet/exercise plans. I don't find it likely but I
           | hope we make progress torwards that in my lifetime.
        
             | Teever wrote:
             | > This is happening with lab equipment but it will likely
             | never happen with research trials and human
             | experimentation.
             | 
             | I bet that we will see some form of this. In some way we
             | already do in the form of recreation drug users, body
             | modification hobbiests, fetishists, and nutropics users.
        
       | xvilka wrote:
       | It's hard to judge even as a PoC in a sample of 4 and just one
       | gene. I hope the research will expand into statistically
       | substantial samples and various different genes.
        
         | cblconfederate wrote:
         | well there's also 2 infants in china
        
           | teataster wrote:
           | You meant to say: "at least two infants," right?
        
             | cblconfederate wrote:
             | that we know of
        
       | billiam wrote:
       | There are a lot of unexplored consequences of potentially editing
       | out a gene as important as PCSK9. Some of the compounds it is
       | making are essential to brain and liver development. They'll have
       | to study that for years.
        
         | SV_BubbleTime wrote:
         | I am aware of the potential promises and discoveries.... and I
         | still think "stahhp" when it comes to gene editing primates.
         | We've made it thus far, let's just not open the box before we
         | really know what's in it.
        
           | Turing_Machine wrote:
           | Someone with cystic fibrosis (or the parents of a child with
           | CF) might well disagree, though.
        
             | teachingassist wrote:
             | And they might well _not_ disagree.
             | 
             | I doubt that an average person with CF would want testing
             | on primates to be done in their name.
             | 
             | Justifying your ethical position by name-checking a
             | disability group is kind of gross, especially given that
             | animal testing is not a mechanism which typically results
             | in improved treatment.
        
               | bigcorp-slave wrote:
               | Hi, not using a throwaway so you know I'm sincere. As
               | someone with a serious and currently incurable
               | disability, I would support testing on one hundred
               | billion non-human primates if it gave me a 5% chance of a
               | cure.
               | 
               | I'm sure you'll find people who don't feel that way. But
               | I can't overstate enough how horrible it is to go from
               | being a functional adult with all the joys and sorrows
               | that brings to being a much less functional person in
               | pain every day. That is reality for millions of people. I
               | don't feel that what GP did was gross. I think it
               | reflects reality for people who suffer on a daily basis,
               | and whose loved ones do.
        
               | sidlls wrote:
               | There are tons of biomedical research groups testing
               | things on animal subjects. A lot of discovery and
               | progress has been and will continue to be made with that
               | system.
               | 
               | And I'd have any number of them tested on if it meant
               | progress toward a cure for any number of conditions
               | afflicting human beings. I don't think that's "gross."
        
             | SV_BubbleTime wrote:
             | Yep. I agree. It's a luxury for me personally, but... I do
             | assume there are people with things this could solve that
             | also understand the risks and lean on the side of greater
             | sacrifice/altruism.
             | 
             | Here is the thing, this is probably moot. The genie is
             | probably already out of the bottle.
        
         | elihu wrote:
         | I'm not an expert so maybe someone can give a better response,
         | but I've understood CRISPR as something that doesn't
         | necessarily edit all the targeted cells, just some proportion
         | of them. So, maybe if one doesn't want to eliminate the
         | production of a compound entirely, one sets the dose low enough
         | to to only edit the genes of, say, half the targeted cells.
         | 
         | If I'm interpreting the article correctly, though, it sounds
         | like in their trials they think they may have edited nearly all
         | the targeted cells.
        
         | carbocation wrote:
         | There is at least one example of a healthy adult who is
         | compound heterozygous for loss of function in _PCSK9_ [1].
         | 
         | Also note that in the study linked in the main post, the gene
         | itself is being base edited in the liver, not globally.
         | 
         | 1 = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1559532/
        
         | ellimilial wrote:
         | Quite possible. Nobody wants another hERG fiasco.
        
           | tibbydudeza wrote:
           | ether-a-go-go-related ... LOL
        
             | 9dev wrote:
             | TIL gogo dancers are probably named after a legendary rock
             | club named ,,Whiskey A Go Go", which inspired the name of a
             | gene that causes the legs of anesthetized flies to shake
             | similar to once-popular dance moves in said club.
             | Fascinating.
        
           | whymauri wrote:
           | Did someone try editing out hERG?!
        
             | ellimilial wrote:
             | A fair amount of drugs inhibiting it had to be recalled
             | after https://pubmed.ncbi.nlm.nih.gov/16554806 and
             | subsequent regulators actions.
        
               | whymauri wrote:
               | Oh, OK -- right hERG inhibition liability is a candidate
               | killer. It's just since the topic was gene editing, I
               | thought someone had experimented with editing hERG
               | somehow which had me really confused.
        
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