[HN Gopher] CRISPR gene-editing breakthrough opens door to treat...
       ___________________________________________________________________
        
       CRISPR gene-editing breakthrough opens door to treating broad array
       of diseases
        
       Author : hassanahmad
       Score  : 290 points
       Date   : 2021-06-26 16:54 UTC (6 hours ago)
        
 (HTM) web link (www.npr.org)
 (TXT) w3m dump (www.npr.org)
        
       | dcwardell wrote:
       | Crazy genetics ideas I would like explored
       | 
       | A modified tree that drops nuts of (nearly) pure graphite or some
       | other form of nondecomposable carbon which we can easily harvest
       | and sequester.
       | 
       | Photosynthesis in humans to supplement our energy consumption.
       | Shoutout to Knights of Sidonia.
       | 
       | I understand the ethical issues surrounding the second one.
        
         | semi-extrinsic wrote:
         | I believe the graphite nut proposal is too inefficient to work.
         | A single large tree absorbs around 30 kg of CO2 per year. If it
         | was able to put 10% of that into graphite nuts (which would be
         | a very good efficiency), you end up with 0.8 kg of graphite
         | nuts per tree per year.
         | 
         | To match the IEAs projections for carbon capture (7.5
         | gigatonnes CO2 captured per year in 2050) you would need around
         | 3*10^12 trees. That's about the same as the total number of
         | trees in the world. So you need to replace all of the worlds
         | trees, with the corresponding destruction of many of the
         | biggest ecosystems on earth.
        
           | pkdpic_y9k wrote:
           | Thats a pretty solid breakdown, but that 3x10^12 was a little
           | more hope-inspiring than I was expecting. Seems like a
           | workable part of a larger multi-pronged solution if you
           | streamlined the plants metabolism (?). Then again I dont know
           | what in the h*ll Im talking about so theres that...
        
         | kaba0 wrote:
         | > A modified tree that drops nuts of (nearly) pure
         | 
         | Well, we sort of have that in the form of specifically
         | engineering bacteria to create some drugs, notably insulin.
         | Though I'm sure graphene require additional biological
         | structure and that is a much harder problem them
         | adding/removing a few genes.
        
       | DantesKite wrote:
       | A lot of times you hear about these breakthroughs in medical
       | papers or in mice, but this really feels different.
       | 
       | Like an actual breakthrough with an actual cure for a specific
       | disease. It's remarkable.
       | 
       | Here's to more cures.
       | 
       | God bless.
        
       | bawana wrote:
       | So the religious right decided that we do not own our bodies, god
       | does. Just as software companies issue a EULA, all children born
       | since 2032 are required to have their parents sign a EULA.
       | Genetic modification is strictly prohibited and punishable by
       | reduction of the government stipend that everyone receives in
       | fedcoin every month. Underground genetic modification labs are
       | run by organized crime but unfortunately those using these labs
       | also get an unplanned genetic modification in addition to the one
       | they want. They are made dependent on a drug that only those labs
       | can provide, for a price. In addition, there are monthly
       | vaccination programs for citizens to protect them against genetic
       | terrorists, carriers of lethal protoviruses who are engineered to
       | carry and disseminate Covid derivatives that target HLA SUBTYPES
       | common in Northern European and South American genotypes.
       | 
       | Yes genetic modification is another wonderful technology that
       | humans will weaponize....like atomic energy, like the internet...
        
       | calrueb wrote:
       | The fact that we can apply these sort of therapies to an adult
       | human who consists of millions upon millions of cells blows my
       | mind. Having the ability to fix our "buggy" genetic code while we
       | are alive is amazing.
        
         | rorykoehler wrote:
         | Monkey patching in production.
        
         | correcthorse123 wrote:
         | I think targetting tbe liver is far easier than most other
         | tissues though, unfortunately.
        
         | hhjinks wrote:
         | You're off by a _couple_ orders of magnitude. There are
         | trillions of cells in a human body.
        
       | zz865 wrote:
       | Would CRISPR be the technology people would use to modify a bat
       | virus to make it human transmissable? This stuff should stay in
       | its box.
        
         | baybal2 wrote:
         | It will not stay in the box.
         | 
         | The allure of armies of supersoldiers without sense of
         | emotions, conscience, and remorse is irresistible for
         | dictators. I bet Chinese, or Russian militaries are already
         | working on that.
        
           | aussieguy1234 wrote:
           | Humans still have to be fed. Killer robots dont
        
         | koeng wrote:
         | They could also use normal editing with PCR since the genomes
         | are small. Also CRISPRs are in tons of organisms (I've
         | amplified it from yogurt), so the box is already out there.
        
         | stuntkite wrote:
         | You would not need CRISPR to do that. If something like that
         | ever occurred they would probably use other methods that have
         | been very well studied for much longer and are considerably
         | easier to apply. Including just taking blood samples from bats
         | (or pangolins or whatever) and archiving a great compelling
         | virus and culturing it in a lab. If you wanna add CRISPR into
         | the mix you could also make a virus like that make someone grow
         | some horns and get hiccups that sound like a kazoo though.
        
         | kyriakos wrote:
         | Knives can kill and save people. Almost anything can be used
         | for bad purposes in the wrong hands.
        
           | newsbinator wrote:
           | Not that I agree we should bury our heads in the sand like
           | luddites, but to be fair to OP, knives can only hurt or help
           | in a tiny human radius. It's hard to make an extinction-level
           | weapon (or extension level accident) out of them.
           | 
           | Being able to edit genes at will is a different story.
        
             | wizzwizz4 wrote:
             | Viruses are an extinction-level weapon. CRISPR? Not so
             | much. (And neither are likely to result in an extinction-
             | level accident; you'd have to deliberately deploy potent
             | bioweapons in multiple places to extinct us.)
        
               | [deleted]
        
               | SavantIdiot wrote:
               | Yes but the CRISPR engine is passed on to offspring which
               | raises massive ethical questions.
               | 
               | As I understand it (and hopefully I'm not way off base
               | here) there is a technique that creates a "gene drive"
               | which is kinda like an SDK that is inserted into the
               | patients genome which improves the efficacy of CRISPR.
               | 
               | This code finds its way into the gametes which is then
               | passed on to children. The children did not ask for this
               | SDK, but now they have it and it potentially becomes
               | immortal in human DNA.
               | 
               | On the one hand, cool: the SDK is there and possibly
               | makes it even easier to alter DNA>
               | 
               | On the other hand, holy shit: there's a ticking timebomb
               | in the populations DNA now.
               | 
               | It's called CRISPR-cas9:
               | 
               | https://wyss.harvard.edu/media-post/crispr-cas9-gene-
               | drives/
               | 
               | https://scicomm2020.wordpress.com/2020/02/24/controversia
               | l-g...
        
               | ben_w wrote:
               | The really great thing about us knowing how to read and
               | edit genes now, is that if that happened we would notice
               | and could switch it off. The stuff we want to wipe out
               | using gene drives -- e.g. Malaria -- can't.
               | 
               | There are things to worry about with cheap gene
               | engineering, but that particular possibility won't affect
               | us.
        
       | Waterluvian wrote:
       | Turning medical science from a technical problem into an ethical
       | one would be a massive epoch boundary for humanity, I'd say. More
       | so than the Internet.
        
       | BurningFrog wrote:
       | So this is editing liver cells, which I read somewhere is the
       | easiest to do, since the liver absorbs foreign elements from the
       | bloodstream.
       | 
       | The success of this should mean that many genetic liver
       | conditions can soon be treated this way.
       | 
       | For other organs, I expect a longer wait.
        
         | codeulike wrote:
         | The brain is particularly hard due to blood/brain barrier,
         | crispr is too big a molecule to go through. So might need
         | injections into cerebral spinal fluid for that
        
         | wgolsen wrote:
         | The lung epithelium has also recently been transfected in
         | humans (see Translate Bio cf drug; this and similar vehicles
         | can deliver editing tools)
        
       | jonplackett wrote:
       | Wonder how long it will be until this is used to enhance rather
       | than just to cure.
       | 
       | Eg selective fast twitch / slow twitch muscle fibres.
        
         | rorykoehler wrote:
         | Probably already happening
        
           | jonplackett wrote:
           | Presumably it would be damn hard to detect if it was!
        
       | ausbah wrote:
       | >Doctors infused billions of microscopic structures known as
       | nanoparticles carrying genetic instructions for the CRISPR gene-
       | editor into four patients in London and two in New Zealand. The
       | nanoparticles were absorbed by their livers, where they unleashed
       | armies of CRISPR gene-editors. The CRISPR editor honed in on the
       | target gene in the liver and sliced it, disabling production of
       | the destructive protein.
       | 
       | this is one of the coolest paragraphs I've read in a while. if
       | it's accurate, serves as a great reminder that we're in the
       | future as we speak
        
         | skybrian wrote:
         | Note that the liver is perhaps the easiest target since it
         | filters the blood.
         | 
         | See:
         | https://blogs.sciencemag.org/pipeline/archives/2021/05/20/cr...
        
         | DoctorNick wrote:
         | The record breaking temperatures that I'm suffering in the PNW
         | right now serves as a grim reminder that we won't have much of
         | a future, even with all this cool tech.
        
           | DoreenMichele wrote:
           | Everyone will move to Canada and similarly far north places.
           | Only the poor will be left behind to die in the heat and most
           | of the world won't care and will feel like "good riddance."
        
           | cj wrote:
           | It's not impossible to speculate the possibility that in
           | 50-100 years, climate change could be reversed through a
           | CRISPR-like technology (e.g. something that can be released
           | and replicate in the environment, thereby changing it).
           | 
           | Or at the very least, I can see a future where gene editing
           | could relieve your suffering from heat by raising the
           | threshold your body can tolerate :)
        
             | ProjectArcturis wrote:
             | You want something that replicates in the environment and
             | removes carbon? We have those. They're called "plants."
        
               | nr2x wrote:
               | Even if we reforested every possible area, the current
               | rate of carbon outlay exceeds capacity to absorb.
               | 
               | Well explained in the Economist video:
               | https://youtu.be/EXkbdELr4EQ
        
               | pkdpic_y9k wrote:
               | Does this include ocean farming based carbon capture?
               | That sounded like a pretty positive route in terms of
               | land use limitations when I heard about it.
        
               | chr1 wrote:
               | If we could convert Sahara back into a savannah or farms,
               | the amount of carbon required for the new soil and plants
               | would exceed the amount of extra carbon we have added to
               | the atmosphere so far. And there are many viable routes
               | to do that. E.g. building large number of ocean thermal
               | energy conversion plants [1] to reduce temperature of the
               | north hemisphere, recreating conditions that have caused
               | green Sahara in the past. There are numerous
               | possibilities to use engineering to revert adverse
               | effects of climate change, and to actually improve the
               | climate. The only scenario when we are doomed, is if
               | population declines significantly so that we get runaway
               | effect from carbon we have already produced melting
               | permafrost, and not have large enough economy to use
               | geoengineering on a large enough scale.
               | 
               | [1] https://en.wikipedia.org/wiki/Ocean_thermal_energy_co
               | nversio...
        
               | nobodyknowsyoda wrote:
               | > They're called "plants."
               | 
               | Incidentally, CRISPR + plants is one of the most
               | promising solutions to climate change: https://www.ted.co
               | m/talks/joanne_chory_how_supercharged_plan...
        
             | PixelOfDeath wrote:
             | Looking at the world right now, I hope for the best with
             | that gene therapy against sociopathic billionaires.
        
             | coliveira wrote:
             | Too bad for the millions of people who will die because of
             | the changes during these 50 years...
        
             | nr2x wrote:
             | At current rates of carbon outlay, there won't be much of a
             | world left to save in 100 years.
        
               | pkdpic_y9k wrote:
               | Not unless we all work our asses off! Engineers can do
               | anything :^)
        
               | matmatmatmat wrote:
               | ... except politics, engineers are usually not very good
               | at politics, and climate change is, in large part, a
               | political problem.
        
           | nitrogen wrote:
           | Stop with the doom trolling and get busy inventing solutions.
        
             | pkdpic_y9k wrote:
             | Heck yeah, this why I keep coming back the HN community.
             | But if you gotta get that doom trolling out too its all
             | good as long as it reminds us all how hard we gotta keep
             | workin :^)
        
             | stavros wrote:
             | Without doom trolling nobody will vote for the people who
             | want to implement the costly solutions.
        
             | tpmx wrote:
             | Wow. So direct, constructive and succinct. I'll borrow
             | (parts of) that.
        
         | noveltyaccount wrote:
         | Is this a one-time treatment? Does it remove all of the
         | offending genetic material, and then when those cells divide
         | they are cured? Or does it require ongoing treatment?
        
           | rolleiflex wrote:
           | It's editing the genes of the cells of the liver, so
           | presumably when those liver cells divide and multiply, the
           | change would also be copied along as well.
           | 
           | What isn't clear to me is that if this is targeted at the
           | liver cells in particular, or splicing it for every cell in
           | the body. In other words, this could be a germline mutation
           | (passed to children) or it could be a somatic mutation (no
           | change to future children), it depends on how targeted the
           | treatment was.
        
             | wgolsen wrote:
             | When administered IV, most LNPs of this type are highly
             | selective for hepatocytes. This edit cannot be passed on as
             | no germ cells will be transfected.
        
             | kaba0 wrote:
             | Even if it is not specific, I would believe gametes are not
             | affected/can be easily excludes due to the blood-testis
             | barrier.
        
       | myko wrote:
       | I'm very hopeful that someday these techniques will cure diseases
       | like Huntington's
        
       | xwdv wrote:
       | What are the limits of gene editing?
        
         | wizzwizz4 wrote:
         | We're constrained by the subset of physics that can be
         | implemented by proteins. Plus, the genetic code can't be too
         | big, or it won't fit, but I doubt we'll ever hit that limit
         | (provided we don't go the software route and build a giant
         | tower of massive abstractions that gets copied everywhere).
        
         | stuntkite wrote:
         | I don't think there are any aside from money, time, and
         | experience. If you'd like to give yourself glowing purple eyes,
         | huge muscles, and make it so you fart clouds of illegal street
         | drugs you can but it's much more difficult and messy than
         | deleting 'node_modules', rebuilding, and doing a `git push
         | --force` into prod at 5PM on a Friday before you take a long
         | weekend.
        
         | amelius wrote:
         | Before getting too excited, let's not forget the stories where
         | gene therapy went horribly wrong.
         | 
         | https://www.sciencehistory.org/distillations/the-death-of-je...
         | 
         | > Doudna expressed similar concerns about CRISPR.
         | 
         | > "I hope that we don't get ahead of ourselves with this
         | technology. As exciting as it is, I really would like to see .
         | . . people take a very measured and responsible path forward,
         | where there's careful vetting along the way," she said. "Of
         | course, the challenge is that patients are waiting, so you
         | don't want to delay unduly. But you also want to be safe."
        
         | xf1cf wrote:
         | A better question might be what are the ethical limits of gene
         | editing. How long until we stumble over eugenics but with extra
         | steps? It seems to me at least to be the natural conclusion of
         | advanced gene editing. Law of unintended consequences and all
         | that.
        
       | palijer wrote:
       | I feel like I missed something, and now everywhere I look we have
       | headlines like this.
       | 
       | What's wrong with "CRISPR gene editing shown to cure
       | Transthyretin amyloidosis in patient study"
       | 
       | Maybe I'm now one of the old people who doesn't understand new
       | usage of language. But I understand that usage dictates grammar
       | rules, but I feel I missed something.
        
         | MrDresden wrote:
         | I believe the metaphore of the inverted pyramid used in
         | journalism plays a part here.
         | 
         | edit: Strike that, hadn't realized that the article title and
         | the HN link differed so much.
        
         | dogma1138 wrote:
         | NPR isn't a research paper, or a researcher focused website.
        
         | eat_veggies wrote:
         | The paper linked in the article is titled "CRISPR-Cas9 In Vivo
         | Gene Editing for Transthyretin Amyloidosis." That's close
         | enough to your proposed title. If what you're looking for is a
         | technical research paper meant for people intimately familiar
         | with the field, then that's a great title.
         | 
         | But it's a terrible title for an article meant for laypeople
         | like us. The words "transthyretin amyloidosis" are utterly
         | meaningless to me and most HN/NPR readers, but "He Inherited A
         | Devastating Disease" tells me what kind of disease it is
         | (devastating, heritable) and why CRISPR gene editing might be a
         | big deal.
         | 
         | It also helps clue me into the contents of the article. Because
         | it is as much a summary of a key research result, as it is a
         | profile of Patrick Doherty, a man affected by the disease.
         | That's entirely missing from your title.
         | 
         | None of this is new. "Write for your audience" is as old as
         | writing itself.
        
         | phreack wrote:
         | I know what you mean. These headlines read less like titles and
         | more like lyrics in a song ("He was a skater boy. She said see
         | you later boy."). It feels a bit condescending, as if it was
         | aiming at children. I'd much prefer a title with a "person with
         | thing does action" style.
        
         | ben_w wrote:
         | I think it's just an oddity of newspapers. Even before it was
         | called "going viral", they've been a bit like that.
        
         | boublepop wrote:
         | > What's wrong with "CRISPR gene editing shown to cure
         | Transthyretin amyloidosis in patient study"
         | 
         | I understand your asking a rhetorical question but in the
         | interest of having a discussion about this I'll try to give you
         | an answer. Imagine a title like "Xonuicfixs shown in
         | zenocttkike to cure Xclatngt"
         | 
         | Reading that you might thing "wrf are they talking about?" But
         | imagine I just change the title to be more like:
         | 
         | "A breakthrough in Xonuicfixs shows promise as a cure for a
         | range of decided."
         | 
         | Have I lowered the information content of the title? Yes,
         | certainly. However I have also made it very apparent to you an
         | others who don't know the subject matter why this is a
         | worthwhile achievement, and this might therefore just become
         | the first article that you read and learn about Xonuicfixs.
         | 
         | And really shouldn't that be the job of a title? To convey to
         | potential readers why the content might be with their time. And
         | I would note that this is entirely different from clickbait
         | which tires to lure you into content with no information about
         | what the content is.
        
         | wgolsen wrote:
         | In my opinion, and it seems in the NPR editor's opinion, the
         | most exciting angle to this story isn't the cure of one
         | relatively rare disease (TAA), but rather the seemingly
         | imminent cure of many/most inherited diseases which affect
         | cells of the liver. Indeed, we can even make edits that confer
         | protective benefits to people at risk for diseases due to
         | mutations OR lifestyle (see a similar approach by Verve
         | Therapeutics). This is a big story which deserves the attention
         | grabbing headline.
        
       | toomuchtodo wrote:
       | Off topic: are there any central repositories tracking gene
       | therapy progress for various genetic conditions, with a similar
       | UX to Moderna's mRNA pipeline tracker?
       | 
       | https://www.modernatx.com/pipeline
        
         | t3po7re5 wrote:
         | All FDA trials are listed here: https://clinicaltrials.gov/, I
         | believe you can search by gene. It's not as nice as the moderna
         | pipeline though.
        
       | iandanforth wrote:
       | Please do familial hypercholesterolemia soon! I know it would be
       | harder but getting started on targeting specific mutations could
       | be fruitful.
       | 
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681164/
        
         | bigmattystyles wrote:
         | I want the CRISPR research that focuses on CIP accelerated. I
         | have a minor chronic pain issue that will get worse over time
         | (think sciatica). By the time I'm 60 in 25 years, it'd be great
         | if we had that. No more need for opiates or drugs that barely
         | make a dent.
         | https://en.m.wikipedia.org/wiki/Congenital_insensitivity_to_...
        
       | foreigner wrote:
       | This is awesome but I'm curious why they tried it first on this
       | super-rare disease instead of something more common?
        
         | SoftwareMaven wrote:
         | Extremely rare diseases and diseases that have no known
         | treatment options are given more lax rules for testing. Without
         | that, there would be no way to develop treatments for them, but
         | it comes with a side benefit of providing a method to attempt
         | new treatment modalities.
        
         | inglor_cz wrote:
         | My 2 cents:
         | 
         | a) need to edit liver cells only, not the entire organism, b)
         | the disease is deadly, so the patients do not have much to lose
         | if anything goes wrong.
        
         | Turing_Machine wrote:
         | Wild guess: it's because he's 65. Many of these severe genetic
         | diseases kill their victims at relatively young ages.
         | 
         | Ethical researchers are thus far being super-cautious about
         | modifying the genome of someone who's likely to have children.
         | While the article doesn't say, I wouldn't be surprised to learn
         | that he has explicitly agreed not to have any (more?) children.
        
       | hmmmhmmmhmmm wrote:
       | Original paper:
       | https://www.nejm.org/doi/full/10.1056/NEJMoa2107454?query=fe...
       | 
       | This is the first published IV-administration of a gene-editing
       | CRISPR payload. Interesting convergence with the nanoparticles
       | used in mRNA vaccines. Sickle-cell and immune reprogramming edits
       | have been made on cells removed from the body. Josiah Zayner
       | infamously injected himself with CRISPR at a conference years
       | back, but (1) unpublished, AFAIK and (2) he had been drinking
       | which likely attenuated the payload [and (3) he wanted bigger
       | muscles, not to treat a disease]
        
         | gwern wrote:
         | Mirror:
         | https://www.gwern.net/docs/genetics/editing/2021-gillmore.pd...
        
       | DrAwdeOccarim wrote:
       | Wow, it worked...This uses LNPs similar to the recent Moderna and
       | BioNTech/Pfizer vaccines, and N1m-pseudouridine mRNA, just like
       | the mRNA vaccines. This is incredible.
        
       | DudeInBasement wrote:
       | Cool, we can only show stories where it worked
        
         | carbocation wrote:
         | Human clinical trials are pre-registered, in order to prevent
         | exactly what you are describing (the 'file drawer problem').
        
         | wesleywt wrote:
         | Coming from a genetics background, I can tell you the fact that
         | it worked once is a massive achievement in itself. This is
         | science fiction.
        
       | Causality1 wrote:
       | I must be out of the loop. Last I heard trials with CRISPR were
       | making not only the desired genetic changes but also dozens of
       | others at random points in the genome. Did they solve that
       | problem?
        
         | dsign wrote:
         | Humans improve technology all the time, CRISPR gene editing
         | would be no exception.
         | 
         | Straight from Wikipedia:
         | https://en.wikipedia.org/wiki/LEAPER_gene_editing
         | 
         | I bet a dip into the specialized papers will show a multitude
         | of these techniques.
        
       | softwaredoug wrote:
       | The period missing from the title makes this very hard to parse
       | what is being said.
        
         | caymanjim wrote:
         | Agreed. NPR never used to use clickbait titles like this ("He
         | ..." is pure clickbait). It's sad to see them doing it
         | regularly now. I imagine the latest generation of journalists
         | grew up thinking this is normal. I know HN prefers original
         | headlines, but I wish these would be edited down when posted
         | here.
        
           | mjfl wrote:
           | "well then stop clicking on them!"
        
       | changoplatanero wrote:
       | Reminds me of this guy that cured himself of lactose intolerance.
       | https://www.popularmechanics.com/science/health/a17804128/sc...
        
         | MeinBlutIstBlau wrote:
         | I think it's annoying people get upset that people who do this
         | potentially damage their bodies. First of all, it's that
         | individuals body. They can take whatever risks they want. I
         | don't see how trying to alter your own DNA is any worse for you
         | than skydiving. Both have inherent risks, none of which affect
         | others. Secondly, because there is no red tape or ethical
         | scientific practices required, this gives us the opportunity to
         | study some anecdotal evidence and (hopefully) these people
         | donate their bodies for research after death. We can't truly
         | know these affects if we constantly just act so tepid about the
         | procedures.
         | 
         | Imagine if we had the scientific process about literally every
         | aspect in human life since the dawn of civilization? We'd still
         | be making bricks with straw, manure, sand, and water because
         | there wasn't a government sponsored test of the quality of
         | "Roman Cement" therefore we should not use it. Some of these
         | people who criticize a lot of science do so just for the sake
         | of disputing it. It's a good thing this stuff happens. The more
         | anecdotal evidence we have, the more likely it can be subject
         | to legitimate scrutiny and understand certain pitfalls that
         | these individuals encountered and why. Just telling these
         | people "you're stupid, it's bad for you!" is an ultimate waste
         | of time and just stagnates data collection.
        
           | tialaramex wrote:
           | > Both have inherent risks, none of which affect others.
           | 
           | If you make germline edits, this does potentially impact
           | others - you can have children who inherit the edit. They
           | don't have any choice about that (depending on the edit they
           | might randomly not receive a copy of the edited material, but
           | that's luck) and its consequences in them may be undesirable
           | even if the outcome for you, an adult, was fine and anyway
           | your choice.
        
             | karmicthreat wrote:
             | In the particular context of Though Emporium this wasn't
             | going to happen. It used an adenovirus that couldn't
             | reproduce so it was only going to alter a limited number of
             | cells in his intestine.
             | 
             | The technical requirements to this kind of limit the number
             | of people that are going to really mess themselves up. I
             | would be more worried about people accidentally releasing
             | edited bacteria or viruses.
        
               | ch4s3 wrote:
               | > releasing edited bacteria or viruses.
               | 
               | From what I understand it's hard to order the sequences
               | of DNA or RNA you'd need for this without someone
               | noticing. It's probably not impossible, but not something
               | anyone is going to bungle into.
        
               | karmicthreat wrote:
               | That's what is usually said. I don't think I've actually
               | heard of this getting triggered. I'd like to think that
               | global governments have this totally under control. Maybe
               | the US does, but does China? In any case so far it's
               | seemed like a whole "this rock keeps away Tigers" sort of
               | thing.
        
               | stuntkite wrote:
               | I am 100% pro bio hacking, I would go as far as to say
               | that I think the bio hacking community might be the only
               | place I can see solutions to our largest problems coming
               | from. I mean the bio hacking community too, not acedemia.
               | Not that acedamia isn't crucial to that process.
               | 
               | Anyway, Maybe a few years ago the barrier to entry was
               | too high for most people but that is so not the case
               | anymore. Even just this year a friend sent me a link to a
               | $2000 gizmo that was about the size of a pack of gum that
               | could do desktop sequencing. Generating your own custom
               | DNA in your bedroom is considerably harder (but not
               | impossible) but it is not at all difficult to order a
               | custom sequence from a half dozen different retailers.
               | The file you send them is just a big chunk of a few
               | letters. It's assembly code with no comments (yes I know
               | folks do put in comments in text sometimes and sometimes
               | biologically but just like always comments lie more than
               | not), they functionally cannot be checking for what it
               | could do if what you're working on is even remotely
               | novel. For the price of a playstation you can have it
               | delivered to your door next day air.
               | 
               | There are very real risks here for our entire planet.
               | Possibly one of our largest risks. To hide behind "it's
               | too difficult for a malicious actor" is not helpful. I
               | think genetic literacy is maybe the only thing we all can
               | do as we might be entering very weird territory as a
               | closed system that has a bent towards global narcissism
               | and self harm.
               | 
               | Something that gives me some comfort is that to be good
               | at it you really have to do a gross and difficult deep
               | dive into how all life works and I think there are very
               | few people that could do that and still feel like it's ok
               | to do harm at even a small scale. The things we are going
               | to see in the next few years will be pretty fucking
               | weird. I guess when you get down to this level, the only
               | thing to have is something like faith. Eeeek.
        
             | coryrc wrote:
             | That is the line of reasoning that leads to banning
             | abortions*. People have a right to alter their bodies.
             | 
             | EDIT: and preventing young women from choosing
             | sterilization.
        
               | bobthechef wrote:
               | How do you reason that people have the (presumably
               | absolute) right to alter than bodies however they please?
               | How do you justify that claim? It makes very specific
               | assumptions which are very problematic. For example, do
               | you have the right to lobotomize a perfectly healthy
               | brain? It is immoral? Can you say you have the right to
               | do something immoral? How about altering your uterus
               | during pregnancy to prevent nutrients from feeding the
               | child?
               | 
               | I think it's pretty obvious that right implies morally
               | acceptability. You can't claim to have a right to
               | something evil. (The reverse is not true. It is morally
               | acceptable to own a Tesla, but you don't have the right
               | to one.) Alterations can be harmful and any harm that is
               | not a justifiable side effect is by definition immoral.
               | That it's your body does not somehow negate the
               | immorality of self-harm. Indeed, direct self-harm is even
               | worse morally than harm of others because it is in direct
               | opposition to one's own good (arguably, harm of others is
               | also a form of self-harm, specifically harm of one's
               | character and will and habitus, of one's intellect
               | because of the harm of one's reasoning faculties it
               | entails, and harm of the common good). So you cannot say
               | you have the right to self-harm. This is just a strange
               | consequence of the incoherent ideology of absolute
               | autonomy.
               | 
               | Now, if you have, say, a defect in your body that is
               | preventing the proper functioning of your body, then we
               | may correct this defect through intervention. This is
               | restorative, that is, it seeks to restore the function
               | due to the body by virtue of how it ought to function.
               | This is the basis of medicine.
               | 
               | Another false view that can nudge people toward the view
               | that any modification is acceptable is metaphysical
               | materialism, also incoherent. In that case, crude
               | metaphors between artifacts and living things are
               | elevated to the status of the truth and since it doesn't
               | matter what we do to an artifact per se. We can modify a
               | computer any way we wish because there is no fact of the
               | matter about what a computer is or how it should be apart
               | from human intent. It is just a collection of things
               | arranged in a particular way incidentally that puts them
               | in a series of incidental causal relations, but there is
               | no inherent tendency for these things to exist in these
               | relations and no accounting for one in terms of the
               | others except through the lens of human intent. Living
               | things aren't like that.
        
               | MeinBlutIstBlau wrote:
               | Precisely. Otherwise if we're going to walk the line of
               | "well even though it's your body, 'us smarter people' say
               | it's bad for you there for you cannot do it" will
               | inevitably lead to the logic of dictating abortion rights
               | as well. This is exactly the logic conservatives use with
               | the Covid Vaccines but because liberals "know what's good
               | for everyone," people shouldn't be allowed to make the
               | "my body my choice" when it comes to a vaccine.
               | Regardless of who is more logically correct in the
               | scenario, the current stance of American liberalism is
               | "my body my choice" only applies in terms of abortion.
               | Which conservatives when they get in power again, will
               | utilize as rationale to make it illegal as many have been
               | doing for the past decade.
        
               | coryrc wrote:
               | I didn't say you have the right to not alter your body,
               | the public health requirements for contagious diseases
               | seemed reasonable until people have started lumping gun
               | control and "possibly altering your non-existent
               | children"... maybe I'll one day feel as you do.
        
               | didibus wrote:
               | It isn't about knowing what's best for you, but what's
               | best for others. So where ethics come into play is when
               | what you're seemingly doing to yourself could actually
               | have impact on others as well.
               | 
               | For abortion, you can claim it impacts others both ways,
               | are you impacting a new born from having its life, or are
               | you preventing a yet to be born child from having a
               | troubled life, and saving family, parents and society its
               | burden.
               | 
               | For a vaccine, are you putting others at risk of a
               | disease by not taking the vaccine?
               | 
               | For bio-hacking, are you possibly creating dangerous
               | virus or bacterias that could harm others, are you making
               | modifications to yourself which will put a tole on the
               | medical system if you later need assistance or special
               | treatment if you mess up, etc.
               | 
               | This is the same reasoning with drugs often, will your
               | modified behavior cause harm to others if you consume
               | them?
               | 
               | Etc.
               | 
               | None of this is black and white, but I think having these
               | discussions on "what harm to others it can cause" is
               | justified.
        
               | bobthechef wrote:
               | "Otherwise if we're going to walk the line of "well even
               | though it's your body, 'us smarter people' say it's bad
               | for you there for you cannot do it" will inevitably lead
               | to the logic of dictating abortion rights as well."
               | 
               | The first problem is that you are claiming that the
               | child's body is the woman's body. It isn't and you know
               | that. You know that is it an entirely distinct human
               | being with it's own DNA, etc, etc. In order to justify
               | abortion, you would need to argue that murder (which is
               | the direct, intentional killing of an innocent human
               | being) is justifiable. The logical consequences are
               | devastating. For example, if murder of the most innocent,
               | powerless, dependent, and vulnerable, by those with power
               | over them no less, becomes justifable, then it becomes
               | impossible to argue for the legitimacy any human rights
               | whatsoever. You can't just make up moral principles out
               | of thin air or assign arbitrary boundaries to them
               | according to taste.
               | 
               | The second problem is that this logic seems to put the
               | cart before the horse. In other words, you've decided
               | that abortion is a right axiomatically and you've decided
               | to dismiss anything that would undermine that belief. But
               | the moral acceptability of abortion is not axiomatic and
               | must be judged according to prior moral principles.
               | 
               | "This is exactly the logic conservatives use with the
               | Covid Vaccines but because liberals "know what's good for
               | everyone," people shouldn't be allowed to make the "my
               | body my choice" when it comes to a vaccine."
               | 
               | See my first point above. Here conservatives are indeed
               | speaking of just their own bodies, so this is a false
               | equivalence.
        
         | stuntkite wrote:
         | His YouTube channel The Thought Emporium, is amazing. He just
         | moved into a new lab and I really appreciate what he's working
         | on and how he communicates it. The robot painting fluorescent
         | proteins is neat and recently he dropped a video demonstrating
         | his adventures making synthetic opal.
         | 
         | Apparently the edit made him totally lactose tolerant for over
         | a year and now he has very mild lactose intolerance. He says he
         | hasn't redosed because he wants to improve the plasmid (I think
         | that's the right term, BUGFIX probably isn't right) before he
         | takes another run at it.
         | 
         | Here's his update video from last year on that endeavor.
         | https://www.youtube.com/watch?v=aoczYXJeMY4
        
           | faitswulff wrote:
           | Technically a plasmid is kind of like a software patch, but
           | generally they're employed by bacteria and not eukaryotes
           | like humans.
        
             | stuntkite wrote:
             | Interesting. I have watched nearly all of The Thought
             | Emporium's videos (so clearly I'm an expert, lol) and I
             | think he uses the term plasmid to describe DNA he's working
             | on in the crazy bio IDE he uses. I think in this instance
             | he applied it to a yeast that he cultured and put into
             | pills and swallowed.
             | 
             | He really is doing some neat stuff though. He's inspired me
             | to do some small bio hacking experiments and it ALMOST
             | makes me want to go back to college.
        
               | shpongled wrote:
               | Plasmid is the correct term!
        
               | stuntkite wrote:
               | I am not being sarcastic when I say thank you for
               | confirming that. If someone didn't confirm it it would
               | pop back in my head for days, "maaan, you fucked it up
               | and now some other nerds are gonna use the term wrong and
               | that's really not helping anyone." heh. Cheers. :)
        
         | jcims wrote:
         | Here's his YouTube channel:
         | https://youtube.com/c/thethoughtemporium
         | 
         | Amazing and alarming what a smart and dedicated person can do
         | with limited funds.
        
           | aardvarkr wrote:
           | That's really cool, thanks for sharing! I just watched his
           | video on the WiFi camera and I loved his presentation style
        
         | DoreenMichele wrote:
         | I recently watched the two videos on this (that I'm aware of)
         | and it's the first time gene therapy didn't strike me as
         | macabre Frankensteinian experiments on vulnerable people who
         | will say "yes" to all kinds of crazy stuff out of desperation.
         | 
         | Cystic fibrosis significantly impacts gut function and many
         | people with it do poorly with dairy products. I could see this
         | and/or some variation of this being valuable therapy for the CF
         | community while we wait for better answers.
         | 
         | Although best known as a deadly lung disorder, the impact on
         | gut function is a major problem that just gets less press but
         | is something people with CF and their loved ones fret about a
         | whole lot. I think if you could do something to improve gut
         | function fairly quickly and semi permanently, you would likely
         | reduce a lot of their other issues as well because people with
         | CF are typically underweight, sometimes severely underweight,
         | and their chronic malnourishment is a major underlying source
         | of their inability to fight off infection.
        
           | jjoonathan wrote:
           | > it's the first time gene therapy didn't strike me as
           | macabre Frankensteinian experiments on vulnerable people
           | 
           | That's because it has barely begun to become viable IRL while
           | science fiction writers have been using it as a convenient
           | punching bag for decades -- without ever stopping to ask if
           | they should.
        
             | DoreenMichele wrote:
             | No, that's because I have a form of cystic fibrosis and I
             | know what I and others like me have been willing to do in
             | the face of that and because I'm aware of real world
             | experiments done on people who were seen as _less than
             | human_ for some reason, such as the Tuskegee syphilis
             | experiments done on Black Americans and horrifying
             | experiments done on people in concentration camps in Nazi
             | Germany.
             | 
             | https://en.m.wikipedia.org/wiki/Tuskegee_Syphilis_Study
             | 
             | https://encyclopedia.ushmm.org/content/en/article/nazi-
             | medic...
        
         | devoutsalsa wrote:
         | This is insane. I love it and it terrifies me at the same time.
        
       | TaupeRanger wrote:
       | Wow...this is a really big deal. Congratulations to this team and
       | to the patients who were treated. I hope the treatment continues
       | to keep the disease at bay.
        
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