[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)
 
web link (blogs.sciencemag.org)
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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