2.2. Human Applications of Genetic Engineering
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2.2. Human Applications of Genetic Engineering
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Human Applications of Genetic Engineering
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1.1Advanced AI1.2QuantumRevolution1.3UnconventionalComputing1.4AugmentedReality1.5CollectiveIntelligence2.1CognitiveEnhancement2.2HumanApplicationsof GeneticEngineering2.3HealthspanExtension2.4ConsciousnessAugmentation2.5Organoids2.6FutureTherapeutics3.1Decarbonisation3.2EarthSystemsModelling3.3FutureFoodSystems3.4SpaceResources3.5OceanStewardship3.6SolarRadiationModification3.7InfectiousDiseases4.1Science-basedDiplomacy4.2Advancesin ScienceDiplomacy4.3Foresight,Prediction,and FuturesLiteracy4.4Democracy-affirmingTechnologies5.1ComplexSystemsScience5.2Futureof Education5.3Future Economics,Trade andGlobalisation5.4The Scienceof theOrigins of Life5.5SyntheticBiology
1.1Advanced AI1.2QuantumRevolution1.3UnconventionalComputing1.4AugmentedReality1.5CollectiveIntelligence2.1CognitiveEnhancement2.2HumanApplicationsof GeneticEngineering2.3HealthspanExtension2.4ConsciousnessAugmentation2.5Organoids2.6FutureTherapeutics3.1Decarbonisation3.2EarthSystemsModelling3.3FutureFoodSystems3.4SpaceResources3.5OceanStewardship3.6SolarRadiationModification3.7InfectiousDiseases4.1Science-basedDiplomacy4.2Advancesin ScienceDiplomacy4.3Foresight,Prediction,and FuturesLiteracy4.4Democracy-affirmingTechnologies5.1ComplexSystemsScience5.2Futureof Education5.3Future Economics,Trade andGlobalisation5.4The Scienceof theOrigins of Life5.5SyntheticBiology

Emerging Topic:

2.2Human Applications of Genetic Engineering

    Associated Sub-Fields

    The relatively recent invention of CRISPR — an editor that can snip DNA to alter its sequence — has racked up a raft of gene editing successes against a variety of diseases, including cancer,123 eye diseases, and blood diseases.45 The field is now poised to bring unprecedented disruption in medicine, as well as new possibilities for human enhancement. Today, most gene editing is not applied to living embryos or directly done on patients, but is ex vivo: as, for example, in treatments for sickle cell anaemia.6 However, much of the groundwork being done today is with a different vision: to deliver the genome editor into the patient’s body, where it will find the right cells and perform its task.

    Gene editing is not without complications: it has a history of high-profile failures and procedural mis-steps among its users. That said, a new generation of safer editing techniques and more targeted payload delivery — along with novel ideas about how to manipulate the genome indirectly — shows clear promise. The next generation of gene editors are now being developed to be more precise and less toxic, thereby creating fewer side effects, unintentional alterations and immune reactions. Also under development are more targeted ways to deliver the editor into tissues that are hard to reach, including novel methods that emerged during the fight against COVID-19.

    In recent years, new questions have emerged about alternative ways the genome can be tailored and manipulated. Especially intriguing has been the notion of epigenome editing, which can exert powerful effects that are reversible and tuneable. This requires a better understanding of the links between gene networks and disorders, but the field of metagenomics has been advancing steadily, and looks like it could deliver on this.

    SELECTION OF GESDA BEST READS AND KEY REPORTS:

    In March 2023, a Statement from the Organising Committee of the Third International Summit on Human Genome Editing emphasised the advancements and ethical considerations surrounding somatic genome editing, calling for global cooperation and judicious oversight in the face of this rapidly evolving field. In the same month, a Japanese research effort published Generation of functional oocytes from male mice in vitro, which delved into groundbreaking techniques that convert XY chromosomes to XX in mouse stem cells. This discovery heralds a new horizon for treating infertility linked to chromosomal anomalies and unveils the promising potential of bipaternal reproduction. Introduced by MIT researchers in June, Fanzor is a eukaryotic programmable RNA-guided endonuclease describes Fanzor, a counterpart to prokaryotic CRISPR-Cas systems. Fanzor amplifies our understanding of RNA-guided endonucleases across life's domains and paves the way for revolutionary human genome engineering applications.

    Emerging Topic:

    Anticipation Potential

    Human Applications of Genetic Engineering

    Sub-Fields:

    Diagnostics
    Next generation editors and delivery
    Engineered organism and AI-based tools
    Alternatives to direct gene editing
    Breakthroughs in our ability to manipulate the human genome are likely to come in two waves that will require different responses. Gene therapies and genetic diagnostics have already received significant attention and are expected to have broad applications within the next eight years. Synthetic organisms and the use of genetic enhancement on the other hand are not expected to go mainstream for at least a decade. Synthetic organisms have received less attention so far, suggesting it should be an area of particular focus in the coming years.

    GESDA Best Reads and Key Resources

    Article

    For “All of Us”? On the Weight of Genomic Knowledge

    Published:

    7th Aug 2021
    This collection of essays is the first written product of The Hastings Center's Initiative in Bioethics and the Humanities. This new initiative, which we created with generous support from the National Endowment for the Humanities and private donors, has three aims. The first is to bring together insights from the humanities and the sciences to advance public conversation about the ancient question, how should we live? The second aim is to cultivate a habit of thinking that increases our chances of talking with, rather than past, others as we attempt to engage in that conversation. The third is to support young scholars in the humanities who seek to promote truly integrative and open-minded public conversation regarding an ethical matter about which they care deeply.

    Article

    Reactions to the National Academies/Royal Society Report on Heritable Human Genome Editing

    Published:

    7th Aug 2021
    In September 2020, a detailed report on Heritable Human Genome Editing was published. The report offers a translational pathway for the limited approval of germline editing under limited circumstances and assuming various criteria have been met. In this perspective, some three dozen experts from the fields of genome editing, medicine, bioethics, law, and related fields offer their candid reactions to the National Academies/Royal Society report, highlighting areas of support, omissions, disagreements, and priorities moving forward.