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YSM Issue 91.3

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UNDERGRADUATE PROFILE<br />

RACHAEL PUTMAN (TC ’19)<br />

WHAT COMES BEFORE BABY STEPS?<br />

BY HANNAH RO<br />

PHOTOGRAPHY BY CARLI ROUSH<br />

Rachael Putman tests the safety and efficacy of triplex gene editing<br />

technology, which uses peptide nucleic acids.<br />

Designer babies, genetic remodeling, risks in clinical trials: in<br />

today’s rapidly evolving field of biomedical engineering, ethical<br />

dilemmas rage. But for Rachael Putman (TC ’19), it’s simple:<br />

“The whole point of medicine is to help people heal. If we can<br />

take gene editing and make it do that in a safe and effective way,<br />

then it’s something that we should pursue,” she said.<br />

Putman, a Missouri native, matriculated to Yale College<br />

without any prior research experience, but was quickly hooked<br />

by Professor Mark Saltzman’s master class on in-utero brain<br />

research. She reached out to Saltzman for a position in his lab,<br />

and took her first steps in research. After honing her technical<br />

laboratory and research skills under Saltzman’s tutelage, Putman<br />

began investigating in vivo gene editing in mouse fetuses<br />

alongside Adele Ricciardi, an MD-PhD student at the Yale<br />

School of Medicine.<br />

As a collaborative effort between the Saltzman laboratory<br />

and the laboratory of Professor Peter Glazer, Putman and Ricciardi<br />

are testing the safety and efficacy of triplex gene editing<br />

technology, which uses peptide nucleic acids (PNA). Unlike<br />

other gene editing techniques, such as CRISPR and TALEN,<br />

PNAs allow for a safer gene repair by avoiding double-strand<br />

breaks in the host DNA. Once the PNA is safely inserted into<br />

the cell, it binds to the targeted mutation in the DNA and creates<br />

a triple strand. The cell then recognizes and removes the<br />

PNA-bound segment from the genome, creating a gap. A short<br />

piece of DNA delivered with the corrected base pairs is then<br />

used as a template to fix the gap created by PNA.<br />

“We tried to focus on safety and see if we were getting any<br />

off-target effects,” Putman said. “Through our analysis, we<br />

couldn’t find any, which may give it an advantage over other<br />

technologies like CRISPR.”<br />

Putman and Ricciardi apply this gene editing pathway to cure<br />

human models of disease, such as cystic fibrosis, β-thalassemia,<br />

and sickle cell disease, in mouse fetuses. Nanoparticles that contain<br />

PNA strands are delivered to mouse fetuses and the mice<br />

are tested for the absence of disease after birth. “We were able to<br />

show that we got disease improvement after birth; the mice were<br />

healthy when they were born,” Ricciardi said.<br />

A successful direction in this project led Putman to an even<br />

more fundamental question: can we do this even earlier? In<br />

other words, if site-specific genome editing works in fetuses,<br />

could it work in single-cell embryos? In many genetic diseases,<br />

organ damage can take place early on during the fetal stage of<br />

development. However, these diseases can often be identified<br />

at the embryonic stage if a mother undergoing in vitro fertilization<br />

chooses to screen for genetic diseases before implantation.<br />

If gene editing can be performed within the first days of<br />

life, there is a possibility that the fetus will undergo completely<br />

healthy organ development. With hopes of clinically translating<br />

her work with mice embryos, Putman embarked on her<br />

own project: Synthetic Nanoparticle Delivery to Mouse Embryos<br />

for Site-specific Genome Editing.<br />

For her work with these two projects, Putman received the<br />

Arnold and Mabel Beckman Foundation award in 2017 and<br />

presented her work at the Beckman Scholars Annual Research<br />

Symposium for the following two summers in Irvine, CA. Putman<br />

was one of two Yale College students in the class of 2019<br />

to receive this distinction.<br />

Outside her research, Putman is the president of Demos, a<br />

service group that makes science education more accessible<br />

to students in New Haven public elementary schools. She<br />

also teaches a class about genetics to neighboring middle and<br />

high school students through Splash at Yale. As Putman serves<br />

younger scientists through her volunteer work, she attributes<br />

her own successes to mentorship. “I had two really wonderful<br />

teachers throughout middle school and high school,” Putman<br />

said. “What they taught me was that we all have things we’re<br />

good at and are passionate about. What is more important is to<br />

follow your passions and see where they lead you.”<br />

36 Yale Scientific Magazine October 2018 www.yalescientific.org

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