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An Interactive Introduction to Organismal and Molecular Biology, 2021

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26 | SCIENTIFIC CONTROVERSIES<br />

Even though CRISPR improved upon older genome<br />

editing technologies, it is not perfect. For example, sometimes genome editing <strong>to</strong>ols cut in the wrong spot.<br />

Scientists are not yet sure how these errors might affect patients. Assessing the safety of gene therapies <strong>and</strong><br />

improving genome editing technologies are critical steps <strong>to</strong> ensure that this technology is ready for use in<br />

patients.<br />

There are also several ethical concerns that can emerge with genome editing, including safety. First <strong>and</strong><br />

foremost, genome editing must be safe before it is used <strong>to</strong> treat patients. Some other ethical questions that<br />

scientists <strong>and</strong> society must consider are:<br />

• Is it okay <strong>to</strong> use gene therapy on an embryo when it is impossible <strong>to</strong> get permission from the embryo for<br />

treatment? Is getting permission from the parents enough?<br />

• What if gene therapies are <strong>to</strong>o expensive <strong>and</strong> only wealthy people can access <strong>and</strong> afford them? That could<br />

worsen existing health inequalities between the rich <strong>and</strong> poor.<br />

• Will some people use genome editing for traits not important for health, such as athletic ability or height?<br />

Is that okay?<br />

• Should scientists ever be able <strong>to</strong> edit germline cells? Edits in the germline would be passed down through<br />

generations.<br />

<strong>An</strong> interactive or media element has been excluded from this version of the text. You can view it<br />

online here:<br />

https://openbooks.lib.msu.edu/isb202/?p=43<br />

Most people agree that scientists should not edit the genomes of germline cells at this time because the scientific<br />

communities across the world are approaching germline therapy research with caution since edits <strong>to</strong> a germline<br />

cell would be passed down through generations. Many countries <strong>and</strong> organizations have strict regulations <strong>to</strong><br />

prevent germline editing for this reason. The NIH, for example, does not fund research <strong>to</strong> edit human embryos.<br />

There are many applications of CRISPR, including medical treatments (similar <strong>to</strong> gene therapy), agriculture<br />

(genetically modified organisms), <strong>and</strong> conservation (adding genetic diversity <strong>to</strong> species or de-extincting<br />

species—described in the next section). Many of these applications have non-CRISPR alternatives that have<br />

been around longer. For instance, scientists are researching how CRISPR can be used <strong>to</strong> treat cancers rather

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