Therapeutic Potential of CRISPR Research Raising Safety and Ethics Questions

Marcia Stone
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Abstract

CRISPR/Cas9-based genome editing is a potential treatment for Duchenne muscular dystrophy (DMD), according to Charles Gersbach from Duke University in Durham, N.C., and his collaborators there and elsewhere. However, at this stage, that editing is directed to an exon 23 deletion in the mdx model of the disease in mice, with CRISPR/Cas 9-based editing changing “expression of a modified dystrophin gene in place of the defective one, [leading to] partial recovery of functional dystrophin protein in skeletal and cardiac muscle, improvement of muscle biochemistry, and significant enhancement of muscle force,” they report. “This is the first time CRISPR has been successfully delivered throughout the body with a translational approach to treat grown animals with genetic diseases,” points out Christopher Nelson, the lead author of their report that appeared 31 December 2015 in Science (doi:10.1126/science.aad5143).
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CRISPR研究的治疗潜力引发安全和伦理问题
根据北卡罗来纳州达勒姆杜克大学的查尔斯·格斯巴赫及其在那里和其他地方的合作者的说法,基于CRISPR/ cas9的基因组编辑是杜氏肌营养不良症(DMD)的潜在治疗方法。然而,在这个阶段,编辑是针对小鼠疾病mdx模型中的外显子23缺失,基于CRISPR/Cas 9的编辑改变了“修饰的肌营养不良蛋白基因的表达,取代了有缺陷的基因,[导致]骨骼和心肌中功能性肌营养不良蛋白的部分恢复,肌肉生物化学改善,肌肉力量显着增强,”他们报告说。2015年12月31日发表在《科学》杂志(doi:10.1126/ Science .aad5143)上的报告的主要作者Christopher Nelson指出:“这是CRISPR第一次成功地通过转化方法传递到全身,治疗患有遗传疾病的成年动物。”
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