Let's stop drawing lines in the sand when it comes to genetically modifying people and talk about engineering everybody
Want to see what a genetically modified human looks like? Just glance in the mirror. You are the result of an experiment that randomly modified your DNA in at least 50 places.
No ethics committee in the world would approve such a dangerous practice. But hey, it's OK because the scientist in this case is nature. And nature is good, right? Never mind that some unlucky kids die horrible deaths because they end up with cruel and fatal mutations. Never mind that just about every one of us will suffer at some point because of the legacy of countless generations of this uncontrolled experiment.
What if we could put a stop to this? We have already begun in a small way. For the past three decades some communities have been screening would-be parents to ensure their children do not inherit one particularly cruel genetic modification – Tay-Sachs disease. More recently, we have begun to screen IVF embryos before they are implanted in cases when we know children risk inheriting one or other of the nastiest results of nature's meddling.
And now, with the UK parliament's vote in favour of three-parent babies, we are about to go a step further and actively replace damaged genes with working versions that can be passed on to subsequent generations, breaking the chain of a range of inherited diseases. Great! This form of genetic engineering should result in the birth of healthy children and end much suffering... but wait! Gasp, horror! Did I write the e-word? I'm sorry, I meant "mitochondrial donation".
The decision to allow three-parent babies is right. But the fact is, opponents were also right to describe this as a step towards tinkering with the rest of our genome. Most supporters seemed to have convinced themselves otherwise, but let's look at the arguments.
Tackling taboos
One is that mitochondrial replacement is no big deal because mitochondria contain just 37 of the 23,000 or so human genes. Sure, but most genetically modified plants and animals have only one or two altered genes. If replacing genes is OK as long as it's only a small proportion, you could justify quite substantial alterations this way.
Ah, we are told, but the point is that these 37 genes do not affect children's characters or appearance. The "only known traits" that could come from the mitochondrial DNA concern energy production, proponents of the technique have argued in New Scientist. Fine. But most of our 23,000 genes are involved in fundamental processes such as cell division, and do not have any known effects on our character. So by this logic, it is OK to tinker with most of our genes.
Of course, replacing faulty mitochondria, which are self-contained organelles within the cell, is relatively simple and – we think – safe. Replacing or altering genes in the cell nucleus is much trickier. It involves editing DNA by cutting and pasting bits of it – recombinant DNA technology – and it is not safe at the moment. It would be utterly wrong to attempt in people with existing technology.
But the technology is advancing at a breathtaking pace. We're getting much better at editing DNA, with the help of easier and more precise techniques such as CRISPR, and we can now check those changes with whole-genome sequencing. It could be just decades before it is safe to attempt germ line genetic engineering using recombinant DNA technology.
Even without the religious and historical objections, germ line alteration remains a taboo to many. They regard our genome as somehow special, something we shouldn't mess with. In reality, our genomes are a mess.
A fairer world
Yes, evolution has produced many marvels, including us. But it succeeds only by making countless mistakes. The worst of these genetic mistakes die with the children landed with them. Less serious mistakes, or those that only kill late in life such as the neurodegenerative disease Huntington's, may never be eliminated.
All of us inherit a host of less obvious harmful mutations. Perhaps you are more likely to suffer from heart disease, certain cancers, dementia and mental illnesses, or to lose your sight or go deaf in old age. And your children and your children's children and all their descendants will inherit many of these mutations, along with new ones as nature's random errors continue.
When you understand how these mutations come about, the case for taking charge of our genetic destiny seems unanswerable. We are acquiring the ability to free ourselves from the baggage of 4 billion years of mindless evolution.
Germ line genetic engineering clearly has dangers, not least its potential to be abused for the wrong purposes or the potential for its cost to restrict its advantages to the wealthy. But many worries are exaggerated – we couldn't engineer Einsteins if we wanted to, for instance, because we haven't found any gene variants that make a notable difference to intelligence, despite much trying. What we could do is end a tremendous amount of suffering. And if it is available to everyone, not just the rich, genetic engineering could even help make the world a much fairer place – illness keeps many in poverty.
I suspect many biologists harbour similar views, but not many say so openly. Instead, they back three-parent babies but say it isn't really genetic engineering.
This might be politically expedient in the short term. But with technology advancing dizzyingly fast, it is time to challenge the idea that our genomes are somehow special and inviolable. We can do better than mindless evolution. And for the sake of our children, we should do so as soon as we safely can.
Michael Le Page is a features editor at New Scientist
If you would like to reuse any content from New Scientist, either in print or online, please contact the syndication department first for permission. New Scientist does not own rights to photos, but there are a variety of licensing options available for use of articles and graphics we own the copyright to.
No comments:
Post a Comment