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  • The gene-editing revolution has arrived...

  • ...promising cures for terminal disease

  • For the past five years...

  • ...we've made more progress than in the previous 50

  • And new approaches to fighting climate change

  • We have the opportunity to fundamentally...

  • ...change our relationship with nature

  • But new genetic technologies bring with them...

  • ...new ethical and practical risks

  • Say no to GMO

  • Some of it could be terrifyingly threatening like biowarfare

  • What is our responsibility as scientists and doctors?

  • That's really starting to bring out ideas around...

  • ...who belongs and who doesn't belong

  • So, how should the promise of genetic technologies...

  • ...be balanced against the potential dangers?

  • And who decides what risks are worth taking?

  • This is Professor James Dale...

  • ...a man on a mission...

  • ...to save the world's most popular banana from extinction

  • I reckon these Williams are the ones that were most spectacular...

  • ...weren't they?

  • That's incredible

  • There are thousands of types of banana in the world...

  • ...but all the fruit being grown and processed here...

  • ...and almost every banana exported around the world...

  • ...is one single variety, the Cavendish

  • It yields very well

  • It's got quite a tough skin so it travels well...

  • ...but also it's got a really acceptable taste and texture

  • The problem is, the Cavendish is under threat...

  • ...a disease known as Tropical Race 4 or TR4...

  • ...has spread across the world, killing Cavendish bananas

  • TR4, one of the deadliest plant diseases out there

  • They call it the cancer of the bananas

  • You start to get that sort of motley colouration there...

  • ...it gets worse there

  • And now it's reached James's plantation

  • And what we're looking for is the brown...

  • ...which is what we call necrosis

  • And then you see, bingo, that was one that had the yellow leaves...

  • ...just incredible necrosis

  • There is no cure for this disease

  • It's feared that in time, it could wipe out the Cavendish completely...

  • ...or stop it being such an economically valuable crop

  • It is a really serious problem

  • There's no obvious replacement...

  • ...for Cavendish bananas for the export market

  • But James has a solution

  • He has spent ten years engineering a genetically modified banana...

  • ...which can withstand TR4

  • There's a big problem though

  • Say no to GMO

  • Because James's bananas are genetically modified...

  • ...lots of consumers won't go anywhere near them

  • It is unbelievably frustrating

  • GM still has a lot of perceived negativity in the world

  • Europe, for instance, is one of those areas that they import...

  • ...huge amounts of bananas but getting a GM crop...

  • ...through the regulatory process in Europe is virtually impossible

  • He believes this public resistance...

  • ...could block the development of beneficial new crops

  • I think it's a real problem, we're moving into a period of real flux...

  • ...a real unknown period with climate change and we're going to need...

  • ...to develop crops that have very high tolerance to drought

  • I'm not sure that we have all of the tools at our fingertips...

  • ...without the use of GM and gene editing

  • So, I think there is a real ethical dilemma in the world now...

  • ...of rejecting technologies that may become incredibly important...

  • ...over the next decade or two

  • Some believe GM technology can be used to do lots of good

  • So, is it right to put barriers in the way...

  • ...because others oppose the technology on principle?

  • In an EU-wide poll, 70% said they felt GM foods were unnatural...

  • ...but that's a very vague term

  • The things that people actually grow in gardens...

  • ...and in fields are really not particularly natural

  • Many of them have genomes that have been extensively changed...

  • ...over the course of human history

  • If you look at what a modern ear of maize looks like...

  • ...compared to its ancestral form, you'll see something very different

  • Yet there is still a fear that these technologies could go astray...

  • ...and expose people to risks they have not agreed to

  • This is Islamorada, a tropical paradise...

  • ...that's on the front line of the debate about genetic engineering

  • Here, genetically modified mosquitoes are being released....

  • ...in the United States for the first time

  • It's part of an experiment to try to reduce...

  • ...the spread of Zika and dengue fever

  • But some of the locals have been very vocal about their opposition...

  • ...to this kind of intervention into the natural world

  • Our economy here is tourist-based and a lot of tourists are laypeople...

  • ...and if they come down here and they hear that we're turning loose...

  • ...some kind of weird critter, I think that there could be...

  • ...some impact on the economy

  • As a result, the mosquitoes have to be released...

  • ...in top secret locations, away from protesters and vandals

  • We just add regular tap water, the eggs hatch in about 24 hours

  • There's already food in there...

  • ...and you can see these little holes on both sides...

  • ...that's where the adult males are going to come out of

  • The authorities hope this will solve the problem...

  • ...posed by Aedes aegypti, a mosquito which can carry Zika...

  • ...and dengue, and in some places, has become resistant to pesticides

  • Aedes aegypti control is very expensive

  • What we find is that, it takes up over 10% of our entire budget...

  • ...to control a very small population of our mosquitoes

  • Up till now, mosquito control here...

  • ...has involved going door to door clearing standing water

  • British company Oxitec might put an end to that...

  • ...with a genetic approach that has female mosquitoes in its sights

  • Only the females bite and carry disease...

  • ...and Oxitec is getting to them through the males

  • It altered the genes of some male mosquitoes...

  • ...so that when they mate with females...

  • ...only their male offspring would survive...

  • ...meaning the number of females should crash within a few generations

  • It's essentially birth control for mosquitoes

  • It's a biological solution

  • It's targeted against one species...

  • ...and it has no effect against bees, butterflies or other pollinators

  • The project is a field trial, which has been approved...

  • ...by America's Environmental Protection Agency, the EPA

  • But the way the technology is regulated has provoked concerns

  • The protocols for evaluating genetically modified organisms...

  • ...are way short on a lot of things

  • Natalie Koffler is a Harvard-based bioethicist who has attended...

  • ...many of the town-hall debates about this programme

  • What I'm really concerned about is, is really how it's being decided...

  • ...upon and developed, not the technology itself

  • She says the regulation of this technology isn't transparent enough...

  • ...and doesn't require proper engagement with affected communities

  • It's just blowing our regulatory systems apart

  • One of the biggest challenges is the real need for community consent...

  • ...when we're talking about releasing genetically modified organisms...

  • ...into people's, literally, like backyards

  • We don't have a space that empowers community members...

  • ...in this process or gives them any real sort of agency...

  • ...that, to me, is a really, really big concern

  • Failing to engage communities properly not only risks intervening...

  • ...in their lives without consent, it also raises another ethical concern

  • The risk of turning people against the technology, meaning that they...

  • ...and others miss out on beneficial interventions

  • By not engaging communities, we're setting up GMO storm 3.0...

  • ...where, you know, we already have so much distrust in that space...

  • ...this could just, you know, create entirely new concerns

  • The emergence of new types of gene editing...

  • ...is raising the stakes in this debate

  • Gene editing is getting cheaper and easier...

  • ...making the technology more widely available

  • One of the biggest recent advances has been the development...

  • ...of a technique known as CRISPR...

  • ...which in 2020 won a Nobel prize for its inventors...

  • ...Emmanuelle Charpentier and Jennifer Doudna

  • Human beings now have the ability to rewrite the code of life

  • CRISPR makes precise edits in DNA by using a special protein...

  • ...which can be programmed with a molecule called RNA

  • So that when it finds a specific gene sequence...

  • ...it makes a cut at that precise point in the DNA

  • The technique's combination of precision and ease of use...

  • ...opens up the prospects of tackling genetic diseases...

  • ...more effectively than ever before

  • You cranked her up, jumped into the front seat...

  • ...and off you went with a family

  • I think of CRISPR as being kind of like the Model T Ford

  • There were cars before the Model T...

  • ...but they were really expensive and they broke down all the time

  • Once the Model T came out, everybody could have a car...

  • ...and so with CRISPR, it's just faster, cheaper, easier, better

  • Mighty smooth riding now

  • This ability to edit specific genes...

  • ...could change medicine dramaticallyand soon

  • There are 200m people on our planet, our fellow human beings...

  • ...who suffer from genetic diseases that are CRISPR-able in principle

  • One of the most recent advances...

  • ...is the ability to treat sickle cell disease...

  • ...a blood disorder which is caused by a mutation in a single gene

  • This new technology is already here and already changing lives

  • This new technology is already here and already changing lives

  • Josh Lehrer runs Graphite Bio...

  • ...a company researching CRISPR-based cures for the disease

  • He was inspired by his time as a junior doctor...

  • ...when sickle cell treatment was basic

  • I was in medical school taking care of my first patient...

  • ...with sickle cell disease and we had really nothing to offer...

  • ...besides morphine and blood transfusions which were essentially...

  • ...the same ways that this disease was treated in the 1950s

  • Nothing had really changed

  • What we're hoping to find here is ways...

  • ...to actually kind of keep improving the efficiency

  • Josh's company is working on what he calls...

  • ...next-generation gene-editing treatments

  • If we had an approach that could go beyond cutting...

  • ...and essentially find and replace, correct that defect and restore...

  • ...the normal haemoglobin protein, that should be a definitive cure

  • While most would be in favour of using gene editing...

  • ...to cure a disease like sickle cell...

  • ...it gets more complicated when the technology is used to fix diseases...

  • ...and conditions, which may be less debilitating

  • I think what bothers people a lot about gene editing...

  • ...isn't the idea of editing away terrible diseases

  • It's the idea of editing traits that aren't diseases at all...

  • ...like eye colour or skin colour

  • I think these are going to raise some really difficult questions

  • At this lab in Moscow, scientists are engaged...

  • ...in one of the most controversial applications of CRISPR

  • They're using gene editing to try to eliminate hereditary deafness

  • Denis Rebrikov, who leads the research...

  • ...says he has three deaf couples lined up for treatment...

  • ...and that this would be the only way...

  • ...they could have a child who can hear

  • While Denis does not yet have approval from the Russian regulators...

  • ...to implant edited embryos into patients...

  • ...he hopes it will only be a matter of time

  • And for many deaf people, and beyond...

  • ...this is a deeply troubling prospect

  • Teresa Blankmeyer Burke is a bioethicist...

  • ...who teaches at Gallaudet University, a college for the deaf

  • So guess what, deaf people are not the first people to give us information

  • Whenever we have technology that can change the world...

  • ...we need to be very thoughtful about how we use it

  • She worries using CRISPR to cure deafness could damage efforts...

  • ...to improve understanding and integration of deaf people

  • I think we are experiencing a deaf renaissance...

  • ...that this kind of experience, this kind of community...

  • ...needs to continue, but we can't continue...

  • ...if we have the threat of dissolving us as a people

  • Some fear editing genes related to conditions like deafness...

  • ...could pave the way towards building so-called designer humans

  • The gene-editing conversation is important...

  • ...because it's really starting to bring out ideas around...

  • ...who belongs and who doesn't belong

  • And I think those are really important social questions...

  • ...that we need to reckon with

  • Many rich countries already offer screening to pregnant women...

  • ...for disorders like Down's syndrome...

  • ...and some fear the elimination of conditions like this

  • ...would simply be a logical next step and set a worrying precedent

  • It's an evolution of pre-implantation genomics

  • We have selective abortion

  • We're already choosing potential for genetic disorders, etc

  • It's just one next step then just maybe being able to...

  • ...tailor those genomes for certain traits

  • Editing embryos is especially controversial...

  • ...because it can cause genetic changes to be passed down...

  • ...through the generations via what is known as germline editing

  • So germline editing affects potentially at least your children...

  • ...grandchildren, great grandchildren...

  • ...and potentially until the end of the species

  • The doctor who sparked global outrage by claiming...

  • ...to produce the world's first genetically modified babies

  • Germline editing has already caused an international outcry

  • In 2018 a Chinese scientist announced he had edited embryos...

  • ...using CRISPR to make them immune to the HIV virus

  • Two beautiful little Chinese girls named Lulu and Lala...

  • ...came crying into the world as healthy as any other babies...

  • ...a few weeks ago

  • He said that twin girls had been born as a result...

  • ...who could now pass this immunity down to their children

  • As a father of two girls, I can't think of a gift...

  • ...more beautiful and wholesome for the society...

  • ...than giving another couple a chance to start a loving family

  • But the scientific community didn't agree

  • His experiment was seen as premature and dangerous

  • So, I think we still need to understand the motivation for the study...

  • ...and what the process was for informed consent

  • The risks to these babies were enormous...

  • ...and the potential benefits were really quite small...

  • ...in a way that made it, I think, criminally reckless

  • He Jiankui was imprisoned by the Chinese authorities...

  • ...and since then, there have been calls...

  • ...for a global moratorium on germline editing

  • This could put the brakes on Denis's research in Russia...

  • ...and he says he's keen to see more debate about editing embryos

  • While gene editing of human embryos is tightly regulated...

  • ...the same can't be said about other areas

  • In some countries, fruit and veg in which specific genes...

  • ...have been precisely edited aren't subject to the same regulation...

  • ...as older genetically modified produce...

  • ...which typically contain genes transplanted in...

  • ...from some other species

  • And while the EU still bans gene-edited food...

  • ...CRISPR produce can be bought in Japan and America

  • Some believe this comparatively permissive regulation...

  • ...around gene-edited plants should give pause for thought

  • I don't know any country that I think...

  • ...has a good regulatory structure for this

  • It's a lot easier to do wild experiments with non-humans...

  • ...than with humans

  • Some of those will turn out to be good, useful

  • Some of them could turn out to be terrible

  • Some of them will turn out to be frivolous

  • But if we don't pay attention to them...

  • ...we're likely to get lots of bad results

  • We need a better regulatory scheme

  • But advocates of the revolution in gene-edited foods...

  • ...see numerous possibilities for improving production

  • This is the first start of our screening process...

  • ...for our gene-edited bananas

  • Back in Australia, James is using CRISPR...

  • ...to develop another disease-resistant Cavendish banana

  • So, we're setting up here the challenge protocol

  • These gene-edited bananas will contain no foreign DNA...

  • ...and so won't be subject to the same strict regulation as his GM variety

  • He hopes they could be an answer to the looming banana crisis

  • We can take them out of field trials without getting any of those...

  • ...sorts of permissions and can take them all the way through...

  • ...to commercialisation which is fabulous

  • From tomatoes which might lower blood pressure...

  • ...to mushrooms that don't go brown...

  • ...gene-edited foods promise opportunities...

  • ...for addressing the challenges facing global agriculture

  • The age of CRISPR completely changes...

  • ...the way we think about agriculture

  • Perhaps the greatest benefit of CRISPR...

  • ...could be in tackling the planet's biggest challenge, climate change

  • It is in making safe, nutritious, more climate-change-tolerant crops...

  • ...for the world is where we really see as the future...

  • ...of the biggest impact that CRISPR can make

  • And it's not just crops whose genes are being edited...

  • ...to help curb global warming

  • It's animals too

  • This is Pleistocene Park...

  • ...site of an audacious plan to bring back animals that lived here...

  • ...tens of thousands of years ago...

  • ...and in doing so, counter climate change

  • One of the more jaw-dropping is the woolly mammoth

  • A team of American scientists are working to recreate...

  • ...the prehistoric beasts by applying gene editing to elephants

  • We've been trying to reduce the endangerment of the elephants...

  • ...by reviving some ancient DNA variations found in mammoths

  • Scientist George Church hopes to use mammoth DNA...

  • ...to create an elephant capable of surviving cold temperatures...

  • ...to repopulate Siberia with these new animals

  • We're not creating a new species or a hybrid species...

  • ...so much as rescuing Asian elephants

  • He hopes these animals could one day help control climate change...

  • ...by trampling the snow and exposing the permafrost to freezing air...

  • ...which should stop it melting and releasing greenhouse gases

  • If they're focused on the parts of the Arctic...

  • ...that are richest in carbon and most at risk...

  • ...then it can have an impact comparable to a gigatonne...

  • ...of carbon dioxide per year

  • It's a bold claim and even if it worked as he suggests...

  • ...its effect on the overall climate would be pretty small

  • Many worry that the headline-grabbing nature of projects like this...

  • ...are diverting attention away from more pressing conservation issues

  • If it starts making people think of extinction as less of a problem...

  • ...then I think that there could be severe worries

  • That said, in some ways, de-extinction and also the associated thing...

  • ...of being able to, as it were, re-inflate gene pools...

  • ...when things are close to extinct...

  • ...I think that's very encouraging, the idea of being able...

  • ...to bring back diversity that would otherwise be lost

  • Gene editing has the potential to transform life on Earth

  • And as scientists and society weigh the potential rewards...

  • ...against the risks, there is a need to tease out what is simply...

  • ...a fear of the new and what is a genuine ethical issue

  • Whenever you're talking about ethics and science...

  • ...there is an innate tendency to see science running too fast...

  • ...and ethics trying to pull it back

  • I do think there's also a need to look at what are the ethical things...

  • ...you would like to see happen in the world...

  • ...and how might science bring those about

  • Hello, I'm Tom Standage, deputy editor at The Economist

  • If you'd like to learn more about this topic, click on the link opposite

  • And if you'd like to watch more of our Now & Next series...

  • ...click on the other link

  • Thanks for watching and don't forget to subscribe

The gene-editing revolution has arrived...

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Gene editing: should you be worried? | The Economist

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    王杰 に公開 2022 年 03 月 20 日
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