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Precision Medicine,
GMOs, Designer Babies,
and the Future ofGene
Editing
Exploring the Possibilities of CRISPR
Adrianne Stone
You want
to do what
to my
genes?
Gene Editing
 process of adding, removing, modifying, or
replacing the DNA of an organism
Gene
Editing
Toolbox Zn Finger Nucleases
TALENs
CRISPR/Cas9
CurrentUses ofGene
Editing
Cured Baby
Layla’s
Leukemia
Create
Malaria-
Resistant
Mosquitos
Editing
Human
Embryos
Genetically
Customized
Animals
So what’s
the big deal
about
CRISPR?
1. Extremely efficient
2. Multiplexing ability
3. Insert, delete, or alter any sequence
4. Relatively inexpensive
5. Very simple to use
Don’t Be Like
ThisGuy
Ok, but
what is
CRISPR?
How
CRISPR/
Cas9Works
(VIDEO)
Please enjoy the following video from the journal Nature
about CRISPR Cas9.
To view at your own leisure visit
medicineofme.com/crispr-brca
What is in
the
pipeline?
Non-Gene
Editing
Uses
CRISPR-based DiagnosticTools:
DETECTR and SHERLOCK
Future
Options for
Inherited
Diseases
PGD CRISPR
Young
Fertile
Reduced
Fertility
So what’s
the hold
up?
Off-Target Effects Delivery Mechanism
On-going
Patent
Battle
Ethical
Issues
Questions?
For more information on CRISPR and the
latest news on gene editing for hereditary
diseases please see the page I created
especially for attendees of this conference
medicineofme.com/crispr-brca
@adrianneelayne

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Precision Medicine, GMOs, Designer Babies, and the Future of Gene Editing

Editor's Notes

  1. Define gene editing – accomplished through use of nucleases (enzymes that cut DNA)
  2. 1991 – First engineered nuclease (Zn Finger) published. Dominant technology for about 10 years but was imperfect difficulty with certain or large targets Very expensive to produce ($4-7k/ZFN) TALEN’s introduced in early aughts Popular because could be made “in-house” by labs so less expensive and faster Larger molecules however mean harder to use in some application CRISPR/Cas9 splashed onto the scene in 2012 and the field exploded
  3. Unlike other Car-T cell therapies, this approach removed certain receptors from generic donor T cells to create “invisible” CAR-T cells that didn’t attack the host’s body.
  4. Used a gene drive to insert two anti-malarial parasite genes into mosquitos. Gene drive insures that nearly 100% of progeny carry the
  5. A Chinese research team landed in hot water recently for announcing they had used CRISPR to edit defective human embryos with the blood disease mutation for Beta Thalassemia that they had obtained from local IVF facilities. They were not implanted and only a few of the 86 embryos tested actually had the gene correction. Beta Thalassemia is caused by a single nucleotide change and a good candidate for this type of treatment, but many in the scientific community feel it is far too early to begin work on human embryos
  6. This one is also in China They have really adopted CRISPR to make customized animals Goats – larger muscles and longer hair Dogs – muscles Sheep – muscles Pigs – consumer-sold micro pigs Monkeys – producing disease models for neurological conditions
  7. Stands for “Clustered Regularly Interspaced Short Palindromic Repeats” (you can see why we use CRISPR) Region of DNA in the Bacterial genome that keeps a copy of
  8. Sickle cell anemia Muscular Dystrophy Congenital Blindness Cancer (Lung Cancer/ CarT Cell therapy) HIV
  9. Using alternative versions of Cas proteins can generate novel uses. Using these new systems we can detect viral, bacterial, or tumor DNA from samples and either cleave an additional synthetic DNA piece to release a fluorescent signal (DETECTR) or a pregnancy-test like paper strip (SHERLOCK) Also using CRISPR to label cells in a living organism (ex. Tumor cells)
  10. OTE Delivery – viral? Nanoparticles? Some tissues easier than others (ex. blood) Also incomplete understanding of exact genetic causes of certain traits (so no designer babies any time soon)
  11. Designer Babies Rampant gene drives De-extinction
  12. CRISPR applications to HBOCs