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A12   SCIENCE
                    Friday 30 OctOber 2020
            Lab tests show risks of using CRISPR gene editing on embryos




            By MARILYNN MARCHIONE                                                                                               Previous  researchers  who
            AP Chief Medical Writer                                                                                             thought they had repaired
            A lab experiment aimed at                                                                                           a  defect  in  embryos  may
            fixing defective DNA in hu-                                                                                         have  been  misled  into
            man  embryos  shows  what                                                                                           thinking  they  had  suc-
            can  go  wrong  with  this                                                                                          ceeded because usual lab
            type  of  gene  editing  and                                                                                        tests  no  longer  detected
            why  leading  scientists  say                                                                                       the  mutation.  However,
            it's too unsafe to try. In more                                                                                     more  extensive  testing  like
            than half of the cases, the                                                                                         what was done in this study
            editing caused unintended                                                                                           shows  that  other  changes
            changes, such as loss of an                                                                                         could  have  happened,
            entire  chromosome  or  big                                                                                         such  as  an  entire  chromo-
            chunks of it.                                                                                                       some being wiped out, Egli
            Columbia     University   re-                                                                                       said. The new work suggests
            searchers  describe  their                                                                                          that  gene  editing  might
            work  Thursday  in  the  jour-                                                                                      hold promise for correcting
            nal Cell. They used CRISPR-                                                                                         disorders caused by an ex-
            cas9,  the  same  chemical                                                                                          tra copy of a chromosome,
            tool that a Chinese scientist                                                                                       such  as  Down  syndrome.
            used on embryos in 2018 to                                                                                          However,  the  danger  re-
            help  make  the  world's  first                                                                                     vealed  in  the  new  study
            gene-edited babies, which                                                                                           "further  affirms  we  are  not
            landed  him  in  prison  and   In this Oct. 9, 2018, file photo, a lab dish containing embryos that have been injected with Cas9   ready,  not  even  close"  to
            drew international scorn.    protein and PCSK9 sgRNA is seen in a laboratory in Shenzhen in southern China's Guangdong   try this, Dr. Eric Topol wrote
                                         province.
            The  tool  lets  scientists  cut                                                                   Associated Press   in an email.
            DNA in a precise spot and                                                                                           "This  takes  the  concerns
            has  profound  potential  for                                                                                       that  have  already  been
            good  —  it's  already  used  harm.                       ness. Editing was aimed at  any  of  the  cells  from  em-  expressed  about  human
            to  raise  better  crops  and  "If  our  results  had  been  adding the missing letter so  bryos edited at fertilization.  embryo editing to another
            livestock,  holds  promise  known  two  years  ago,  I  the gene would work.           It  only  worked  in  three  of  level,"  added  Topol,  who
            for  treating  diseases  and  doubt  that  anyone  would  In some embryos, the edit-   the  45  cells  from  embryos  heads the Scripps Research
            earned its discoverers a No-  have  gone  ahead"  and  ing was tried at fertilization,  edited at the later stage.  Translational Institute in San
            bel Prize earlier this month.  tried it on embryos intend-  thought to be the best time  In  many  of  the  rest,  "what  Diego  and  had  no  role  in
            But  using  it  on  embryos,  ed  for  pregnancy,  said  bi-  for  such  attempts.  Other  we found is that instead of  the new work.
            sperm  or  eggs  makes  ologist Dieter Egli, who led  embryos were edited when  the  mutation  being  fixed,  In  the  U.S.,  federal  funds
            changes  that  can  pass  to  the study.                  they  contained  two  cells  the  chromosome  carrying  can't be used for research
            future generations. Several  Researchers    made     40  and were almost two days  the  mutation  is  gone"  —  on  human  embryos,  so
            international  panels  of  sci-  embryos  with  eggs  from  old.  Cells  then  were  ana-  a  profound  change  that  the  Columbia  researchers
            entists  and  ethicists  have  healthy  donors  and  sperm  lyzed  at  various  stages  of  likely  dooms  the  embryo,  used  private  money  from
            said  it's  too  soon  to  know  from  a  man  with  a  gene  development  to  see  how  Egli  said.  Many  other  cells  two  foundations.  Several
            whether that can be done  mutation  --  a  single  letter  many had the mutation re-   showed  changes  in  other  of  the  scientists  have  ties
            safely, and the new Colum-   missing  in  the  DNA  alpha-  paired.                    chromosomes  that  also  to gene therapy or analysis
            bia work shows the possible  bet  --  that  causes  blind-  Surprisingly, it didn't work in  could do harm.         companies.q

            How does the coronavirus affect the heart?



            By The Associated Press                                                                versity  of  Chicago  says  One small study found evi-
            How does COVID-19 affect                                                               people  with  heart  disease  dence  of  the  virus  in  the
            the heart?                                                                             are  most  at  risk  for  virus-  hearts of COVID-19 patients
            Even  though  it's  known  as                                                          related  damage  to  the  who died from pneumonia.
            a  respiratory  virus,  doc-                                                           heart. But heart complica-   Another, using heart imag-
            tors  believe  the  coronavi-                                                          tions also have been found  ing,  found  inflammation
            rus  can  directly  infect  the                                                        in  COVID-19  patients  with  of the heart muscle in four
            heart  muscle  and  cause                                                              no known previous disease.   college  athletes  who  had
            other  problems  leading  to                                                           A recent review in the Jour-  recovered from mild COV-
            heart damage.                                                                          nal  of  the  American  Col-  ID-19 infections. There were
            In  some  people,  as  COV-                                                            lege  of  Cardiology  notes  no  images  available  from
            ID-19 decreases lung func-                                                             that  evidence  of  heart  in-  before  the  athletes  got
            tion,  it  may  deprive  the                                                           volvement has been found  sick, and therefore no way
            heart of adequate oxygen.                                                              in  at  least  25%  of  hospital-  to know if they had pre-ex-
            Sometimes  it  causes  an    A health worker makes a heart sign while she and her fellow   ized  coronavirus  patients.  isting heart problems.
            overwhelming     inflamma-   workers celebrate as the last three patients are released from   At  some  centers,  the  rate  Dr. Tom Maddox, an Ameri-
            tory reaction that taxes the   a field hospital at the National Stadium Mane Garrincha, after   is 30% or higher. And some  can College of Cardiology
            heart  as  the  body  tries  to   recuperating  from  COVID-19,  in  Brasilia,  Brazil,  Thursday,  Oct.   studies have found elevat-  board member, says it's un-
            fight off the infection.     15, 2020.                                                 ed enzyme levels and oth-    clear if the virus can cause
            The  virus  can  also  invade                                         Associated Press   er  signs  suggesting  heart  a normal heart to become
            blood  vessels  or  cause  in-  Clots throughout the body  blood  thinners,  although  damage  even  in  patients  dysfunctional.
            flammation  within  them,  have been found in many  there  is  no  consensus  on  with milder disease. It is not  "There's  still  so  much  we
            leading to blood clots that  COVID-19  patients.  That  that treatment.                known  whether  that  dam-   don't   know,"    Maddox
            can cause heart attacks.     has led some doctors to try  Dr. Sean Pinney of the Uni-  age is permanent.            said.q
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