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A28    SCIENCE
                    Tuesday 24 april 2018

            Parenting of the future: Many embryos, each with DNA profile



            By MALCOLM RITTER            come  a  powerful  infertility  decoded and analyzed to  witting celebrity into a ge-  fertility clinics do that. They
            AP Science Writer            treatment,  permitting  ge-  reveal  genetic  predisposi-  netic parent.               didn't  reveal  why,  Hudgins
            NEW  YORK  (AP)  —  So  you  netic  parenthood  for  peo-  tions, both for disease and  It  is  a  long  way  in  the  fu-  said.
            want to have a baby.         ple  who  can't  make  their  personal  traits.  The  man  ture, but real life is already  Hudgins,  who's  president
            Would  you  like  a  dark-                                                                                          of  the  American  College
            haired  girl  with  a  high  risk                                                                                   of  Medical  Genetics  and
            of  someday  getting  co-                                                                                           Genomics, said no national
            lon  cancer,  but  a  good                                                                                          medical  association  has
            chance of above-average                                                                                             endorsed decoding all the
            music ability?                                                                                                      DNA  of  an  embryo,  which
            Or  would  you  prefer  a  girl                                                                                     is called its genome. So she
            with  a  good  prospect  for                                                                                        believes no insurance com-
            high SAT scores and a good                                                                                          pany  would  pay  for  that
            shot  at  being  athletic,  but                                                                                     now.
            who also is likely to run an                                                                                        ___
            above-average  risk  of  bi-                                                                                        'EASY'  PRENATAL  DIAGNO-
            polar disorder and lupus as                                                                                         SIS
            an adult?                                                                                                           Greely,  who  lays  out  his
            How  about  a  boy  with  a                                                                                         ideas in a book called "The
            good  shot  at  having  mu-                                                                                         End  of  Sex  and  the  Future
            sical  ability  and  dodg-                                                                                          of  Human  Reproduction,"
            ing  asthma,  but  who  also                                                                                        calls  his  vision  "easy  PGD,"
            would  be  predisposed  to                                                                                          or  prenatal  genetic  diag-
            cataracts  and  type  2  dia-                                                                                       nosis.
            betes?                                                                                                              Ordinary  PGD  has  been
            Confused?  You're  just  get-                                                                                       done  for  decades.  When
            ting started. There are doz-                                                                                        a couple is known to be at
            ens more choices for which   This undated microscope image provided by the American Society for Reproductive Medicine in   risk  for  having  a  child  with
            of your embryos should be    January 2018 shows a trophectoderm biopsy, in which cells from the outer layer of an embryo that   a specific genetic disorder,
            placed in the womb to be-    develop into the placenta and amniotic membranes are removed and can be used for genetic   such as cystic fibrosis or sick-
            come your child.             testing.                                                                               le cell anemia, the woman
            That's the future a biomedi-                                                                       Associated Press  undergoes a procedure to
            cal  ethics  expert  envisions                                                                                      remove  some  eggs.  After
            for 20 to 40 years from now  own sperm or eggs.           and  woman  would  get  creeping  toward  it.  Some  fertilization,  some  cells  are
            —  soon  enough  that  to-   It  also  would  mean  that  a  dossiers  on  the  embryos  scientists are trying to make  plucked from the embryos
            day's  children  may  face  it  woman  who  wants  to  get  that pass minimum tests for  human eggs and sperm in  and  examined  to  identify
            when  they  start  their  own  pregnant  could  produce  suitability.                  the  lab.  They  are  working  those without carry the dis-
            families.                    dozens  more  eggs  per  at-  Out of, say, 80 suitable em-  with "iPS cells," which are or-  ease-causing abnormality.
            "The  majority  of  babies  of  tempt than with the current  bryos,  the  couple  would  dinary body cells that have  That  procedure  looks  for
            people  who  have  good  procedure  of  harvesting  then choose one or two to  been morphed into a mal-             a  specific  problem  in  a
            health  coverage  will  be  some from her ovaries.        implant.                     leable state.                few  embryos,  not  entire
            conceived  this  way,"  pre-  And  that  means  a  lot  of  The  possibilities  don't  stop  Amander  Clark  of  the  Uni-  genomes  from  dozens  of
            dicts Henry Greely, a Stan-  choices.                     there.   The   technology  versity  of  California,  Los  them.  If  a  couple  wants
            ford University law professor  ___                        might  also  help  open  the  Angeles,  says  her  goal  is  to  select  a  "super  baby,"
            who works in bioethics.      AN ARRAY OF EMBRYOS          door  to  same-sex  couples  to  aid  basic  research  into  says Dr. Richard Scott Jr., a
            You've    probably    read  Here's  what  Greely  envi-   having children genetically  why  some  people  are  in-  founding partner of Repro-
            about  concerns  over  "de-  sions:  A  man  and  woman  related  to  both  of  them,  fertile.  She  acknowledges  ductive  Medicine  Associ-
            signer babies," whose DNA  walk  into  a  fertility  clinic.  though the additional twist  the  technique  might  itself  ates of New Jersey, "we tell
            is shaped by gene editing.  The  man  drops  off  some  of  making  eggs  from  men  be used to treat some infer-   them we can't do it."
            Greely is focused on a dif-  sperm.  The  woman  leaves  or  sperm  from  women  tility,  particularly  in  young  In  fact,  Scott  and  others
            ferent technology that has  some  skin  cells,  which  are  would  be  a  huge  biologi-  people  made  sterile  by  say,  even  wide-ranging
            gotten  much  less  atten-   turned into eggs and fertil-  cal challenge.              cancer treatments.           analysis would not provide
            tion: In a startling bit of bio-  ized with the man's sperm.  More  worrisome  is  the  As  for  decoding  the  com-  a precise forecast of how a
            logical  alchemy,  scientists  Unlike in vitro fertilization to-  so-called  Brad  Pitt  sce-  plete DNA library of embry-  child will turn out.
            have  shown  that  in  mice,  day,  which  typically  yields  nario:  We  all  shed  a  bit  of  os,  Dr.  Louanne  Hudgins,  If  DNA  is  the  hardware,
            they can turn ordinary cells  around  eight  eggs  per  try,  sloughed-off  DNA  every  who  studies  prenatal  ge-  there's  also  the  software:
            into sperm and eggs.         the new method could re-     day, like on the lip of a cof-  netic  screening  and  diag-  chemical   modifications
            It's  too  soon  to  know  if  it  sult in 100 embryos.   fee  cup.  Such  discarded  nosis at Stanford, says some  that  determine  when  and
            could  be  done  in  people.  The  embryos'  complete  material  could  be  secretly  pregnant  patients  there  where particular genes turn
            But  if  it  can,  it  could  be-  library  of  DNA  would  be  snatched up to turn an un-  say  they've  already  had  on  and  off.  Much  of  this
                                                                                                                                "epigenome" would devel-
                                                                                                                                op after an embryo's genes
                                                                                                                                are sampled, Scott said.
                                                                                                                                "Your  child  may  not  turn
                                                                                                                                out  to  be  the  three-sport
                                                                                                                                All-American  at  Stanford,"
                                                                                                                                because  "the  epigenome
                                                                                                                                didn't work out," Scott said.
                                                                                                                                And  a  person's  upbringing
                                                                                                                                and  life  experiences  have
                                                                                                                                a big effect.
                                                                                                                                q
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