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A28    SCIENCE
              Saturday 14 September 2019
            A gene-editing first: scientists tried CRISPR to fight HIV




            By MARILYNN MARCHIONE                                                                                               Scientists are testing various
            AP Chief Medical Writer                                                                                             ways  to  make  the  gene
            Scientists  are  reporting  the                                                                                     editing more efficient, and
            first use of the gene-editing                                                                                       "our  results  show  the  proof
            tool CRISPR to try to cure a                                                                                        of  principle"  for  this  ap-
            patient's  HIV  infection  by                                                                                       proach,  one  study  leader,
            providing  blood  cells  that                                                                                       Hongkui  Deng  of  Peking
            were  altered  to  resist  the                                                                                      University in Beijing, wrote in
            AIDS virus.                                                                                                         an email.
            The  gene-editing  tool  has                                                                                        One  very  encouraging  re-
            long been used in research                                                                                          sult: multiple tests show that
            labs, and a Chinese scien-                                                                                          the  editing  did  not  have
            tist  was  scorned  last  year                                                                                      unintended effects on oth-
            when he revealed he used                                                                                            er genes.
            it  on  embryos  that  led  to                                                                                      "One  of  the  concerns  is
            the birth of twin girls. Editing                                                                                    that  they  could  make  a
            embryos  is  considered  too                                                                                        Frankenstein cell, that they
            risky,  partly  because  the                                                                                        would  hit  other  genes  in-
            DNA changes can pass to                                                                                             stead  of  the  intended  tar-
            future generations.                                                                                                 get,"  so  it's  good  that  this
            Wednesday's  report  in  the                                                                                        did not happen, June said.
            New  England  Journal  of                                                                                           China appears to be mov-
            Medicine, by different Chi-                                                                                         ing  fast  on  such  research
            nese researchers, is the first   This 2011 electron microscope image made available by the Centers for Disease Control shows   and  may  get  treatments
            published account of using   HIV virions.                                                                           approved sooner than the
            CRISPR to treat a disease in                                                                       Associated Press  United States, June said. He
            an  adult,  where  the  DNA  grants  paid  for  the  re-  The  new  case  involves  a  that gene in blood cells in  has  financial  ties  to  some
            changes  are  confined  to  search,  which  was  done  27-year-old  man  with  HIV  the lab to try to mimic the  gene  therapy  companies
            that person.                 openly  with  advance  no-   who needed a blood stem  mutation.                        and  is  leading  a  different
            The attempt was successful  tice  on  a  scientific  registry  cell transplant to treat can-  The  transplant  put  the  study testing CRISPR to fight
            in some ways but fell short  and  standard  informed  cer.  Previously,  two  other  man's  cancer  in  remission,  cancer in the U.S. Three pa-
            of being an HIV cure.        consent procedures. Some  men        were    apparently  and the cells that were al-   tients  have  been  treated
            Still, it shows that gene ed-  of those steps were missing  cured  of  both  diseases  by  tered  to  resist  HIV  are  still  so far and some results are
            iting  holds  promise  and  or questioned in last year's  transplants  from  donors  working  19  months  later.  expected by the end of this
            seems  precise  and  safe  in  embryo work.               with  natural  resistance  to  But  they  comprise  only  5%  year.
            this  patient  so  far,  said  Dr.  "There  are  no  ethical  con-  HIV  because  they  have  a  to  8%  of  such  blood  cells,  Several  other  U.S.  studies
            Carl  June,  a  University  of  cerns  on  this  one,"  June  gene  mutation  that  pre-  so  they're  outnumbered  have  been  trying  to  con-
            Pennsylvania  genetics  ex-  said.                        vents  HIV  from  entering  by ones that can still be in-  trol HIV by altering patients'
            pert who wrote a commen-     Gene  editing  permanently  cells.                        fected.                      own  blood  cells  using  a
            tary in the journal.         alters DNA, the code of life.  Since  donors  like  this  are  "They  need  to  approach  different  gene  editing  tool
            "That's  really  good  for  the  CRISPR  is  a  relatively  new  very  rare,  the  Chinese  sci-  90% or more, I think, to ac-  called  zinc  finger  nucleas-
            field," June said.           tool  scientists  can  use  to  entists tried to create similar  tually  have  a  chance  of  es. The first such test began
            Chinese        government  cut DNA at a specific spot.    HIV  resistance  by  "editing"  curing HIV," June said.   a decade ago in the U.S.q

                                                                      Health experts back treatment for kids


                                                                      with peanut allergy


                                                                      By MATTHEW PERRONE           The  FDA  is  expected  to  eat. That approach doesn't
                                                                      AP Health Writer             make  its  final  decision  by  always work and acciden-
                                                                      WASHINGTON (AP) — Gov-       January.                     tal  exposure  is  common,
                                                                      ernment  experts  on  Friday  The panelists said the medi-  sending 1 in 4 children with
                                                                      backed  an  experimental  cation  was  an  important  peanut  allergies  to  the
                                                                      treatment for children with  option for parents and chil-  emergency  room  every
                                                                      peanut allergies that could  dren  dealing  with  peanut  year.
            In this July 31, 2010 file photo, Morgan Parmet, 24, of Washington,   become  the  first  federally  allergies.  However,  several  Parents  at  Friday's  meet-
            holds a bag of peanuts that she bought at Nationals Park, as the   approved  option  for  pre-  also  said  they  had  con-  ing  urged  approval  of  the
            Philadelphia Phillies play against the Washington Nationals, in
            Washington.                                               venting  life-threatening  re-  cerns  because  the  pill  has  drug,  describing  the  anxi-
                                                     Associated Press  actions.                    to be taken continuously to  ety  of  watching  their  chil-
                                                                      The treatment is daily cap-  maintain its effect.         dren's  diet  and  daily  rou-
                                                                      sules  of  peanut  powder  An  estimated  1.6  million  tine,  even  avoiding  public
                                                                      that  gradually  help  chil-  children  and  teenagers  in  places  and  transportation
                                                                      dren build up a tolerance.   the  U.S.  would  be  eligible  because  of  possible  pea-
                                                                      The outside panel of advis-  for  the  medication,  to  be  nut residues.
                                                                      ers  to  the  Food  and  Drug  sold  as  Palforzia,  which  is  "These  are  constant  and
                                                                      Administration  voted  over-  intended for ages 4 to 17.  real  fears  with  extreme
                                                                      whelmingly  in  favor  of  the  Peanut  allergy  is  the  most  consequences," said Cathy
                                                                      treatment  from  Aimmune  common food allergy in the  Heald  of  Dallas,  whose
                                                                      Therapeutics. The nonbind-   country  and  the  standard  12-year-old   son   Charlie
                                                                      ing vote amounts to an en-   treatment  involves  strictly  took part in a study of the
                                                                      dorsement for approval.      monitoring  what  children  treatment.q
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