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A28    SCIENCE
                 Monday 11 February 2019
            Pea-sized pill delivers insulin shot from inside the stomach




            WASHINGTON  (AP)  —  Sci-                                                                                           cally rolls in the right direc-
            entists  figured  out  how  to                                                                                      tion  to  latch  on,  Traverso
            hide  a  shot  inside  a  pea-                                                                                      explained.
            sized pill — creating a swal-                                                                                       Next the team designed a
            lowable  gadget,  inspired                                                                                          micro-injector,  like  a  nee-
            by a tortoise shell, that can                                                                                       dle  only  made  of  dried
            inject medicines like insulin                                                                                       insulin  compressed  into  a
            from inside the stomach.                                                                                            sharp  point.  To  power  it,
            Patients  usually  prefer  oral                                                                                     researchers  bound  a  tiny
            treatment,  and  comply                                                                                             spring to a hardened sugar
            with  it  better,  but  many                                                                                        disk.
            compounds,  including  in-                                                                                          Stomach  acid  gradually
            sulin for diabetes, can't sur-                                                                                      dissolves the sugar until the
            vive  the  harsh  trip  through                                                                                     spring  pops,  shooting  the
            the digestive system.                                                                                               insulin  into  the  stomach
            The  new  invention,  report-                                                                                       wall.
            ed  Thursday  by  a  Massa-                                                                                         In pigs, the ingestible injec-
            chusetts  Institute  of  Tech-                                                                                      tion lowered blood sugar to
            nology-led  research  team,                                                                                         levels comparable to stan-
            has  been  tested  only  in                                                                                         dard  shots,  according  to
            animals so far. But if it pans   This undated photo provided by researchers in February 2019 shows the components of swallow-  the  study  published  Thurs-
            out,  it  might  offer  a  work-  able self-righting device which can inject drugs from inside the stomach.         day in the journal Science.
            around to make not just in-                                                                        Associated Press  Once  the  insulin  was  ab-
            sulin but a variety of usually                                                                                      sorbed, the capsule, made
            injected  medicines  a  little  ways to protect insulin from  gastroenterologist  at  Bos-  where it can poke into the  of stainless steel and a bio-
            easier to take.              digestive  breakdown  and  ton's  Brigham  &  Women's  right  spot,  even  if  some-   degradable material, float-
            "It's like a miniaturized rock-  then  help  it  be  absorbed  Hospital  and  a  senior  au-  one's  moving  around.  Re-  ed free and was excreted.
            et launcher" for insulin, said  through  the  intestine  into  thor of the study.      searchers looked to nature  "It's  a  very  clever  idea,
            Willem Mulder of Mount Si-   the  bloodstream.  So  far  "The way this works is it trav-  for ideas.                that  is  meant  to  solve  a
            nai's  Translational  and  Mo-  none has reached the mar-  els down the esophagus in  A certain tortoise, the leop-  very  long-standing  prob-
            lecular  Imaging  Institute,  ket, although some closely  seconds, it's in the stomach  ard  tortoise  from  Africa,  lem," said University of Pitts-
            who wasn't involved in the  watched  candidates  are  within  a  few  minutes,  and  can  right  itself  if  flipped  burgh  chemical  engineer-
            new research.                being tested.                then you get the drug," said  onto its back thanks to the  ing  chairman  Steven  Little,
            Scientists  have  spent  de-  An   ingestible   injection  Traverso,  who  worked  with  steep curve of its shell. Re-  who  also  wasn't  part  of
            cades trying to develop oral  could  bypass  the  hazards  a team from the lab of MIT  searchers  crafted  a  minia-  the  research.  Because  the
            insulin and replace at least  of  that  journey  —  letting  inventor Robert Langer and  ture  capsule  with  a  similar  gadget  passes  through,
            some of the daily shots that  insulin  absorb  through  the  insulin maker Novo Nordisk.  shape and a weighted bot-  "the  only  thing  adminis-
            many people with diabetes  wall  of  the  stomach,  said  The first challenge: How to  tom, so that once it reach-  tered to the body is this little
            require.  Attempts  include  Dr.  Giovanni  Traverso,  a  make sure the device lands  es the stomach it automati-   injector."q


                                                                      Stanford probes faculty ties to


                                                                      China gene-edited baby work




                                                                      By MARILYNN MARCHIONE        purposes  is  too  risky  to  be  discouraged  any  such  ex-
                                                                       AP Chief Medical Writer     tried  yet  because  of  the  periment.  Quake  said  he
                                                                      Stanford   University   has  danger  of  harming  other  only  discussed  the  matter
                                                                      started  a  review  of  inter-  genes  and  because  the  in  broad,  general  terms
                                                                      actions  that  some  faculty  DNA  changes  may  be  with He.
                                                                      members  had  with  He  Ji-  passed  to  future  genera-  After  He's  work  was  re-
                                                                      ankui, the Chinese scientist  tions.                      vealed,  Rice  University  in
                                                                      who claims to have helped  He  did  postdoctoral  re-     Houston announced an in-
                                                                      make gene-edited babies.     search  at  Stanford  and  vestigation into interactions
             In this Oct. 9, 2018 file photo, an embryo receives a small dose
            of Cas9 protein and PCSK9 sgRNA in a sperm injection micro-  Several  Stanford  profes-  began  the  gene  editing  between He and his former
            scope in a laboratory in Shenzhen in southern China's Guang-  sors  have  said  they  knew  project  after  returning  to  adviser  at  that  school,  Mi-
            dong province, during work by scientist He Jiankui's team  or  strongly  suspected  He  his  homeland  for  a  job  at  chael Deem.
                                                     Associated Press   wanted to try gene editing  Southern  University  of  Sci-  On   Thursday,   Stanford
                                                                      on  embryos  intended  for  ence  and  Technology  of  spokesman  E.J.  Miranda
                                                                      pregnancy.                   China in Shenzhen.           said in an email that Stan-
                                                                      The  work  has  been  widely  Several  Stanford  profes-  ford  is  reviewing  "the  cir-
                                                                      criticized  since  Novem-    sors  including  He's  former  cumstances  around  Dr.
                                                                      ber, when He revealed the  adviser,  Stephen  Quake;  He's  interactions  with  re-
                                                                      births  of  twins  whose  DNA  bioethicist  Dr.  William  Hurl-  searchers  at  the  univer-
                                                                      he said he altered to try to  but and genetics expert Dr.  sity."  Miranda  said  he  had
                                                                      help them resist possible fu-  Matthew Porteus have said  no  additional  information
                                                                      ture infection with the AIDS  they  were  in  contact  with  on  questions  about  who
                                                                      virus.                       He over the last year.       would do the review, what
                                                                      Most  scientists  think  gene  Hurlbut  and  Porteus  said  would  be  examined  and
                                                                      editing  for  reproductive  they  disapproved  of  and  how long it would take.q
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