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He Jiankui: Baby gene experiment 'foolish and dangerous' | He Jiankui: Baby gene experiment 'foolish and dangerous' |
(7 months later) | |
The first people to be gene-edited - a pair of baby twin girls - may have been mutated in a way that shortens life expectancy, research suggests. | The first people to be gene-edited - a pair of baby twin girls - may have been mutated in a way that shortens life expectancy, research suggests. |
Prof He Jiankui shocked the world when he genetically altered the twins to try to give them protection against HIV. | Prof He Jiankui shocked the world when he genetically altered the twins to try to give them protection against HIV. |
But a study in Nature Medicine shows people who naturally have the mutation he was trying to recreate were significantly more likely to die young. | But a study in Nature Medicine shows people who naturally have the mutation he was trying to recreate were significantly more likely to die young. |
Experts said Prof He's actions were "very dangerous" and "foolish". | Experts said Prof He's actions were "very dangerous" and "foolish". |
What was Prof He trying to do? | What was Prof He trying to do? |
Prof He was targeting a gene called CCR5. | Prof He was targeting a gene called CCR5. |
It is a set of genetic instructions that are important for how the immune system functions. | It is a set of genetic instructions that are important for how the immune system functions. |
However, they are also the doorway that human immunodeficiency virus (HIV) walks through to infect cells. | However, they are also the doorway that human immunodeficiency virus (HIV) walks through to infect cells. |
Mutations to CCR5 essentially lock the door and give people resistance to HIV. | Mutations to CCR5 essentially lock the door and give people resistance to HIV. |
So, Prof He made embryos in an IVF clinic and then used gene-editing technologies on them to alter the CCR5 gene. | So, Prof He made embryos in an IVF clinic and then used gene-editing technologies on them to alter the CCR5 gene. |
The resulting girls - known as Lulu and Nana - were born last year. | The resulting girls - known as Lulu and Nana - were born last year. |
What does this have to do with life expectancy? | What does this have to do with life expectancy? |
The problem is CCR5 has a bigger role in the body than just making people vulnerable to HIV. | The problem is CCR5 has a bigger role in the body than just making people vulnerable to HIV. |
It is active in the brain and in fighting off other infections, particularly flu. | It is active in the brain and in fighting off other infections, particularly flu. |
The study, at the University of California, Berkeley, looked at nearly 410,000 people in the UK. | The study, at the University of California, Berkeley, looked at nearly 410,000 people in the UK. |
It showed those who had only the mutated version of CCR5 were 20% more likely to die before they turned 78. | It showed those who had only the mutated version of CCR5 were 20% more likely to die before they turned 78. |
"In this case, it is probably not a mutation that most people would want to have," said Prof Rasmus Nielsen, from UC Berkeley. | "In this case, it is probably not a mutation that most people would want to have," said Prof Rasmus Nielsen, from UC Berkeley. |
"You are actually, on average, worse off having it." | "You are actually, on average, worse off having it." |
Fellow researcher Dr Xinzhu Wei said the gene-editing technology, known as Crispr, was still too risky to be using on children. | Fellow researcher Dr Xinzhu Wei said the gene-editing technology, known as Crispr, was still too risky to be using on children. |
"The Crispr technology is far too dangerous to use right now for germ-line editing," she said. | "The Crispr technology is far too dangerous to use right now for germ-line editing," she said. |
What does this mean for the twins? | What does this mean for the twins? |
The implications for Lulu and Nana are still unclear. | The implications for Lulu and Nana are still unclear. |
"It is impossible to predict if the mutations carried by the twin girls will have any effect," said Prof Robin Lovell-Badge, from the Francis Crick Institute. | "It is impossible to predict if the mutations carried by the twin girls will have any effect," said Prof Robin Lovell-Badge, from the Francis Crick Institute. |
Not everyone who carried the mutations in the study died young but it was more likely. | Not everyone who carried the mutations in the study died young but it was more likely. |
And life expectancy depends on a complex mix of the DNA you are born with and the world you live in. | And life expectancy depends on a complex mix of the DNA you are born with and the world you live in. |
To further complicate things, Prof He mutated CCR5 in a similar rather than identical way to people who have HIV resistance. | To further complicate things, Prof He mutated CCR5 in a similar rather than identical way to people who have HIV resistance. |
Prof Lovell-Badge said the study "shows once more that He Jiankui was foolish to choose CCR5 to mutate". | Prof Lovell-Badge said the study "shows once more that He Jiankui was foolish to choose CCR5 to mutate". |
What was the reaction to Prof He doing this? | What was the reaction to Prof He doing this? |
There was universal condemnation by scientists when Prof He made the announcement in November. | There was universal condemnation by scientists when Prof He made the announcement in November. |
Some described the experiment as "monstrous". | Some described the experiment as "monstrous". |
And he was criticised for experimenting when the risks to otherwise healthy children were unclear and for acting against Chinese law. | And he was criticised for experimenting when the risks to otherwise healthy children were unclear and for acting against Chinese law. |
There was also anger because HIV can be treated and there was barely any risk of it being passed from the HIV-positive father to his children. | There was also anger because HIV can be treated and there was barely any risk of it being passed from the HIV-positive father to his children. |
The Chinese authorities investigated and concluded that Prof He had acted illegally in pursuit of "fame and fortune". | The Chinese authorities investigated and concluded that Prof He had acted illegally in pursuit of "fame and fortune". |
Prof He has always defended his experiments and at a summit in Hong Kong said he was "proud" of his gene-editing work. | Prof He has always defended his experiments and at a summit in Hong Kong said he was "proud" of his gene-editing work. |
Follow James on Twitter. | Follow James on Twitter. |
The research that this story was based on was later retracted by the study authors. |