Jailed baby gene scientist ‘should be made responsible’ for the children
thetimes.co.uk
thetimes.co.uk
This was just a completely reckless and unethical experiment, I hope it didn't cause serious damage to those kids.
Also - He forged ethics documents (he did not have his University’s approval) and had a coercive clause in the consent form which meant the patient would be liable for costs if they backed out
However, this CCR5 mutation has also been shown to worsen outcomes for other diseases (influenza, west nile, certain forms of encephalitis). And it almost certainly has other effects, in isolation or with other gene combinations, that haven't been discovered yet. The human body is _incredibly_ complex and we are nowhere near a complete understanding of the genome.
To make this kind of change without the consent of the patient, or a full understanding of the effects, or a way to turn it off, or a way to prevent it from being inherited by descendants (short of doing another round of CRISPR on each descending embryo) is incredibly reckless and unethical.
He Jiankui intended to use CRISPR to effect CCR5-Δ32, but didn't succeed; instead, his use of CRISPR made other, never-studied-before mutations to the CCR5 gene.
Will those mutations result in a CCR5 protein which confers HIV resistance? Probably, at least to some strains, since as far as we know, the full CCR5 gene is needed for an HIV-compatible receptor on the CCR5 protein.
Will they have other effects? What is their safety profile? These mutations have never been studied before, so no one knows.
See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813942/#__p275 for more on this.
There was no control group or follow up studies.
China has its faults. But allowing an overly interested public to voyeuristcally invade the private lives of its citizens is not one of those faults.
https://www.statnews.com/2020/10/29/lab-tests-show-risks-of-...
It is not possible to say the kids are fine unless you are their pediatrician.
Also it is HIV (the infection) they would be immune to, not AIDS (the syndrome of profound immunosuppression caused by advanced HIV).
Me as well, but I also hope this doesn't turn out like the plot of Legend.
That said, The change isn’t novel to humans. ~16% of Norwegians have it, though only 0.4% of Chinese people do.
There would be a lawsuit. And probably a settlement.
Beyond that, there wouldn’t be any effort to track these kids across their lives.
And medical privacy would prevent any sort of public inquiry.
Best case scenario would be a large lump sum payment to a committee of lawyers charged with monitoring the well being of the children.
I don’t think charging the individuals and institutions that let this happen with “making it right” is a good idea.
This crazy doctor should never be allowed to see these parents and kids again.
If so, how are they enforced to ensure nations do not conduct unethical research & in experiments to further their own geopolitical goals?
Getting rid of diseases seems like a nobel cause to me.
Nazism is a spiritual disease and one i would be happy seeing continually wiped off the face of the earth.
Not sure if this is a joke, but the idea that removing people from earth due to their belief of who should be removed from earth seems a bit of a moral pickle, or at least a self perpetuating people-removal-machine.
>This is how eugenics happens
I am astounded at the simplicity and the speed at which eugenics can happen. Can you provide links, I would learn more of this rapid process in hopes of learning how to defend against it.
Eugenic ethics: https://www.csustan.edu/history/hitlers-ethic
A quote from feynman: "Science is the belief in the ignorance of experts"
Also eugenics is literally the belief that the genome can and should be improved via intervention beyond mate selection. Which you already hold. If you are incapable of seeing the connection between "we should be allowed to edit the genome" -> "we should improve the human genome" then i doubt you are engaging on good faith and im concerned about your elementary mental capacity
It’s possible, it’s cool, let’s do it.
(obviously the actual scientific experts have more context on the what and how, but that's not the question)
no ethics committee would ever approve transgenic human embryo experiments.
this also sounds really stupid. like there's no real science there, just a willingness to overstep ethical bounds in the pursuit of fame and fortune.
meanwhile, it sounds like actual scientists are exploring crispr/cas9 approaches to curing hiv infected persons.
Or if you are a parent and your child is actually affected, you will go to great lengths to do practically anything possible for him/her. Becoming parent changes everybody.
Your priorities will be very different from say 20-something childless person in such a case.
All that being said, what the guy actually did doesn't make much sense. HIV isn't top priority concern for anybody apart from poorest parts of Africa. You can protect against catching it pretty effectively. But yeah pandora box and all that.
Correct. It makes a lot more sense IMHO if you imagine that his motive might have been less to protect them from HIV and more to get his name in the history books.
It’s a gene for a specific receptor that has certain other functions in the body. Certain strains of HIV just happen to use this receptor for viral entry, but it has other functions in the body.
The specific CCR5 mutation has positive effects for resistance to certain HIV strains but actually worsens resistance to certain other diseases. There’s also a big question of how specific and accurate his editing actually was, of course.
The implications of your kids each having ~70 de novo mutations just in the course of normal reproduction, which mutated genes they will pass on to their own children, is also pretty interesting.
Are the 'his' children? Not sure. Not sure he should even be in jail. Most parents don't go to jail. Even those that have a baby with genetic defects they knew about before birth, or even before conception because of genetic counseling.
They are entered into bogus "trails" as legal protection for these "doctors" and the clinic.
Bunch of these clinics in Florida
Mandatory XKCD: https://imgs.xkcd.com/comics/old_timers.png
Seems like a stretch.
If the opposite is true - that if "lots of things" are immoral but permitted, things that are equally or less immoral should also be permitted - then you're arguing for more forms of child abuse to be legalized, in the name of "consistency".
So gene therapy? Let's consider the consequences. Everything else? Let's also consider the consequences.
Specifically once it becomes accepted for morally justifiable things, like curing horrible genetic diseases, it will quickly start being used to alter non life threatening things.
And we will quickly find ourselves in a world where parents are able to alter the future children's height, intelligence, muscle mass, sex, race, sexual preference (These are purposefully extreme examples that are likely many decades away from being possible). But in terms of why there is moral outrage, those are the sorts of things people are concerned about.
I would say that from the reading I have done, the concern that it might be done improperly and accidentally cause negative mutations harming the child is more of a practical one (we don't understand the genetic processes well enough to perform the editing safely yet), rather than the moral one outlined above.
It is a recipe for a medical or social disaster. Perhaps both.
So is suggesting something you can acquire through work (owning a computer) is comparable to something you must be born to. They're not the same.
Death may be a consequence of disease (among other causes), but it is not a disease.
Secondly, it was fraud, the guy falsified documents and misrepresented things.
Thirdly, the whole concept was dumb. It doesn't make any damn sense. He wanted to edit babies for his own reasons (some mix of insanity and ego I presume), so he found a way to do it.
That xkcd is one of the worst ones I've seen, by the way, it also doesn't make any damn sense.
HIV resistance is optional, sure. What about conceiving a child with sickle cell anemia? Why is that more ethical than trying to give a child a healthier life?
We do a lot of medical treatments on children without their consent. There are now (experimental!) open-heart surgeries of children in the womb. Is that unacceptable too?
In this case, the parents likely did not have the information necessary to make a decision about their own offspring (especially since they were lied to).
As far as legal/societal decision making, I don't think we have a better solution than relying on experts. What is the alternative? Unless you are only talking about using personal morals for the purpose of discussing right/wrong rather than actually making decisions based on them.
https://www.csustan.edu/history/hitlers-ethic
Further- if we use dynamical system theory and look at coastal engineering-when we apply a control (say a barrier wall or "groyne" at the beach, to retain the nice sand) mother nature with time will work around it (the sand is carried by the tide and waves to carve out of the beach and deposit on the back of the retaining wall) https://www.researchgate.net/figure/a-The-terminal-groyne-sy...
Engineering nature properly requires a liberatory embrace of differentiation, diversity, and ultimately futility. The natSoc obsession with systemic perfection and crystallization leads somewhere predictable, and we rightly stamped the movement out (though many of the doctors worked w and moved to the US, and allies have had their share of eugenic fantasies and doctrines).
We need to wake up from the childlike belief in the infallibility of scientism. As Richard Feynman put it: "Science is the belief in the ignorance of experts"
What I’m talking about is not scientism. In medical research and medical practice ethical questions come up all the time. Someone has to make a decision about these questions. I personally don’t have the time nor the resources to adjudicate all of these questions, therefore I have to trust the decision of some proxy on most questions. Trusting a group of people who care about ethics, and know about medicine is a good proxy (the ethics board).
This doesn’t mean that I believe them infaliable. If you believe that a particular ethics board in a particular case made a bad call let me know. Identify the case, tell me what the board decided and what you think should have been decided and why. I promise you that I will use all my faculties to learn more about the case and make a decision of my own if possible. Does that sound like scientism to you?
That being said this is a complete non-sequitur in the present case. The article is not about an ethics board who made a bad call. It is about a researcher who skipped the whole process and decided that he alone is enough to decide what is ethical and what is not. That is very suspect in itself. Furthermore people think that he made the wrong call, and what he did was not ethical.
Are you arguing that the ethics board system is so faulty that he was right to ignore it?
Are you arguing that he made the right call in thinking that this particular intervention is ethical?
Surely not advocating for the latter, i think informed consent and voluntarism should be required. Personally not sure where i stand on some of the leading edges of genetic tech, but i also appreciate that there likely are arguments for development akin to atomic science. My hope is that we can continue to support and synthesize a broad spectrum of humanity rather than a few quantifiably valuable breeds. Im biased since i have a sibling with disability who i value more than the ethics boards that will triage him off of a ventilator :)
You mean one with heightened malaria resistance?
> The scientist forged documents from an ethics review panel to recruit couples for the research
By definition unborn children or infants cannot give consent. That has never been the basis for denying them medical treatment, including experimental ones. And in the entire history of medicine no established treatment exists without experimentation.
If this is even remotely successful you may be looking at millions of lives saved by preventative HIV treatment in regions where the disease still kills millions.
A 40 year old woman getting pregnant probably poses higher risks for their offspring than a lot of genetic experimentation. Is there any risk basis for these arguments or are people just apprehensive about gene-editing due to some naturalistic dogma?
Just to think through this, people with Huntington's can, with a 50% chance, bring kids into the world who are doomed to basically die of a horrific disease, that's considered the personal right of parents. But the same parents couldn't subject some cells to treatment to attempt to prevent this, that's unethical?
Therefore, if it would be unethical to do it to the human, it’s unethical to do it to the embryo.
> The scientist forged documents from an ethics review panel to recruit couples for the research