WEBVTT - Is It Safe to Edit Your DNA?

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<v Speaker 1>Hey, please take a second and leave us a review

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<v Speaker 1>on Apple Podcasts, Spotify, or wherever you listen to the podcast.

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<v Speaker 1>Thanks a lot. Hey, welcome to Sign Stuff or production

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<v Speaker 1>of iHeart Radio. I'm Jorge cham and today we're answering

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<v Speaker 1>the question is it safe to edit your DNA? In

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<v Speaker 1>case you haven't been keeping up, humans now have the

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<v Speaker 1>ability to change their genes. You could, for example, take

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<v Speaker 1>a pill that will change the DNA of your eyes,

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<v Speaker 1>or your skin, or even your brain. And it's all

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<v Speaker 1>due to a technology called Crisper. But how far can

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<v Speaker 1>we take this technology? Is it safe or even ethical

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<v Speaker 1>to use. We're gonna talk to two geneticists who work

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<v Speaker 1>with Crisper, and we're gonna learn where it came from

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<v Speaker 1>and how it works. So start thinking about how you

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<v Speaker 1>would upgrade yourself and edit your genes as we answer

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<v Speaker 1>the question is it safe to edit your DNA? Hey? Everyone,

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<v Speaker 1>I don't know about you, but sometimes I feel like

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<v Speaker 1>the future arrived and I wasn't paying attention. I mean,

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<v Speaker 1>it seems like yesterday to me that we were able

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<v Speaker 1>to sequence the human genome, and now apparently we can

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<v Speaker 1>basically edit it as easily as editing a word. Document.

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<v Speaker 1>If you don't like the gene that you have inside

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<v Speaker 1>of you, you can just cut it and paste it.

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<v Speaker 1>So I had a lot of catching up to do.

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<v Speaker 1>And so before we get to the question of whether

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<v Speaker 1>it's safe to edit your DNA, we're gonna learn where

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<v Speaker 1>this technology came from and how it works, because to

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<v Speaker 1>understand its limits and what makes it potentially dangerous, we're

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<v Speaker 1>gonna eat both of those things. And the history of

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<v Speaker 1>how crisper came to be is actually kind of interesting.

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<v Speaker 1>It all started in a small lab in the south

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<v Speaker 1>of Spain that was looking at tiny creatures called Archaea.

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<v Speaker 1>To Phillisen. Here's Professor Louis Montealieu, a geneticist and the

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<v Speaker 1>deputy director of Spain International Center for Biotechnology in Madrid. Well,

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<v Speaker 1>thank you, doctor Montaliu for joining us.

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<v Speaker 2>Thank you.

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<v Speaker 1>So we have a very general audience who may not

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<v Speaker 1>have heard of crisper or even gene editing. So for

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<v Speaker 1>people who are not familiar, can you tell us about

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<v Speaker 1>the history of gene editing. When did this idea start

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<v Speaker 1>becoming a reality for people?

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<v Speaker 2>Well, genomeediting is one of these revolutions you never know

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<v Speaker 2>that you will be able to winness so this are

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<v Speaker 2>tool that enable precise genetic modification of georgenome and as

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<v Speaker 2>a matter of fact, any genome of any creature, any bacteria,

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<v Speaker 2>any plan and including human beings. At the end of

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<v Speaker 2>the previous century we had a first generation of geno

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<v Speaker 2>mediating Those were called megan nucleases that were not very versatile,

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<v Speaker 2>so they were not used much. Then we had two

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<v Speaker 2>different families of geneo mediting tools, and for some time

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<v Speaker 2>there were okay, but the real revolution came across when

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<v Speaker 2>we discover crispa. Crispa is an acronym for a cluster.

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<v Speaker 2>Let me see I have it here because we always say,

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<v Speaker 2>say chrispa, and we always forget this by is cluster

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<v Speaker 2>regularly interspace short palindromic rapids.

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<v Speaker 1>The acronym is too catchy, it's too easy.

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<v Speaker 2>It is very sexy exactly so it looks like what

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<v Speaker 2>you're having for breakfast, chrispher from Kellos and Crispa was invented,

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<v Speaker 2>by the way, by one the young microbiologist at the

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<v Speaker 2>University of Licante at the south of Spain. So the

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<v Speaker 2>origin of crispa, it's actually in Spain, and this is

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<v Speaker 2>normally forgotten.

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<v Speaker 1>Okay, So to get to the origin of this revolutionary technology,

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<v Speaker 1>we have to go back even further than the turn

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<v Speaker 1>of the millennium. Back in nineteen ninety three, a young

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<v Speaker 1>researcher in Spain called Francis Mohika was interested in something

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<v Speaker 1>very few people thought was important and that was completely

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<v Speaker 1>unrelated to gene editing. He wanted to know how a

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<v Speaker 1>very primitive form of life called urkia, which are kin

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<v Speaker 1>of the cousins of bacteria, could survive in super salty

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<v Speaker 1>pools of water. So he did what everyone was doing

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<v Speaker 1>in the early nineteen nineties, which was to sequence the

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<v Speaker 1>DNA of these supers dirty or KaiA to see if

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<v Speaker 1>there were any clues there. But when he looked at

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<v Speaker 1>their DNA, he noticed something odd.

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<v Speaker 2>He saw repetitions the same sequence, same shot sequence, repeated

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<v Speaker 2>many times. That was his discovery in nineteen ninety three,

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<v Speaker 2>and this puzzled Mohika.

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<v Speaker 1>Why did these archaia have this stretch of genetic code

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<v Speaker 1>all over its DNA? And while you and I might

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<v Speaker 1>just shrug this off and move on with our lives,

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<v Speaker 1>Mohika spent the next ten years of his life trying

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<v Speaker 1>to figure it out.

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<v Speaker 2>And he did, and it took him about ten years

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<v Speaker 2>to discover by someow of two thousand and three that

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<v Speaker 2>this was the basis of an immune system, of a

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<v Speaker 2>defence system the bacterias were using to fight the viruses.

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<v Speaker 1>Yes, even bacteria and primitive organisms like archaea have to

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<v Speaker 1>fight viruses. What Uhika found was that the repeating sequence

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<v Speaker 1>of DNA was part of a pretty badass system for

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<v Speaker 1>killing viruses. Here's how it works. Whenever a virus attacks

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<v Speaker 1>the Arkaia and the Archaea survives, it grabs a piece

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<v Speaker 1>of the virus DNA and remembers it. It stores the

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<v Speaker 1>little virus sequence in its own DNA.

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<v Speaker 2>So the bacterias that have been visited by many viruses

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<v Speaker 2>over thousands or hundreds of millions of years, they had

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<v Speaker 2>bits and bits and bits of different viral genomes and

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<v Speaker 2>this was like a picture they kept from the virus.

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<v Speaker 2>So next time the same viruses wanted to infect this bacteria,

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<v Speaker 2>they say, hey, I know you, I know who you are,

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<v Speaker 2>and because I know who you are, I can fight

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<v Speaker 2>you and I can destroy your DNA.

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<v Speaker 1>So the Arkaea or bacteria remember every single virus they've

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<v Speaker 1>ever interacted with, and they lay a trap for them.

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<v Speaker 1>They create a molecule called CAS nine or CAST nine,

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<v Speaker 1>which is basically like a sharp DNA scissor, And to

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<v Speaker 1>each copy of this scissor they give it the memory

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<v Speaker 1>of each virus they've ever met. So now the archaea

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<v Speaker 1>has a bunch of scissors rooting around, each of them

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<v Speaker 1>keyed to a snippet of the DNA of every virus

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<v Speaker 1>it's ever encountered. You can start to see how this

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<v Speaker 1>could be used to cut your own DNA.

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<v Speaker 2>This is a very efficient system that was invented by bacterias.

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<v Speaker 2>This was invented probably more than three billion years ago,

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<v Speaker 2>so this is something that has been drunning for many years.

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<v Speaker 2>So next time a virus wants to insert the DNA,

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<v Speaker 2>if the virul is known by the lacteria, this will

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<v Speaker 2>trigger a signal and the signal will start cutting the

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<v Speaker 2>viral DNA. And if you cut the vital DNA, basically

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<v Speaker 2>you destroy They may that you destroy the intruth.

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<v Speaker 1>All right. This was a discovery that eventually led to Crisper.

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<v Speaker 1>These Archaia and bacteria basically figured out how to make

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<v Speaker 1>a DNA scissor, and they figured out how to key

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<v Speaker 1>the scissor to a particular sequence of DNA, So the

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<v Speaker 1>scissors are floating around looking for a particular stretch of DNA.

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<v Speaker 1>When it finds, it cuts the DNA, but only in

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<v Speaker 1>the spot where it finds the sequence. Now, at first,

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<v Speaker 1>nobody thought this could be used at a DNA. It

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<v Speaker 1>was just some discovery about the immune system of bacteria,

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<v Speaker 1>and in fact, Mohika had trouble getting it polished.

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<v Speaker 2>He submitted this discovery to the top journal's Nature Science

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<v Speaker 2>Cell and they all rejected because what really they all

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<v Speaker 2>rejected because this was coming from Alicante, was not coming

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<v Speaker 2>from Stanford, from Yale, from Oxborg, Cambridge, so he didn't

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<v Speaker 2>include any kind of foreign researcher. It was him with

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<v Speaker 2>his students, and eventually he took him like two years,

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<v Speaker 2>and in two thousand and five he published his discovery

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<v Speaker 2>in a very historical journal, but kind of very far

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<v Speaker 2>away from the top journals. The journal was a journal

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<v Speaker 2>of molecular evolution, all.

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<v Speaker 1>Right, So Mohika publishes this in a not so prominent journal,

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<v Speaker 1>and that could have been the end of the story.

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<v Speaker 1>Maybe nobody would have read it or thought it could

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<v Speaker 1>be used for anything other than understanding how bacteria work.

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<v Speaker 1>But the two special people happened to read the paper

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<v Speaker 1>and they had an idea.

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<v Speaker 2>What happens since that that paper in two thousand and

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<v Speaker 2>five was read by many other people. Jennifer Downa and

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<v Speaker 2>Emmanuel Charpantier, and these two working independently, they met in

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<v Speaker 2>San Juana, Puerto Rico in spring of twenty and eleven

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<v Speaker 2>and they decided to collaborate because they both have read

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<v Speaker 2>Francis paper that was published like six years before, and

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<v Speaker 2>they had the idea to transform this defense system into

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<v Speaker 2>a genomediting tool, into a tool that you could use

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<v Speaker 2>to eraise and to replace letters so in order to

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<v Speaker 2>correct mutations. And that's exactly what they decided to do.

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<v Speaker 2>And it took them only one year to do this collaboration,

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<v Speaker 2>and that's the only time they collaborated. They never have

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<v Speaker 2>collaborated again. And they published this in Science and eight

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<v Speaker 2>years later, in October twenty twenty, they were awarded a

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<v Speaker 2>Nobel Prize of Chemistry.

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<v Speaker 1>And that's how we got Crisper. From a scientists getting

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<v Speaker 1>curious about how bacteria basically survive a cold, we get

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<v Speaker 1>to a Nobel price and a technology that might revel

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<v Speaker 1>uianized medicine, and even who we are.

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<v Speaker 2>And the beauty of this is that this was basic science.

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<v Speaker 2>So when he was discovering how bacteria fight viruses, nobody cared.

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<v Speaker 2>He said, what is this? Who is interested how the

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<v Speaker 2>bacteria decide to fight viruses? Well, what happens is that

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<v Speaker 2>the same mechanism that is used by bacteria to fight

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<v Speaker 2>viruses is what Manuel Chaptee and Jennifer Downer transformed into

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<v Speaker 2>a genomeedicing tour. Basic science became an application many years later,

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<v Speaker 2>I think, and this is the poetry behind these ideas,

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<v Speaker 2>because he was sharing his knowledge about what the bacterias

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<v Speaker 2>are capable of doing, and then that was illominating new

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<v Speaker 2>ideas in the mind of all the researchers many years later.

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<v Speaker 1>All right, when we come back, we're going to talk

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<v Speaker 1>to another scientist about how crisper actually works to edit

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<v Speaker 1>your DNA, what you can do with it, and then

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<v Speaker 1>later we'll talk about whether it's safe to edit your

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<v Speaker 1>DNA or even morally right, So stay with us. We'll

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<v Speaker 1>be right back, and we're back. We're talking about whether

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<v Speaker 1>it's safe to edit your DNA, and the main way

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<v Speaker 1>scientists and doctors are doing this is with a technology

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<v Speaker 1>called Crisper, which we learn is what most archaea and

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<v Speaker 1>about half of all bacteria use to defend themselves against viruses.

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<v Speaker 1>But around twenty twelve scientists figure it out it could

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<v Speaker 1>be used for gene editing. Now, the basic idea of

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<v Speaker 1>crisper is this, there's a special kind of molecule that

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<v Speaker 1>acts like a scissor to DNA, meaning it can cut

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<v Speaker 1>strands of DNA. But there's a way to attach as

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<v Speaker 1>nippit of genetic code to this scissor, so that the

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<v Speaker 1>scissor will only cut in the places where it sees

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<v Speaker 1>the nippet in the DNA strand. It's like imagine if

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<v Speaker 1>you have a book and you only wanted to cut

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<v Speaker 1>the book in places where it had the word hippopotamus

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<v Speaker 1>printed on it. Well, you would print the word hippopotamus

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<v Speaker 1>on a little strip of paper, and you'd attach this

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<v Speaker 1>strip to a special kind of scissors, and the scissors

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<v Speaker 1>would check every word on the book, and whenever it

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<v Speaker 1>saw the word hippopotamus, it would cut the page, breaking

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<v Speaker 1>the flow of words. Now, the question is how do

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<v Speaker 1>you use this to edit human DNA and is it safe.

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<v Speaker 1>To help explain how crisper works, I reached out to

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<v Speaker 1>doctor Leanna Pelea, a researcher at the University of Zurich

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<v Speaker 1>and one of the co authors of a well cited

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<v Speaker 1>paper on Crisper titled Past, Present and Future of Crisper

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<v Speaker 1>Genome Editing Technologies. Thank you so much, doctor Pellia.

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<v Speaker 3>For Joe, thank you so much for having me. It's

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<v Speaker 3>really a pleasure.

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<v Speaker 1>According to doctor Peleia, in just the last ten or

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<v Speaker 1>twelve years, there have already been three generations of Crisper technologies,

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<v Speaker 1>and each one is more advanced than the last. It's

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<v Speaker 1>sort of like the iPhone.

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<v Speaker 3>Because I think Krisper twos are a bit like the iPhone.

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<v Speaker 3>It's always like a newer version.

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<v Speaker 1>Each one has a better camera.

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<v Speaker 3>Yes, it's a better camera, better features, and it's always

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<v Speaker 3>getting better. It's very exciting.

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<v Speaker 1>Okay, we're going to talk about what each of these

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<v Speaker 1>generations that Chrisper can do, because that's going to help

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<v Speaker 1>us when we talk about what makes these technologies risky.

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<v Speaker 1>Here's how doctor Pellia describes what we'll call Crisper one

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<v Speaker 1>point zero.

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<v Speaker 3>Yes, so the original Chrispher systems are just Cast nine

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<v Speaker 3>or Cast TWELVEA. They cut both strands of DNA, so

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<v Speaker 3>in human sales the DNA. We know it's like double stranded,

0:14:00.360 --> 0:14:03.319
<v Speaker 3>which means it has two strands of DNA, and these

0:14:03.440 --> 0:14:06.440
<v Speaker 3>enzyme cut both the top and the bottom strand of

0:14:06.520 --> 0:14:10.559
<v Speaker 3>the DNA. So by producing double strand break, meaning cutting

0:14:10.600 --> 0:14:13.520
<v Speaker 3>both strands of the DNA, that means that the cells

0:14:13.679 --> 0:14:17.520
<v Speaker 3>undergo damage into their DNA. So when there is a

0:14:17.600 --> 0:14:20.440
<v Speaker 3>double strand break, a dour gene of interest, the DNA

0:14:20.520 --> 0:14:24.080
<v Speaker 3>repair mechanism, that is something that the human cells have

0:14:24.280 --> 0:14:27.920
<v Speaker 3>by themselves, would fix the brake. And in fixing the brake,

0:14:28.080 --> 0:14:31.760
<v Speaker 3>it's going to introduce some small mutations. And in this

0:14:31.960 --> 0:14:35.840
<v Speaker 3>way we can disrupt the activity of human genes, which

0:14:35.880 --> 0:14:37.480
<v Speaker 3>is something that's very useful.

0:14:39.680 --> 0:14:43.880
<v Speaker 1>Okay, So Crisper one point zero is essentially a gene breaker.

0:14:44.240 --> 0:14:46.200
<v Speaker 1>Let's say you have a gene in your DNA that

0:14:46.280 --> 0:14:49.320
<v Speaker 1>has mutated or a gene that you inherited that is

0:14:49.360 --> 0:14:53.320
<v Speaker 1>giving you a disease. For example, sickle cell disease, which

0:14:53.360 --> 0:14:56.520
<v Speaker 1>affects about one hundred thousand people in the US, can

0:14:56.560 --> 0:14:59.840
<v Speaker 1>be traced to a single mutation in your DNA that

0:15:00.000 --> 0:15:03.320
<v Speaker 1>it causes red blood cells to have the wrong shape.

0:15:03.560 --> 0:15:06.320
<v Speaker 1>So to cure this disease, you want to take out

0:15:06.320 --> 0:15:09.160
<v Speaker 1>this gene, Well, you can do it with Crisper by

0:15:09.160 --> 0:15:11.840
<v Speaker 1>writing down this gene in that little piece of paper

0:15:11.880 --> 0:15:15.400
<v Speaker 1>I described before attaching it to the cutting molecule that

0:15:15.600 --> 0:15:18.760
<v Speaker 1>acts like a scissor, and then letting these scissors loose

0:15:19.000 --> 0:15:22.880
<v Speaker 1>on the patient's bone marrows themselves. The scissors will then

0:15:23.000 --> 0:15:27.400
<v Speaker 1>find this gene in the DNA sequence and cut the gene. Now,

0:15:27.560 --> 0:15:31.600
<v Speaker 1>human DNA has a self prepaired mechanism that would normally

0:15:31.640 --> 0:15:35.560
<v Speaker 1>fix this cut. But this mechanism is not perfect. Every

0:15:35.560 --> 0:15:40.280
<v Speaker 1>once in a while it makes a mistake. But if

0:15:40.320 --> 0:15:43.280
<v Speaker 1>the human body fixes the break, doesn't that defeat the

0:15:43.280 --> 0:15:45.280
<v Speaker 1>purpose of knocking out the gene.

0:15:45.920 --> 0:15:49.000
<v Speaker 3>So that's the thing. So the human body fixes the break,

0:15:49.080 --> 0:15:52.600
<v Speaker 3>but it doesn't fix it perfectly. Sometimes it could fix

0:15:52.640 --> 0:15:55.600
<v Speaker 3>it properly. But even if it's fixed properly, then it's

0:15:55.640 --> 0:15:58.800
<v Speaker 3>going to be cut again by another cast nine molecule

0:15:59.040 --> 0:16:01.440
<v Speaker 3>and cut again and again, so in the end it's

0:16:01.520 --> 0:16:05.640
<v Speaker 3>going to be probably mutated. So that would cause disruption

0:16:05.760 --> 0:16:06.440
<v Speaker 3>of the gene.

0:16:07.320 --> 0:16:10.680
<v Speaker 1>So Crisper will cut the DNA. Then the DNA will

0:16:10.720 --> 0:16:14.920
<v Speaker 1>repair itself, so Crisper will cut it again, and this

0:16:15.000 --> 0:16:19.160
<v Speaker 1>will repeat until the repair mechanism makes a mistake, and

0:16:19.200 --> 0:16:21.760
<v Speaker 1>so you'll end up with a different version of the gene.

0:16:22.120 --> 0:16:25.360
<v Speaker 1>And because it's different, it's not going to work. And

0:16:25.400 --> 0:16:28.200
<v Speaker 1>because it doesn't work, the patient is not going to

0:16:28.240 --> 0:16:32.200
<v Speaker 1>have the disease anymore. So that's level one of editing

0:16:32.240 --> 0:16:35.800
<v Speaker 1>your DNA. You can basically kill a gene and this

0:16:35.880 --> 0:16:38.840
<v Speaker 1>has been shown to work in people. After about nine

0:16:38.920 --> 0:16:42.760
<v Speaker 1>years of research and pre clinical trials and clinical studies,

0:16:43.080 --> 0:16:47.440
<v Speaker 1>the FDA in December twenty twenty three approved the use

0:16:47.480 --> 0:16:51.560
<v Speaker 1>of Crisper for treating sickle cell disease. Okay, now we

0:16:51.600 --> 0:16:54.120
<v Speaker 1>move on to Crisper two point zero.

0:16:55.240 --> 0:16:58.760
<v Speaker 3>Yeah, so the second generation involved in engineer risper and

0:16:58.880 --> 0:17:02.160
<v Speaker 3>so and these enzyme is engineered so it cannot cut

0:17:02.200 --> 0:17:05.120
<v Speaker 3>both strands of DNA, but they can only cut one

0:17:05.280 --> 0:17:08.320
<v Speaker 3>of the DNA strands. Okay, And instead of making a

0:17:08.359 --> 0:17:12.200
<v Speaker 3>double strand DNA break, they make a single strand DNA break.

0:17:12.400 --> 0:17:15.160
<v Speaker 3>And this is less toxic than the double strand break.

0:17:15.480 --> 0:17:19.520
<v Speaker 1>I see, because the cell doesn't freak out as much. Yes, okay,

0:17:19.520 --> 0:17:21.640
<v Speaker 1>so then how does it work? It breaks one strand?

0:17:21.920 --> 0:17:24.960
<v Speaker 3>Yeah, it breaks one strand. But that's not all they do.

0:17:25.040 --> 0:17:28.320
<v Speaker 3>So they are also fews with an enzyme called damnas,

0:17:28.640 --> 0:17:32.719
<v Speaker 3>which could convert one DNA letter to another, So it

0:17:32.960 --> 0:17:36.359
<v Speaker 3>makes the letter change on the strand that it doesn't break.

0:17:37.440 --> 0:17:40.399
<v Speaker 1>Okay, this is where we get to actual gene editing.

0:17:40.880 --> 0:17:44.399
<v Speaker 1>The first of the second generation of Chrisper tools, called

0:17:44.560 --> 0:17:48.720
<v Speaker 1>base editing, goes in, breaks one strand of DNA and

0:17:48.760 --> 0:17:53.119
<v Speaker 1>then replaces one letter in your DNA sequence. So before

0:17:53.240 --> 0:17:58.280
<v Speaker 1>if your gene read something like ATTAGC, it might now

0:17:58.320 --> 0:18:06.400
<v Speaker 1>read adt cgc. Wow. So now this tool has two things,

0:18:06.600 --> 0:18:10.760
<v Speaker 1>the cutter and something that it replaces one letter.

0:18:11.480 --> 0:18:16.080
<v Speaker 3>Yes. So these are very powerful for maybe correcting mutations

0:18:16.080 --> 0:18:18.480
<v Speaker 3>that are just defecting one letter.

0:18:18.920 --> 0:18:21.760
<v Speaker 1>Okay, that's base editing, and you said there was another one.

0:18:21.920 --> 0:18:25.919
<v Speaker 3>Yes, that's prime editing, where this technology makes also a

0:18:25.960 --> 0:18:29.719
<v Speaker 3>single strand break off the DNA and then it extends

0:18:29.840 --> 0:18:33.440
<v Speaker 3>one of the DNA strands with a new sequence of interest.

0:18:33.920 --> 0:18:38.359
<v Speaker 3>And depending on how these prime editors are engineered, one

0:18:38.400 --> 0:18:42.720
<v Speaker 3>could make up to maybe one hundred nucleotide modifications into

0:18:42.760 --> 0:18:43.400
<v Speaker 3>the genome.

0:18:43.720 --> 0:18:46.080
<v Speaker 1>And when you say one hundred nickelodies, you mean like

0:18:46.119 --> 0:18:47.680
<v Speaker 1>one hundred letters in your DNA.

0:18:47.760 --> 0:18:50.280
<v Speaker 3>One hundred letters of DNA. You could add up to

0:18:50.359 --> 0:18:54.320
<v Speaker 3>a hundred letters and also delete something in the ten

0:18:54.800 --> 0:18:56.000
<v Speaker 3>two hundred range.

0:18:56.960 --> 0:19:00.280
<v Speaker 1>All right, now we're getting even more advanced. What can

0:19:00.480 --> 0:19:05.160
<v Speaker 1>the second generation Crisper tools called prime editing, can go in,

0:19:05.520 --> 0:19:09.560
<v Speaker 1>cut your DNA and replace up to one hundred letters

0:19:09.600 --> 0:19:12.560
<v Speaker 1>in your DNA sequence, and then we get to Crisper

0:19:12.800 --> 0:19:14.000
<v Speaker 1>three point zero.

0:19:16.160 --> 0:19:19.520
<v Speaker 3>You know, with first generation and second generation, these are

0:19:19.640 --> 0:19:22.919
<v Speaker 3>very powerful, but the range of the mutations that they

0:19:22.960 --> 0:19:26.879
<v Speaker 3>can make are still relatively small. So if we imagine

0:19:27.040 --> 0:19:31.320
<v Speaker 3>different patients and they all have mutations in a certain gene,

0:19:31.440 --> 0:19:34.760
<v Speaker 3>maybe some patients would have a mutations more towards the

0:19:34.840 --> 0:19:38.159
<v Speaker 3>beginning of the gene, some patients more towards the end

0:19:38.280 --> 0:19:40.960
<v Speaker 3>of the gene, some patients more in the middle of

0:19:41.000 --> 0:19:44.920
<v Speaker 3>the gene. And with these first and second generation tools,

0:19:44.960 --> 0:19:48.320
<v Speaker 3>in general, we would need a different correction strategy for

0:19:48.520 --> 0:19:51.640
<v Speaker 3>different parts of a gene. But that's where the third

0:19:51.680 --> 0:19:55.399
<v Speaker 3>generation tools come into place, where you could have large

0:19:55.480 --> 0:19:59.439
<v Speaker 3>insertions into the genome and you could insert gene size

0:19:59.520 --> 0:20:03.200
<v Speaker 3>fragments where in theory you could replace the whole mutant

0:20:03.280 --> 0:20:04.840
<v Speaker 3>gene with the correct version.

0:20:06.440 --> 0:20:10.399
<v Speaker 1>So Crisper three point oh can replace whole genes at

0:20:10.400 --> 0:20:13.680
<v Speaker 1>a time, that's like being able to edit several pages

0:20:13.760 --> 0:20:17.040
<v Speaker 1>in a book and not just one letter or a paragraph.

0:20:17.359 --> 0:20:20.639
<v Speaker 1>And scientists are even working on Crisper four point zh.

0:20:20.960 --> 0:20:24.240
<v Speaker 1>Well not technically Crisper four point oh, because these new

0:20:24.280 --> 0:20:27.080
<v Speaker 1>tools use a different system than Crisper, but they work

0:20:27.200 --> 0:20:28.000
<v Speaker 1>the same way.

0:20:29.040 --> 0:20:33.840
<v Speaker 3>Then we have an emerging class of engineer gcombinaces. This

0:20:34.000 --> 0:20:36.800
<v Speaker 3>is a bit complicated, but these enzymes allow us to

0:20:36.880 --> 0:20:41.080
<v Speaker 3>make large deletions in the genome, large inversions, and large

0:20:41.119 --> 0:20:44.440
<v Speaker 3>insertions in the same time. I think at this point

0:20:44.640 --> 0:20:47.959
<v Speaker 3>we could make megabased mutations.

0:20:47.640 --> 0:20:50.000
<v Speaker 1>Like a million letters. So we're at the point where

0:20:50.000 --> 0:20:53.040
<v Speaker 1>we can change millions of letters at a time. Yes,

0:20:53.200 --> 0:20:56.320
<v Speaker 1>So then what's the next step to change whole chromosomes

0:20:56.320 --> 0:20:57.040
<v Speaker 1>and things like that?

0:20:57.280 --> 0:20:59.200
<v Speaker 3>Yeah, I don't know, Like we are waiting. I think

0:20:59.200 --> 0:21:01.040
<v Speaker 3>that would be quite interesting for sure.

0:21:01.320 --> 0:21:04.200
<v Speaker 1>Okay, well, we're at the stage where we're waiting for

0:21:04.320 --> 0:21:08.879
<v Speaker 1>Tim Cook to announce when the next generation of iPhones

0:21:08.920 --> 0:21:11.719
<v Speaker 1>are Yes, do you have to stand in line at

0:21:11.720 --> 0:21:13.920
<v Speaker 1>the Apple store for a really long time, I'll say,

0:21:14.080 --> 0:21:14.359
<v Speaker 1>or no.

0:21:15.280 --> 0:21:15.639
<v Speaker 3>Yes.

0:21:16.520 --> 0:21:19.440
<v Speaker 1>So basically we're almost at the point where we can

0:21:19.560 --> 0:21:23.399
<v Speaker 1>change anything about our DNA. You're not happy with the

0:21:23.480 --> 0:21:26.679
<v Speaker 1>genes you inherit it from your parents. You could, in theory,

0:21:27.200 --> 0:21:29.720
<v Speaker 1>just cut and pay some new genes. But now the

0:21:29.800 --> 0:21:33.359
<v Speaker 1>question is it safe to do this? What are the

0:21:33.480 --> 0:21:37.320
<v Speaker 1>risks of this technology, and maybe more important, is it

0:21:37.520 --> 0:21:41.640
<v Speaker 1>right to change your DNA? When we come back, we'll

0:21:41.680 --> 0:21:45.120
<v Speaker 1>dig into the risks of using Crisper and the ethics

0:21:45.160 --> 0:21:49.840
<v Speaker 1>of gene editing. Stay with us, you're listening to science stuff,

0:22:02.480 --> 0:22:06.199
<v Speaker 1>and we're back. We're talking about whether it's safe to

0:22:06.359 --> 0:22:10.040
<v Speaker 1>edit or change your DNA, which is a relatively new

0:22:10.119 --> 0:22:13.560
<v Speaker 1>question in the history of humanity. As we learn from

0:22:13.560 --> 0:22:16.040
<v Speaker 1>our experts, we are getting close to the point where

0:22:16.080 --> 0:22:19.480
<v Speaker 1>we can alter our genes in almost any way we want.

0:22:20.040 --> 0:22:22.560
<v Speaker 1>And all of this has only recently come up with

0:22:22.600 --> 0:22:26.359
<v Speaker 1>a new technology called Crisper. Now the question is is

0:22:26.400 --> 0:22:30.399
<v Speaker 1>it safe to change your DNA. Here's how doctor Juana

0:22:30.480 --> 0:22:34.439
<v Speaker 1>Pella answers that question. Now, maybe step me through it.

0:22:34.600 --> 0:22:39.000
<v Speaker 1>Let's say I want to have blue eyes. Okay, what

0:22:39.080 --> 0:22:40.040
<v Speaker 1>would be the first step?

0:22:40.560 --> 0:22:43.800
<v Speaker 3>Well, I don't think that we are there yet to

0:22:43.960 --> 0:22:48.080
<v Speaker 3>make you know, genome edits for these kind of features.

0:22:48.320 --> 0:22:52.600
<v Speaker 3>We can edit DNA, but this comes with certain limitations

0:22:52.640 --> 0:22:56.640
<v Speaker 3>and certain problems. That are actually associated with these Yeah,

0:22:56.680 --> 0:23:01.040
<v Speaker 3>we can edit DNA associated with certain diseases, but we

0:23:01.119 --> 0:23:04.320
<v Speaker 3>take this risk because the benefit of editing the DNA

0:23:04.880 --> 0:23:09.480
<v Speaker 3>outweighs the problems caused by this disease. And having blue eyes,

0:23:09.600 --> 0:23:12.040
<v Speaker 3>I mean, I don't know. I think maybe easiest is

0:23:12.080 --> 0:23:16.159
<v Speaker 3>to get contact lenses that blue eyes.

0:23:18.400 --> 0:23:20.280
<v Speaker 1>That does sound easier, Yeah, it does.

0:23:20.520 --> 0:23:24.080
<v Speaker 3>I don't think that at the moment, like the benefits

0:23:24.160 --> 0:23:28.040
<v Speaker 3>of having blue eyes with gene editing would justify this.

0:23:29.119 --> 0:23:32.040
<v Speaker 1>What Tarcapilla is saying is that there are still risks

0:23:32.080 --> 0:23:35.560
<v Speaker 1>in editing your DNA, so at the moment, you probably

0:23:35.640 --> 0:23:38.480
<v Speaker 1>don't want to use it for something as trivial as

0:23:38.640 --> 0:23:42.520
<v Speaker 1>changing your eye color. Okay, what are these risks? Well,

0:23:42.600 --> 0:23:46.240
<v Speaker 1>there are three things that can go wrong when using crisper.

0:23:46.720 --> 0:23:49.879
<v Speaker 1>The first is that crisper might cut your DNA in

0:23:50.040 --> 0:23:53.840
<v Speaker 1>places that you don't want it to cut. I heard

0:23:53.840 --> 0:23:57.680
<v Speaker 1>that one of the risks in gene editing is that

0:23:57.840 --> 0:24:01.000
<v Speaker 1>the guide sequence is made to match a certain part

0:24:01.040 --> 0:24:03.680
<v Speaker 1>of your DNA, but it's possible that the same sequence

0:24:03.680 --> 0:24:05.400
<v Speaker 1>exists somewhere else in your DNA.

0:24:05.760 --> 0:24:08.720
<v Speaker 3>I think this is for sure one of the major

0:24:08.760 --> 0:24:13.000
<v Speaker 3>problems there might be similar sequences in other parts of

0:24:13.040 --> 0:24:13.640
<v Speaker 3>the genome.

0:24:15.160 --> 0:24:17.960
<v Speaker 1>Remember that the way crisper works is that you attach

0:24:18.160 --> 0:24:21.919
<v Speaker 1>a sequence of DNA letters to a molecular scissor and

0:24:22.000 --> 0:24:24.639
<v Speaker 1>the scissor will look through your DNA and where it

0:24:24.720 --> 0:24:27.919
<v Speaker 1>finds the sequence, it will make a cut. Well, that

0:24:28.000 --> 0:24:31.000
<v Speaker 1>sequence might be in more than one place in your DNA,

0:24:31.600 --> 0:24:34.560
<v Speaker 1>so the scissor might end up cutting your DNA in

0:24:34.640 --> 0:24:38.080
<v Speaker 1>places you didn't want it to cut. This is a problem,

0:24:38.320 --> 0:24:42.320
<v Speaker 1>although according to doctor Pelea, there are ways to avoid it, like,

0:24:42.480 --> 0:24:46.400
<v Speaker 1>for example, checking all three billion letters in your DNA

0:24:46.880 --> 0:24:49.879
<v Speaker 1>to make sure the sequence doesn't repeat. This is a

0:24:49.880 --> 0:24:52.440
<v Speaker 1>lot of work, but it's getting cheaper to do.

0:24:53.160 --> 0:24:55.720
<v Speaker 3>So you need to check it very carefully. Make sure

0:24:56.040 --> 0:24:59.760
<v Speaker 3>it's not somewhere else. Make sure that the sequence even

0:24:59.800 --> 0:25:03.800
<v Speaker 3>if if you change of your nucleotizing these twenty nuclodized sequence,

0:25:03.840 --> 0:25:07.840
<v Speaker 3>it's also not somewhere else, or other sequences that are

0:25:07.920 --> 0:25:11.000
<v Speaker 3>very similar with these sequence are also not present into

0:25:11.080 --> 0:25:11.640
<v Speaker 3>the genome.

0:25:12.359 --> 0:25:15.920
<v Speaker 1>The second risk in editing your DNA is that sometimes

0:25:16.119 --> 0:25:19.560
<v Speaker 1>crisper in the different ways to use crisper don't always

0:25:19.640 --> 0:25:23.040
<v Speaker 1>make the edit that you want. Sometimes it makes a

0:25:23.080 --> 0:25:27.280
<v Speaker 1>mistake Okay, so you're saying the second risk is that

0:25:27.359 --> 0:25:29.639
<v Speaker 1>maybe it doesn't edit it the way you want it

0:25:29.680 --> 0:25:32.959
<v Speaker 1>to edit. Yes, that happens, It could happen.

0:25:33.160 --> 0:25:37.040
<v Speaker 3>Yeah, And even if it doesn't happen often, when you

0:25:37.200 --> 0:25:40.360
<v Speaker 3>edit a population of sales, and even if let's say

0:25:40.680 --> 0:25:43.600
<v Speaker 3>one percent or less than one percent has an edits

0:25:43.680 --> 0:25:46.720
<v Speaker 3>that you don't want, let's say that edit makes the

0:25:46.840 --> 0:25:51.200
<v Speaker 3>sales grow better or gives them growth advantage, this very

0:25:51.320 --> 0:25:53.680
<v Speaker 3>rare population could actually take over.

0:25:54.680 --> 0:25:57.600
<v Speaker 1>What doctor Pillar is saying is that even if mistakes

0:25:57.600 --> 0:26:01.600
<v Speaker 1>happen very rarely with Crisper, those stakes could be crucial.

0:26:02.080 --> 0:26:05.359
<v Speaker 1>It might result in mutant cells that take over or

0:26:05.400 --> 0:26:08.960
<v Speaker 1>have bad effects on your health. Then, the last risk

0:26:09.119 --> 0:26:11.960
<v Speaker 1>in editing your genes is that the human body is

0:26:12.119 --> 0:26:17.360
<v Speaker 1>really complicated. Changing a gene might have consequences you didn't expect.

0:26:18.400 --> 0:26:21.000
<v Speaker 3>There might be other consequences in the cell that we

0:26:21.080 --> 0:26:25.920
<v Speaker 3>still don't understand fully how the affects later generations of cells,

0:26:26.200 --> 0:26:29.199
<v Speaker 3>for example, like how the selle might get stressed, or

0:26:29.240 --> 0:26:32.040
<v Speaker 3>how this could affect the future of the cell. Or

0:26:32.080 --> 0:26:35.200
<v Speaker 3>if we make an edit, would the cell behave exactly

0:26:35.280 --> 0:26:38.000
<v Speaker 3>like a normal cell. There are many things that we

0:26:38.080 --> 0:26:40.879
<v Speaker 3>know about, but there are also many things that we

0:26:40.920 --> 0:26:43.639
<v Speaker 3>don't know that we don't know. It's always good to

0:26:43.720 --> 0:26:46.360
<v Speaker 3>research these from every possible avenue.

0:26:46.960 --> 0:26:50.240
<v Speaker 1>So those are the risks in editing your DNA. Now,

0:26:50.280 --> 0:26:53.440
<v Speaker 1>a question I was also interested in is whether it's

0:26:53.640 --> 0:26:57.720
<v Speaker 1>right to edit your DNA? What are the ethics of

0:26:58.000 --> 0:27:01.119
<v Speaker 1>gene editing? As it turns out, this is also something

0:27:01.119 --> 0:27:04.440
<v Speaker 1>that your Louis Want to You has written about. When

0:27:04.480 --> 0:27:07.280
<v Speaker 1>I heard about the ethics of gene editing, what it

0:27:07.320 --> 0:27:10.399
<v Speaker 1>brought to mind was the question should we be editing

0:27:10.400 --> 0:27:13.800
<v Speaker 1>our genes? Like, is it something that we should be

0:27:13.840 --> 0:27:18.159
<v Speaker 1>doing philosophically? Is it something that seems right to you,

0:27:18.400 --> 0:27:20.560
<v Speaker 1>to me, to the average person. Does it seem right

0:27:20.640 --> 0:27:24.040
<v Speaker 1>to change we are in this way? Is that something

0:27:24.040 --> 0:27:25.200
<v Speaker 1>that's in the discussion. Oh?

0:27:25.240 --> 0:27:29.159
<v Speaker 2>Absolutely, And I'll tell you there are different opinions on this.

0:27:29.640 --> 0:27:32.080
<v Speaker 2>So there are some people that consider that the human

0:27:32.160 --> 0:27:36.040
<v Speaker 2>genome as a psychred thing, so something that should not

0:27:36.119 --> 0:27:39.160
<v Speaker 2>be touched. We should not be messing around with our geno.

0:27:39.880 --> 0:27:42.240
<v Speaker 2>There are all the opinions in which they say, well,

0:27:42.400 --> 0:27:46.320
<v Speaker 2>if we find a way to cure the congenital disease

0:27:46.400 --> 0:27:51.000
<v Speaker 2>that is affecting this person, we have an ethical imperative.

0:27:51.320 --> 0:27:54.240
<v Speaker 2>If we can't solve the question, we should do this.

0:27:54.920 --> 0:27:58.560
<v Speaker 1>What if there's a third category of people who just

0:27:58.600 --> 0:28:01.439
<v Speaker 1>want edit their genes to be thin or to be smarter.

0:28:01.880 --> 0:28:04.960
<v Speaker 2>Oh well, this is the other aspect, which is enhancement.

0:28:05.560 --> 0:28:07.840
<v Speaker 2>So you want to enhance your gena, you want to

0:28:07.880 --> 0:28:10.080
<v Speaker 2>see better, you want to be thinner, you want to

0:28:10.119 --> 0:28:10.639
<v Speaker 2>be taller.

0:28:12.160 --> 0:28:15.200
<v Speaker 1>So there are people that might reject gene editing out

0:28:15.240 --> 0:28:18.280
<v Speaker 1>of principle, others who say it's a no brainer in

0:28:18.320 --> 0:28:21.240
<v Speaker 1>the case of serious diseases, and there are others who

0:28:21.320 --> 0:28:24.480
<v Speaker 1>might use it to change who they are. For example,

0:28:24.520 --> 0:28:27.560
<v Speaker 1>in sports, you might change a gene so your body

0:28:27.600 --> 0:28:31.080
<v Speaker 1>makes more glucose so you can run faster or longer.

0:28:31.520 --> 0:28:33.760
<v Speaker 1>Or you might change a gene to have better lung

0:28:33.800 --> 0:28:36.200
<v Speaker 1>capacity or even better eyesight.

0:28:38.240 --> 0:28:43.120
<v Speaker 2>All this is called enhancement, and this is very controversial.

0:28:43.440 --> 0:28:45.840
<v Speaker 1>Well, what's the ethical argument against that.

0:28:46.160 --> 0:28:50.040
<v Speaker 2>The ethic or undergoment against do this? You increasing the difference,

0:28:50.040 --> 0:28:55.360
<v Speaker 2>you're increasing inequity, you increasing injustice. And basically you have

0:28:55.440 --> 0:28:58.320
<v Speaker 2>to want that who is able to go down this road,

0:28:58.720 --> 0:29:01.000
<v Speaker 2>who is want to be paying for them, Those that

0:29:01.240 --> 0:29:04.400
<v Speaker 2>are wealthy, those that are wealthy are the ones that

0:29:04.520 --> 0:29:07.840
<v Speaker 2>can be afforded the cost of such a treatment.

0:29:08.040 --> 0:29:10.800
<v Speaker 1>So the argument against is that it gives people an

0:29:10.920 --> 0:29:14.280
<v Speaker 1>unfair advantage and that will probably reject it, maybe the

0:29:14.320 --> 0:29:16.880
<v Speaker 1>same way that we reject steroids and sports.

0:29:17.000 --> 0:29:19.920
<v Speaker 2>Yeah, this is like dopy, So this is biodopy.

0:29:20.360 --> 0:29:22.800
<v Speaker 1>If I edit my genes, is it possible for me

0:29:22.880 --> 0:29:23.760
<v Speaker 1>to edit them back?

0:29:24.120 --> 0:29:27.960
<v Speaker 2>Well, I mean it shouldn't be a problem. Modifying a

0:29:28.040 --> 0:29:31.680
<v Speaker 2>gene can be in both directions. You can clean a mutation,

0:29:32.040 --> 0:29:35.280
<v Speaker 2>you can rain certain mutation I see, and actually, if

0:29:35.320 --> 0:29:38.880
<v Speaker 2>you think it carefully, this is also a biological weapon

0:29:39.280 --> 0:29:43.400
<v Speaker 2>because if you're distributing this and you're killing some important genes,

0:29:43.720 --> 0:29:46.840
<v Speaker 2>you might be affecting the health of your enemy. So

0:29:46.920 --> 0:29:50.960
<v Speaker 2>this is why there is also some biosafety concerns and

0:29:51.080 --> 0:29:56.040
<v Speaker 2>by your security concerns regarding CRISPA, because eventually you can

0:29:56.120 --> 0:30:02.080
<v Speaker 2>spray nanoparticles with CRISPA that will be inactivating a gene

0:30:02.400 --> 0:30:06.640
<v Speaker 2>that is fundamental for cell cycle regulation until the body

0:30:06.640 --> 0:30:07.600
<v Speaker 2>will stop functioning.

0:30:08.120 --> 0:30:10.600
<v Speaker 1>Wow, you can use it as a weapon exactly.

0:30:10.640 --> 0:30:14.760
<v Speaker 2>We always talk about anapetics. Now we started talking about enhancement.

0:30:14.960 --> 0:30:17.640
<v Speaker 2>But there is also the evil side and the evil

0:30:17.720 --> 0:30:19.520
<v Speaker 2>side is that you can use it as a web.

0:30:20.320 --> 0:30:26.200
<v Speaker 1>So this is definitely uncharted territory for human ethics. Okay,

0:30:26.360 --> 0:30:29.320
<v Speaker 1>to summarize, I asked our experts how they would answer

0:30:29.560 --> 0:30:33.120
<v Speaker 1>the main question of the episode. If I asked you

0:30:33.400 --> 0:30:35.960
<v Speaker 1>is it safe to edit your DNA? How would you

0:30:36.000 --> 0:30:36.760
<v Speaker 1>answer that question?

0:30:37.200 --> 0:30:39.800
<v Speaker 3>I would say it depends. I think it depends on

0:30:40.080 --> 0:30:43.040
<v Speaker 3>the reasons why you would want to edit your DNA.

0:30:43.320 --> 0:30:46.760
<v Speaker 3>And if the reason is because of a rare disease

0:30:47.000 --> 0:30:51.160
<v Speaker 3>or because the editor would really benefit the quality of life,

0:30:51.240 --> 0:30:53.640
<v Speaker 3>then we bring a better life. Then I think there

0:30:53.680 --> 0:30:56.720
<v Speaker 3>are instances where this might be a good idea.

0:30:57.240 --> 0:31:00.160
<v Speaker 2>It's worth for those people that have no cure, have

0:31:00.280 --> 0:31:02.680
<v Speaker 2>no read man, and they might be dying or they

0:31:02.760 --> 0:31:06.440
<v Speaker 2>might be suffering. But if it's not for a CBA disease,

0:31:06.760 --> 0:31:10.080
<v Speaker 2>I will think it twice. Because the technique at the

0:31:10.120 --> 0:31:13.200
<v Speaker 2>current moment is not one hundred percent safe.

0:31:14.160 --> 0:31:17.360
<v Speaker 3>It's always that the risk of editing should be smaller

0:31:17.400 --> 0:31:20.760
<v Speaker 3>than the risk of not editing. For these two makes sense.

0:31:21.560 --> 0:31:24.680
<v Speaker 1>All right, Well, if you do end up editing your genes,

0:31:24.960 --> 0:31:28.960
<v Speaker 1>don't forget to make a backup, you know, just in case.

0:31:29.840 --> 0:31:34.239
<v Speaker 1>Thanks for joining us, see you next time you've been

0:31:34.240 --> 0:31:38.920
<v Speaker 1>listening to Science Stuff. Production of iHeartRadio written and produced

0:31:38.960 --> 0:31:43.280
<v Speaker 1>by me or Hm, credited by Rose Seguda, Executive producer

0:31:43.360 --> 0:31:47.560
<v Speaker 1>Jerry Rowland, an audio engineer and mixer. Kasey Pegram Tacapillia

0:31:47.600 --> 0:31:49.960
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0:31:50.040 --> 0:31:52.080
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0:31:54.320 --> 0:31:58.080
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