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Re:First gene-edited babies claimed in China by skosuri on Monday November 26, 2018 @12:11AM (#18531220)
The edited gene is for CCR5, which currently doesn’t have known function, but is the entry point for HIV. So editing for prophylaxis. This was probably done because if there aren’t a ton of loss of function beneficial traits, and probably with the main desire to be first. Except, if the reports are true, this is not just an experiment but a person (or people). I guess the main desire is to normalize editing. Brave new world I guess, whether we like it or not.
Re:First gene-edited babies claimed in China by xtrapolate on Monday November 26, 2018 @12:38AM (#18531339)
> "gene is for CCR5, which currently doesn’t have known function"

It's in the article:

> "Even if editing worked perfectly, people without normal CCR5 genes face higher risks of getting certain other viruses, such as West Nile, and of dying from the flu. Since there are many ways to prevent HIV infection and it's very treatable if it occurs, those other medical risks are a concern, Musunuru said."

Re:First gene-edited babies claimed in China by skosuri on Monday November 26, 2018 @01:18AM (#18531523)
Yeah, sorry; I was mostly going off my own past knowledge when less was known; There's a nice summary here as well: https://en.wikipedia.org/wiki/CCR5#Potential_costs
Re:First gene-edited babies claimed in China by a_imho on Monday November 26, 2018 @04:04AM (#18532028)
it's very treatable if it occurs

Surely it is a bit of a stretch.

Re:First gene-edited babies claimed in China by cultus on Monday November 26, 2018 @09:55AM (#18533712)
People with HIV just have to pop a couple pills a day now to take their viral loads to literally undetectable levels. With treatment, people with HIV can expect to live normal lives, and be healthy and active. It's also almost impossible to transmit HIV with such low viral loads.
Re:First gene-edited babies claimed in China by dajohnson89 on Monday November 26, 2018 @10:09AM (#18533801)
And how expensive is that treatment?
Re:First gene-edited babies claimed in China by joshstrange on Monday November 26, 2018 @02:49PM (#18536223)
Truvada which is a HIV prevention drug was priced at ~$1500/mo. I mention it because I know the chemicals in Truvada are similar but IDK the price comparison. Most people on HIV meds are probably hitting their Out-of-pocket max pretty early in the year.

I have had two high deductible plans in the last two year (work changed providers) and here were the things I remember:

Old Insurance:

Deductible: $3,000

Tier: 2

Price: 100%/$60

New Insurance:

Deductible: $3,000

Tier: 3 (maybe 4, I can't remember)

Price: 100%/25%

It was effectively free to me on my old insurance with the copay card (covered $3600) because I would hit my deductible and then have enough to cover the co-pays after. On my new insurance it's not feasible for me to pay ~$400/mo until I hit my OOP ($6000). You might be asking why I didn't look at a PPO plan instead of high deductible, because of the drug tier there was no difference in the price.

Re:First gene-edited babies claimed in China by slavak on Monday November 26, 2018 @02:17PM (#18535999)
You mean in the United States? Or in the civilized world?
Re:First gene-edited babies claimed in China by cultus on Monday November 26, 2018 @10:38AM (#18534039)
Let's just say you want to have insurance. ARVs are something that needs to be free, even moreso that many other health treatments. There is a huge negative externality involved in having untreated HIV since it can be transmitted. If we got everyone tested consistently, and got anyone with HIV on immediate treatment, infection rates would plummet.

HIV tests are still not included in routine bloodwork, even though other diseases like hepatitis are.

Re:First gene-edited babies claimed in China by Brockenstein on Monday November 26, 2018 @09:56AM (#18533717)
If you're on modern treatments life expectancy is near that of a non-HIV person.

The biggest problem is modern medicines aren't available to everyone across the world. So it's still a much more serious problem in developing nations.

Re:First gene-edited babies claimed in China by cbg0 on Monday November 26, 2018 @04:52AM (#18532208)
Compared to a few decades ago, you can live a much longer life thanks to the medication available nowadays.
Re:First gene-edited babies claimed in China by wiz21c on Monday November 26, 2018 @05:43AM (#18532401)
well, then it means one understands "treatable" as "there's a treatmen for", it's different thatn "there's a cure for"...
Re:First gene-edited babies claimed in China by dfxm12 on Monday November 26, 2018 @09:51AM (#18533689)
According to the OED[0], "treatable" is a boolean that means "able to be cured". "Very" is superfluous here - something is able to be cured or not, I'm not sure what room there is for degree. As far as I know, there is no cure for HIV (but I'd be happy to learn otherwise).

So unless "very treatable" is medical jargon with a different meaning from the how the laity use it, calling HIV "very treatable" does seem to be a stretch.

0 - https://en.oxforddictionaries.com/definition/treatable

Re:First gene-edited babies claimed in China by dajohnson89 on Monday November 26, 2018 @10:13AM (#18533821)
In the medical world, treatable is very different from curable.

Chlamydia is a curable bacteria infection (antibiotics). There is no known cure for HIV.

Re:First gene-edited babies claimed in China by dillonisacunt on Monday November 26, 2018 @04:15AM (#18532071)
What? HIV has been considered very treatable for a few years now
Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @12:50AM (#18531397)
oh wow. CCR5 has been found to have a role in memory recently. Knockout mice have better learning[1] and pronounced increase in spine formation/turnover[2]. These babies are going to have super-memory:

1. https://elifesciences.org/articles/20985

2. https://www.ncbi.nlm.nih.gov/pubmed/29379017

Re:First gene-edited babies claimed in China by iamnothere on Monday November 26, 2018 @08:35AM (#18533203)
Echoing another commenter, mouse studies don't necessarily replicate in humans. In fact, it turns out that the mouse => human replication rate is rather poor in many domains. (Turns out we are rather different in many ways!)

Additionally, most cognitive traits come with tradeoffs, so increasing ability in one area may decrease it in another. For instance, some nootropics (modafinil) temporarily improve cognitive performance on complex tasks, at the expense of speed. I don't remember the specifics, but I've also read about similar tradeoffs regarding memory, where boosts in short-term memory may reduce the ability to form new long-term memories. The brain is pretty well-optimized on average, when you consider the unique properties and limitations of its constituent parts/materials.

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @09:11AM (#18533432)
Right, but mice evidence is still evidence, probably the best evidence you can have unless one is willing to do human experiments. Also, HIV related dementia is a real thing, so there might be some connection.
Re:First gene-edited babies claimed in China by xenadu02 on Monday November 26, 2018 @03:12AM (#18531835)
Almost certainly not; improved memory is absolutely something evolution would select for in primates, especially humans.

Most mouse models don't replicate in other animals either.

Re:First gene-edited babies claimed in China by Jtsummers on Monday November 26, 2018 @09:32AM (#18533572)
You have to live to reproductive age for your genes to carry on. So a genetic difference that improves outcome for adults, but harms children won't be carried on as often (per other comments, this one may improve memory--in mice--but has negative effects related to resisting common diseases like the flu). On the other hand, genes related to cancer perpetuate because their impact often is felt after primary reproductive age (at least historical reproductive age, since we've started having children later in life over the last century).

Additionally, nothing has to be selected (evolutionarily speaking). It's a stochastic process. We could be one base-pair swap away from perpetual youth, and never see it because it just doesn't happen (or when it did happen they died from other circumstances before reproducing sufficiently to spread the genes wide enough to be useful).

Re:First gene-edited babies claimed in China by dTal on Monday November 26, 2018 @09:55AM (#18533707)
Well, yes and no. We each have 3.2 billion bases and about roughly 100 mutations each, over 100 billion people who've ever lived. That's about 3000 mutations per base pair, so if the eternal-youth mutation was indeed a single base-pair swap away, thousands of people would already have been born with it. Of those, we could expect some decent fraction to have had children. Given that eternal youth confers a staggering reproductive advantage, and we don't have it, it's safe to say that if it exists at all, it's more than a base-pair swap away.
Re:First gene-edited babies claimed in China by carlmr on Monday November 26, 2018 @03:34AM (#18531934)
>improved memory is absolutely something evolution would select for in primates, especially humans.

What if it makes people more scared, because they can remember past experiences better. This could lead to less procreation and thus inverse selection pressure.

Only because a trait is superficially good it doesn't mean nature would select for it.

Re:First gene-edited babies claimed in China by Erlich_Bachman on Monday November 26, 2018 @05:13AM (#18532299)
Why would a memory enhancing drug only increase rememberance of negative memories and not the positive and loving ones? Such people could become more active, motivated and procreating more because life seemed more motivating for them because they remembered all the good from the past also?
Re:First gene-edited babies claimed in China by carlmr on Monday November 26, 2018 @05:53AM (#18532424)
That's not the point, I was just giving an example. It could have millions of effects and whether evolutionary selection would favor these genes is not trivial.
Re:First gene-edited babies claimed in China by ArchTypical on Monday November 26, 2018 @05:26PM (#18537415)
> Why would a memory enhancing drug only increase rememberance of negative memories and not the positive and loving ones?

There's a psychological phenomenon:

https://en.wikipedia.org/wiki/Negativity_bias

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @05:19AM (#18532314)
it would increase both, but negative ones can have bad, debilitating consequences in life (cue PTSD, phobias)
Re:First gene-edited babies claimed in China by BurnGpuBurn on Monday November 26, 2018 @04:18AM (#18532079)
That a trait is preferable and not developed can never be an indicator of what a gene is for. The fact that I didn't evolve to fly doesn't mean I don't have the potential genes for that. There's also far less natural selection in evolution than we think. Evolution overwhelmingly happens in relatively short time periods, after which stability seems to take over. This is at odds with the natural selection principle as the primary driver of evolution. Also, most DNA-sharing between organisms happens horizontally, not top down (think single cell organisms). There's really much more that we don't know than what we know here.
Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @03:15AM (#18531848)
HIV related dementia is a thing. This method might be able to alleviate it

https://www.mdmag.com/medical-news/breakthrough-discovery-in...

I agree, super memory is not necessarily a good thing

Re:First gene-edited babies claimed in China by Ultimatt on Monday November 26, 2018 @04:29AM (#18532107)
Sure but selection only works on events that have happened. Loss of function isn't that common especially if the benefit of the gene is resistance to flu, which is far more important than improved memory on an evolutionary scale. Purging selection trumps almost anything more rational.
Re:First gene-edited babies claimed in China by noobermin on Monday November 26, 2018 @12:14AM (#18531228)
I guess time will tell if it leads to any adverse effects. I'm not a biologist which is probably why I'm more wary of this, but if there is some unforeseen circumstances then we'll find out I suppose.
Re:First gene-edited babies claimed in China by valtism on Monday November 26, 2018 @12:30AM (#18531299)
I've worked with enough legacy code to know that playing around with seemingly unused areas can have unexpected consequences.

The trouble here is that we can't see those consequences until they end up hurting someone.

Re:First gene-edited babies claimed in China by aaaaaaaaaab on Monday November 26, 2018 @05:48AM (#18532410)
The genome is the ultimate legacy code:

- it's been written for billions of years (https://en.wikipedia.org/wiki/Abiogenesis#Earliest_biologica...)

- without any sort of upfront architecture or planning

- the development methodology can be summarized as "change characters randomly and see if it compiles"

- incredibly bloated (https://en.wikipedia.org/wiki/Non-coding_DNA)

- contains random snippets copy/pasted from other codebases (https://en.wikipedia.org/wiki/Endogenous_viral_element)

- the only success criteria is that the "program" shouldn't "crash" before it can make a copy of itself

Re:First gene-edited babies claimed in China by AllegedAlec on Monday November 26, 2018 @09:41AM (#18533623)
> incredibly bloated

This would actually be preferable to how DNA seems to evolve. In most systems, there's actually quite an acute constraint to genome length due to the Error Threshold; when a genome gets too large, it has too many mutations and therefore the 'fittest' genome, often called the 'master' genome, cannot be sustained in the population. Therefore, there's quite a lot of evolution where the genome becomes essentially minified. Most often, this is done by overlapping genes on the DNA, (mostly by shifting the reading frame by one or two nucleotides for one of the two genes).

Re:First gene-edited babies claimed in China by prossercj on Monday November 26, 2018 @08:21AM (#18533101)
As someone who works on software for DNA analysis, this is spot on
Re:First gene-edited babies claimed in China by super_serious on Monday November 26, 2018 @01:05PM (#18535406)
I wonder if one were to clean up the code, removing all bloat, keeping only the relevant pieces, how would that human turn out?
Re:First gene-edited babies claimed in China by aaaaaaaaaab on Monday November 26, 2018 @01:20PM (#18535540)
Fixing our inverted retina would be one of the low hanging fruits:

>The vertebrate retina is inverted in the sense that the light sensing cells are in back of the retina, so that light has to pass through layers of neurons and capillaries before it reaches the rods and cones. In contrast, in the cephalopod retina the photoreceptors are in front, with processing neurons and capillaries behind them. Because of this, cephalopods do not have a blind spot.

https://en.m.wikipedia.org/wiki/Retina

Re:First gene-edited babies claimed in China by chocolate_ on Monday November 26, 2018 @01:08PM (#18535438)
I want this comment as a poster.
Re:First gene-edited babies claimed in China by jhanschoo on Monday November 26, 2018 @04:51AM (#18532199)
Genetic code in large, multicellular organisms is quite different; in mammals, for certain functions you have multiple pathways to achieve similar things through different vehicles (proteins). In this sense, it is more akin to building or blowing up a bridge in relation to a transportation network; usually, other paths still exist, but sometimes and in certain critical locations it really fucks up the infrastructure.
Re:First gene-edited babies claimed in China by onetimemanytime on Monday November 26, 2018 @03:56AM (#18532007)
>> I've worked with enough legacy code to know that playing around with seemingly unused areas can have unexpected consequences.

Imagine trying with million or tens of million year code.

Re:First gene-edited babies claimed in China by skosuri on Monday November 26, 2018 @12:19AM (#18531251)
There are many people that are CCR5 null (largely in Africa due to positive selection for HIV resistance), so it's unlikely to have much effect, but still...

edit: I'll also amend the statement, as the gene is implicated in responses to other viruses: https://en.wikipedia.org/wiki/CCR5#Potential_costs

Re:First gene-edited babies claimed in China by wonderwonder on Monday November 26, 2018 @12:21AM (#18531254)
I think the question is not so much the effect of a lack of CCR5 but rather the accuracy of the genetic procedure and whether or not anything else was unintentionally affected. If it was accurate and only desired change was implemented, we have opened pandora's box.
Re:First gene-edited babies claimed in China by wycs on Monday November 26, 2018 @12:33AM (#18531312)
In the short term I think the risks are overstated. Vastly increased health and intelligence looks like it will be possible to select and/or edit for, as well as the elimination of Mendelian disease. The scale of this good is so large it overwhelms most scruples.
Re:First gene-edited babies claimed in China by skosuri on Monday November 26, 2018 @12:44AM (#18531369)
"Vastly increased health and intelligence"... again, you keep making assertions without any reference.
Re:First gene-edited babies claimed in China by preommr on Monday November 26, 2018 @01:41AM (#18531578)
The source is idealism. I've noticed a lot of tech people tend to hand wave away implementation details and talk about things as a theoretical exercise on a very wide time frame. So eventually, at some point, this technology will be able to do all the sci-fi stuff of dreams. Probably right around when we achieve singularity.
Re:First gene-edited babies claimed in China by adrianN on Monday November 26, 2018 @02:21AM (#18531694)
What kind of references do you want for a procedure that was just done for the first time? We already know that some diseases are affected by genes. It is also clear that intelligence is at least in part inheritable. It's a reasonable assumption that we can improve both if we get good at editing genes.
Re:First gene-edited babies claimed in China by jakobegger on Monday November 26, 2018 @02:56AM (#18531795)
No, it is not. Heritability does not mean that there is a simple correlation between a trait and a small number of genes that could be exploited for targeted manipulation.

Take height: Height is extremely heritable. If your parents are both tall, you are very likely to be tall as well. But height is influenced by thousands of genes, and each individual gene has only a minuscule influence. And each of those genes is also responsible for many other unknown things.

It's not at all a reasonable assumption that genetic modification will allow us to influence a complex trait like intelligence. That's just wishful thinking.

Re:First gene-edited babies claimed in China by sanxiyn on Monday November 26, 2018 @03:18AM (#18531860)
On the other hand, we can (today!) predict height from raw sequence with correlation 0.65: http://www.genetics.org/content/210/2/477. It does not mean we can do such prediction for designed sequence (predictor likely will fail to generalize), but it can be used to select from natural variation. I don't see any wishful thinking here.
Re:First gene-edited babies claimed in China by jakobegger on Monday November 26, 2018 @07:55AM (#18532958)
Yes, selecting the "tallest" embryo for implantation sounds somewhat feasible. It's similar to selective breeding with a shorter feedback loop. The only downside is that you are only selecting for genotype, instead of phenotype, so your model might accidentally select for some other things that you didn't expect.

But that's very different from designing an embryo by direct genetic modification.

Re:First gene-edited babies claimed in China by blueblimp on Monday November 26, 2018 @08:24AM (#18533118)
Agreed, there's a big difference between what's possible with selection and what's possible with editing. Selection is already available (as increasingly sophisticated PGD). It's a lot trickier to do anything useful with editing.
Re:First gene-edited babies claimed in China by edwardhusarcik on Monday November 26, 2018 @12:25AM (#18531278)
Homozygous CCR5 mutations cause "immunity" against HIV and heterozygous causes a slower disease course. I do not think this applies to all strains of HIV. Unsure.
Re:First gene-edited babies claimed in China by adrr on Monday November 26, 2018 @09:55AM (#18533710)
Pretty sure hiv can infect on other pathways besides CCR5. It’s just not as common. Some of the antivirals block the CCR5 pathways and HIV can mutate to render them ineffective.
Re:First gene-edited babies claimed in China by DennisAleynikov on Monday November 26, 2018 @12:16AM (#18531237)
the edit was also confirmed and voluntarily implanted in-vitro in willing participants.

It's ethically black as far as I am concerned but it has already happened so we must see where this takes us. IVF born edited zygotes might have serious complications but ideally its a healthy human being. (for everyone's sake)

Re:First gene-edited babies claimed in China by dqpb on Monday November 26, 2018 @12:31AM (#18531303)
> It's ethically black

What does that mean?

Re:First gene-edited babies claimed in China by DennisAleynikov on Monday November 26, 2018 @12:41AM (#18531358)
"unethical" would probably have worked better. sorry for the confusion
Re:First gene-edited babies claimed in China by landryraccoon on Monday November 26, 2018 @03:21PM (#18536456)
If it works it won’t be unethical within a couple of generations.

If it’s highly effective our descendants will think we were barbarians for ever questioning its use.

Re:First gene-edited babies claimed in China by DennisAleynikov on Monday November 26, 2018 @07:01PM (#18537967)
I agree it will change - actually if this becomes medically responsible nothing needs to change. we just need to stop experimenting on humans. once the science is sound it becomes healing humans with gene therapy
Re:First gene-edited babies claimed in China by landryraccoon on Monday November 26, 2018 @10:08PM (#18539006)
Drug testing is always experimentation on humans. Drugs have to have human trials for safety before we are certain they are safe. Testing on animals reduces the risk but does not eliminate it.

And if the treatment is only effective on infants or children then there's no way to get informed consent. Your options are to experiment the best you can and accept the risk or forgo the opportunity (or more likely let China do it and accept both the risks and the rewards, as they seem willing to do).

Re:First gene-edited babies claimed in China by diegoperini on Monday November 26, 2018 @09:18AM (#18533479)
I read that as "not even grey". It actually achieved its purpose.
Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @12:57AM (#18531419)
which part is unethical though? it was voluntary
Re:First gene-edited babies claimed in China by jlebar on Monday November 26, 2018 @01:37AM (#18531567)
> it was voluntary

Do you think parents can consent to this sort of experiment on behalf of an unborn child?

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @01:39AM (#18531573)
should parents be liable for any kind of genetic defect they pass to their children?
Re:First gene-edited babies claimed in China by NamTaf on Monday November 26, 2018 @02:27AM (#18531706)
Intent and premeditation are strong in western law, hence differences between murder and manslaughter. Consenting to a genetic experiment which then has ramifications on offspring therefore stands apart from the natural inheritance of uncontrolled genetic issues, as well as from the obverse situation where a parent does not undertake medical treatment that could possibly result in preventing inherited genetic issues.

In other words, taking action to make changes is a crucial difference when compared to inaction, even if the outcomes are similar.

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @03:13AM (#18531842)
of course it is not the same. but i think the argument was on the unborn baby 's rights being violated because of the genetic procedure.

Also this is not a case of arbitrary experimentation, the parents ARE preventing an inherited genetic issue, which is something that so far has been ethically acceptable so far, for embryo selection.

Re:First gene-edited babies claimed in China by onetimemanytime on Monday November 26, 2018 @03:35AM (#18531939)
>>the parents ARE preventing an inherited genetic issue

The parents THINK they ARE preventing an inherited genetic issue. I would not dare mess with "god's creation" /evolution. Too many unknowns once you start mix and matching and there's no going back. We know very little...

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @03:59AM (#18532016)
then you should not have children, but you should clone yourself. because your children are certainly going to be a messed up version of god's creation
Re:First gene-edited babies claimed in China by onetimemanytime on Monday November 26, 2018 @04:51AM (#18532198)
>>because your children are certainly going to be a messed up version of god's creation

Nope, whatever happens it's the natural way: mistakes, mix, match and all.

Re:First gene-edited babies claimed in China by buboard on Monday November 26, 2018 @05:05AM (#18532263)
it seems some mistakes are more privileged than others ;)
Re:First gene-edited babies claimed in China by Noos on Monday November 26, 2018 @02:30PM (#18536106)
This isn't a child though, in a sense. This is a designed good. So yes, they should be responsible for any condition they knowingly design into another person.

If you believe in the possibility of trait selection in this manner to an advanced level, it is vital that this happens. A tyrannical father may demand his children may be atheists, and prevent them from going to church now. A tyrannical father in the future may have the ability to edit the God gene (assuming one exists for the sake of argument) right out before birth, never allowing the chance of it.

And this is the best case, in which the effort to design doesn't saddle the child with a host of other conditions.

Re:First gene-edited babies claimed in China by DennisAleynikov on Monday November 26, 2018 @01:12AM (#18531492)
well, its just unethical based on USA rules against human experimentation. obviously moral and ethical codes can evolve to accommodate advances in science eventually.

this is not a medical procedure, which is what makes it unethical to perform. its an experiment with unknown outcome which is why current ethics dictates it is not okay to do this.

Re:First gene-edited babies claimed in China by coldtea on Monday November 26, 2018 @03:34AM (#18531933)
>well, its just unethical based on USA rules against human experimentation. obviously moral and ethical codes can evolve to accommodate advances in science eventually.

Well, if they "evolve to accommodate advances in science" either they weren't that moral or ethical based in the first place, or moral and ethics gave in for what's technologically possible.

Re:First gene-edited babies claimed in China by elcomet on Monday November 26, 2018 @12:34AM (#18531318)
Edit: misread
Re:First gene-edited babies claimed in China by NamTaf on Monday November 26, 2018 @12:38AM (#18531340)
No, they mean that ethically it's black in the same way that we describe blackhat vs whitehat hackers.
Re:First gene-edited babies claimed in China by coldtea on Monday November 26, 2018 @03:33AM (#18531928)
>the edit was also confirmed and voluntarily implanted in-vitro in willing participants.

Did the future kids consent?

Re:First gene-edited babies claimed in China by throwaway8879 on Monday November 26, 2018 @03:54AM (#18532001)
Did the future kids even consent to being born in the first place? Birth itself is a violation if we're going to be really technical and strict here.
Re:First gene-edited babies claimed in China by creep on Monday November 26, 2018 @08:53AM (#18533328)
They consent on the astral plane!