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Having Turing complete programmatic control over biological systems has an absolutely endless list of transformative applications.
Imagine being able to program bacteria that can "infect" the patient and attack tumor cells, or act as fodder to keep autoimmune disease in check.
Or let's say we could program stem cells into "liver repair mode" to go and differentiate into new liver cells.
Then the implications for things like drug synthesis with the ability to programmatically control enzyme levels to compile more or less arbitrary biosynthetic pathways into fast growing photosynthetic algea, turning CO2, water and sunlight into medicine.
It's still a long way off being at that level of applicability, but man oh man it's gonna change everything.
Imagine a software heisenbug, but instead it's a life form that you can't kill -9.
The idea of tailor-made medicines in a vat is awesome, but as far as creating a bacteria to "specially target" certain cells seems like a disaster waiting to happen.
For instance, it might be possible to use ECC to get around transcription errors. It could also perhaps be ensured that any rogue "clinical biocomputer" could be easily treated with antibiotics or specifically engineered bacteriophage virus.
Like I said, the technology is very far off from having real world applications like this. At the moment it feels like we're in the analogue of the 40s and 50s for conventional computing. The field is still just inventing the very basic building blocks. It's going to be very limited in use, wildly dangerous(look up mercury delay lines) and unreliable for decades to come.
Chemo/radiation only kills the patients it was given to ( not entirely true - if the treatment caused mutations in the germline and the patient subsequently had children, the effects of the treatment might be passed on - but still very limited ).
Bacteria are the scariest when they've had the time to develop resistance to multiple different antibiotics.
Additionally, a bacterium that's engineered to be almost completely harmless evolving into a deadly strain in vivo is fairy unlikely in itself, especially if transcriptional errors can be reduced several orders of magnitude like GGP suggested.
Adding to that the option of hospitalisation or even home isolation to reduce risk of transmission, the risk of this resulting in some huge lethal epidemic must be pretty miniscule.
Software is essentially a cleanroom in the sense that the environment tends to be deterministic and man-made, and that is still riddled with unexpected accidents. Fortunately we can turn it off, fix the bug, and redeploy and the people involved in that tend to survive.
> Additionally, a bacterium that's engineered to be almost completely harmless evolving into a deadly strain in vivo is fairy unlikely in itself, especially if transcriptional errors can be reduced several orders of magnitude like GGP suggested.
The proposition was to engineer a bacteria that targets and infects a particular type of human cell to kill it. Creating medicines in a vat (like insulin) is different from releasing infectious agents in the wild. I was under the impression that this was obvious, but apparently not.
I never said we're at this stage now or even close to it, in fact I explicitly said the opposite:
>>>>Like I said, the technology is very far off from having real world applications like this. At the moment it feels like we're in the analogue of the 40s and 50s for conventional computing. The field is still just inventing the very basic building blocks. It's going to be very limited in use, wildly dangerous(look up mercury delay lines) and unreliable for decades to come
As for comparing creating medicines in a vat to using bacteria as an active treatment, you're the only one making that comparison. The paragraph you responded to wasn't about in vitro drug synthesis at all, so I'm not sure what your point is here. Yes, it's obviously different. I never said otherwise. It's perfectly possible to target bacteria to specific tissues; wild bacteria already do this.
My point was that a bacteria engineered to target a malignant tumour, to be very treatable with antibiotics or bacteriophage, and to have a strongly reduced rate of mutation, is extremely unlikely to evolve into a pandemic, and is likely to be much safer than chemotherapy and radiation.
Did you know bacteria have horizontal gene transfer? ie antibiotic resistance isn't just evolved and passed to children ( vertical ), it can be passed to peers horizontally.
It also happens outside bacteria - but bacteria have active mechanisms to enable this - that's how antibiotic resistance spreads - not just from parent to child, but peer to peer like a meme :-).
Safety is a complex topic, and you'd need to consider on a case by case basis - PhD students engineer bacteria every day ( something that had a self imposed ban in the 1970's I think ) - however that's within the context of standard platforms and each and every one should have a risk assessment.
Don't get me wrong, I think it could be done, but there is a Genie and a bottle here and it's best to think twice.
I'd like to see both a kill switch ( beyond antibiotics ) and some sort of growth external dependency - ie they need something you provide to survive as well.
1) The Moderna vaccine was made with the help of illumina genome sequencing. They were able to sequence the virus and send that sequence of nucleotides over to moderna for them to develop the vaccine - turning a classically biology problem, into a software problem, reducing the need for them to bring the virus in house.
2) Illumina has a cancer screening test called Galleri, that can identify a bunch of cancers from a blood test. It identifies mutated dna released by cancer cells. This is huge, if we can identify cancer before someone even starts to show symptoms, the chances of having a useful treatment dramatically go up.
Disclaimer: I work for illumina, views my own.
I wrote some more about why genomics is cool from a technical point of view here (truly big data, hardware accelerated bioinformatics) : https://dddiaz.com/post/genomics-is-cool/