Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Disease. Show all posts
Showing posts with label Disease. Show all posts

Thursday, July 27, 2017

First Human Embryos Edited in U.S.

Steve Connor
MIT Technology News
Originally published July 26, 2017

The first known attempt at creating genetically modified human embryos in the United States has been carried out by a team of researchers in Portland, Oregon, Technology Review has learned.

The effort, led by Shoukhrat Mitalipov of Oregon Health and Science University, involved changing the DNA of a large number of one-cell embryos with the gene-editing technique CRISPR, according to people familiar with the scientific results.

Until now, American scientists have watched with a combination of awe, envy, and some alarm as scientists elsewhere were first to explore the controversial practice. To date, three previous reports of editing human embryos were all published by scientists in China.

Now Mitalipov is believed to have broken new ground both in the number of embryos experimented upon and by demonstrating that it is possible to safely and efficiently correct defective genes that cause inherited diseases.

Although none of the embryos were allowed to develop for more than a few days—and there was never any intention of implanting them into a womb—the experiments are a milestone on what may prove to be an inevitable journey toward the birth of the first genetically modified humans.

The article is here.

Friday, October 14, 2016

First 'three person baby' born using new method

By Michelle Roberts
BBC News online
Originally published September 27, 2016

The world's first baby has been born using a new "three person" fertility technique, New Scientist reveals.

The five-month-old boy has the usual DNA from his mum and dad, plus a tiny bit of genetic code from a donor.

US doctors took the unprecedented step to ensure the baby boy would be free of a genetic condition that his Jordanian mother carries in her genes.

Experts say the move heralds a new era in medicine and could help other families with rare genetic conditions.

But they warn that rigorous checks of this new and controversial technology, called mitochondrial donation, are needed.

It's not the first time scientists have created babies that have DNA from three people - that breakthrough began in the late 1990s - but it is an entirely new and significant method.


Wednesday, June 29, 2016

It’s time society discussed the ethical issues raised by the gene revolution

Linda Geddes
The Guardian
Originally posted June 11, 2016

Here is an excerpt:

Since the method was first published in 2012, CRISPR has swept through the scientific community. On Wednesday, the US National Academy of Sciences published a report on the transformative potential of one such application: genetic engineering technology called gene drive. Mosquitoes are currently being engineered with “gene drives” that could render female offspring sterile and potentially wipe species of mosquitoes off the planet .

The technology could also be used to eliminate invasive species such as Japanese knotweed or to reverse herbicide resistance and make agriculture more productive. Until now, such efforts have been stymied because in changing an organism’s DNA, you are reducing its ability to survive and reproduce, meaning the changes are eventually weeded out by natural selection. Gene drives overcome this by ensuring the changes are passed to all offspring. The technology could irreversibly alter entire ecosystems. Another potential application of CRISPR is growing human organs in pigs to meet the demand from transplant recipients. Already, genetically altered pig embryos have been injected with human cells, which it is hoped will develop into pancreases that could be transplanted into humans without the risk of rejection by the immune system.

The article is here.

Saturday, March 12, 2016

Should you edit your children’s genes?

Erika Check Hayden
Nature
Originally posted 23 February 2016

Here is an excerpt:

But emerging technologies are already testing the margins of what people deem acceptable. Parents today have unprecedented control over what they pass on to their children: they can use prenatal genetic screening to check for conditions such as Down’s syndrome, and choose whether or not to carry a fetus to term. Preimplantation genetic diagnosis allows couples undergoing in vitro fertilization to select embryos that do not have certain disease-causing mutations. Even altering the heritable genome — as might be done if CRISPR were used to edit embryos — is acceptable to some. Mitochondrial replacement therapy, which replaces a very small number of genes that a mother passes on with those from a donor, was approved last year in the United Kingdom for people who are at risk of certain genetic disorders.

Many safety, technical and legal barriers still stand in the way of editing DNA in human embryos. But some scientists and ethicists say that it is important to think through the implications of embryo editing now — before these practical hurdles are overcome. What sort of world would these procedures create for those currently living with disease and for future generations?

The article is here.

Sunday, January 25, 2015

Sick in the head? Pathogen concerns bias implicit perceptions of mental illness

By Erick M. Lund and Ian A. Boggero
Evolutionary Psychology 12(4): 706-718

ABSTRACT

Biases against the mentally ill are historically and cross-culturally pervasive, suggesting they may have an evolutionary basis. The prevailing view is that people seek to distance themselves from the mentally ill because they are perceived as dangerous, violent, and incompetent. However, because of similarities between sickness behaviors and symptoms of some mental disorders, it was hypothesized that mental illness stigma could be partially explained as a function of behavioral immune system biases designed to avoid potential sources of contagion. In two experiments, it was found that mental illness was implicitly associated more with disease than danger. In Experiment 1, this implicit association was exacerbated among people who have had their biological immune system activated by a recent illness. In Experiment 2, experimentally priming disease salience increased implicit association between mental illness and disease. Implications for the evolutionary origins of prejudice and the prevention of mental illness stigma are discussed.

The article is here.

Monday, October 27, 2014

Drug Addiction Seen as 'Moral Failing,' Survey Finds

By Robert Preidt
HealthDay Reporter
Originally posted on October 3, 2014

People with drug addiction are much more likely to face stigma than those with mental illness because they're seen as having a "moral failing," according to a new survey.

The poll of more than 700 people across the United States also found that the public is less likely to approve of insurance, housing and employment policies meant to help people with drug addiction.

The study results suggest that many people consider drug addiction a personal vice rather than a treatable medical condition, according to the Johns Hopkins Bloomberg School of Public Health researchers.

The entire article is here.

Wednesday, October 15, 2014

Finding Risks, Not Answers, in Gene Tests

By Denise Grady and Andrew Pollack
The New York Times
Originally published September 22, 2014

Jennifer was 39 and perfectly healthy, but her grandmother had died young from breast cancer, so she decided to be tested for mutations in two genes known to increase risk for the disease.

When a genetic counselor offered additional tests for 20 other genes linked to various cancers, Jennifer said yes. The more information, the better, she thought.

The results, she said, were “surreal.” She did not have mutations in the breast cancer genes, but did have one linked to a high risk of stomach cancer. In people with a family history of the disease, that mutation is considered so risky that patients who are not even sick are often advised to have their stomachs removed. But no one knows what the finding might mean in someone like Jennifer, whose family has not had the disease.

The entire article is here.

Thursday, August 28, 2014

What We Need to Learn From the Ebola Epidemic

By Robert Klitzman
The Huffington Post
Originally posted August 9, 2014

Here is an excerpt:

Still, even if the medication works and is provided abroad, obstacles will remain to educate patients adequately about it and obtain appropriate informed consent. The fact that the drug is experimental and may still fail or make patients sicker -- even if it seems to offer benefit to a few patients -- needs to be explained in a way that patients in Africa, many of whom have little education, can understand. Barriers exist in part for cultural and linguistic reasons. In some African languages, for instance, there is no word for "placebo" or "experimental treatment," only for "cure. Questions remain regarding whether the drug should first be tested against a placebo or simply given to everyone. Use of a placebo will help scientists understand the drug's effectiveness. But if the medication turns out to work, patients who were randomized not to receive it will have lost out. These quandaries are complex, and WHO needs to explore and address them very carefully.

The entire article is here.