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Prof Gerald Schatten University of Pittsburgh, USA [email protected] Welcome to The Brave New World of ART: Genetic Modifications, Manufactured Gametes and Exotic Inheritance Nothing to declare

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Page 1: Welcome to The Brave New World of ART: Genetic Modifications, …cme-utilities.com/mailshotcme/Material for Websites/ART... · 2017-11-23 · vitro fertilization (IVF) to avoid passing

Prof Gerald Schatten

University of Pittsburgh, USA

[email protected]

Welcome to The Brave New World of ART:

Genetic Modifications, Manufactured Gametes

and Exotic Inheritance

Nothing to declare

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Dr. Min Chueh Chang; 张明觉; 張明覺; October 10, 1908 – June 5, 1991

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Dr. Min Chueh Chang (simplified Chinese: 张明觉; traditional Chinese: 張明覺; pinyin: Zhāng Míngjué, October 10, 1908 – June 5, 1991), often credited as M.C. Chang, was a Chinese-born American reproductive biologist. His specific area of study was the fertilisation process in mammalian reproduction. Though his career produced findings that are important and valuable to many areas in the field of fertilisation, including his work on in vitro fertilisation which led to the first "test tube baby", he was best known to the world for his contribution to the development of the combined oral contraceptive pill at the Worcester Foundation for Experimental Biology.

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14 APRIL 2017 • VOL 356 ISSUE 6334 137 SCIENCE sciencemag.org

By Martin Pera

tem cells, grown under the right

conditions in vitro, have a remark-

able ability to undergo differentiation

and self-assembly into complex, three-

dimensional organoids, similar in ana-

S tomical and functional organization to

the developing brain, kidney, gut and other

tissues (1). On page 153 of this issue, Harrison et al. (2) show that when mouse embryonic

stem cells are cultured together with tro-

phoblast stem cells (which give rise to part of

the placenta), the resulting constructs

develop into structures that bear a striking

resemblance to the mouse embryo after it

has implanted into the womb. The finding

raises the possibility that by using advanced

cell culture techniques, including coculture

of multiple cell types, and engineering the

appropriate culture microenvironment, it

might be possible to model human embryo-

genesis in a petri dish.

STEM CELLS

The Jackson Laboratory, Bar Harbor, ME, USA.

Email: [email protected]

“... it might be possible to model human embryogenesis in a petri dish .”

Human embryo culture and embryonic

stem cell culture have opened up a previ-

ously inaccessible phase of the human life

cycle to experimental study. Until recently, in

vitro growth of mouse or human embryos

has mainly been limited to cultures that

reach the blastocyst stage, or the equivalent

of about 5 or 6 days of embryonic develop-

ment. Many of the most important events in

embryogenesis, including those involved in

developmental disorders, occur in a critical

interval shortly after this stage. In 2016, the

culture of human embryos was extended out

to 13 days of development, a point at which

many of the key structures that will sup-

port the growth of the embryo have formed.

At this stage, the embryo is preparing to

Published by AAAS

Embryogenesis in a dish We are at an early stage of developing embryos from stem cells in culture

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C H IN A ’ S P U S H

etting time with Qiao Jie is not easy. At

7:30 a.m., the line coming outof the fertility

centre that she runs blocks the doorway

and extends some 80 metres down the

street. Inside, about 50 physicians on her Gteam are discussing recent findings, but

Qiao, a fertility specialist andpresidentof Peking

University Third Hospital in Beijing, is still in an early-morning consult.

When she finally emerges, she jumps to the topic at hand: spreading awareness of preimplantation genetic diagnosis (PGD), a procedure that helps couples undergoing in vitro fertilization (IVF) to avoid passing on genetic mutations that could cause disease or disability in their children. Qiao typically refuses interview requests, but she’s concerned that people aren’t getting the message about PGD fast enough. “Now, more and more dis- eases can be stopped — if not immediately, in the generation after next,” she says.

Early experiments are beginning to show how genome-editing technologies such as CRISPR might one day fix disease-causing mutations before embryos are implanted. But refining the techniques and getting regulatory approval will

take years. PGD has already helped thousands of couples. And whereas the expansion of PGD around the world has generally been slow, in China, it is starting to explode.

The conditions there are ripe: genetic diseases carry heavy stigma, people with disabilities get very little support and religious and ethical push-back against PGD is almost non-exist- ent. China has also lifted some restrictions on family size and seen a subsequent rise in fer- tility treatments among older couples. Genetic screening during pregnancy for chromosomal abnormalities linked to maternal age has taken off throughout the country, and many see this as a precursor to wider adoption of PGD.

Although Chinese fertility doctors were late to the game in adopting the procedure, they have been pursuing a more aggressive, com- prehensive and systematic path towards its use

there than anywhere else. The country’s central government, known for its long-term thinking, has over the past decade stepped up efforts to bring high-quality health care to the people, and its current 5-year plan has made reproductive medicine, including PGD, a priority, an effort that Qiao is leading. Researchers are hunting

down various mutations in the Chinese popu- lation that might be screened for in PGD. And well-equipped and powerful clinical-research groups, including Qiao’s, are stepping up efforts to improve the technology, increase awareness and bring down costs.

Comprehensive figures are difficult to come by, but estimates from leading PGD providers show that China’s use of the technique already outpaces that in the United States, and it is grow- ing up to five times faster. Qiao’s clinic alone now performs more procedures with PGD each year than all of the United Kingdom.

“Looking over the development in China over the past 10 years, they might start to think it’s possible to get rid of these diseases,” says Kangpu Xu, a Chinese-born reproductive biologist at Weill Cornell Medical College in New York City.

Such systematic efforts raise thorny questions forbioethicists. Some worry thatpushes to elim- inate disabilities devalue the lives of those who already have them. The cost and accessibility of the procedure raises concerns about genetic traits further widening the divide between rich and poorpeople. Thenthere are concerns about

BY DAVID CYRANOSKI

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B E T T E R B A B I E S A campaign to increase preimplantation genetic diagnosis could put the country on the path towards eliminating certain diseases.

2 7 2 | N A T U R E | V O L 5 4 8 | 1 7 A U G U S T 2 0 1 7

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Four experimental routes for nuclear reprogramming J. B. Gurdon et al., Science 322, 1811 -1815 (2008)

al-kimiaالكيمياء

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A damaged heart.

A Rosenzweig Science 2012;338:1549-1550

Published by AAAS

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5/30/2017 In ‘Enormous Success,’ Scientists Tie 52 Genes to Human Intelligence The New York Times

https://nyti.ms/2qMIzrI

SCIENCE

In ‘Enormous Success,’ Scientists Tie 52 Genes to Human Intelligence Carl Zimmer

MATTER MAY 22, 2017

In a significant advance in the study of mental ability, a team of European and American scientists announced on

Monday that they had identified 52 genes linked to intelligence in nearly 80,000 people.

These genes do not determine intelligence, however. Their combined influence is minuscule, the researchers

said, suggesting that thousands more are likely to be involved and still await discovery. Just as important, intelligence

is profoundly shaped by the environment.

Still, the findings could make it possible to begin new experiments into the biological basis of reasoning and

problemsolving, experts said. They could even help researchers determine which interventions would be most

effective for children struggling to learn.

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One particularly controversial application of this powerful gene editing technology is the possibility of driving certain species to extinction – such as the most lethal animal on Earth, the malaria-causing Anopheles gambiae mosquito. This is, as far as scientists can tell, actually possible, and some serious players like the Bill and Melinda Gates Foundation are already investing in the project. (The BMGF funds The Conversation Africa.)

Yang’s genetically modified mushrooms were deemed exempt from current USDA regulation.

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Gerald Schatten

Oregon Regional Primate Research Center and Oregon Health Sciences University

Portland OR, USA

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Phenotypic characterization of OCT4-targeted human embryos

N M E Fogarty et al. Nature 1–7 (2017) doi:10.1038/nature24033

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Juan Carlos Izpisua Belmonte, Edward M. Callaway, Sarah J. Caddick, Patricia Churchland, Guoping Feng, Gregg E. Homanics,

Kuo-Fen Lee, David A. Leopold, Cory T. Miller, Jude F. Mitchell, Shoukhrat Mitalipov, Alysson R. Moutri...

Brains, Genes, and Primates

null, Volume 86, Issue 3, 2015, 617–631

http://dx.doi.org/10.1016/j.neuron.2015.03.021

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