Can Gene Editing Cure Prion Diseases? | Insights from Cyworthy

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DNA molecules are essential carriers of genetic information, including partner molecules. RNA encodes the building blocks of life, specifically amino acids. Together, DNA, RNA, and amino acids form larger structures known as genes, which make up the genetic code for proteins that perform vital functions or contribute to other significant biomolecules.

Occasionally, the RNA within a gene may contain defects that can severely impact protein functionality. Such misfolded proteins, which can lead to fatal diseases, are known as prions. Researchers are optimistic that advancements in RNA editing technology, such as CRISPR, could provide treatment for prion diseases.

The possibility of this treatment has been known since scientists first identified bacteria using natural gene editing methods to combat viruses. Recently, medical researchers from institutions such as Harvard University, the Massachusetts Institute of Technology, and Case Western University conducted a pilot study to explore CRISPR’s effectiveness against prion diseases. The research team aimed to identify defective RNA regions within the genome and modify the corresponding genes. This process involved pinpointing the start and stop codons crucial for gene expression.

In laboratory experiments, scientists collected RNA from mice infected with human prion diseases. Utilizing CRISPR technology, they modified the defective RNA at the molecular level by inserting new start and stop codons to prevent replication. They employed sgRNA designed to produce non-functional proteins. Three versions of the sgRNA were tested: sgRNA, F-sgRNA, and F+E-sgRNA.

The researchers administered a medically approved vector, specifically an adeno-associated virus loaded with modified sgRNA, into mice infected with prion disease. They hypothesized that successful intervention would halt prion replication and prevent related disorders.

To evaluate this, scientists used two groups of mice, one experimental group receiving the modified sgRNAs and a control group receiving none. At ages 6 to 9 weeks, both groups were injected with various strains of human prion disease. Subsequently, only the experimental group was treated with sgRNA between 7 to 10 weeks old.

The mice were monitored for 92 to 95 weeks, recording behavioral changes, weight fluctuation, and lifespan. Post-experiment, researchers compared the health outcomes of both groups to determine the efficacy of the treatment. The findings were promising: treated mice exhibited nearly a 60% increase in lifespan compared to their control counterparts.

To assess the experiment’s success, researchers euthanized the mice post-study and analyzed their brains. They were particularly concerned with ensuring that the edited RNA targeted the proper genes, avoiding off-target editing that could lead to unpredictable outcomes. A thorough examination for possible side effects and abnormalities not linked to prion activity was conducted.

Additionally, they assessed the prion activity to confirm the impact of CRISPR on the targeted RNA strand, focusing on prion protein levels in mice. They observed that treated mice had prion protein levels 4% to 40% lower than those in the control group, with the F+E-sgRNA treatment yielding a 43% reduction in prion levels.

The research team concluded that CRISPR gene editing holds potential for combating prion diseases in mice. However, the significant off-target editing observed could present risks in human applications due to possible adverse effects. The researchers recommend future investigations continue using rodent models until more precise editing techniques are developed. Nevertheless, these results symbolize a meaningful advance toward potential treatments for prion ailments in humans.

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Source: sciworthy.com

A Healthy Baby Conceived with Three DNA Sources to Combat Hereditary Diseases

LONDON – Eight healthy babies have been born in the UK, aided by experimental techniques designed to prevent mothers from transmitting severe rare diseases to their offspring through DNA, researchers have announced.

The majority of DNA resides within the nuclei of our cells and is inherited from both our mothers and fathers—essentially, it shapes who we are. However, mitochondria, the cell’s energy-producing structures, also contain DNA outside the nucleus. Mutations in this mitochondrial DNA can lead to various illnesses in children, resulting in symptoms like muscle weakness, seizures, developmental delays, major organ failure, and even death.

In vitro fertilization (IVF) testing typically helps identify these mutations, although there are instances where this is not evident.

Researchers have pioneered methods to circumvent these issues by employing healthy mitochondria from donor eggs. They reported their findings in 2023 in an article detailing the birth of the first babies born using this technique, which involves extracting genetic material from the mother’s eggs or embryos and transferring it to a donor egg or embryo possessing healthy mitochondria, while discarding the bulk of its original DNA.

Dr. Zev Williams, head of the Fertility Center at Columbia University and not involved in this study, stated that this research “marks a significant milestone.” He believes that broadening reproductive choices will allow more couples to achieve a safe and healthy pregnancy.

This method results in an embryo containing DNA from the mother, the father, and the donor’s mitochondria—an approach that became legally viable in the UK after law changes in 2016. Similar procedures are also permitted in Australia, though they remain banned in many countries, including the US.

Experts from Newcastle University in the UK and Monash University in Australia reported in the New England Journal of Medicine that they successfully implemented these new methods for fertilizing embryos from 22 patients, with one woman still pregnant.

Footage released by the Newcastle Fertility Center shows delicate IVF procedures.
Fertility Centre in Newcastle

One of the eight babies born exhibited unexpectedly high levels of abnormal mitochondria, according to Robin Lovell-Badge, a stem cell and developmental genetics scientist at the Francis Crick Institute, who was not involved in the research. While these levels are not currently deemed harmful, monitoring is required as the baby grows.

Andy Greenfield, a reproductive medicine expert at Oxford University not associated with the research, emphasized its significance, noting that mitochondrial replacement techniques are primarily used in other settings aimed at avoiding genetic illnesses, like early-stage embryo testing.

“This technique was certified a decade ago, so we have all been anticipating this report,” he shared with NBC News via email. “Fortunately, the children appear to be healthy.”

Long-term follow-up with these children is essential as keeping them healthy is a priority, he emphasized.

Lovell-Badge noted that the donor DNA’s contribution is minimal, asserting that the child will not exhibit characteristics from the women who provided the healthy mitochondria. The donor genetic material constitutes less than 1% of the DNA in babies conceived using this technology.

“In comparison, if you received a bone marrow transplant from a donor, you would possess significantly more DNA from other individuals,” he explained.

In the UK, all couples seeking childbirth via donated mitochondria must obtain approval from the national fertility authority.

Concerns have been raised by critics, who warn that the long-term effects of such innovative techniques on future generations remain uncertain.

“At this time, clinical application in the US is not allowed, mainly due to regulatory restrictions regarding genetic modifications to embryos,” Dr. Williams from Columbia said via email. “Whether this situation will evolve remains unclear and is subject to ongoing scientific, ethical, and policy discussions.”

For almost ten years, Congress has included provisions in the annual funding bill that prevent the FDA from accepting applications related to clinical research protocols involving the intentional creation or modification of human embryos to incorporate genetic alterations.

However, in jurisdictions where such methods are allowed, advocates argue they can offer a promising option for some families.

Liz Curtis, whose daughter Lily passed away from mitochondrial disease in 2006, is collaborating with other families affected by these disorders. She expressed the devastation of receiving a diagnosis indicating that death was inevitable for an infant without intervention.

Curtis reflected on how the diagnosis “turned our world upside down, and yet there was minimal discussion about it, what it entailed, and how it would affect Lily.” Following this experience, she founded the Lily Foundation in her daughter’s honor to raise awareness and support regarding the disease, alongside her latest initiatives at Newcastle University.

“This development is incredibly exciting for families who have little hope for a positive outcome,” Curtis remarked.

The UK fertility authority, which oversees human fertilization and embryology, endorsed the findings, noting that this technique might only be accessible to individuals with a high risk of transmitting disease to their children.

As of this month, 35 patients have been approved to undergo the procedure.

Source: www.nbcnews.com

Concerns Arise Over Genetic Screening of Newborns for Rare Diseases

Rare diseases often elude early diagnosis, remaining undetected until significant organ damage occurs. Recently, UK Health Secretary Wes Streeting announced a 10-year initiative to integrate genetic testing for specific rare conditions into the standard neonatal screening process across the UK. This approach aims to ensure early intervention before symptoms manifest, aligning with ongoing global viability programs in places like the US and Australia. Yet, questions arise about the scientific validity of such measures.

The genome, akin to a book written in a novel language, is only partially understood. Decades of research on high-risk families have shed light on some genetic mutations, but there remains limited knowledge about the implications of population-level genetic testing for those at low risk. While this screening may prove advantageous for certain children and families, it might also lead to unnecessary tests and treatments for others.

Many genetic conditions involve more than just a single genetic mutation. For example, individuals with a variant of the hnf4a gene and a strong family history of rare diabetes have a 75% risk of developing the condition; conversely, those with the same variant but without a family history face only a 10% risk. It is misleading to assume genetic variants behave uniformly across all populations. Perhaps families carrying the hnf4a variant lack other unrecognized protective genes, or specific environmental factors might interplay with genetic risks to lead to diabetes.

The proposed neonatal screening program presupposes that genetic variants linked to diseases signify equally high risks for all, which is rarely the case. The exploration of disease-related variations in healthy populations is just starting. Until this research is thorough, we will not know how many individuals carry a variant that does not result in illness, possibly due to other protective factors. Should we really subject newborns to genetic hypotheses?

Furthermore, ethical concerns emerge from this initiative. How do we secure informed consent from parents when testing for hundreds of conditions simultaneously? In the near future, a genetic database encompassing all living individuals could become a reality—what safeguards will exist for its use and protection?

Screening newborns is not new, but the scope of conditions included in this initiative, the complexity of interpreting results, and the sensitivity of the information gathered pose unique challenges. I worry that parents may feel compelled to accept the test, yet not all uncertainties will be appropriately managed. I fear that important early life stages could become burdened with unnecessary hospital visits. Additionally, the pressure on parents and pediatricians to decide on potentially invasive testing for healthy infants is concerning.

A prudent step would be to gather more data on the prevalence and behavior of genetic mutations in the wider population before utilizing genetic testing as a speculative screening tool for children. The potential benefits may be overshadowed by significant risks.

Suzanne O’Sullivan is a neurologist and author of The Age of Diagnosis: Illness, Health, and Why Medicine Went Too Far.

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Source: www.newscientist.com

New Therapies on the Horizon to Combat Autoimmune Diseases

Pere Santamaria was 15 years old when she developed myasthenia. This autoimmune condition can cause extreme muscle weakness and sometimes lead to difficulty breathing. In Santa Maria's case, it affected the muscles in the eye that controlled his vision, causing him to look double.

“It personally had a huge impact on me,” he says. “I was in adolescence and suddenly I couldn't play sports and couldn't live a normal life. I had to take very high doses of corticosteroids, so I was able to have balloons. It's inflated like that.”

Worse, these drugs simply attenuate the body's general immune response, rather than addressing the causes of autoimmune. In other words, Santa Maria did not expect that taking them would cure his condition.

As years went by, Santa Maria developed an additional autoimmune state. “I just wanted to understand the disease and mechanisms, and hopefully I can help others in the end,” he says.

He is now progressing towards that goal. He works as an immunologist at the University of Calgary, Canada. Santa Maria It is at the forefront of pushing to reprogram the immune system and develop new therapies to encourage the human body to end a destructive war against its own organization.

As these treatments move to clinical trials, there are signs of promise. Certainly, some are very effective, so with a single dose, in some cases, people have been symptomatically gone for years. So, is the end of an autoimmune state visible now?

Innate and Adaptive Immunity Systems

Our bodies have several lines of defense against pathogens. …

Source: www.newscientist.com

The Impact of GLP-1 Drugs such as Ozempic and Wegovy on the Risk of 175 Diseases

Semaglutide and other GLP-1 agonists are injected

Yulia Burmystrova/Getty Images

Drugs like Ozempic and Wigovy, called GLP-1 agonists, offer more benefits than risks when taken for their approved uses, according to a comprehensive analysis of their effects on 175 conditions. However, the same may not be true for people who are taking the drug for other purposes.

“In this new area of **GLP-1**, we wanted to really map the benefits and risks for all the conditions that we thought were relevant,” he says. Jiyad Al Ali at Washington University in St. Louis, Missouri.

These drugs are best known for helping control type 2 diabetes and treating obesity. They mimic the hormone GLP-1 in the body, which lowers blood sugar levels and keeps you feeling full for longer.

Dozens of studies suggest that GLP-1 agonists may also reduce the risk of many other conditions, from heart disease to dementia to substance use disorders. These studies have involved hundreds or thousands of people and have focused on one or a few symptoms at a time, but now that millions of people are using the drug, they are much more This means that less frequent effects can be investigated, Al Ali said.

To get a more comprehensive picture, he and his colleagues examined the health records of more than 200,000 diabetic patients who took GLP-1 agonists over a four-year period in addition to standard treatment. They also looked at 1.2 million people with diabetes who received only standard treatment over the same period and assessed the risk of both groups developing 175 different health conditions.

The research team found that people who took GLP-1 agonists had a lower risk of 42 diseases. For example, the risk of heart attack was reduced by 9 percent and the risk of dementia was reduced by 8 percent. The probability that this group would suffer from suicidal ideation or substance use disorders such as alcohol or opioid addiction was also approximately decreased by 1/10. .

However, there were also downsides for people taking GLP-1 drugs. They were more likely to experience known side effects, such as nausea and vomiting, as well as previously undescribed side effects. These include a 15% higher risk of kidney stones and more than double the risk of pancreatic inflammation or drug-induced pancreatitis. In total, 19 conditions were at increased risk, but taking GLP-1 drugs had no significant effect on risk levels for most of the conditions evaluated, including bronchitis, rheumatoid arthritis, and obsessive-compulsive disorder. Ta.

The fact that these drugs affect such a wide range of symptoms remains surprising, but it is unclear exactly why they have this effect. “They’re reducing obesity, which is the root of all disease. If you treat obesity, the heart, kidneys, brain, and everywhere else will benefit later,” Al-Aly said. They also reduce inflammation, which commonly damages organs, and appear to target parts of the brain associated with addiction, he says.

One problem with this analysis is that the research team did not report the actual number of people affected by each condition, making the results difficult to interpret. Daniel Drucker from the University of Toronto and has worked with obesity drug companies. Reducing the risk of common conditions such as heart attacks and dementia is probably worth taking seriously, but the association with rare conditions like pancreatitis is so small that the risk is low for most people. He says it’s unlikely. Al-Aly said the research team plans to announce the specific number of cases in a future study.

Overall, this study provides reassurance that the benefits of GLP-1 agonists outweigh the risks, at least for patients with type 2 diabetes and obesity. “There are no red flags with this group,” he says. stefan trapp He is a professor at University College London and has worked with obesity drug companies.

However, the situation may be different for people who do not fit these criteria, such as people who are not obese and buy drugs to lose weight. “I don’t know if the benefits outweigh the risks,” Drucker said.

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Source: www.newscientist.com

A revolutionary anti-aging vaccine offers hope in preventing diseases like Alzheimer’s

I’ll be 60 in just over 5 years, which is a big deal. I already have an age-related disease (high blood pressure), and the odds are good that I haven’t been diagnosed with at least one more by then. After that, the symptoms of age will pile up and bring me to my inevitable end. Many of you will no doubt be in a similar situation. We are living longer than ever before, but those extra years don’t necessarily come with good health.

But judging by recent trends, my sons may be even luckier. Instead of facing a long list of common diseases in their 70s and 80s, they may be able to immunize themselves against them. They may be able to celebrate middle age with vaccinations that immunize them against Alzheimer’s, cancer, and hypertension. What’s more, they may even have access to an anti-aging panacea that vaccinates against all of these and more, allowing them to enter old age in better health than most of us today could hope to achieve.

Suddenly, an ancient medical technique looks set to become a game changer in the fight against diseases associated with age. Vaccines, the most commonly used injections for infectious diseases like COVID-19 and measles, are now showing promise for treating non-infectious diseases, particularly those associated with age. The field is advancing rapidly, and there are signs that, in the right winds, I and others my age might be able to benefit from these vaccinations. It’s so…

Source: www.newscientist.com

Kuhl: Genetic Mutations Could Provide Protection Against Brain Diseases Linked to Cannibalism

Cerebellum of a person suffering from kuru disease

Liberski PP (2013)

Genetic research in a very remote community in Papua New Guinea has revealed new insights into a brain disease that is spread when people eat dead relatives and has killed thousands of people over two decades.

Dotted with mountains, gorges, and fast-flowing rivers, Papua New Guinea’s Eastern Highlands province is extremely isolated from the rest of the world, and it wasn’t until the beginning of the 20th century that outsiders realized that about 1 million people lived there.

Some tribes known as the Fore practiced a form of cannibalism called “funeral feasts,” in which they consumed the bodies of their deceased relatives as part of their funeral rites. This could mean they ingested an abnormally folded protein called a prion, which can cause a fatal neurodegenerative condition called kuru associated with Creutzfeldt-Jakob disease (CJD). However, the local people believed that the Kuru phenomenon was caused by witchcraft. At least 2,700 Kuru deaths have been recorded in the eastern highlands.

Simon Mead Researchers at University College London examined the genomes of 943 people representing 68 villages and 21 language groups in the region. Although this region of Papua New Guinea covers just over 11,000 square kilometers, smaller than Jamaica, researchers say the different groups are as genetically different as the peoples of Finland and Spain, some 3,000 kilometers apart.

The study found that not everyone who attended the funeral died from the disease. Mead and his colleagues say it appears communities were beginning to develop a resistance to kuru, which led to tremors, loss of coordination, and, ultimately, death.

The study found that some of the elderly women who survived the feast had mutations in the gene encoding the prion protein, which likely conferred resistance to kuru disease.

By the 1950s, funeral feasts had become illegal, and the kuru epidemic began to subside, but visitors say that the number of women in some villages had dwindled because so many women had died from kuru. It pointed out. Mead said women and children are most susceptible to the disease, likely because they ate the brains of deceased relatives.

However, genetic evidence shows that despite fears of the disease, there was a large influx of women into Fora tribal areas, particularly in areas where the highest levels of kuru were present.

“We believe it is likely that the sexual prejudice caused by Kuru caused single men in Kuru-affected communities to look further afield for wives than usual because they were unable to find potential wives locally. “We will,” Meade said.

He said the team wants to understand what factors confer resistance to prion diseases such as CJD, which caused a severe epidemic in the UK in the 1990s.

“[Our work sets] “This is a site to detect genetic factors that may have helped the Fore people resist kuru,” Mead said. “Such resistance genes may suggest therapeutic targets.”

Ira Debson Researchers from the Garvan Institute of Medical Research in Sydney, Australia, say the study provides new insight into the “rich and unique cultural, linguistic and genomic diversity” of the Eastern Highlands region.

“This is a demonstration of how genomics can be used to look almost back in time, reading the genetic signature of past epidemics and understanding how they have shaped today’s populations. It helps.”

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Source: www.newscientist.com

Kuhl: Genetic mutations could provide protection against brain diseases linked to cannibalism

Cerebellum of a person suffering from kuru disease

Liberski PP (2013)

Genetic research in a very remote community in Papua New Guinea has revealed new insights into a brain disease that is spread when people eat dead relatives and has killed thousands of people over two decades.

Dotted with mountains, gorges, and fast-flowing rivers, Papua New Guinea’s Eastern Highlands province is extremely isolated from the rest of the world, and it wasn’t until the beginning of the 20th century that outsiders realized that about 1 million people lived there.

Some tribes known as the Fore practiced a form of cannibalism called “funeral feasts,” in which they consumed the bodies of their deceased relatives as part of their funeral rites.

This could mean they ingested an abnormally folded protein called a prion, which can cause a fatal neurodegenerative condition called kuru associated with Creutzfeldt-Jakob disease (CJD). there was. However, local people believed that the Kuru phenomenon was caused by witchcraft. At least 2,700 Kuru deaths have been recorded in the eastern highlands.

simon mead Researchers at University College London examined the genomes of 943 people representing 68 villages and 21 language groups in the region. Although this region of Papua New Guinea covers just over 11,000 square kilometers, smaller than Jamaica, researchers say the different groups are as genetically different as the peoples of Finland and Spain, some 3,000 kilometers apart. ing.

The study found that not everyone who attended the funeral died from the disease. Meade and his colleagues say it appears that communities were beginning to develop a resistance to kuru, which led to tremors, loss of coordination and, ultimately, death.

The study found that some of the elderly women who survived the feast had mutations in the gene encoding the prion protein, which likely conferred resistance to kuru disease.

By the 1950s, funeral feasts had become illegal and the kuru epidemic began to subside, but visitors say that the number of women in some villages had dwindled because so many women died from kuru. It pointed out. Mead said women and children are most susceptible to the disease, likely because they ate the brains of deceased relatives.

However, genetic evidence shows that despite fears of the disease, there was a large influx of women into Fora tribal areas, particularly in areas where the highest levels of kuru were present.

“We believe it is likely that the sexual prejudice caused by Kuru caused single men in Kuru-affected communities to look further afield for wives than usual because they were unable to find potential wives locally. “We will,” Meade said.

He said the team wants to understand what factors confer resistance to prion diseases such as CJD, which caused a severe epidemic in the UK in the 1990s.

“[Our work sets] “This is a site to detect genetic factors that may have helped the Fore people resist kuru,” Mead said. “Such resistance genes may suggest therapeutic targets.”

Ira Debson Researchers from the Garvan Institute of Medical Research in Sydney, Australia, say the study provides new insight into the “rich and unique cultural, linguistic and genomic diversity” of the Eastern Highlands region.

“This is a demonstration of how genomics can be used to almost look back in time, reading the genetic signature of past epidemics and understanding how they have shaped today’s populations. It helps.”

topic:

Source: www.newscientist.com

Scientists at Stanford University identify shared genetic factor that offers protection against Alzheimer’s and Parkinson’s diseases

Stanford Medicine and international collaborators have discovered that around 20% of individuals carry genetic mutations that reduce their risk of Alzheimer’s disease or Parkinson’s disease by 10% or more. This particular variant, known as DR4, has the potential to enhance future vaccines for these neurodegenerative diseases. In addition, the study found a potential link between the tau protein and both diseases, providing new possibilities for targeted therapies and vaccines.

The large-scale analysis included medical and genetic information from a wide range of individuals across different continents. This data analysis revealed that certain gene variants related to immune function are associated with a lower risk of developing Alzheimer’s and Parkinson’s diseases. Approximately one in five people possess a specific genetic mutation that provides resistance to both diseases.

The research, led by Stanford Medicine, indicates that individuals with this protective genetic mutation may be less likely to benefit from future vaccines aimed at slowing or stopping the progression of these common neurodegenerative diseases. Results from the analysis of medical and genetic data from hundreds of thousands of people from diverse backgrounds confirmed that carrying the DR4 allele increased the average chance of developing Parkinson’s or Alzheimer’s disease by more than 10%. New evidence has also surfaced suggesting that the tau protein, which is known for aggregating in the brains of Alzheimer’s patients, may also play a role in the development of Parkinson’s disease.

The study, published in the Proceedings of the National Academy of Sciences, was a collaboration between researchers at Stanford Medicine and international partners. The researchers involved in this study were Emmanuel Mignot, MD, Michael Gracius, MD, Iqbal Farooq, and Asad Jamal from Stanford Medicine, as well as Dr. Jean-Charles Lambert from Inserm, University of Lille, France. The lead author was Yan Le Nguyen, Ph.D., and other contributors included Dr. Guo Luo, Dr. Aditya Ambati, and Dr. Vincent Damot.

Further findings from the study showed that individuals with the DR4 allele were more likely to develop neurofibrillary tangles, characteristic of Alzheimer’s disease, in their brains. The study also suggests that tau, a protein central to Alzheimer’s disease, may have an unknown role in Parkinson’s disease.

DR4 is a particular allele of the DRB1 gene, which is a part of the human lymphocyte antigen complex. This complex is crucial in allowing the immune system to recognize the internal contents of cells. One of the significant findings of this study was that the specific peptide fragment that DR4 recognizes and presents is a chemically modified segment of the tau protein, which plays a role in both diseases. The study suggests that the DR4 allele could be used to create a vaccine targeting this modified peptide as a potential way to interfere with tau aggregation and the development of these neurodegenerative diseases. There may be potential to delay or slow the progression of the diseases in individuals who carry the protective variants of DR4.

The study also noted that the effectiveness of the vaccine may depend on the subtype of DR4 a person carries, which varies among different ethnic groups. For example, one subtype of DR4 that is more common among East Asians may be less protective against neurodegenerative diseases.

Source: scitechdaily.com