Plans for Human Germline Modification being Discussed

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In summary, Denis Rebrikov of the Pirogov Russian National Research Medical University is discussing his plans to modify the human germline in order to correct a genetically inherited hearing loss condition. He intends to undergo rigorous ethical and regulatory review and conduct genetic tests before implanting any modified embryos. Rebrikov plans to sequence the entire genomes of the parents, stimulate the woman's ovaries to obtain about 20 eggs, fertilize them, and add CRISPR to fix the mutation. He will then conduct safety checks and analyze the genomes of 10 blastocysts before moving on to a preimplantation test. However, there may still be limits to the technology and potential off-target changes. This raises concerns about the ethics and
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Denis Rebrikov is openly discussing performing human germline modification. Complex arguments ensue.
Science news article: Denis Rebrikov of the Pirogov Russian National Research Medical University in Moscow has been discussing how he wants to modify the human germline to correct a genetically inherited hearing loss condition.

He has been discussing this for a while, plans on seeking rigorous ethical and regulatory review, and has plans for many genetic tests of results before implanting any modified embryos.
Rebrikov told Science that he plans to do extensive safety checks before seeking approval to implant an edited embryo. First, he wants to sequence the entire genomes of each parent to get a baseline for assessing off-target mutations in their edited embryos. He then wants to stimulate the woman’s ovaries, obtain about 20 eggs, fertilize them with her partner’s sperm, and finally add the mutation-fixing CRISPR. He’ll grow these embryos for 5 days, at which point they will have about 250 cells and be in the blastocyst stage. Then he will do repeated rounds of whole-genome sequencing of 10 of these blastocysts, which aims to reveal all mutations that differ from the genomes of the parents.
If the number of new mutations is in the range seen normally in unedited embryos—about 100 per embryo—he will move to the next stage with the remaining edited embryos: a preimplantation test, commonly done in IVF, in which five to seven cells are removed from an early embryo and their genomes analyzed. In this case, he will check the cells for many types of genetic defects and for mosaicism for the CRISPR edit. But there could be other cells in the blastocyst that have unaltered GJB2 genes or off-target changes. “We always will have some limits of the technology,” Rebrikov says.

Here is companion Science news article on the potential parents of the proposed germline recombinant and how they are thinking about this.

It is interesting to me to read about how regulatory issues in other countries are being handled.
Also this seems to ripe for an application of the improved CRISPR-based gene editing tool described in @Ygggdrasil's https://www.physicsforums.com/threads/new-https://www.physicsforums.com/insights/dont-fear-crispr-new-gene-editing-technologies-wont-lead-designer-babies/-based-tool-for-find-and-replace-editing-of-dna.979322/.
 
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The biggest morale problem is why the unwanted mutations are happened so often, but this is a taboo. That's happened when morality is optional in any human activity, starting from agriculture to IT&C. If we don't set the things right, soon the procreation failure will be severe. Who try to "patch" those unnatural damages should be supported as a potential builder.
 
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1. What is human germline modification?

Human germline modification is the process of altering the genetic makeup of an individual's reproductive cells (sperm or egg) in order to pass on specific traits or characteristics to future generations. This is different from somatic cell gene editing, which only affects the individual being treated and does not impact their offspring.

2. Why are plans for human germline modification being discussed?

Plans for human germline modification are being discussed because of the potential benefits and ethical concerns surrounding this technology. Some argue that it could help prevent genetic diseases and improve human health, while others are concerned about the potential for unintended consequences and the creation of "designer babies."

3. Is human germline modification currently legal?

In most countries, human germline modification is not currently legal. However, there have been cases of unauthorized gene editing in China and other countries, which has sparked international discussions about the need for regulations and guidelines for this technology.

4. What are the potential risks of human germline modification?

One of the main concerns surrounding human germline modification is the potential for unintended consequences and unforeseen side effects. There is also the risk of creating a genetic divide between those who can afford to access this technology and those who cannot, as well as ethical concerns about altering the natural course of human evolution.

5. What are the ethical implications of human germline modification?

The ethical implications of human germline modification are complex and highly debated. Some argue that it goes against the principles of autonomy and non-maleficence, as well as the concept of human dignity. Others believe that it could lead to societal issues such as discrimination and inequality, and raises questions about the definition of what it means to be human.

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