CRISPR and the future of gene editing: scientific advances, genetic therapies, disease treatment potential, and ethical considerations | Feng Zhang, Ph.D.

Peter Attia

Oct 28, 2024

Episode description

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Feng Zhang, a professor of neuroscience at MIT and a pioneering figure in gene editing, joins Peter to discuss his groundbreaking work in CRISPR technology, as well as his early contributions to optogenetics. In this episode, they explore the origins of CRISPR and the revolutionary advancements that have transformed the field of gene editing. Feng delves into the practical applications of CRISPR for treating genetic diseases, the importance of delivery methods, and the current successes and challenges in targeting cells specific tissues such as those in the liver and eye. He also covers the ethical implications of gene editing, including the debate around germline modification, as well as reflections on Feng’s personal journey, the impact of mentorship, and the future potential of genetic medicine.

We discuss:

  • Feng’s background, experience in developing optogenetics, and his shift toward improving gene-editing technologies [2:45];

  • The discovery of CRISPR in bacterial DNA and the realization that these sequences could be harnessed for gene editing [10:45];

  • How the CRISPR system fights off viral infections and the role of the Cas9 enzyme and PAM sequence [21:00];

  • The limitations of earlier gene-editing technologies prior to CRISPR [28:15];

  • How CRISPR revolutionized the field of gene editing, potential applications, and ongoing challenges [36:45];

  • CRISPR’s potential in treating genetic diseases and the challenges of effective delivery [48:00];

  • How CRISPR is used to treat sickle cell anemia [53:15];

  • Gene editing with base editing, the role of AI in protein engineering, and challenges of delivery to the right cells [1:00:15];

  • How CRISPR is advancing scientific research by fast-tracking the development of transgenic mice [1:06:45];

  • Advantages of Cas13’s ability to direct CRISPR to cleave RNA and the advances and remaining challenges of delivery [1:11:00];

  • CRISPR-Cas9: therapeutic applications in the liver and the eye [1:19:45];

  • The ethical implications of gene editing, the debate around germline modification, regulation, and more [1:30:45];

  • Genetic engineering to enhance human traits: challenges, trade-offs, and ethical concerns [1:40:45];

Episode description

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

Feng Zhang, a professor of neuroscience at MIT and a pioneering figure in gene editing, joins Peter to discuss his groundbreaking work in CRISPR technology, as well as his early contributions to optogenetics. In this episode, they explore the origins of CRISPR and the revolutionary advancements that have transformed the field of gene editing. Feng delves into the practical applications of CRISPR for treating genetic diseases, the importance of delivery methods, and the current successes and challenges in targeting cells specific tissues such as those in the liver and eye. He also covers the ethical implications of gene editing, including the debate around germline modification, as well as reflections on Feng’s personal journey, the impact of mentorship, and the future potential of genetic medicine.

We discuss:

  • Feng’s background, experience in developing optogenetics, and his shift toward improving gene-editing technologies [2:45];

  • The discovery of CRISPR in bacterial DNA and the realization that these sequences could be harnessed for gene editing [10:45];

  • How the CRISPR system fights off viral infections and the role of the Cas9 enzyme and PAM sequence [21:00];

  • The limitations of earlier gene-editing technologies prior to CRISPR [28:15];

  • How CRISPR revolutionized the field of gene editing, potential applications, and ongoing challenges [36:45];

  • CRISPR’s potential in treating genetic diseases and the challenges of effective delivery [48:00];

  • How CRISPR is used to treat sickle cell anemia [53:15];

  • Gene editing with base editing, the role of AI in protein engineering, and challenges of delivery to the right cells [1:00:15];

  • How CRISPR is advancing scientific research by fast-tracking the development of transgenic mice [1:06:45];

  • Advantages of Cas13’s ability to direct CRISPR to cleave RNA and the advances and remaining challenges of delivery [1:11:00];

  • CRISPR-Cas9: therapeutic applications in the liver and the eye [1:19:45];

  • The ethical implications of gene editing, the debate around germline modification, regulation, and more [1:30:45];

  • Genetic engineering to enhance human traits: challenges, trade-offs, and ethical concerns [1:40:45];

Mindsip insights from this episode:

Avoid genetic enhancement for complex traits to prevent unintended risks

Editing for complex traits like intelligence is risky due to biological compensation, where the intended enhancement could unintentionally increase cancer risk or shorten lifespan.

Target liver effectively with in-vivo gene therapy

The liver is one of the easiest organs to target with in-vivo gene therapy because it naturally takes up the lipid nanoparticles used as delivery vehicles.

Utilize CRISPR technology to program gene targeting

CRISPR is like a smartphone where the Cas9 protein is the hardware and the guide RNA is the software you can easily program to target any gene.

Engineer smaller Cas proteins for effective viral delivery systems

A major focus of current research is to find or engineer smaller Cas proteins, as the popular Cas9 is too large to fit easily into the most effective viral delivery systems.

Leverage AI to revolutionize protein engineering through shape prediction

AI systems like AlphaFold2 have solved the problem of predicting a protein's 3D shape from its amino acid sequence, which is revolutionizing protein engineering.

Overcome delivery challenges in gene therapy for effective treatment

The biggest challenge for gene therapy isn't the editing tool itself, but the delivery technology needed to get the payload into the right cells in the body.

Activate fetal hemoglobin to address sickle cell disease

The first approved CRISPR therapy for sickle cell disease doesn't fix the primary mutation, but instead turns on the fetal version of hemoglobin by deactivating a different gene.

Implement one-time CRISPR treatment to lower cholesterol permanently

Scientists are developing a one-time CRISPR treatment to permanently inactivate the PCSK9 gene in the liver, which would permanently lower cholesterol.

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