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The Elon Musk ‘pedo guy’ verdict shows Twitter and the courts don’t prioritize the truth – NBC News
Posted: December 13, 2019 at 2:40 pm
Elon Musk, the inventor of rockets that explode on the landing pad and automated cars that drive into the sides of tractor trailers, has prevailed in court against Vernon Unsworth, a British man living in Thailand who was awarded a Member of the Order of the British Empire by Prince William for his part in rescuing 12 schoolboys from a flooded cave. Unsworth sued Musk for baselessly slurring him on Twitter as a pedophile, an accusation he repeated in detail in an email to Buzzfeed in which he claimed that Unsworth had taken a preteen child bride also a lie. The judge in the case cited the email as contradictory evidence to Musks claim that he was merely engaged in idle trash talk when he refused to dismiss the case.
Musk testified in court that he had called Unsworth a pedophile on Twitter as a mere insult, not to be taken literally, because he was upset that Unsworth had called Musks unproven miniature submarine made from rocket parts which had not yet exploded that was supplied to the rescue effort (which declined it) an obviously unworkable solution and a public relations stunt.
Twitters place in all this is very odd: At its best, the platform can seem like a proletarian system designed to expose privileged people to the opinions and expressions of the hoi polloi. But when it comes to real world conflict, Twitter is actually a generator of interesting tidbits for a legal discovery process in which the winner is often determined purely by his or her means in other words, it's a source of weaponizable information against vulnerable people, and/or a means of distributing that information.
The illusion of agency that Twitter gives to people without any other means of addressing injustice is valuable; the platforms inadvertent demonstration of the limits of the truth is, if nothing else, educational.
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The lawsuit against Musk (I f------ hope he sues me, Musk wrote the Buzzfeed reporter, Ryan Mac) went to a jury trial, an oddity in the world of defamation suits; defamation is notoriously difficult to successfully prosecute in the United States because our court system demands that the plaintiff prove beyond a reasonable doubt that the accused intended to harm her or him. Plaintiffs usually settle.
In court, Musk claimed that when he had called Unsworth pedo guy in a tweet, it was a general term used widely in South Africa that just meant creepy dude, this statement surprised South Africans and that, when he paid a private investigator $50,000 to investigate whether Unsworth really was a pedophile and then repeated the claims of the investigator (who turned out to be a con artist and convicted felon), Musk had simply been hoodwinked by an unscrupulous opportunist.
None of this passes the smell test, obviously. Musk likes to shoot his mouth off on Twitter to the distress of the many, many people who have given him money to do things like drill tunnels underneath Los Angeles to alleviate traffic congestion and colonize Mars (both pending). When he tweeted the pedo guy smear, Teslas stock dropped by 4 percent and his staff urged him to apologize; Musk declined, according to documents presented to the court in which he told his assistant Sam Teller that my apology would simply have been dismissed as a disingenuous and cowardly attempt to restore the stock price. A few days later, he tweeted a halfhearted apology-adjacent statement to Mr. Unsworth and to the companies I represent as leader.
It is hard to imagine a more disingenuous and cowardly course of action than the one Musk took, though it is one that did not require him to admit acting out of spite and unwarranted self-regard, and one that did not require that he or his presumptive insurers pay any of his millions of dollars to a 64-year-old rescue worker who had just saved a dozen children from drowning.
Alls well that ends well: Unsworth will return to relative obscurity, and Musk has returned to playing himself on cartoon sitcoms and breaking the unbreakable windows in his truck.
Musk is worth about $20 billion by his own reckoning; other accountings put that number even higher. He is reckoned by Forbes to be the 40th-richest man in the world; 29 million people follow him on Twitter. He made tens of millions off the sale of PayPal, which merged with his old company X.com and then sold to eBay, from which Musk made between $160 million and $180 million. I dont say that its easy to make $160 million into $20 billion, but its a better starting point than whatever Vernon Unsworth has.
You can express any harmful lie you like, it seems, if youre a billionaire unless its going cost other rich people money. After all, 23 days after the pedo guy tweet, Musk again took to Twitter to facetiously announce that he was considering taking Tesla private at $420.
Funding secured, he added. (This, he explained later, was not a serious business plan. It was probably just a weed joke, possibly to impress his girlfriend.)
The controversy over the subsequent stock inflation and collapse did not drag out for a year and five months, the way the Unsworth insult had; it did not even rise to the level of controversy. Musk was swiftly investigated by the Securities and Exchange Commission and stripped of his chairmanship of Tesla; Tesla was forced to appoint two independent directors to its board and hire a lawyer to keep an eye on Musks tweets; and the company and Musk himself had to pay $20 million apiece to be distributed to harmed investors. The whole incident had been efficiently dealt with by law enforcement by the end of the succeeding month.
Theres one kind of justice for conflict between wealthy people, which is swift, reasonably fair, and sensible; there is another kind for conflict between wealthy people and poor people, which is absurd and cruel, and unfailingly takes the side of the rich.
You can see the whole thing in 280 characters.
Sam Thielman is an editor at the Tow Center for Digital Journalism at Columbia Journalism School.
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The Elon Musk 'pedo guy' verdict shows Twitter and the courts don't prioritize the truth - NBC News
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With a Second Life on Amazon, The Expanse Is Soaring – The Ringer
Posted: at 2:40 pm
While the era of Peak TV has yielded more scripted programmingprobably too muchthan ever before, it doesnt mean shows with devoted fan bases are impervious to the throes of an early cancellation. That sad fate befell beloved series as disparate as Whiskey Cavalier, Lodge 49, and The OA earlier this year, though fans didnt let them go without creative revival campaigns, ranging from A-listers spreading hashtags (Tom Hanks would like to #SaveLodge49) to, um, hunger strikes. (The OA fandom is intensely passionate and profoundly weird.) But sometimes a revival campaign can help lead to, well, exactly what the fans want.
In May 2018, after Syfy canceled The Expanse after three seasons, the shows fandom quickly mobilized in the nerdiest and most on-brand way possible. Fans put together enough money to fly an airplane banner over Amazon Studios headquarters in Santa Monica, California, and even sent a small model replica of one of the series ships to the edge of outer space. Less than three weeks after its cancellation, none other than Jeff Bezos got to inform the cast and crew of The Expanse, which was attending the annual International Space Development Conference, that the series would get a second life on Amazon Prime. In the video, I was the only one who doesnt stand up at the table, Expanse showrunner Naren Shankar tells me. I was just sitting there in shock.
Though Bezos had his own reasons for wanting the company to revive The Expansehes a fan of the book series of the same name, and was reportedly livid when Syfy initially acquired the rights to itits a testament to the power of the show itself that it inspires this kind of fervor in non-richest-person-on-earth viewers.
The simplest log line for The Expanse is that its basically space Game of Thrones. (But considering how poorly that series just ended and how many Thrones imitators are flailing, such a comparison might now be a disservice.) Heres the longer pitch: Set 200 years in the future, the story finds humanity spread throughout the solar system and on the brink of interplanetary war. The three main factions are people still on Earth, the militaristic Martians (meaning: humans on Mars), and those living around the Asteroid Belt, known as Belters. These tensions are elevated by the discovery of the protomolecule, a mysterious alien substance from the far reaches of space that mankind wants to weaponize. Thankfully, once its revealed that the substance appears to have its own beguiling agenda, a fragile peace is attained by the factions as a unified front against the protomolecule threat. By the end of the third season, the protomolecule has done a lot of weird shit on its ownincluding opening the Sol Ring, a gateway to a new galaxy with unexplored, and potentially habitable, worlds.
With things looking so bleak in our solar systemunemployment rates are high on Earth; the Belters have always felt disenfranchised; Mars terraforming seems kind of pointless after the Ring opens up the possibility of traveling to countless potentially habitable planetsthe fourth season opens on the cusp of an interstellar gold rush. A few Belter ships snuck through the Ring before a blockade was properly enforced, and one community has formed on a distant lithium-rich planet theyre calling Ilus. Our main protagonistsJames Holden, Naomi Nagata, Amos Burton, and Alex Kamal, whove dealt with the protomolecule firsthandare tasked with going to Ilus and making sure more protomolecule-related chaos doesnt erupt, which, of course, it inevitably does.
I havent even gotten to an upcoming election on Earth between incumbent U.N. Secretary-General Chrisjen Avasarala and a political opponent who wants to sanction more colonization of the Ring; a subplot with former Martian Marine Bobbie Draper getting enveloped with black-market dealings on Mars; and rising tensions between the U.N. and the Belters overseeing the Ring blockade. (Trying to streamline The Expanses impressive scope any further will only result in a massive migraine.) It speaks to the rich world-building of the series, which is also deeply considered and rooted in the sort of scientific minutiae you wont find in the worlds of Star Wars or Star Trek. I still contend that space is dope, but The Expanse underscores just how volatile and inherently dangerous intergalactic colonization can beand more importantly, makes it clear that traversing the solar system for 200 years hasnt made humanity any less prejudiced.
According to experts in the field, The Expanse is the best show on TV about international relations, and has felt like the closest heir apparent to Ronald D. Moores Battlestar Galactica, a sci-fi masterpiece from what was then called Sci Fi during the mid-2000s. Its for that reason, sadly, that The Expanse seemed like such an outlier on Syfy, where critical hits like The Magicians and Wynonna Earp are mostly overshadowed by a preponderance of cheesy trashand Im not just talking about the Sharknado franchise. (The nicest thing I can say about Apple TV+s Blind Jason Momoa show is that it has High Production Value Syfy energy.) With The Expanse having a home on basic cable for three seasons, restrictions on things like expletives and episode running times had a natural effect on the story. We were absolutely maxed out at 43 minutes, we could not go a second longer, Shankar says. I watch some of those older episodes and I go, Man, it wouldve been so nice to just give the thing two more minutes to breathe. Couldnt do it. And thats a huge advantage of [Amazon].
In Shankars view, The Expanse and its (no pun intended) expansive tale are a natural fit for streaming. From the beginning of the series, Shankar and the shows writing staff never broke the story with act breaksin other words, writing with the understanding that certain scenes would end with commercial interruptions. When we put the episodes on streaming, I went back to our post-production guys and we closed all of the blacks and we fixed the music and picture edits, he says. The streaming versions that you watch are just continuous. The Amazon move also afforded Shankars team the opportunity to shoot in a wider aspect ratio for the scenes on Ilus, which is the first time a major story line in the series takes place on a planet instead of in outer space. Theres a surreal quality to Iluss landscapesthe scenes were filmed in Ontariothat evokes a mixture of wonder and terror; an experience elevated by being able to mix different aspect ratios in space and on the ground. Those are things that you can do on streaming that people dont even blink an eye about, Shankar says, but you just cant do them on more traditional platforms.
But while streamers and networks like HBO and Showtime can offer a lot of creative freedom, theres always the concern about overindulgence. Some series seem to conflate lengthy running timesand depending on the show, gratuitous materialwith a marker of prestige, a trend Vultures Kathryn VanArendonk aptly described last year as the manspreading of TV. There was no specific reason to think The Expanse would go down this path once it moved to streaming, but there was still that nagging anxiety that it would become a guilty offender like Westworld, The Romanoffs, Ozark, or Sons of Anarchy. Though the shows a little too trigger-happy with the expletives in Season 4lessening the impact of Avasaralas iconic tirades, where seemingly every sentence includes the F-wordnone of the first six episodes made available for review crossed the 49-minute threshold, and nothing seems tonally jarring or out of place. The Expanses fourth season feels like a fine-tuned version of its old selfand its old self was already the best sci-fi series on television.
Perhaps the most crucial difference for fans will be The Expanses rollout: Instead of episodes dropping weekly, the entire season will be available to binge on Friday. The ongoing debate over whether series are better served by dropping all episodes at once or by going weeklyits no coincidence that our Baby Yoda obsession will run through Christmasis best considered on a show-by-show basis. But The Expanse will be an interesting litmus test by virtue of changing its release model; even Shankar admits that sustaining a weekly conversation and engaging with viewers on social media was important for the series during its Syfy days. The relationship that was formed in those years was part of the reason people felt so possessive of the show in terms of the fandom, he says. I dont actually know how [the binge model]s going to be. Im super curious to find out.
Thankfully, what wont change is what the series imparts on viewers. The central conflict on Ilus lies between the Belter refugees and a corporation from Earth thats barely hiding its intention to take the planet for itself under the pretext of scientific researchall while Holden and Co. try to get everyone to stop fighting among themselves and focus on the planetwide protomolecule threat that could wipe them all out. Humanitys hubris in trying to weaponize the futuristic equivalent of a nuclear weapon nearly led to mass extinction in the third season; the colonization efforts are doing that in miniature, endangering everyone on the planet in similarly unpredictable ways. The perpetual struggle of everyday people entangled in political and corporate greedas those in power continue to underestimate a genuine existential threatis what propels The Expanse to such compelling heights, even as the shows narrative moves farther into the cosmos.
The Expanses fourth season covers the fourth novel in the eponymous book series from James S.A. Corey, the single pen name for the books writers, Ty Franck and Daniel Abraham, who are also intimately involved with the show. Unlike Thrones, Shankar and his team dont have to worry about outpacing their source material: The ninth and final book in the series is expected to arrive in 2020, and after publishing eight books in the past nine years, theres little doubt Franck and Abraham will meet that deadline. The guys created this beautiful, intricate, complex, detailed storyand we havent departed from that, Shankar says. Thats the road map. Thats what were here to do. I hope we get to finish all nine books, because I think it would be an amazing thing to tell a complete story with this kind of canvas. I dont think its really been done in science fiction before.
And in the short term, the cast and crew of The Expanse dont have to worry about a second cancellation: Amazon renewed the show for a fifth season back in July. Everything beyond that is still undeterminedand its certainly not a guarantee that Amazon will let Shankar and Co. continue this interstellar journey deep into the 2020s. But after a year when The Expanse was canceled and fans were paying for airplane banners in a loving attempt to bring attention to the series, even the potential to end the series on their own terms is better than nothing at all. Ty and Daniel often say they intend to stick the landing, Shankar says. We will as well.
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With a Second Life on Amazon, The Expanse Is Soaring - The Ringer
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Serial Biotech Entrepreneur Kevin Ness Has Raised $260 Million To Get His Genome-Engineering Device Into The Hands Of Every Scientist Who Wants One -…
Posted: at 2:39 pm
Building tools for biologists: "Our instrument is the early Apple," Inscripta CEO Kevin Ness says. ... [+] "It's the first personal computer for biology."
Kevin Ness has made a career of building tools for biologists. Now, with the burgeoning field of synthetic biology booming, hes ramping up his latest venture, Inscripta, which wants to get a genome-engineering device into the hands of every scientist who wants one. The company has been operating largely under the radar, but with the announcement today that it had raised $125 million in a round led by Paladin Capital Group, for total funding of $260 million, its ready to make its mark.
Our instrument is the early Apple. Its the first personal computer for biology, Ness toldForbesduring a recent meeting in New York City.
Inscriptas Onyx device is small enough to sit on a desktop (roughly three feet by two feet by two feet in size), allowing scientists to modify cells faster and cheaper than would previously have been possible. A select group of researchers has been working with Inscripta to date through an early-access program. The company now expects to get the Onyx (which costs nearly $350,000 for the hardware, plus additional fees for reagents and software) into the market in 2020.
We could sell the platform for $1 million, but that doesnt fulfill our charter of enabling the bioeconomy, says Jason Gammack, Inscriptas chief commercial officer. We believe that biology is going to change the ways we live in ways we dont comprehend.
These are exciting times for the emerging field of synthetic biology. Spurred on by technological and economic advances, particularly the plummeting cost of DNA sequencing and the development of a precision gene-editing tool called Crispr, entrepreneurs have been falling over themselves to start companies. Proponents talk about a new bioeconomy that will allow not just a proliferation of new products but also life-saving antibiotics and a reduction of the environmental harm that comes from our heavy reliance on petrochemicals.
Companies like Ginkgo Bioworks (which I profiled in Forbes magazine over the summer) and Zymergen have set up cell foundries to engineer organisms for new bio-based products. Inscriptas approach is different: Rather than doing biology as a service in highly automated foundries, it wants to get its devices to scientists and researchers, who will be able to use them to run experiments and find answers to burning biological questions in hours rather than years.
Ness, 42, has been able to raise so much money for Inscripta because of his successful history as a biotech entrepreneur. He has a Ph.D. in mechanical engineering from Stanford University and worked as a research scientist at Lawrence Livermore National Laboratory earlier in his career. Then he cofounded two successful biotech companies, 10X Genomics, which went public in September and now trades on Nasdaq with a market cap of $6.1 billion, and QuantaLife, which was acquired by Bio-Rad in 2011 for $162 million plus future milestone payments. He and his teams developed and commercialized products such as droplet digital PCR, a new method for making copies of specific DNA segments, and high-throughput, single-cell gene-expression measurement solutions.
We have watched Kevin execute nearly flawlessly on incredibly complex product roadmaps, says Paul Conley, managing director at Paladin Capital. This is one of the most complex products you are going to see on the marketplace. If we hadnt seen Kevin execute on this level of complexity in the past, we wouldnt be this bullish.
After Ness left 10X Genomics, in the fall of 2016, he was thinking about what to do next when he heard from multiple people (including a headhunter) about a Boulder, Colorado, startup called Muse Bio. Ryan Gill, then a professor at University at Colorado and now scientific director at the Novo Nordisk Foundation Center for Biosustainability, and two of his students had founded Muse in 2015. The company was tiny then, Ness recalls, but it had some patents in genome writing, an area that he was keen to work on. The tools for biologists are atrocious, and theyre worse on writing than reading, he says.
Ness moved from California to Colorado to join the company as CEO, replacing Gill, with the goal of bringing its products to the market. I had this bold vision to create this platform as a stand-alone, to do what Illumina had done for genome-reading, Inscripta wants to do for genome-editing, he says. Genome-sequencing giant Illumina now trades on Nasdaq with a market cap of $48 billion.
Ness recruited Illumina cofounder and former chief operating officer John Stuelpnagel as chairman of the board, and raised $23 million in venture capital from Venrock, the venture capital shop formed by the Rockefellers, to jumpstart operations. Im a big believer in tools. They seem so simple, but they are so enabling, says Stuelpnagel, who is also chairman of the board of 10X Genomics. I think Inscripta has the opportunity to be the next big tool in the toolbox of scientists.
In 2017,Forbes wrotethat Inscripta (as Muse was renamed) had discovered a new Crispr enzyme for editing DNA, known as Crispr-MAD7, and was going to give it away free as it worked to create machines that it could sell to scientists. By this year, still operating in stealth, it had begun working with researchers and academics, including MITs Jim Collins and Chris Voigt and UC Berkeleys Jay Keasling in an early-access program. Early projects focused on areas that included antibiotic resistance and cannabinoids.
This October, Ness raised the profile of the company with a talk at premier synthetic biology conference SynBioBeta. Since then, Ness says, the response has been extremely positive and completely overwhelming, though he declines to say just how many Onyx machines he has commitments to sell.
Markus Herrgard, director of data science and automation at the Novo Nordisk Foundation Center for Biosustainability near Copenhagen, expects to get one of the devices for its lab sometime next year and could eventually roll out more of them. The way we envision using the technology Inscripta has is to accelerate the process, he says. Instead of making one [genetic] change at a time we can make tens of thousands at a time. In terms of speed, this is definitely a sea change.
The first version of Onyx will work on microbial cells, but Inscripta plans to launch a future product that could work with mammalian cells, a far more complex area that will allow researchers to develop sophisticated therapeutics. What we want, says Ness, is the next industrial revolutionthe bio-based industrial revolution.
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Serial Biotech Entrepreneur Kevin Ness Has Raised $260 Million To Get His Genome-Engineering Device Into The Hands Of Every Scientist Who Wants One -...
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CRISPR: Ethics and the gene editing of humans – Radio Canada International (en)
Posted: at 2:39 pm
An artist's illustration of a DNA double helix. New technology makes it easy to edit the human genome, even the germline which can affect all of human evolution. (Image:. U.S. National Human Genome Research Institute/Reuters
By making genetic research so much easier, the recent technology known as CRISPR has allowed scientists an enormous advantage in research into so many areas.
Unfortunately theres a downside which raises serious ethical questions.
Franoise Baylis (CM, ONS, PhD, FRSC, FCAHS), is a research professor at Dalhousie University Halifax who has written on the subject.
The concern with gene-editing is with experiments into modification of human DNA, which could lead in theory to changing of the human genome forever. It could in theory enable creating designer babies. Indeed its been just over a year since the first genome edited babies were created by a Chinese scientist. A Russian researcher has since announced plans to carry out similar human gene editing experiments. Other Chinese experiments involve putting human genes into monkeys. All of these, and other potential experiments, have raised the concern of the scientific world that some of its members are going beyond ethical concerns of science.
Research professor Francoise Baylis at Dalhousie University, Halifax
While some experts have expressed concern about state manipulation to create specific charachteristics, Professor Bayliss suggests that designer babies could result in greater class divide. This would be due to the expense making such technology accessible to the upper echelons and entrenching elite advantage, and thus privilege, in their DNA.
However she says these experiments have resulted in governments and the scientific community coming out with regulations and recommendations to slow down or halt such research until such time as serious ethical discussions take place to establish limits on what should be done and how.
F Baylis on the ethical questions involving CRISPR technology and gene editing of the human genome , Harvard University Press
She says the human genome belongs to all of us and any single or small group of scientists shouldnt be altering it on their own.
As a direct consequence of increasingly audacious moves by some scientists to engineer future generations, important decisions must now be made decisions that will set a new course for science, society, and humanity. May these decisions be inclusive and consensual. May they be characterized by wisdom and benevolence. And, may we never lose sight of our responsibilities to us all. F Bayliss: Altered Inheritance: CRISPR and the Ethics of Human Genome Editing F Bayliss: Altered Inheritance: CRISPR and the Ethics of Human Genome Editing
Fortunately some action has been taken. The WHO has convened a multi-disciplinary Expert Advisory Committee on Human Genome Editing to examine the scientific, ethical, social and legal challenges associated with human genome editing (both somatic and germ cell). Professor Bayliss is a member of the group which met for the first time this spring.
She lauds those countries that have established regulations regarding such research but notes there is always the chance of rogue scientists.
She also notes that scientists are usually very concerned about recognition by their peers and being shunned for having crossed established ethical lines is something they would very likely avoid
Additional information
The Conversation: F Bayliss: Dec 10/19: A year after the first CRISPR babies, stricter regulations are now in place
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CRISPR: Ethics and the gene editing of humans - Radio Canada International (en)
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CRISPR: kick-starting the revolution in drug discovery – Drug Target Review
Posted: at 2:39 pm
Gene editing using the CRISPR system has been established as the most powerful tool in the search for new drugs and is now being exploited for therapeutic purposes. Here, Pushpanathan Muthuirulan discusses the promises and wider opportunities of using CRISPR technology to open up the possibility of large-scale screening of drug targets. He also highlights the importance of implementing CRISPR technology into clinical practice for development of next-generation therapeutics and patient-tailored medicine.
THE DRUG discovery process, in which new drug candidates are discovered and evaluated for therapeutic use, has resulted in both promising and life-saving therapies for numerous diseases including inherited genetic disorders and pathogenic infections.1 However, the discovery and testing of a new drug candidate typically takes more than a decade and the total cost associated with drug discovery processes can exceed $1 billion.2 In the United States, the drug discovery process takes an average of 12 years and in excess of $1 billion to develop a new drug.3 Furthermore, only a few drug candidates actually make it to market; the chance of a new drug actually reaching market is only one in 5,000. The high cost and lengthy effort of getting new drugs to market make the drug development process a risky endeavour for pharmaceutical companies, which consequently hinders discovery and development of new therapies. The recent emergence of genome editing technologies and advances in our understanding of human genome sequences have raised hope that direct manipulation of the genome could potentially revolutionise the process of drug discovery and therapeutics.4 In particular, new technologies like CRISPR-Cas9 are key to unlocking potential drug targets and could have a profound impact on modern drug discovery and development.1,5
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CRISPR: kick-starting the revolution in drug discovery - Drug Target Review
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Human genome editing: What about the protection of egg donors in research? – BioNews
Posted: at 2:39 pm
9 December 2019
It's just over a year since Dr He Jiankui's controversial announcement that he had created the world's first genome-edited babies (see BioNews 977). This has sparked international debate over the use of the approach in humans but what may be missing in the discussion are moral questions concerning the research that would precede clinical applications.
Genome editing is a method that allows scientists to alter the DNA of organisms. Researchers are using various technologies in their studies, including the use of CRISPR/Cas9, removing mutated genes that cause heritable diseases and conditions, eg Parkinson's or muscular dystrophy.
However, there are risks associated with CRISPR. To advance genetic methods that are safe and effective for humans, much research is needed. It is possible to cut DNA at the wrong spot: off-target effects where edits are performed in the wrong place and scientists are uncertain as to how this might potentially affect patients. The other challenge is mosaicism where only some cells carry the edit but not others.
Accordingly, fundamental research is required to check the safety and accuracy of genome editing. And clinical applications can be considered only after thorough studies have been conducted.
However, there are important ethical issues to be discussed concerning the studies that would precede this stage. For instance, scientists may need to do testing on human embryos. For such experiments, many eggs are required for fertilisation in the lab to produce these embryos.
Recently, Dr Emilia Niemiec and Dr Heidi Carmen Howard at Uppsala University in Sweden, raised these ethical matters in their Correspondence to Nature. The authors stressed that women who decide on egg donation should comprehend the ethical issues to enable them to make an informed decision on whether or not to donate their eggs.
Egg donation involves health risks for these women and the financial compensation they may receive could amount to an inducement for economically disadvantaged donors. Thus, the studies, which are likely to precede clinical applications of genome editing in humans, pose their own set of ethical issues.
An essential factor to consider is whether, before egg donation, adequate counselling was presented to the donors to ensure they were fully informed about the health risks involved. These risks are due to ovarian stimulation to obtain the eggs.
The process of egg retrieval is invasive and painful. Elevated doses of ovary stimulating drugs are needed to induce the ovaries to create numerous eggs. Some egg donors may experience ovarian hyperstimulation syndrome (OHSS), a condition that could cause nausea, bloating, kidney failure and even death (see BioNews 973 and 975).
There have been reported deaths of patients after undergoing IVF treatment. A possible long-term risk of ovary stimulating drugs is the development of cancer. Some studies have suggested a link between fertility drugs and certain types of cancers, though researchers speculate that these may not develop until donors are in their 50s or 60s.
Egg collection and ovarian stimulation are associated with more health risks than the removal of other human tissues for research. Egg donors are exposed to an increased risk of morbidity or mortality associated with the stimulating hormone treatment needed for egg retrieval. If they were not sufficiently told of the various health risks, it is questionable whether informed consent is actually provided by the women.
Despite the frequent use of ovarian stimulation and egg retrieval in IVF cycle, there has been a shortage of studies done on the short- and long-term adverse consequences of ovarian stimulation and egg donation. So there are uncertainties surrounding the effects of the drugs and procedures.
The issue of pecuniary gain for egg donors in research raises the concerns of commodification of human tissues and commercialisation of research. Donations of body parts and tissues to research are expected to be altruistic. Commodification refers to an attachment of economic value to a thing which locates outside the economic sphere.
The value of some matters, such as the human body, cannot and should not be expressed in terms of money. Human eggs should not be sold by donors. Some women may be primarily enticed by money to donate their eggs without receiving adequate information ie, the health risks associated with egg extraction. This is especially true for poorer women who may ultimately sell their eggs out of desperation.
At the very least, egg donors should be reimbursed for their services. Egg donors receive no direct therapeutic benefit from the study. But in contrast to sperm or blood donation, the process of egg donation is far more complex and risky. It is essential to differentiate between payment for the commodity of the gamete and payment for the service provided, that is, reimbursement. Egg donors should not be out-of-pocket after donation, so their participation is expense neutral. However, payment beyond reasonable costs should not be permitted to prevent the risk of exploitation of women and the commodification of human eggs.
Eggs donated from younger donors are preferred as they are considered as being of better quality compared with eggs from older women. With these ethical issues surrounding egg donation in genome editing research, it is critical there is sufficient regulatory framework in place to safeguard the rights of egg donors.
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A year after the first CRISPR babies, stricter regulations are now in place – The Conversation CA
Posted: at 2:39 pm
Its been just over a year since the dramatic announcement of the worlds first genome-edited babies using CRISPR technology. Since then, to the chagrin of some and the relief of others, there have been no more such announcements. This is due, in no small part, to discreet actions taken by the Peoples Republic of China, the World Health Organization (WHO) and the Russian Federation.
Read more: What is CRISPR gene editing, and how does it work?
In late November 2018, He Jiankui, a Chinese biophysicist, confirmed hed created genetically modified twins in an effort to provide the children with resistance to HIV. A few days later, he presented some of his work at the Second International Summit on Genome Editing in Hong Kong. At this meeting, He mentioned another ongoing pregnancy involving the use of a genetically modified embryo. To this day, we do not know the outcome of this pregnancy.
What we do know is that Chinas Ministry of Science and Technology condemned Hes actions and shortly thereafter, Chinas National Health Commission drafted new regulations on the clinical use of emerging biomedical technologies, including human genome editing. The final text of the Administrative Regulations for the Clinical Application of New Biomedical Technologies is not yet available and it is not known when these regulations will come into effect.
Based on the draft text open to public comment, research of the type conducted by He would require approval from Chinas highest administrative authority.
In the wake of Hes controversial experiment, the WHO convened a multi-disciplinary Expert Advisory Committee on Human Genome Editing to examine the scientific, ethical, social and legal challenges associated with human genome editing (both somatic and germ cell).
Specifically, the committee was tasked by the director general, Tedros Adhanom Ghebreyesus, to advise and make recommendations on appropriate governance mechanisms. The committee (of which I am a member) met for the first time in March 2019.
In June 2019, Russian molecular biologist Denis Rebrikov announced his plans to follow in Hes footsteps. Rebrikov would genetically modify early-stage human embryos in his lab and use those embryos to initiate a pregnancy that hopefully would result in the birth of healthy HIV-resistant offspring. Unlike He, however, Rebrikov planned to involve HIV-infected women in his research in an effort to address the risk of transmission of the virus in utero from the pregnant woman to her fetus. (Hes research involved HIV infected men.)
In response, on advice from the WHO Expert Advisory Committee, the WHO director general issued a statement calling on regulatory and ethics authorities in all countries to refrain from approving research on heritable human genome editing until its ethical and social implications had been properly considered.
Read more: Opening Pandora's Box: Gene editing and its consequences
Undeterred by the WHO announcement, in September and October 2019 Rebrikov, confirmed his intention to apply for permission to proceed with heritable human genome editing, but with a different focus. Though it was initially reported that Rebrikov felt a sense of urgency to help women with HIV, he was unable to find HIV-positive women who did not respond to standard anti-HIV drugs and who wanted to get pregnant to participate in his research.
So, instead of modifying the CCR5 gene which would provide future offspring with resistance to HIV, Rebrikov planned to modify the GJB2 gene to correct a mutation that causes a type of hereditary deafness. According to Rebrikov, there were several couples interested in participating in this research.
Meanwhile, the Russian government issued a statement making it clear that Rebrikov would not get regulatory approval for the proposed research.
In October 2019, the Ministry of Health of the Russian Federation affirmed that the use of heritable genome editing was premature. Further, the ministry officially endorsed the WHO position that it would be irresponsible and unacceptable to use genome-edited embryos to initiate human pregnancies.
Finally and most importantly the Ministry of Health explicitly stated that the WHO position, supported by the Russian Federation, should be decisive in the formation of country policies in this area.
This strong statement by the Ministry of Health of the Russian Federation is reassuring. It sets an important example for regulatory authorities around the world who support the WHOs efforts to develop effective governance instruments to deter and prevent irresponsible and unacceptable uses of genome editing of embryos to initiate human pregnancies.
In the last lines of my new book Altered Inheritance: CRISPR and the Ethics of Human Genome Editing I write:
As a direct consequence of increasingly audacious moves by some scientists to engineer future generations, important decisions must now be made decisions that will set a new course for science, society, and humanity. May these decisions be inclusive and consensual. May they be characterized by wisdom and benevolence. And, may we never lose sight of our responsibilities to us all.
Collectively, all of us (experts and non-experts) have a responsibility to make the best use of emerging technologies to improve the health and well-being of all people everywhere. This can only be achieved through collaborative effort on a global scale.
We need time to carefully consider the kind of world we want to live in and how human genome editing technology might or might not help us build that world. We cant do this work properly if scientists brashly go about the business of making genome-edited babies.
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Identifying the Genomic Landscape of CDK4/6i Resistance in Patients with HR+/HER2- Metastatic Breast Cancer – Pharmacy Times
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Identifying the Genomic Landscape of CDK4/6i Resistance in Patients with HR+/HER2- Metastatic Breast Cancer
After performing whole exome sequencing (WES) on metatatic tumor biopsies from 58 patients with hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-negative breast cancer who received a CDK4/6i with or without an antiestrogen, the researchers characterized 69.5% as resistant (either intrinsic or acquired) and 30.5% as sensitive. In order to validate putative resistance mediators found in patient samples, HR-positive/HER2-negative cells were modified via CRISPR knockout or lentiviral overexpression.
In parallel, HR-positive/HER2-negative breast cancer cells were cultured to resistance in the presence of an escalating dose of CDK4/6i. Derivative cell lines were subjected to western blotting in an effort to interrogate the putative resistance mediators. Novel dependencies were found in these derivative cell lines by using treatment with targeted therapeutic agentsin vitro.
Following these methods, the WES of tumors with CDK4/6i exposure revealed candidate mechanisms of resistance including biallelicRB1disruption (n=4, 10%). They also revealed activating events inAKT1(n=5, 12.5%), RAS (n=4, 10%), aurora kinase A (AURKA,n=11, 27.5%), and cyclin E2 (CCNE2, n=6, 15%).
Knockout ofRB1and overexpression of the activating events caused CDK4/6i demonstrated concordant acquisition of RB1 downregulation, RAS/ERK activation, AURKA overexpression, and CCNE2 overexpression.
Based on these results, the researchers were able to state that the genomic landscape of resistance to CDK4/6i is heterogeneous with multiple potential mediators that play well-established roles in cell division and oncogenic signal transduction. They found novel mechanisms of clinical resistance, including activation of AKT1 and RAS family oncogenes, as well as amplification of AUKRA and CCNE2.In vitro, these drivers provoked CDK4/6i resistance. Finally, in each case, a novel dependency was identified, which was translatable into the clinic setting.
The researchers argued that the results demonstrate the future potential of next-generation sequencing as a tool to enable identification of resistance mediators. Similarly, they said that the presence of specific genomic alterations may define new therapeutic opportunities in CDK4/6i resistance.
REFERENCEWander SA, Cohen O, Gong X, Johnson GN, et al. The genomic landscape of intrinsic and acquired resistance to cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) in patients with hormone receptor-positive (HR+)/HER2- metastatic breast cancer (MBC). Accessed Dec 4, 2019.https://plan.core-apps.com/sabcs2019/abstract/c3d31d6ffb8feb46fe802df1c905011e
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Age Associated to Benefit Derived From Chemotherapy for Women With Luminal Breast Cancer, MINDACT Trial Finds – AJMC.com Managed Markets Network
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Data from the MINDACT trial revealed that among women with luminal breast cancers (hormone receptorpositive, HER2-negative by local pathology) with a high clinical risk and low genomic risk, those aged 40 to 50 years had a greater benefit from chemotherapy than patients older than 50.
This caused researchers, including study author Fatima Cardoso, MD, director of the Breast Unit at the Champalimaud Clinical Center/Champalimaud Foundation, to conduct an unplanned analysis of the MINDACT trial to determine if the addition of chemotherapy did in fact have an age-dependent benefit on distant metastasis-free survival (DMFS) among certain patients with breast cancer, as was seen in the TAILORx trial analysis.
The MINDACT trial compares the utility of the 70-gene signature commercial diagnostic test, MammaPrint, with common clinical-pathological criteria to select patients with breast cancer who have 0 to 3 positive nodes for adjuvant chemotherapy. In the analysis cohort, patients older than 40 were chosen, as there was only 2 DMFS events in patients under 40, attributing to a total population of 1264 patients, 399 aged 40 to 50 and 865 aged older than 50, from the MINDACT trial.
The trials inclusion of women aged under 50 served crucial to analyses, as Cardoso noted that younger women with breast cancer are underrepresented in clinical trials, and treatment decisions are often based on data obtained in older, postmenopausal women. It is important to examine how age impacts treatment efficacy and disease recurrence in patients with breast cancer to determine the best treatment option for each patient, said Cardoso.
In the analysis, researchers evaluated 5-year DMFS of patients with hormone receptorpositive, HER2-negative breast cancer enrolled in the MINDACT trial who had a low genomic and a high clinical risk. These patients were randomized to receive chemotherapy based on either clinical or genomic risk.
Researchers found that among women at least 50 years of age, estimated 5-year DMFS was similar between patients who received (95.2%) and who did not receive (95.4%) chemotherapy. In patients 40 to 50 years of age, estimated 5-year DMFS for those who received chemotherapy was 96.2% as opposed to 92.6% in those who did not receive chemotherapy, a heightened benefit like that found in the TAILORx trial.
Similar to the TAILORx trial, we found that women classified as high risk of recurrence by traditional clinical-pathological factors but low risk by MammaPrint had a worse outcome if treated with tamoxifen alone, and that the benefit of chemotherapy may eventually be higher in this group, said Cardoso. Tamoxifen treatment alone is common in younger women with only 7% of those in the MINDACT trial also receiving an LHRH analog. This is a trend that may suggest that women, presumably premenopausal, might be undertreated with tamoxifen alone.
However, Cardoso noted that results are not confirmed yet, as in both the MINDACT and TAILORx trials, the majority of women received tamoxifen alone (without ovarian suppression) as adjuvant chemotherapy. While researchers are unable to clarify if the results seen in younger women are due to the direct effect of chemotherapy or through chemotherapy-induced ovarian suppression, the growing evidence from the 2 trials indicates that younger women with high clinical risk and low genomic risk, or with an intermediate RS, may benefit from additional treatment.
The added value of chemotherapy in case of optimal endocrine therapy (i.e. OFS + tamoxifen or aromatase inhibitor) cannot be evaluated in MINDACT nor in TailorX and should be further studied, said the study authors.
Reference
Piccart MJ, Poncet C, Cardoso F, et al. Should age be integrated together with clinical and genomic risk for adjuvant chemotherapy decision in early luminal breast cancer? MINDACT results compared to those of TAILOR-X. Presented at: San Antonio Breast Cancer Symposium; December 10-14, 2019; San Antonio, TX. Abstract GS4-05.
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Disease prediction brought closer by Irish research discovery – The Irish Times
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Predicting a persons likelihood of developing disease, long before signs and symptoms appear, has moved closer following a research discovery by Irish scientists.
A team at Queens University Belfast examined how certain DNA elements work to regulate gene expression within the genome and how this predisposes people to diseases.
They say this information could help predict a persons risk of cancer, diabetes and heart disease, and could lead to earlier diagnosis before signs and symptoms of disease appears. The research has been published in the iScience journal.
Many diseases occur when things go wrong within a cell or set of cells in the body. Previous research has determined that many diseases result from mutations to a part of the DNA strand known as an enhancer.
Enhancers function as a turn on switch in gene expression and activate the promoter region of a particular gene. This means certain genetic traits can be turned on or turned off, which in turn shapes a persons early development and lifetime health including their chance of developing a certain disease.
The researchers discovered that enhancer DNA elements exhibit high propeller twist (ProT) levels, which is the angle of twisting of two neighbouring DNA bases about their long axis, like the propeller blades of an aeroplane.
Because of high ProT levels, the surface of these enhancer sections on the DNA strands become more physically accessible and flexible, thus allowing easier access for proteins that bind to DNA. As a result, they may be more prone to mutagenic agents harming cells and causing cancer and other diseases.
These findings answer many fundamental biological questions around the function of DNA in health and disease, said Dr Vijay Tiwari, reader at Wellcome-Wolfson Institute for Experimental Medicine at Queens and lead author on the paper.
Our study is the first of its kind to provide insight into the role physical DNA features play in proper development of specific cell-types of the body and how their malfunctions may underlie diseases.
The researchers also discovered that as cells become abnormal, they switch to using low ProT regions as enhancer elements. This may help with the development of early diagnosis of diseases.The research was carried out in collaboration with researchers from the Ludwig Maximilian University of Munich in Germany.
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