A clinical trial of a gene-editing
technique on advanced lung cancer patients in China has aroused world attention
in medical circles.
The potentially revolutionary CRISPR-Cas9
technique allows scientists to selectively edit genome parts and replace them
with new DNA stretches in the hope that certain diseases like cancer could be
cured.
CRISPR, short for clustered regularly
interspaced short palindromic repeats, is a collection of DNA sequences that
direct Cas9 where to cut and paste. Cas9 is an enzyme that can edit DNA,
allowing the alteration of genetic patterns by genome modification.
The trial began in late October as a group
of oncologists at the West China Hospital of Sichuan University started
injecting genetically modified cells into a patient with aggressive lung
cancer.
The editing therapy treatment periods will
last from eight to 13 weeks, while the whole trial could last over a year.
Experts around the globe have been
discussing the pros and cons of the groundbreaking medical technology.
Carl June, a clinical researcher in
immunotherapy at the University of Pennsylvania, told Nature journal that
Chinese scientists' trial is "an exciting step forward."
Naiyer Rizvi, director of Thoracic Oncology
at Columbia University Medical Center, told the same journal that the
technology is incredible.
Antonio Russo, a professor of Medical
Oncology at Palermo University in Italy, is quoted by the journal as saying
that the "exciting strategy" of CRISPR offers a "strong
rationale."
As the United States is also planning on
trials that would also use CRISPR-Cas9 for cancer treatment, experts applauded
China's swift movement and hoped China's research, as well as the healthy
competition worldwide, could improve modern medical science and finally benefit
the patients.
"China places a high priority on biomedical
research," said June. "I think this is going to trigger 'Sputnik
2.0,' a biomedical duel on progress between China and the United States, which
is important since competition usually improves the end product."
The genetic modifying method also received
questions, as many are worried about possible side effects.
In response to such concerns, leader of the
Chinese trial Lu You said in August that the treatment approach would be tested
in the first phase of the trial.
"The top priority is safety. We will
closely monitor the patients," Lu told Xinhua. "The clinical trial is
just the beginning, there are a lot of uncertainties, which will require
further research."
"Should the approach prove safe, we
will consider expanding our research," Lu said, adding that CRISPR-Cas9
technology has the potential to revolutionize the treatment of blood diseases,
tumors and other genetic diseases.
(Source: Xinhua)