Ethics of Genetic Therapies
How do different stakeholders think about gene editing and the potential social and ethical implications?
For many years, scientists have been trying to develop medical treatments that could ‘correct’ genes that led to inherited conditions. In general these are called gene therapies, and more recently they use a new technique called gene editing. These treatments could be used on people of any age (called somatic gene therapy), and also could theoretically be used on eggs/sperm or embryos (called germline gene therapy) or on developing babies during a pregnancy (called prenatal gene editing).
While gene editing is not happening in Switzerland (as of 2023), there are many clinical trial studies happening around the world and several hundred people have had somatic gene editing for a handful of different inherited conditions. While gene therapies and gene editing treatments could be a very exciting way to treat inherited conditions that previously did not have any treatment, or did not have an effective treatment, there are also some social and ethical implications to think about.
Did you receive a letter about our survey?
We sent out a survey to Swiss residents to learn how they think about the social and ethical implications of gene editing.
If you have received a letter, please find information about the survey here: https://bioethics.ethz.ch/research/GeneEditingEthic/Survey.html
There is very little that has been published about how the Swiss population thinks about gene editing for genetic conditions. As such, members of our lab are doing several studies (funded by the Health Ethics and Policy Chair).
Part 1:
Understanding how “Experts” in Switzerland are thinking about gene editing technologies, and how they think the ethical concerns identified in other parts of the world will compare to those voiced in Switzerland. We have interviewed scientists, physicians, lawyers, and bioethicists in Switzerland.
Part 2:
In Fall 2023 we sent out a survey to Swiss residents to learn how they think about the social and ethical implications of gene editing.
If you have received a letter, please find information about the survey here: https://bioethics.ethz.ch/research/GeneEditingEthic/Survey.html
Part 3:
Building on the data collected in parts 1 and 2 of this study, we intend to conduct a Deliberative Democracy event with the Swiss Public in 2024. This will include several days of knowledge transfer and discussion about gene editing, in order to present a summary of attitudes towards gene editing.
If you would like to be considered as a participant for this jury, please complete the information here: https://bioethics.ethz.ch/research/GeneEditingEthic/CitizenJury.html
This international study is led by the Mayo Clinic and University of Miami (external pagehttps://www.pasage-study.org/the-studycall_made). Kelly Ormond serves as a co-investigator.
The PASAGE Study focuses on gene editing technologies to address a range of genetic conditions, from childhood-fatal diseases to conditions that arise in adulthood. The study aims to gather perspectives from patients, families, clinicians, scientists, and policymakers to understand their views, ethical concerns, clinical hopes, and policy needs regarding prenatal gene editing therapies. Key questions revolve around which conditions should be targeted, who should decide, risk/benefit considerations, and ensuring equitable access to therapies.
Want to learn more about attitudes towards gene editing? Here are some links to our prior publications:
- external page call_made KE Ormond and D Mortlock and DT Scholes; Y Bombard, L Brody, WA Faucett, NA Garrison, L Hercher, R Isasi, A Middleton, K Musunuru, D Shriner, A Virani, C Young. (2017) ASHG Policy Statement on Human Germline Genome Editing. Am J Hum Genet. 2017 Aug 3;101(2):167-176
- external page call_made Alysse M, Bombard Y, Isasi R, Michie M, Musunuru K, Ormond KE. (2019) What do we do now?: Responding to claims of germline gene editing in humans. Genet Med. Genet Med. 10):2181-2183. Published online 2019 Mar 27.
- external page call_made Ormond KE, Bombard Y, Bonham VL, Hoffman-Andrews L, Howard H, Isasi R, Musunuru K, Riggan KA, Michie M, Alysse M. (2019) The clinical application of genome editing: ethical and social issues (solicited commentary). Personalized Medicine. 2019 Jul;16(4):337-350. Published online July 23, 2019.
- external page call_made Hoffman-Andrews L, Mazzoni R, Pacione M, Garland-Thomson R, Ormond KE. (2019) Attitudes of people with inherited retinal conditions toward gene editing technology. Molecular Genetics and Genomic Medicine, 7(7):e00803. Published online, 13 June, 2019.
- external page call_made Snure E, Deuitch N, Michie M, Riggan KA, Allyse MA, Ormond KE. (2019) Attitudes Towards Hypothetical Gene Editing Technologies in Parents of People with Autosomal Aneuploidies. Published online October 11, 2019. CRISPR Journal. 2(5):324-330
- external page call_made Armsby AJ, Bombard Y, Garrison NA, Halpern-Felsher BL, Ormond KE. (2019) International Attitudes of Genetics Professionals Toward Human Gene Editing. Published online October 11, 2019. CRISPR Journal 2(5):331-339.
- external page call_made Hollister BM, Gatter MC, Abdallah K, Armsby A, Buscetta AJ, Byeon J, Cooper KE, Desine S, Persaud A, Ormond KE, Bonham VL. (2019) Perspectives of sickle cell disease stakeholders on heritable genome editing. CRISPR Journal. 2019 Dec;2(6):441-449. Published online 2019 Nov 19.
- external page call_made Blasimme, A., Caminiti, D., & Vayena, E. (2020). The Regulation of Human Germline Genome Modification in Switzerland. In A. Boggio, C. Romano, & J. Almqvist (Eds.), Human Germline Genome Modification and the Right to Science: A Comparative Study of National Laws and Policies (pp. 409-438). Cambridge: Cambridge University Press. doi:10.1017/9781108759083.016
- external page call_made Booth A, Bonham V, Porteus M, Ormond KE. (2021) Treatment Decision-Making in Sickle Cell Disease Patients. Published online November 4, 2021. J Community Genetics. 13:143-151. doi: 10.1007/s12687-021-00562-z Correction published Feb 2022:
- external page call_made Elliott KE, Ahlwat N, Beckman ES, Ormond KE. "I wouldn't want anything that would change who he is." The Relationship Between Perception of Identity and Attitudes Towards Hypothetical Gene-Editing in Parents of Children with Autosomal Aneuploidies.” Epub 2022 Aug 26. Social Science in Medicine – Qualitative Research in Health, 2 (2022) 100151
- external page call_made Allyse MA, Meagher K, Michie M, Isasi R, Ormond KE, Bonhomme N, Bombard Y, Musunuru K, Riggan KA, Rubeck S (2023) Translational Justice in Human Gene Editing: Bringing end user engagement and policy together. Open Peer commentary. Am J Bioethics. Published online June 20, 2023
Articles
“How genome editing will change humanity”. Live Interview, Economist Babbage Podcast, March 9, 2023. external pagehttps://www.economist.com/human-genome-editing-podcall_made
“Human gene editing: Promise and Peril”. Live interview, BBC World Service, March 9, 2023. external pagehttps://www.bbc.co.uk/programmes/w3ct36bgcall_made
Presentations
Presentation from the 3rd International Gene Editing Summit (London UK, March 2023) --from approximately 2:38:30 until 2:51:20: external pagehttps://www.youtube.com/watch?v=zZklzrd5seU&list=PLg7f-TkW11iXEvtH5uchUBtF1FRpoVjhU&index=1call_made
In German:
- CRISPR-Cas einfach erklärt | Gentechnik | CrisprCas9 by BIOBYLUKE external pagehttps://www.youtube.com/watch?v=4abtcn2pVzYcall_made
- CRISPR in 4 Minuten erklärt by youknow external pagehttps://www.youtube.com/watch?v=gUa2H8CcUjUcall_made
- CRISPR-Cas9 – Biochemie / Molekularbiologie – AMBOSS Video by AMBOSS DE external pagehttps://www.youtube.com/watch?v=R3WqGir9grQcall_made
- CRISPR-Cas / CRISPR Cas9 [Ein Verfahren des Genom-editing] – [Biologie, Gentechnik, Oberstufe] by TeacherToby external pagehttps://www.youtube.com/watch?v=6Fc4ajA7ft8call_made
In French:
- CRISPR/CAS9 : une méthode révolutionnaire by Inserm external pagehttps://www.youtube.com/watch?v=RplWR12npqMcall_made
- Comment fonctionnent les ciseaux moléculaires ? | Le tour de la question by La Croix external pagehttps://www.youtube.com/watch?v=NBpKWMyWHE4call_made
- Notre génome manipulé ? La révolution Crispr expliquée by Le Monde external pagehttps://www.youtube.com/watch?v=4MiN_QNXS78&t=33scall_made
- CRISPR Cas9 : Définitions, Principe et Applications | PRIX NOBEL DE CHIMIE 2020 by Biochimie Facile external pagehttps://www.youtube.com/watch?v=lW64Y18tbUQcall_made
In English:
- Genome Editing with CRISPR-Cas9 by McGovern Institute external pagehttps://www.youtube.com/watch?v=2pp17E4E-O8call_made
- How CRISPR lets you edit DNA – Andrea M. Henle by TED-Ed external pagehttps://www.youtube.com/watch?v=6tw_JVz_IEccall_made
- What is gene editing and how does it work? | The Royal Society by The Royal Society external pagehttps://www.youtube.com/watch?v=XPDb8tqgfjYcall_made
- Gene Editing by ASGCT external pagehttps://www.youtube.com/watch?v=i_1kLfK1cP0call_made
- The Wellcome trust: external pagehttps://wellcome.org/news/what-genome-editing-and-how-does-it-workcall_made
- The Australian Academy of Sciences: external pagehttps://www.science.org.au/curious/crisprcall_made
Reports on genome editing from international and non-governmental agencies:
- European Commission and Directorate-General for Research and Innovation, EGE Opinion on the Ethics of Genome Editing (2021) external pagehttps://op.europa.eu/publication/manifestation_identifier/PUB_KI0121062ENNcall_made
- World Health Organization, Human Genome Editing: A Framework for Governance (World Health Organization, 2021) external pagehttps://apps.who.int/iris/handle/10665/342484call_made
- Nuffield Council on Bioethics: external pagehttps://www.nuffieldbioethics.org/publications/genome-editing-and-human-reproductioncall_made
- US National Academies of Sciences, Engineering and Medicine: external pagehttps://www.nap.edu/catalog/25665/heritable-human-genome-editingcall_made