Monday, 25 January 2016

Human Genetic Engineering


The Threat of Human Genetic Engineering


The genetic makeup of an individual plays a major role in influencing their health, as well as in their physical traits and behaviour. Scientists are just beginning to use technology to uncover the genomic contributions to different physical traits, and as they do so, they are discovering a variety of other potential applications for this technology. Ongoing advances make it likely that genetic technology will not only allow mankind to turn the tide on disease, but will grant the power to engineer specific attributes into humans. My concern is the ethics of this situation, because once we begin to consciously design ourselves, we will have entered a new era where humans, rather than being accepted as they are, will become another object shaped according to society’s preferability.

Human genetic engineering, or HGE, is “a process by which scientists and medical professionals alter the genetic makeup, or DNA, in a living human cell” (Clapper). Originally, the purpose of HGE was to cure and help end the spread of disease, for the overall goal of creating a healthier society (Lombardo). The human body is made up of genes (as pictured above), segments of DNA that code for particular traits; characteristics that can be anything from hair and eye colour, to intelligence or athleticism, to whether or not an individual will have Alzheimer’s when they are older (Dulson et al, p 682). However, because the human genome is so complex, there are often mistakes made in the structure of DNA, resulting in mutations. Mutations are permanent changes in the DNA that cause genetic disorders such as cancer, diabetes, Down Syndrome, colour blindness, and the list goes on (Dulson et al, 684). Scientists have developed a technology known as gene therapy, first used in 1990, which corrects mutated genes in body cells by replacing them with a normal copy (“Gene Therapy”). This kind of engineering only affects the existing patient and their current condition. However, another procedure known as germline engineering affects the patient as well as their offspring. It “targets the genes found in eggs, sperm, or embryos in very early stages of development” meaning that “the genetic modifications that take place affect every cell created afterwards in the developing embryo’s body” (Clapper). This is largely where the controversy begins. The modifications made to the patient are passed onto all future generations of the individual, thus giving the ability to change the conditions a child is born with. Although germline engineering is still extremely new and is prohibited or discouraged in about 40 countries, scientists now hold to power to cure the sick before they are even born (Green)!

At first glance, HGE seems to have revolutionary benefits to society; including sustaining, improving, and giving life. Nevertheless, there is no shortage of concerns when investigating potential consequences of HGE. First and foremost, the reproductive side of this technology is still widely in its infancy and there is a lack of long term data, so outcomes are largely unpredictable (King). One safety concern often raised involves the fact that most genes have more than one effect or purpose. For example, “in the late 1900’s, scientists discovered a gene that is linked to memory. Modifying this gene in mice greatly improved learning and memory, but it also cause increased sensitivity to pain” which is clearly not a desired trait (Simmons). This leads to much uncertainty in the chance that altering genes for a specific trait in designer children could flip on or off another characteristic. For instance, in 2003 two children developed leukemia not long after undergoing gene therapy, alluding that the altering of genes activated the gene that causes leukemia (Dulson et al). Therefore, due to the vast complexity of the human genome, there is the danger that HGE results in accidental mutations; hurting rather than helping the health of mankind.

As you might imagine, there are also many ethical concerns with HGE. Mainly, once this technology is available, it’s just not possible to ensure that it will be used purely for medicinal purposes, and not for esthetics. If professionals can alter the unborn to be free of mental and physical disease, who says they can’t alter them to be very intelligent, athletic, or tall? This is the issue of eugenics, “the deliberate attempt to improve the human race through artificial genetic selection or selective breeding” (Clapper). In other words, eugenics is the social philosophy of trying to create a “perfect” humanity by selecting the desired traits of the next generation. “Today, many people fear the preimplantation diagnosis,” or test-tube babies, “may be perfected and could technically be applied to select specific non disease traits” rather than for medical purposes, as it is currently used for (Simmons). In the media, this is referred to as “designer babies.” As previously mentioned, the technology used for designer babies is either widely discouraged or banned in most places, and is not yet administered for widespread availability. Nonetheless, it is a delicate discussion in terms of morals and predicting the influence this technology could have on our future.

Parents who select their children to possess certain desired traits might also hold a vision of a “perfect child” creating tyrannical expectations for them (Lombardo). Many question the naturality of this situation and ask, “are we playing God?” or messing with “Mother Nature” (King)? Additionally, all humans are different in their own way and have a distinctiveness that makes each one unique. By designing future humans, are we stripping mankind of all natural individuality? How ethical is this?

Using HGE to create designer babies also puts forth the possibility of discrimination. Primarily, it is not feasible for everyone to have access to the expensive technology that makes up HGE, creating social justice issues, and a possible prejudice between those who are designer (the rich) and those who are not (the poor). Another concern posed is if we design our children to make sure they aren’t born with a mental disorder, such as Autism or Down Syndrome, are we discriminating against people with mental disabilities by suggesting it would be better if they did not exist or that they are not equal to others?

Additionally, it is likely that the technology of designer babies would “encourage sex discrimination and lead to gender imbalance, as it has in China and India” to predominantly patriarchal societies (“Gender Selection of Babies”). This ties back to the concern of HGE posing as a threat to the continuity of the human race. In many countries around the world, male dominance is widely accepted. This sets the concerning possibility of taking advantage of HGE to select the sex of future generations. For example,
“in [the] countries [of China and India], the cultural preference for boys is strong, and parents often determine the gender of their children through ultrasound and then abort the fetus if it is a girl. Although the Chinese and Indian governments have outlawed the practice, it has already affected the ratio of men to women” (“Gender Selection of Babies”).
Imagine if the public of these countries legally had access to HGE technology; the female population is likely to plummet, even more so than it is currently (as depicted in the images below). Not only is this an ethical dilemma, but it serves as an actual danger to the survival of humans, as at this point in time, both sexes are needed to sustain the human population.
Additionally, moving away from solely gender discrimination, designer babies also risk human survivability due to the lack of diversity. Genetic diversity is “the genetic variability among organisms” (Dulson et al, 682). It is measured by genetic uniqueness, “which diminishes in a population when the number of different phenotypes [physical traits] or the number of different combinations of genotypes [genetic makeups of individuals] decrease” (Wolfe). The problem with designer babies is that certain traits will be selected for (such as blond hair, attentiveness, etc.), which the majority of the population will then end up possessing, causing the same types of genes to be flick on or off for everyone; thus losing genetic diversity. The issue with this is that “genetic diversity has a direct relation to the fitness and survivability of various species and population; as genetic diversity decreases within a population, so does the fitness and survivability of that population” (Wolfe). So, if the majority of humans have the same genotypes/phenotypes, as selected for through designer babies, everyone becomes more susceptible to the same disease, making it a possibility for one bacterium to wipe out an entire population.
While the technology used for HGE may be new, the concept of modifying organisms, whether it involves humans or not, and the debate that comes with, is far from being modern. Ever since first farmers “some 10,000 years ago began to domesticate wild species by selecting seeds of wild plants for cultivation” to form early staple foods, or “selectively breed wild animals” to create species such as the dog or mule, we have been altering the course of nature (“A History of Genetic”). Our desire to design better humans is also old. “In Plato’s Republic, Socrates [pictured above and to the left] calls for a state-run program to get the best citizens to mate” so that the population could be improved. “By the 19th century, the ideology of eugenics [...] had taken such a hold that countries were passing laws for such programs. Before World War Two, 30 states in the US had passed some form of eugenics laws that mandated sexual sterilization of those deemed unfit (typically the mentally ill)” (Rathi). Throughout the past 200 years, genetic pioneers such as Charles Darwin, Gregor Mendel (as picture above and to the right), Friedrich Miescher, James Watson, and Francis Crick, made breakthroughs in knowledge and technology that shaped the principles of genetic engineering. However, it isn’t until the 70’s that genetic engineering is technologically practiced for the first time. In 1978, the first “test-tube” baby was born, and the first mammals were germline engineered. The first gene therapy trials on humans occurred in 1990 (“A Brief History of Genetics”). Dolly the sheep, (as pictured below), the first cloned mammal, was born in 1996. 
In 2001, the UK passed a regulation to allow the cloning of human embryos for the purpose of disease research (“A Brief History of Genetics”). The first genetically-selected baby “was created in the  US in 2000” to “save [a couple’s] sick child” by picking an embryo with an exact cell match to their daughter who had a genetic disorder (“Designer Babies”). When their designed baby was born, they used the stem cells in the umbilical cord to replace the ones in their daughter’s bone marrow to cure her. In 2003, the Human Genome Project completely sequenced the human genome, mapping over 30,000 genes to better understand genomic roles. Note how rapidly the field of genetics has been growing over the last 30 years. Recently, humanity seems to be pushing more and more boundaries when it comes to revolutionizing the healthcare sector. Knowing that there is such rapid expansion in technology, as well as the history of society’s ability to test the limits of nature, I believe that there is a high chance HGE will continue to expand, and eventually become a very mainstream and dominant topic.
In essence, HGE is a powerful technology that, depending on where the line is drawn, will heavily influence the direction of our society for better or worse. There are clear benefits to this technology, but also countless safety and ethical concerns. Of course HGE is unnatural, but so are organ transplants, prosthetic limbs, and injectable insulin. If humanity was happy “with the way nature and circumstance” damaged the human body, “we would have never invented medicine” (Saulter). Looking back in history, the concept of altering living beings seems to be a consistently present theme. With the way technology continues to advance further and further, it is likely that the field of HGE will only grow. Therefore, in order to steer society away from a dangerous path, it is very important that we, as the general public, discuss this issue as much as possible. By taking the matter into our own hands, weighing the pros and cons, and generally becoming educated on the issue, we can see if this is really something humanity should, or should not, be getting into. After all, if we were not stopped from continually advancing in the past, what will stop us now?

Resources
“A Brief History of Genetic Modification.” gmeducation.org. N.p., July 2012. Web. 21 Jan. 2016. <http://www.gmeducation.org/faqs/p149248-20brief%20history%20of%20genetic%20modification.html>.
Clapper, Rayshell. “Human Genetic Engineering: A Very Brief Introduction.” redOrbit.com. N.p., 9 Apr. 2013. Web. 20 Jan. 2016. <http://beforeitsnews.com/science-and-technology/2013/04/human-genetic-engineering-a-very-brief-introduction-2572398.html>.
“Designer Babies.” Designer Babies. Weebly, n.d. Web. 24 Jan. 2016. <http://mcsdesignbaby.weebly.com/backround-info.html>.
Designer Babies Barcode Image. Drakalogia. N.p., n.d. Web. 25 Jan. 2016. <https://drakalogia.wikispaces.com/PERIOD+1+DESIGNER+BABIES>.
DNA. WordPress.com. N.p., n.d. Web. 24 Jan. 2016. <https://abieleanor.files.wordpress.com/2013/11/dna-image.gif>.
“Dolly and Bonny.” The Roslin Institute. U of Edinburg, n.d. Web. 25 Jan. 2016. <http://www.roslin.ed.ac.uk/public-interest/dolly-the-sheep/a-life-of-dolly/>.
Dulson, Jacqueline, et al. Biology 11. Toronto: Nelson Education, 2011. Print.
“Gender Ratio at Birth in China (1970-2014).” China Daily. N.p., n.d. Web. 24 Jan. 2016. <http://www.chinadaily.com.cn/china/2015-09/17/content_21901190.htm>.
“Gender Selection of Babies.” Gender Selection of Babies. N.p., n.d. Web. 24 Jan. 2016. <http://staff.esuhsd.org/danielle/english%20department%20lvillage/CAHSEE%20English/Gender%20Selection%20Of%20Babies.pdf>.
“Gene Therapy.” National Institutes of Health. N.p., n.d. Web. 22 Jan. 2016. <https://history.nih.gov/exhibits/genetics/sect4.htm>.
Genetic Engineering cartoon. The American Society of Mechanical Engineers. N.p., Aug. 2015. Web. 25 Jan. 2016. <https://www.asme.org/engineering-topics/articles/bioengineering/genomics-and-human-genetic-engineering>.
Green, Hank, dir. The Science behind “Genetically Modified Humans.” By SciShow. YouTube. N.p., 20 Mar. 2015. Web. 24 Jan. 2016. <https://www.youtube.com/watch?v=mAmHoCbhyaw>.
“Gregor Mendelality.” Wikipedia. N.p., n.d. Web. 25 Jan. 2016. <https://en.wikipedia.org/wiki/Gregor_Mendel#/media/File:Gregor_Mendel_oval.jpg>.
“A History of Genetic Engineering.” sciencegroup.org.uk. N.p., 23 Apr. 2005. Web. 21 Jan. 2016. <http://www.sciencegroup.org.uk/ifgene/history.htm>.
King, David. “The Threat of Human Genetic Engineering.” Human Genetics Alert. N.p., n.d. Web. 24 Jan. 2016. <http://www.hgalert.org/topics/hge/threat.htm>.
Lombardo, Crystal. “Five Key Pros and Cons of Human Genetic Engineering.” nlcatp.com. N.p., 18 Feb. 2015. Web. 21 Jan. 2016. <http://nlcatp.org/5-key-pros-and-cons-of-human-genetic-engineering/>.
Rathi, Akshat. “2015 Was the Year It Became OK to Genetically Engineer Babies.” Quartz. N.p., 22 Dec. 2015. Web. 25 Jan. 2016. <http://qz.com/574731/2015-was-the-year-when-we-decided-it-was-ok-to-genetically-engineer-human-babies/>.
Saulter, Stephanie. “Trusting the Future? Ethics of Human Genetic Modification.” Live Science. N.p., 6 May 2014. Web. 24 Jan. 2016. <http://www.livescience.com/45392-ethics-of-altering-human-genetics.html>.
Simmons, Danielle. “Genetic Inequality: Human Genetic Engineering.” Scitable. Nature Education, 2008. Web. 24 Jan. 2016. <http://www.nature.com/scitable/topicpage/genetic-inequality-human-genetic-engineering-768>.
Statue of Socrates, Greek Philosopher. Encyclopaedia Britannica. N.p., n.d. Web. 25 Jan. 2016. <http://www.britannica.com/biography/Socrates>.
Wolfe, Christian. “Human Genetic Diversity.” Ohio University. N.p., 27 July 2009. Web. 24 Jan. 2016. <https://www.ohio.edu/ethics/2003-conferences/human-genetic-diversity-and-the-threat-to-the-survivability-of-human-populations/>.
“Women on the streets fight for their rights.” Discrimination against Women in India. Weebly, n.d. Web. 24 Jan. 2016. <http://a-aim-discrimination-against-women-in-india.weebly.com/pictures.html>.


9 comments:

  1. I agree with genetic engineering but only in the application of curing debilitation diseases like Alzheimer's and other similar genetic diseases or in the curing of cancer. However, I strongly disagree with the idea of ‘designer babies’ and tailoring a child to fit your wishes. As you mentioned, this mimics the selective abortion of girls in place where they are undesirable, though I had not thought about the survival of the human race as a factor in this. Designing a baby to fit what you believe is the ‘ideal’ is abhorrent. You went on the state that we are “discriminating against people with mental disabilities by suggesting it would be better if they did not exist or that they are not equal to others” if we try to alter the genes of someone with Down Syndrome or Autism. I had not considered this point. While I agree that these genetic mutations are not going to harm people, what about mental disorders that do? While many schizophrenics live normal healthy lives, there is no telling the struggles they will face or how the disorder will develop. Some forms of the disorder lead to the person harming themselves or others, without even knowing. Other disorders like psychopathy, in which the brain function is actually different to ours, is caused by genetics. Would it not be better to have a disorder linked to many deaths and murders eradicated? I thought your blog was very well written and it definitely made me more aware of the issue as I had not considered it previous to reading your blog.

    ReplyDelete
  2. Genetic engineering truly is a booming topic, whether it be human, plant, or animal. I do agree that uncontrolled advances in HGE implementation into society will definitely “creat[e] social justice issues, and a possible prejudice between those who are designer (the rich) and those who are not (the poor).” Equality in our society has been slow coming but is moving steadily towards the goal of enabling anyone to thrive, no matter the background, sexuality, or genetic makeup. Of course, there is still a lot of work to do, but would you say that HGE could set back humanity’s progress?
    I also agree that HGE could drastically decrease our diversity, as you say, “[C]ertain traits will be selected for (such as blond hair, attentiveness, etc.), which the majority of the population will then end up possessing, causing the same types of genes to be flick on or off for everyone; thus losing genetic diversity.” People are already bombarded with what the perfect human should be, so the ability to create traits from birth would put the situation into an extreme.
    The question is, should governments be acting now or is it too premature? As you said, germline engineering is prohibited, but there are many diseases that may cause a child to survive but not live a life worth living, or take away someone's chance at living to their full potential, like ALS. Is it worth the family's stress and money to give everything they got in return for just waiting for their loved one to die? So, if germline engineering was allowed to prevent such situations, could it be regulated and encompass restrictions to prevent it from getting out of control?
    As well, such research is giving way to new methods of curing diseases, such as cancer. For example, making personalized medication or having the ability to make early detections through genetic screening. With the coordination of scientists and governments, I believe it possible to allow the research and control the implementation of the discoveries, would you agree?
    Finally, you say, "[I]n order to steer society away from a dangerous path, it is very important that we, as the general public, discuss this issue as much as possible," but this topic is so controversial could we even come to a general consensus? Would a vote be appropriate? I just worry if talking about HGE is truly enough. Is it a better option to just assume the worst and demand actions that will prevent it from happening before it is too late?

    ReplyDelete
  3. I really enjoyed your blog and the information you were sharing in it. I do agree that there are pros and cons to altering genetics and that there has to be a line drawn of how far it goes. Although, with all of the pros and cons of the issue being brought up, it would have been nice to hear your opinion on the topic. Where do you think the line should be drawn for the accessibility of this process and do you believe people will abide by the laws and restrictions that are put in place? No matter what laws are put in place there will always be people pushing to get rid of them or people bending or not following the law all together. Something similar to this could be illegal plastic surgery, either the surgery is too dangerous or costs too much money there are always not qualified doctors willing to take the risk and do the procedure. Even though this is illegal and very dangerous there are always ways of getting things done. A similar thing may occur to genetic altering even though it is much more complicated.

    ReplyDelete
  4. I really enjoyed your blog and the information you were sharing in it. I do agree that there are pros and cons to altering genetics and that there has to be a line drawn of how far it goes. Although, with all of the pros and cons of the issue being brought up, it would have been nice to hear your opinion on the topic. Where do you think the line should be drawn for the accessibility of this process and do you believe people will abide by the laws and restrictions that are put in place? No matter what laws are put in place there will always be people pushing to get rid of them or people bending or not following the law all together. Something similar to this could be illegal plastic surgery, either the surgery is too dangerous or costs too much money there are always not qualified doctors willing to take the risk and do the procedure. Even though this is illegal and very dangerous there are always ways of getting things done. A similar thing may occur to genetic altering even though it is much more complicated.

    ReplyDelete
  5. This comment has been removed by the author.

    ReplyDelete
  6. Sarah, I really enjoyed reading this blog post as I think this is an issue that needs to be addressed more often. I can understand how human genetic engineering (HGE) can be an amazing leap in the scientific field for many, but I disagree as I think the negatives outweigh the positives in multiple ways. As you clearly already outlined in your post, HGE will create a division between social classes, as you said “using HGE to create designer babies also puts forth the possibility of discrimination”. Only the “rich” or “well off” will be able to afford this luxury of having society's views of a “perfect baby”, creating a flawless generation with an advantage over others not able to afford this. Whether it be through physical attractiveness, intelligence, or even fitness, this opens the door wide open to the issue of inequity. Some more issues to consider are:

    1. What if the results do not work out as planned, or even worse what if health concerns occur due to HGE? As you stated in the blog, “there is the danger that HGE results in accidental mutations; hurting rather than helping the health of mankind”, and in knowing this, is this really worth trying? With the chance of mutations, the future of humanity could eventually wipe itself out.

    2. What will happen to the babies that don’t turn out perfect? Even if the babies are considered to be “designer”, a baby can’t be compared to a pair of designer shoes that you can return at the store if you didn't end up liking it.

    3. Most importantly, where does the freewill choice of the baby have a say in this? I mean not only will individuality as well uniqueness be lost and superficiality take place instead, but the joy of creating a child with characteristics from the birth parents will also be lost too. These issues are only the beginning of the many negatives that HGE can bring.

    As a christian I believe that every life is precious and is a gift from God, whether the baby turns out “perfect” or not. Messing with this gift can lead to dire consequences for humanity itself in the future. Sarah, based on the progresses of major advances in technology in today's world, how long do you think it we be before HGE will become a common practice in the developed world? Following this, when will it become provided globally?

    ReplyDelete
    Replies
    1. I love the analogy of the designer shoes you can't return.

      Delete
  7. I am intrigued by this topic. I think the question of when to use the science available to humanity is an important one - one I tried to get the class to think about when we did our science & technology unit and we talked about the Manhattan project.
    When you wrote: "If professionals can alter the unborn to be free of mental and physical disease, who says they can’t alter them to be very intelligent, athletic, or tall? This is the issue of eugenics, ..." I was reminded that I did my 4th year senior seminar paper on Eugenics in the 1880s-1900s. In that case the issue wasn't about modifying genes (obviously) but about sterilizing the 'feeble minded'. It makes me feel a little optimistic that just as people came to their senses about playing God then, people may still figure it out today. It is a slippery slope though? ie: You modify for these diseases, but not in these cases. Where do you draw the line? For example, there are many people in the deaf community that don't think being deaf is something that should be cured. Is it that the west or scientists put our own privilege ideas as the best way?

    ReplyDelete
  8. OK, so I obviously posted that before I finished reading.
    Great job of explaining the current issue, and putting it in context of the historical issues and questions.

    ReplyDelete