Today's NYT has a brief interview with the woman who discovered (developed?) gene editing, for which she was awarded a Nobel prize. (The prize named for the discoverer of dynamite.)
https://www.nytimes.com/interactive/2022/08/15/magazine/jennifer-doudna-crispr-interview.html?smid=url-share
Dr Doudna is aware of the potential dangers of the technology, but suggests in the interview that a gradual process of exploration will lead to useful modifications of the genome in plants, animals, and humans. She gives an example of a CRISPR tomato about to be approved in Japan, while ignoring the already intense controversy over GMO by more ordinary techniques. Her views on the potential benefits for food production must be weighed against the trend in for profit companies to manufacture GMO designed for profitability and control of use, as much as for value in production. And the long term health effects of these products remain unclear because there is no requirement for research funding in the 5+ year range (not to mention the 70+ years of a human life). She talks about the potential for modifying disease carrying mosquitoes, and some non-reproducing species are already being released, but these organisms are part of complex food chains with birds and other animals, and prioritizing the danger to humans ignores these other ecological consequences. She suggests the potential benefit for modifying the genes for cardiovascular disease (or cancer?) illustrating the basic problem of medical genetic thinking: There are no (few?) genes for diseases. Viewing them in this way is an artifact of medical research. Evolution selects genes for adaptation, and multiple genes combine to provide adaptive capacity in a given environment. The "negative" health consequences are the result of balanced effects that are positive, and interaction with life behaviors, diet, etc. "Eliminating" specific genes may give one benefit while creating other major problems, like the negative muscle effects of statin drugs in many individuals.
Genetic manipulation by intentional human decision has been occurring for thousands of years in selection of plants, and cross breeding, long before Mendel described the patterns. As the process becomes a more direct modification of specific loci, the need to understand the complex effects becomes more urgent. As the organisms involved have longer lifespans, the accumulated consequences must be studied and understood. In the current climate of financially driven research, this more objective, long term perspective is harder to fund and maintain, with dire consequences. The problem is not CRISPR, the problem is that making ROI (return on investment) the basis for genetic evolutionary modifications is not a good idea.
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