Health
Mutated DNA Restored to Normal in Gene Therapy Advance
Researchers have corrected a disease-causing gene mutation with a single infusion carrying a treatment that precisely targeted the errant gene.
This was the first time a mutated gene has been restored to normal.
The small study of nine patients announced Monday by the company Beam Therapeutics of Cambridge, Mass., involved fixing a spelling error involving the four base sequences — G, A, C and T — in DNA. The effect was to change an incorrect DNA letter to the right one. The result was a normal gene that functioned as it should, potentially halting liver and lung damage of patients with a rare disorder.
“This is the beginning of a new era of medicine,” said Dr. Kiran Musunuru, a gene therapy researcher at the University of Pennsylvania’s Perelman School of Medicine.
He added that the method offers the hope of treating other genetic diseases precisely by fixing mutations — an alternative to current gene therapies, which either add new genes to compensate for mutated ones, or slicing DNA to silence genes.
Dr. Musunuru is a co-founder and equity holder of Verve Therapeutics, a gene therapy company, and receives funding from Beam Therapeutics for research, but not for this study.
Dr. Richard P. Lifton, president of Rockefeller University and head of its Laboratory of Human Genetics and Genomics, said the sort of gene editing Beam did, rewriting genes with an infusion, “is a holy grail” that “has the promise for being a one-and-done kind of therapy.”
Dr. Lifton is a director of Roche Pharmaceuticals and its subsidiary Genentech.
Despite the study’s small size, he said the results are “a very impressive advance and very promising.”
The study involved patients who have alpha-1 antitrypsin deficiency, or AATD, a genetic disease that affects an estimated 100,000 Americans, mostly of European ancestry. That makes it as common as sickle cell in this country. It is progressive and incurable.
The alpha-1 antitrypsin protein is made in the liver and normally goes to the lungs and protects them from inflammation from inhaled irritants like smoke or dust. But in people with the disease, a single change in a DNA letter in the gene results in a misshapen and nonfunctional protein. The result is often emphysema or chronic obstructive pulmonary disease in unprotected lungs.
But many of the aberrant alpha-1 antitrypsin proteins never get to the lungs and instead build up in patients’ livers, often causing cirrhosis.
The gene editing was simple for patients. They sat in a chair for a couple of hours while lipid nanoparticles, like those used in Covid vaccines, were infused into their blood. The nanoparticles did not hold vaccines, though. Instead, they encased a microscopic gene editor. The lipid casing protected the editor on a journey to the liver.
When the nanoparticles reached the liver, the lipid layer peeled off, releasing the editor — a disabled CRISPR molecule that acted like a GPS for the genome and an enzyme to fix the mutation. The CRISPR molecule crawled along the patient’s DNA until it found the one incorrect letter that needed to be repaired among the three billion DNA letters in the genome. Then the editing enzyme replaced that letter with the correct one.
The study divided the patients into three groups and tested three different doses of the gene editor. Those who got the highest dose made enough normal alpha-1 antitrypsin to be in a range where no more damage should occur. There were no serious side effects, said John Evans, Beam’s chief executive officer.
Beam will now be offering the higher dose to the patients who got the lower doses in the company’s study. Beam will also study the treatment in more patients, and test an even higher dose of its gene editor.
“And then we immediately have to think about how we can get this approved,” Mr. Evans said.
Dr. Noel McElvaney, a professor at the Royal College of Surgeons in Ireland and an investigator in the Beam study, said there’s a real need for an effective treatment to halt the damage done by the mutated gene. He said he sees patients in their 30s and 40s with severe emphysema and “really bad liver disease.” And, he said, “by the time we see them there is already a significant amount of damage.”
For those suffering the worst effects of AATD, he said, the new gene therapy is “a major major breakthrough.”
“The big pro” of the new treatment, he said, is that “it theoretically cures the liver and lung disease in one go.”
Dr. McElvaney added, though, that “like all genetic interventions, we have to follow up for a long time to make sure it’s as good as we think it is.”
But patients now have renewed hope, said Dr. Andrew Wilson, scientific director of the Alpha-1 Foundation, an advocacy group.
“We have been dreaming of gene therapy as a treatment for this disease,” he said.
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Man’s extreme energy drink habit leads to concerning medical discovery, doctors say
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Eight energy drinks per day may lead to serious health consequences, recent research suggests.
A relatively healthy man in his 50s suffered a stroke from the overconsumption of unnamed energy beverages, according to a scientific paper published in the journal BMJ Case Reports by doctors at Nottingham University Hospitals in the U.K.
The unnamed man was described as “normally fit and well,” but was experiencing left-side weakness, numbness and ataxia, also known as poor coordination or unsteady walking.
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When the man sought medical attention, it was confirmed via MRI that he had suffered an ischemic thalamic stroke, the report stated.
The patient’s blood pressure was high upon admission to the hospital, was lowered during treatment and then rose again after discharge, even though he was taking five medications.
The 50-year-old man (not pictured) admitted to drinking eight energy drinks per day. (iStock)
The man revealed that he consumed eight cans of energy drink per day, each containing 160 mg of caffeine. His caffeine consumption had not been recorded upon admission to the hospital.
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Once the man stopped drinking caffeine, his blood pressure normalized, and he was taken off antihypertensive medications.
High caffeine content can raise blood pressure “substantially,” a doctor confirmed. (iStock)
Based on this case, the authors raised the potential risks associated with energy drinks, especially regarding stroke and cardiovascular disease.
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They also highlighted the importance of “targeted questioning in clinical practice and greater public awareness.”
The authors say this case draws attention to the potential dangers of over-consuming energy drinks. (iStock)
Fox News senior medical analyst Dr. Marc Siegel reacted to the case study in an interview with Fox News Digital.
“This case report illustrates the high risk associated with a large volume of energy drink consumption, especially because of the high caffeine content, which can raise your blood pressure substantially,” said Siegel, who was not involved in the study.
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“In this case, the large amount of caffeine appears to have led directly to very high blood pressure and a thalamic stroke, which is likely a result of that soaring blood pressure.”
Fox News Digital reached out to the case study authors and various energy drink brands for comment.
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