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BANGKOK, Thailand -- Gene editing tools such as CRISPR are helping
	researchers who hope to cure cancer and other problems involving DNA,
	but "making embryos in a dish" is a much easier way to check for
	mutations before implanting an embryo in a mother's uterus, according
	to an American Cancer Society professor.
	
	"Gene editing, or CRISPR, is enormously helpful for us at the research
	level," said Mary-Clare King, American Cancer Society professor of
	Genome Sciences and Medicine at Seattle's University of Washington.
	
	"We work with CRISPR using cells in plates. We alter the cells and we
	see what works, and what doesn't, by way of treating the cells that
	we've altered. I think of it as a research tool," Ms. King said in an
	interview on February 1.
	
	"I don't think of it as a tool that will ever be deployed for actually
	correcting these kinds of cells, because there are a lot of easier
	ways to do it."
	
	Ms. King was visiting Bangkok to receive Thailand's annual Prince
	Mahidol Award along with three other recipients for their work in
	medicine and public health.
	
	She "discovered a gene causing breast cancer, the most common cancer
	among women," the award foundation said.  "In 1991, Prof. King found a
	gene called BRCA1, in which its mutation leads to breast cancer. It
	was demonstrated for the first time that the diseases can be
	inherited."
	
	Some scientists are currently experimenting with CRISPR to change DNA
	in human embryos so newborns would be free of inherited diseases
	passed on from generation to generation via mutations.
	
	In China, a scientist is being investigated for claiming to have
	edited the genes of babies to ensure they are safe from HIV.
	
	Much easier than editing DNA with CRISPR "for breast cancer
	predisposition and for far more serious diseases that can't be
	prevented, is to couple genetic diagnosis -- that is the
	identification of the exact DNA mutations that are responsible for a
	trait -- with pre-gestational diagnosis," Ms. King said.
	
	"This strategy involves taking mother's eggs and father's sperm from
	the biological parents. No surrogates. No editing. No anything. Making
	embryos in a dish. Testing the embryo at the eight-cell stage by
	removing one cell, which is fine, the embryo just grows it back. And
	then checking if that embryo is free of the mutations that are present
	in one, or the other, or both of the parents.
	
	"If that embryo is free of those mutations, we implant it in the
	mother's uterus and she goes on and has a healthy child. That
	strategy, coupled with genetic diagnosis, is enormously powerful. It
	doesn't involve any CRISPR editing," she said.
	
	"There is no danger there for any sort of untoward consequences,
	because you're not doing anything to the cells except checking them.
	You're not doing anything that alters the cells. You're simply being
	sure that you have a healthy embryo.
	
	"No abortion is involved. No termination is involved. No editing is
	involved. So why the hell would anyone edit, when in fact you can do
	this properly with modern technology to find out exactly what's wrong
	and then make sure that the mother will be carrying an embryo that's
	just right," Ms. King said.
	
	National Public Radio reported on February 1 that developmental
	biologist Dieter Egli at Columbia University in New York said he is
	conducting human embryo experiments "for research purposes."
	
	Mr. Egli said he wanted to determine whether CRISPR can safely repair
	mutations in human embryos to prevent genetic diseases from being
	passed down from earlier generations.
	
	"So far, Egli has stopped any modified embryos from developing beyond
	one day, so he can study them," NPR reported.
	
	"Right now we are not trying to make babies. None of these cells will
	go into the womb of a person," Mr. Egli said.
	
	He was studying ways of preventing congenital illnesses such as
	Tay-Sachs, cystic fibrosis, Huntington's disease
	and inherited blindness.
