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Gene Editing Therapy Used to Cure a Rare Disease

Brief Context

In News In a historic medical breakthrough, scientists in the United States have, for the first time, successfully used a personalized CRISPR-based gene-editing therapy to treat a rare genetic disorder Carbamoyl Phosphate Synthetase 1 (CPS1) deficiency in an infant. Applications of Gene Editing Therapy Medicine: Treating genetic disorders like Sickle Cell Anaemia, Beta-Thalassemia, CPS-1 Deficiency. Engineering immune cells (CAR-T therapy) to target cancer Agriculture: Developing disease-resista

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Syllabus: GS3/ Science & Technology

In News

  • In a historic medical breakthrough, scientists in the United States have, for the first time, successfully used a personalized CRISPR-based gene-editing therapy to treat a rare genetic disorder Carbamoyl Phosphate Synthetase 1 (CPS1) deficiency in an infant.
    • CPS-1 Deficiency is a rare genetic metabolic disorder where the liver lacks an enzyme to convert toxic ammonia into urea, which is usually excreted through urine.

What is Gene Editing Therapy?

  • Definition: 
    • Gene editing therapy refers to the deliberate alteration of DNA sequences within the cells of an individual to treat or cure genetic diseases. 
    • It involves modifying, deleting, or inserting specific genes at targeted locations in the genome to correct mutations or enhance cellular functions.
  • Types of Gene Editing Techniques:
    • CRISPR-Cas9: Most widely used tool; cuts DNA at specific sites using guide RNA and Cas9 enzyme
    • Zinc Finger Nucleases (ZFNs): Uses engineered proteins to bind and cut DNA
    • Base Editing: Alters a single nucleotide without breaking DNA strands
    • Prime Editing: Acts like a ‘word processor’ to insert, delete, or replace DNA sequences
  • Mechanism: 
What is Gene Editing Therapy

Applications of Gene Editing Therapy

  • Medicine: Treating genetic disorders like Sickle Cell Anaemia, Beta-Thalassemia, CPS-1 Deficiency.
  • Engineering immune cells (CAR-T therapy) to target cancer
  • Agriculture: Developing disease-resistant, high-yield crops
  • Veterinary Science: Enhancing livestock traits

India’s Progress in Gene Editing

  • CSIR-Institute of Genomics and Integrative Biology (IGIB) is developing indigenous CRISPR platform (IndiCRISPR).
  • The Department of Biotechnology (DBT) is funding genome-editing research under the National Biopharma Mission.
  • Gene Therapy Guidelines (2020): Issued to streamline ethical clinical application.

Challenges 

  • Safety issues: Off-target effects, immune reactions, unintended mutations.
  • Ethical concerns:  Germline editing (heritable changes), designer babies
  • Limited access: High cost, availability limited to developed nations

Source: IE