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New Research Indicates the Need for Diabetes Continuous Glucose Monitoring to Address Health Disparities – PR Newswire

Posted: June 24, 2024 at 2:39 am

Findings Highlight the Impact of Insurance Barriers on Managed Diabetes Care for Diverse Populations Living with Type 1 Diabetes

ORLANDO, Fla., June 21, 2024 /PRNewswire/ -- Results from a new study show the impact and importance of continuous glucose monitoring (CGM) that young individuals with diabetes face today. The findings were presented as a Late-Breaking Poster at the 84th Scientific Sessions of the American Diabetes Association (ADA) in Orlando, FL.

Health disparities is a growing concern that significantly impacts diabetes. In nearly all states, those who identify as Black and Native American are more likely than those who identify as Asian American, Hispanic/Latino, and White to die from complications of diabetes. Over half of Hispanic/Latino adults are predicted to develop type 2 diabetes during their lives.

"People with type 1 diabetes are at a heightened risk for health complications as they age. They all deserve access to care and treatment, no matter their no matter their race, income, ZIP Code, age, education, or gender," said Robert Gabbay, MD, PhD, ADA chief scientific and medical officer. "The findings from the studies presented at this year's Scientific Sessions are encouraging, as we strive to develop innovative, evidence-based solutions to support a diverse population of people living with diabetes and maintain their care."

The use of CGM reduces HbA1c and is recommended by the American Diabetes Association within 12 months of a type 1 diabetes diagnosis. This study examines the impact of insurance, race, and ethnicity on the timing of CGM initiation in children with type 1 diabetes and compares glycemic control between those who start CGM within six months of diagnosis versus later.

Children up to age 21 diagnosed with T1D at UCSF Benioff Children's Hospitals between February 2015 and September 2021 (n = 270) were grouped by CGM initiation time. Insurance, race, and ethnicity were analyzed using one-way ANOVA (Kruskal-Wallis H-test) to determine if samples originated from the same distribution. T-tests and Wilcoxon tests compared early and late CGM initiation. Data normality was assessed with QQ plots and density plots.

Results showed that on average publicly insured children started CGM within six months, while privately insured children started CGM within two months. Similar delays were observed for children from historically marginalized racial or ethnic groups compared to White, non-Latinx children. The average HbA1c was 7.5% for children who started CGM within six months of diagnosis, compared to 8.4% for those who started later. Barriers to CGM initiation contribute to less optimal glycemic control for publicly insured and racially and ethnically minoritized children, increasing the risk of complications. Addressing these disparities could improve early blood sugar control and health outcomes.

"Our results highlight the marked difference in HbA1c in children that receive CGM early on," said Mette K Borbjerg, lead author from the Steno Diabetes Center North Denmark and Division of Pediatric Endocrinology, University of California San Francisco. Dr. Borbjerg's co-authors include Annika Kvist (Steno Diabetes Center North Denmark), Kala Mehta (Department of Epidemiology, University of California San Francisco), Niels Ejskjaer (Steno Diabetes Center North Denmark and Department of Internal Medicine and Endocrinology, Aalborg University Hospital), and senior author Jenise Wong (Division of Pediatric Endocrinology, University of California San Francisco)."Ensuring timely CGM access for all children is essential to reduce complication risks.This highlights the need for practices and policies to address barriers to CGM initiation and healthcare access."

Future research should focus on understanding the specific barriers preventing timely CGM initiation. A follow-up study assessing long-term health care outcomes in children with early vs late CGM initiation could provide evidence to advocate for policy changes.

Research presentation details:

Dr. Borbjerg will present the findings at the following Late- Breaking poster session:

About the ADA's Scientific SessionsThe ADA's 84th Scientific Sessions, the world's largest scientific meeting focused on diabetes research, prevention, and care, will be held in Orlando, FL on June 21-24. More than 11,000 leading physicians, scientists, and health care professionals from around the world are expected to convene both in person and virtually to unveil cutting-edge research, treatment recommendations, and advances toward a cure for diabetes. Attendees will receive exclusive access to thousands of original research presentations and take part in provocative and engaging exchanges with leading diabetes experts. Join the Scientific Sessions conversation on social media using #ADAScientificSessions.

About the American Diabetes AssociationThe American Diabetes Association (ADA) is the nation's leading voluntary health organization fighting to bend the curve on the diabetes epidemic and help people living with diabetes thrive. For 83 years, the ADA has driven discovery and research to treat, manage, and prevent diabetes while working relentlessly for a cure. Through advocacy, program development, and education we aim to improve the quality of life for the over 136 million Americans living with diabetes or prediabetes. Diabetes has brought us together. What we do next will make us Connected for Life. To learn more or to get involved, visit us atdiabetes.orgor call 1-800-DIABETES (1-800-342-2383). Join the fight with us on Facebook (American Diabetes Association), Spanish Facebook (Asociacin Americana de la Diabetes), LinkedIn (American Diabetes Association), Twitter (@AmDiabetesAssn), and Instagram (@AmDiabetesAssn).

CONTACT: Amy Robinson [emailprotected]

SOURCE American Diabetes Association

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CGM Use in Hospitals Helps Patients and Nurses – diaTribe Foundation

Posted: June 24, 2024 at 2:39 am

People with diabetes who are hospitalized often face challenges if they use continuous glucose monitoring. Hospital staff may not be familiar with different CGM devices, or may not know how to use them for insulin dosing. And while CGM use in a hospital setting isn't currently approved by the FDA, new research shows that patients benefit from using their own devices, which could be influential in moving away from finger sticks as the standard.

Researchers from Stanford Health Care developed a hospital-wide plan for CGM use for insulin dosing, in a study in 2022 to 2023. The results showed CGM use was effective for patients, with 87.7% success meeting the accuracy criteria for insulin dosing. About 1,500 CGM readings from 135 patients using their personal CGM were validated using a finger stick test. Study results were presented at the 2024 American Diabetes Association Scientific Sessions in Orlando.

Dr. Susan Seav, an endocrinology fellow at Stanford Medicine, and the other researchers in the study developed a chart that nurses could use for making dosing decisions for the majority of hospital patients they treated, who were using Dexcom and Libre sensors.

"We think that the creation and implementation of an inpatient CGM protocol with real-time device accuracy monitoring is feasible and allows for insulin dosing based on personal CGM data," Seav said. "By sharing our experience and our data, we really hope to establish CGM use as part of the standard of care when appropriate. And we also want to encourage and empower other institutions to adopt similar protocols."

The study also found that a large majority of nurses 80% preferred CGM use to finger sticks. And most nurses found inpatient CGM use effective, easy to use, and efficient.

"The ADA has said people should, if at all possible, be allowed to continue to use their CGM right in the hospital," said Dr. Nicholas Argento, diabetes technology director at Maryland Endocrine and Diabetes, who attended a presentation of the study but was not involved in it. "But hospitals need to have a protocol in order to allow this. In this study, the accuracy was excellent."

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Postdoc to investigate molecular mechanisms in the field immune-rejuvenation for drug discovery job with Sentcell LTD … – Nature.com

Posted: June 24, 2024 at 2:37 am

In the compelling and unstoppable research in favor of cellular rejuvenation, Sentcell LTD is looking for PhD or Postdoc Researchers to investigate molecular mechanisms and innovative therapies at basis of T cell and systemic rejuvenation. The studies will be held at our new laboratory located at the Toscana Life Sciences, within the GSK Campus, in Siena, Italy.

Expertises required will span across:

a) Flow cytometry b) In vivo studies c) Immunoblotting/Immunoprecipitation d) Elisa assays e) PCR f) Primary culturesBioinformatic skills are strongly appreciated (docking predictions).

The ideal candidate will possess: Degree in Biology, or Biotechnology, or Medicine or other Biological Sciences Completed or about to complete PhD in Cellular/Molecular Biology or Molecular Medicine or Immunology Excellent level of spoken and written English Team working skills

The candidate, preferably with work experience abroad, will have in depth understanding in the field of Immunology and/or Biochemistry with particular regard to signal transduction.

The candidate(s) will be offered: A competitive three-year contract commensurate to track record Excellent career progression prospects with important salary adjustments and bonuses Opportunities for professional growth of the highest level

Sentcell LTD was founded by Prof. Dr Alessio Lanna in the UK back in 2019, and has rapidly been recognised at the top of all biotech companies operating in the country.

Sentcell first of its kind work started from the understanding that T lymphocytes, particularly CD4+ cells, are at the pinnacle of the aging process in all organs. Despite so, no T cell rejuvenation therapies presently exist and Sentcell is committed to fill in the gap.We were the first to discover the "sMAC" macromolecular complex, responsible for the cellular aging program of T lymphocytes (Lanna et al., Nature Immunology, 2014 and Lanna et al., Nature Immunology 2017), and a new anti-aging mechanism based on transfer of telomeres in vesicles between immune cells (Lanna et al., Nature Cell Biology, 2022).

On this basis, we introduced the "DOS", which- to date- represents the first drug in the world capable of reversing T cell aging resulting in immune remodelling as well systemic rejuvenation as a whole, via both sMAC disruption and telomere transfer induction (Lanna et al., under consideration) In the near future, these T cell rejuvenating approaches will span to fight variety of diseases across the organism.

A first in human clinical trial of DOS will be held in the UK in 2025; as such candidates will be exposed to an extraordinary work flow spanning from target identification to drug discovery and in human medical translation to treat human diseases.

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Dr. Chari Extends Her Integrative Medical Solutions to Sarasota – SRQ Daily Jun 24, 2024 – SRQ Magazine

Posted: June 24, 2024 at 2:37 am

Business

SRQ DAILY MONDAY BUSINESS EDITION

MONDAY JUN 24, 2024 |

BY ELIANA BURNS

Pictured: Dr. Roopa Chari (left) pictured next to her brother and associate, Deepak Chari (right). Photo courtesy of Dr. Roopa Chari, M.D.

Dr. Roopa Charis heart has always been in finding natural solutions for the ailments that plague the population such as fatigue, weight, inflammation, cholesterol, and other pesky health issues theyd rather not take table-sized tablets to treat.

For Dr. Chari, her zeal for integrative medicine has been lifelong, and endowed to her by her mother. She is my inspiration. Since I was young, she would bring in healers from India and other countries who talked about mind, body, medicine, spirituality, and nutrition. My mother always told me that if I went into medicine, I could be the bridge between both worlds.

A medical doctor who specializes in internal medicine, Dr. Chari, pursued her residency at North Shore University in Chicago, in affiliation with the North Shore University Health System.

There, she was able to mentor under naturopathic doctors to master her passion for helping others address their issues with advanced, natural approaches. In 1997, Dr. Chari moved to San Diego with her family before opening the Chari Center of Health. Together with her brother, Deepak Chari, an engineer and advanced voice biofeedback specialist, the Chari siblings fulfill both physical and emotional aspects of modern natural healing.

In May of 2022, following their beloved mothers passing, Dr. Chari and her brother moved to Bradenton to be closer to family. It was divine guidance, Dr. Chari says.

The Chari Center of Health opened in Sarasota in January 2023. With decades of experience in holistic medical practices, they pride themselves on their comprehensive, cost-friendly lab work. Following the lab work, Dr. Chari then creates a functional medicine report. In traditional labs, they say from one extreme to the other is normal, Says Dr. Chari, In functional medicine, we say theres a very narrow range of normal. That way Im able to go line by line with my patients as I explain the significance, meaning, and effect of their lab work. Dr. Chari has also created a treatment program based on her patients blood work. After a comprehensive intake questionnaire, Dr. Chari confirms the information with the patient, before arranging for the bloodwork. With the report, Dr. Chari can give recommendations that are tailored to the patients unique history and lab work; thereby addressing any issues the patient might have and reversing them.

I remember this mother, who was struggling to take care of herself because she had a son who needed a lot of help due to his autism. When she came in to see me, I was able to catch a lot of things like cholesterol, inflammation, weight, and blood sugar issues she had, says Dr. Chari, reflecting on one of her fondest success stories, If we hadnt addressed that, it could have been significant. What did happen, though, is that she lost weight, and her friends told her that she looked 30 years younger. She had so much energy, and she was able to take care of her family more by taking care of herself. Dr. Chari also notes the Chari Center of Health has the tools to prevent insomnia and treat medication-less diabetes and high cholesterol.

In all, Says Dr. Chari, our long-term goal is to help and connect with this beautiful community. We absolutely love Sarasota. We feel its heaven on earth.

Chari Center of Health - 11161 E. State Rd 70 Ste 110 Lakewood Ranch - (941) 413-1077 - http://www.charicenter.com.

Pictured: Dr. Roopa Chari (left) pictured next to her brother and associate, Deepak Chari (right). Photo courtesy of Dr. Roopa Chari, M.D.

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Dr. Chari Extends Her Integrative Medical Solutions to Sarasota - SRQ Daily Jun 24, 2024 - SRQ Magazine

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Experts: Don’t believe everyone who is hawking stem cells – Omaha World-Herald

Posted: June 24, 2024 at 2:37 am

The mailings promised Life Without Pain! via stem cell injections or IVs administered in a patients own home. The allure was obvious: more than 20% of U.S. adults suffer from chronic pain.

A court exhibit from a lawsuit filed by Iowa Attorney General Brenna Bird is seen on a laptop computer May 8 in Urbandale, Iowa.

The flyers invited Iowans to free dinners across the state. Afterward, sales people traveled to potential customers homes for high-pressure pitches disguised as pre-screenings, according to prosecutors. More than 250 people signed up, paying $3,200 to $20,000 each for a total of $1.5 million. For this, a nurse practitioner came to their homes to administer injections and IVs filled with stem cells derived from umbilical cords.

Yet experts and regulators have alternately labeled such treatments as ripoffs, scams or simply unproven. In some cases, studies have documented real harm.

Last fall, Iowas attorney general sued two proprietors responsible for the mailings in her state, naming a Minnesota man who hosts a Christian entrepreneurship podcast and his Florida business partner for allegedly deceiving consumers, many of them elderly.

In bringing the lawsuit, Iowa joined attorneys general in New York, North Dakota, Georgia, Nebraska, Arkansas and Washington state who have sued businesses alleging they fraudulently promoted unproven stem cell treatments.

Stem cells have long fascinated researchers because of their ability to reproduce and, in some cases, transform into other cell types. Because of this, they are thought to hold the potential for treating many diseases and injuries.

But the FDA has approved only a handful of such therapies, and only for certain forms of blood cancer and immune system disorders. Stem cells are considered experimental for most uses, despite being marketed as a treatment for everything from autism and emphysema to sports injuries.

The FDA has repeatedly warned Americans to be wary of businesses hawking unapproved, unproven and costly stem cell therapies, which occasionally have caused blindness, bacterial infections and tumors.

In a 2020 notice, the agency expressed concern about patients being misled about products that are illegally marketed, have not been shown to be safe or effective, and, in some cases, may have significant safety issues.

Dr. Jeffrey Goldberg, chair of ophthalmology at the Byers Eye Institute at Stanford University, whose work has documented vision loss in some patients treated with cells removed from patients' own bodies, processed and reinjected, lamented that people are "desperately willing to shell out large sums of money for unproven and in some cases, explicitly sort of sham, so-called therapeutics.

Since August 2017, the FDA has issued about 30 warning letters regarding the unproven treatments.

Experts, including Dr. Paul Knoepfler, a stem cell researcher at the University of California at Davis, and Leigh Turner, a bioethicist at the University of California, Irvine, are among those who have raised alarm that such federal action is too little to regulate a U.S. industry which Turner estimated in 2021 topped 2,700 clinics.

Because states can seek substantial fines against wayward operators, Turner said their legal actions offer promise.

"If you look at them collectively, they might over time start to have an impact, he said.

The FDA offers training to attorneys general pursuing such cases. Dr. Peter Marks, director of the FDAs Center for Biologics Evaluation and Research, said federal regulators partner with state law enforcers in a shared mission.

Iowa Attorney General Brenna Bird speaks during a town hall campaign event for Republican presidential candidate Nikki Haley on May 17, 2023, in Ankeny, Iowa.

That puts people like Iowa Attorney General Brenna Bird on the front lines.

Last year, Bird brought the case over mailers offering Iowans a pain-free life, naming the now dissolved Biologics Health and Summit Partners Group, which operated under the name Summit Health Centers, as defendants. The state also sued the companies' proprietors: Rylee Meek, of Prior Lake, Minnesota, and Scott Thomas, of Thonotosassa, Florida.

Neither man claims to have any medical training. Yet over a series of free dinners across Iowa, attendees listened to their presentations about how stem cells could ostensibly repair damage linked to back or joint pain. The claims came despite an FDA warning that no such product has been approved to treat any orthopedic condition.

One testimonial featured a woman quoted as saying she had multiple sclerosis, fibromyalgia, degenerative joint problems and scoliosis. It implied the treatment worked so well she was able to stop using a walker and taking opioids. Prosecutors say that left people believing stem cells are effective at treating all the conditions listed.

The company offered packages ranging from 5 million cells to up to 60 million to fix customers' ailments. Iowas lawsuit described the practices as scattershot, for-profit experimentations.

Research has shown dead cells are often injected, Knoepfler said.

The Iowa case is still in the discovery stage, with the trial set for March 2025.

Meek and Thomas did not return multiple text and email messages from The Associated Press. Nor did their attorney, Nathan Russell, though he did rebut many of the allegations in court filings, including that the promotional information was deceptive or misleading. The filing stressed that Meek and Thomas always emphasized they were not doctors.

Instead, Meek promoted himself as the $100 million man and touted his business prowess on his Kings Council podcast. His and Thomas book, Intentional Influence in Sales: The Power of Persuasion with Neuro-linguistic Programming, is described as a way to get people to think the way you want them to think, without them even realizing it.

Nearly a quarter of Americans struggle with symptoms of depression, according to the latest Centers for Disease Control and Prevention data from an October 2023 survey. That number is down from 2020 to 2021, when the COVID-19 pandemic exacerbated mental health conditions for millions of Americans.

Like other forms of mental illness, depression impacts groups of people differently depending on their unique backgrounds and experiences. While depression is among the most common forms of mental illness, some portions of the U.S. are seeing rates of depression fall faster than others.

Northwell Health partnered with Stacker to look at which groups of people are the most likely to feel depressed, using data from the CDC.

Signs someone may have depression include an inability to focus, thoughts of death or suicide, hopelessness, and low self-worth, as well as changes in appetite and sleep patterns, according to the World Health Organization.

Depression can be transitorybrought on by the loss of a loved one or other difficult life eventsor chronic, such as for those who live with bipolar disorder. The latest data on depression rates suggest some of the uptick in depression during COVID-19 may have been more of the former.

Depression has lingered at elevated levels for some communities, including young people and those who identify as part of the LGBTQ+ community.

Americans ages 18 to 29 years old report the highest levels of depression, with those 30 to 49 years old showing the next highest levels, according to the CDC. Rates of depression taper off even more as Americans clear the age of 60.

Higher reported rates of depression in young people could partially be attributed to the way each generation views mental illness. Members of Gen Z, those born between 1997 and 2012, have been more open to talking about mental illness and seeking therapy, for example, than older generations who came of age at a time when mental health disorders were heavily stigmatized in media and popular culture.

Surveys have found that discrimination is often cited as a significant source of stress; Black and Hispanic adults, specifically, report higher levels of stress from discrimination compared to their white peers.

When it comes to depression rates, a similar trend appears. Hispanic, multiracial, and Black Americans report elevated rates of depression compared to white Americans, according to the latest survey data the CDC collected in late 2023.

Furthermore, LGBTQ+ Americans have reported higher levels of stress and mental illness compared to straight, cisgender people. Transgender individuals are also more than six times as likely to attempt suicide, according to a Swedish study published in The American Journal of Psychiatryone of the only studies to compile such data for an entire country over a 10-year period.

The current rates of depression among more vulnerable groups are particularly concerning at a time when mental health professionals are struggling to meet a higher demand for mental health care services.

Story editing byShannon Luders-Manuel. Copy editing by Tim Bruns.

This story originally appeared on Northwell Health and was produced and distributed in partnership with Stacker Studio.

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Reproductive Ethics, Genetic Engineering, and the Common Good – Word on Fire

Posted: June 24, 2024 at 2:37 am

Home Articles Reproductive Ethics, Genetic Engineering, and the Common Good

In November 2018, media outlets around the globe were abuzz with the news of the birth of twin girls with modified genes designed to make them immune to HIV. This groundbreaking and controversial experiment was conducted by He Jiankui, a Chinese biophysicist, who used CRISPR technology to disable the CCR5 gene, enabling HIV infection. However, He Jiankuis work, which aimed to immunize babies against HIV, was shrouded in controversy due to its ethical and legal implications. Chinese regulations prohibit research on human embryos beyond the fourteenth day of existence and their subsequent implantation into a uterus. Moreover, the scientific community was concerned about the potential unintended consequences, as the CCR5 gene is also associated with significant brain functions. This experiment might not only have prevented HIV but also inadvertently enhanced the intelligence and memory of the twin girls.

This event sparked intense debate over using CRISPR-Cas9, the latest gene-editing technology. Genetic engineering is not a new field; arguments for and against it have been made for years, and various regulations have attempted to provide legal and ethical frameworks, albeit incomplete and often controversial. However, CRISPR-Cas9 has revolutionized genetic engineering, potentially transforming public perception and ethical considerations surrounding gene editing.

The Canadian philosopher and Jesuit Bernard Lonergan offers a compelling interpretive framework for examining the epistemological and ethical dimensions of reproductive choices. His Critical Realism emphasizes the interplay between knowing and being, guiding us beyond individual interests toward a vision that values the collective welfare of humanity.

Lonergans seminal works, Insight and Method in Theology, provide a layered conception of goodfrom an elemental notion linked to desires objectives to the intrinsic Good of Value, fully comprehensible only within the context of moral conversion. This nuanced understanding is particularly relevant for todays debates on reproductive ethics, encouraging us to make decisions that harmonize technological potential with broader human well-being.

In Insight, Lonergan explores the nature of human understanding and how we come to know and discern truth. He introduces the idea of the good in a foundational sense, linked to the immediate objectives of our desires (i.e., particular goods). This basic level of good is what people seek instinctively, driven by their immediate needs and wants. However, Lonergan does not stop at this elemental notion.

In Method in Theology, he deepens this exploration by distinguishing between different levels of good:

1. Particular Goods (those of desire): This is the most basic level, where good is perceived as satisfying individual desires and needs. Its an immediate and often self-centered understanding of good.

2. The Good of Order: This level involves understanding good within the context of social structures and relationships. It recognizes that individual goods are interconnected and that a well-ordered society is necessary for individuals to flourish. Here, good transcends personal satisfaction and includes the well-being of the community.

3. The Good of Value: This is the highest level of good, which can only be fully comprehended through moral conversiona profound transformation of ones values and priorities. At this level, good is understood as that which genuinely enhances human dignity and promotes the common good. It involves a self-transcending love and commitment to what is genuinely worthwhile, beyond mere personal or immediate gain.

This more nuanced understanding of good is particularly relevant for todays debates on reproductive ethics. Modern technologies, such as CRISPR and other genetic modifications, offer unprecedented potential to alter human biology. However, decisions regarding their use should not be driven solely by the basic good of satisfying individual desires (such as selecting for desired traits) or even the societal good of preventing diseases. Instead, they should be guided by the higher good of value, which considers the broader implications for human dignity and the common good.

Notwithstanding, these advancements in reproductive technologies have, in some contexts, normalized the transition from a natural birth to a chosen birth. However, this heightened agency brings with it significant ethical considerations. The concept of the best baby, which includes not only rectifying genetic anomalies but also enhancing specific traits, raises fundamental questions about our understanding of human nature and the potential societal implications.

For instance, preferences for specific traits may vary widely across cultures, societies, and individuals, potentially leading to new forms of inequality and discrimination. Lonergans philosophy urges us to transcend individualistic aspirations and consider the collective impact of these choices on society.

Lonergans insights into the Common Good offer a comprehensive perspective that transcends individual welfare. He emphasizes a societal dimension where each individuals good contributes to and is enriched by the well-being of all. His philosophical constructs urge us to move beyond mere individualism and consider the collective welfare of humanity, particularly in the context of reproductive technologies.

This conception of the Good is multi-layered, encompassing different aspects of human desire and ethical reasoning. He differentiates between the Good of Order, which refers to the structured coordination of human actions toward common goals, and the Good of Value, understood within the context of moral conversion and deeper ethical commitment. This layered understanding is particularly relevant for todays debates on genetic modifications and reproductive choices.

Individual decisions regarding reproductive technologies have far-reaching implications. While promising to eliminate certain hereditary diseases or enhance specific traits, genetic modifications pose significant ethical challenges. How might these choices impact the human gene pool over generations? What are the potential ecological and biodiversity consequences of narrowing genetic variability?

Appropriating this framework helps us understand that modifying genes in human embryos can have long-term consequences on the human gene pool. By selectively enhancing or disabling certain traits, we risk creating new forms of inequality and potentially reducing genetic diversity, which is crucial for the resilience of our species. Decisions made today could set precedents that influence the genetic makeup of future generations, possibly leading to unintended health and societal issues.

The ecological implications of genetic modifications extend beyond humans. For instance, altering human genes might inadvertently affect our interaction with the environment and other species. Lonergans emphasis on the interconnectedness of all aspects of existence urges us to consider these broader ecological impacts. Narrowing genetic variability could reduce our ability to adapt to environmental changes, thereby impacting not just individual health but the sustainability of ecosystems.

If we adopt a critical realist approach, however, we can navigate these challenges with a focus on collective human flourishing. Lonergans philosophical approach advocates for informed and responsible decision-making processes that consider immediate benefits and long-term consequences. This perspective encourages us to look beyond individual desires and assess how our choices contribute to the Common Good, ultimately promoting a balanced approach that harmonizes technological potential with ethical integrity and communal well-being.

Fostering interdisciplinary dialogue and community engagement is essential to addressing these ethical considerations. Policymakers, medical professionals, and potential parents must collaborate to ensure that a commitment to the Common Good guides genetic interventions. This involves creating platforms for public discourse, ethical review boards, and comprehensive educational programs that integrate scientific knowledge with philosophical, theological, and ethical insights. By doing so, we can ensure that our advancements in reproductive technologies align with a vision of human flourishing that respects both individual rights and collective responsibilities.

Implementing policies and practices that reflect Lonergans ethical principles is essential to aligning reproductive technologies with the common good. This involves creating frameworks encouraging reflection, dialogue, and responsible decision-making across various sectors.

Policymakers play a crucial role in shaping the ethical landscape of reproductive technologies. To foster a community-centric approach, it is essential to establish policies that encourage dialogue and reflection on genetic choices. One effective measure could be the formation of Genetic Ethics Committees at both local and national levels. These committees would serve as forums for public discourse, bringing together diverse perspectives from ethicists, scientists, religious leaders, and laypersons. For example, town-hall-style meetings focused on emerging genetic technologies can provide a platform for citizens to voice concerns, hear expert opinions, and collaboratively shape policy directions.

Additionally, public funding should prioritize treatments that address life-threatening genetic disorders over aesthetic enhancements. Countries like Sweden have already taken steps in this direction, ensuring that public resources are channeled towards creating a healthier society rather than catering to superficial desires. Implementing policies that emphasize the Common Good can help prevent the commodification of human life and ensure that advancements in genetic technologies benefit society as a whole.

Within the context of Catholic doctrine, it is essential to emphasize the sanctity and dignity of human life from conception to natural death.

Concerning medical professionals, they are at the forefront of implementing and advising on reproductive technologies. To facilitate informed decision-making processes for potential parents, healthcare providers must ensure that individuals understand the broader implications of their choices. This can be achieved through in-depth, multi-session consultations beyond detailing medical procedures, including discussions on societal and ethical impacts. For instance, genetic counselors in Iceland have pioneered such comprehensive consultation models, enabling parents to make well-rounded decisions.

Introducing ethical case reviews in hospitals can also ensure that decisions are introspective and ethically sound. Regular interdisciplinary meetings involving sociologists, ethicists, and geneticists can help medical professionals stay informed about the societal impacts of genetic choices. These practices foster a holistic approach to patient care, ensuring that individual decisions align with the broader ethical framework that respects the Good of Order and the Good of Value.

Parents play a pivotal role in shaping the future through their reproductive choices. Within the context of Catholic doctrine, it is essential to emphasize the sanctity and dignity of human life from conception to natural death. Parents should be encouraged to reflect deeply on their motivations for considering any genetic interventions, ensuring that their decisions uphold the inherent worth of every human being as created in the image of God. Rather than focusing on selecting specific genetic traits, parents should consider the broader ethical implications and the potential societal impacts of their choices. Participation in church-led educational programs and ethical discussions can provide valuable guidance. These programs, facilitated by trained professionals and aligned with Church teachings, can help parents understand the moral dimensions of their decisions, encouraging them to act in ways that respect the sanctity of life and promote the Common Good.

Moreover, parents must recognize that every choice they make is part of a larger societal fabric. Understanding the long-term impacts on community values and human diversity can help ensure that their decisions contribute positively to the Common Good. Engaging in community dialogues within their parish or diocese can help parents consider how their choices might shape future generations and societal norms, always grounded in a respect for life and the teachings of the Church.

By grounding reproductive choices in Lonergans ethical framework and the Catholic tradition in which his approach was developed and emerged, we can navigate the complex landscape of genetic technologies, focusing on collective human flourishing without defaulting to reductionistic narratives and sterile utilitarian calculus. Policymakers, medical professionals, Church leaders, and parents all have roles to play in this endeavor. Encouraging policies that foster dialogue, provide comprehensive and ethical guidance, and promote introspective decision-making processes are essential steps in aligning reproductive technologies with the Common Good, something that sorely needs a recovery. This approach ensures that advancements in genetic engineering benefit individuals and contribute to societys holistic well-being, reflecting the multi-dimensional intricacies of human existence that Lonergan so profoundly emphasized.

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Chinese scientists find plant breeding loophole that could reshape food security – South China Morning Post

Posted: June 24, 2024 at 2:37 am

Efforts to breed for ideal genes that can be detrimental to their plants have been limited by the classical principles of Mendelian inheritance and Darwinian natural selection, the team from the Chinese Academy of Sciences and Peking University said in their paper.

07:58

Why is the Chinese government so concerned about food security?

Why is the Chinese government so concerned about food security?

Mendelian inheritance is a principle that describes how genetic traits are passed from one generation to another, and states that the two alleles contained within a single gene each have a 50 per cent chance of passing on to offspring through reproduction.

Synthetic gene drives, inspired by natural selfish genetic elements and transmitted to progeny at super-Mendelian (greater than 50 per cent) frequencies, present transformative potential for disseminating traits that benefit humans throughout wild populations, even facing potential fitness costs, the team said.

A gene drive is a genetic engineering technique that allows genes to be modified in a way that discourages them from following the usual rules of heredity, thereby increasing the likelihood that a particular suite of genes will be passed onto the next generation and spread through a population.

The synthetic toxin in this case, a guide RNA Cas9 cassette was used to disrupt the No Pollen Germination 1 (NPG1) gene limiting pollen germination. A CRISPR-resistant antidote copy of NPG1 is then used to rescue pollen cells that carry the desired gene drive.

A red fluorescent seed marker was added to CAIN to track the progress of the gene drive.

CAIN transmission rates greatly exceeded the expected Mendelian inheritance of 50 per cent in heterozygous male parents, reaching 88 to 99 per cent within two successive generations, the team wrote.

We established CAIN as a state-of-the-art tool to efficiently modify entire plant populations.

01:54

CRISPR/Cas9: a gene-editing tool with promise and peril

CRISPR/Cas9: a gene-editing tool with promise and peril

CAIN has advantages over other gene drive systems, which can develop a higher amount of resistance alleles that limit their efficacy. Compared to other systems, the team said they also chose to target the male germline over the female germline, since toxin-antidote gene drives targeting the female germline can compromise fertility and limit efficiency.

CAIN could be used in a variety of plants, as NPG1 is conserved across many species. One potential use of the system would be to target herbicide resistant genes in weeds to help reduce the need for excessive herbicide spraying, according to the researchers.

This gene drive-based approach thus seeks to balance crop protection and environmental considerations to minimise the loss of biodiversity while optimising productivity, the researchers wrote.

The team acknowledged that even if gene drive technologies are biosafe and self-containment strategies are implemented, the strategies may not be feasible in cases of intentional misuse of gene drive technology, targeting domestic crops or wild plants.

One method to safeguard against misuse could be the intentional creation and if necessary, release of suppressor lines. Editing the native NPG1 allele to resist Cas9 cleavage is a particularly straightforward and efficient method, the team said.

As we venture into this new frontier in genetic engineering, [CAIN] and other gene drive systems could reshape ecological management and agricultural practices.

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Chinese scientists find plant breeding loophole that could reshape food security - South China Morning Post

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Study shows the more you know about GMOs, the more you accept them as safe – EurekAlert

Posted: June 24, 2024 at 2:37 am

By John Lovett

University of Arkansas System Division of Agriculture

Arkansas Agricultural Experiment Station

FAYETTEVILLE, Ark. The more that people know about gene editing, the more likely they are to feel it is safe to use in agriculture and medicine, according to a survey of more than 4,500 people across the United States.

While there is a technical difference between gene editing and genetic modification, also known as transgenics, people often lump the two biotechnologies together as genetic engineering. Gene editing does not introduce new biology to a genotype like gene modification.

Brandon McFadden, Tyson Endowed Chair in Food Policy Economics for the Arkansas Agricultural Experiment Station, was the lead author of a peer-reviewed study to find out more about the opinions of consumers in the United States on the safety of gene editing in agricultural and medical fields. The research, which analyzed surveys taken in 2021 and 2022, was published in Frontiers in Bioengineering and Biotechnology this year.

People who have heard or read a lot about gene editing generally have a favorable opinion about using it for agricultural or medical purposes, McFadden said. So, people who are less familiar with gene editing are likelier to think it is unsafe.

The study, McFadden noted, showed that people who are not as familiar with gene editing are more likely to think it is unsafe, and they require more evidence to change their minds. That evidence could come from either more studies or time without a negative outcome. The surveys showed that, on average, people with a negative opinion of gene editings safety need around 100 studies, or 20 years, to improve their opinion about the safety of gene editing.

However, McFadden noted that many people may never change their minds about the safety of gene editing. More than 10 percent of respondents stated that no amount of research or time without an adverse outcome would improve their opinion about the safety of gene editing for agriculture and medical products.

McFadden and his co-authors began the study at the University of Florida, and it was funded by the U.S. Department of Agricultures National Institute of Food and Agriculture through its Biotechnology Risk Assessment Research Grants program.

Co-authors included Kathryn A. Stofer and Kevin M. Folta with the University of Florida Institute of Food and Agricultural Sciences, and Joy N. Rumble, now with The Ohio State University.

Stofer, research associate professor in the agricultural education and communication department for UF/IFAS, said the results were enlightening on multiple levels and opens more avenues of research.

The study sets us up to test explicit messages about the number of studies or years of research on this technology that might help alleviate concerns about safety and support the benefits, Stofer said.

Folta, UF/IFAS professor in the horticultural sciences department, said better perceptions of gene editing are associated with awareness of biotechnology.

That means scientists need to be engaging in conversations about the successes, like how sickle cell disease may be curable in the next few years, Folta said. We used to think that providing more evidence didnt change opinions, but this work shows maybe we can change public perception if we effectively share the good things we can do with gene editing.

Gene editing is the process of precisely changing or deleting a few letters of DNA, the researchers explained in the study. This is different from genetic modification, also known as transgenics, which introduces new biology to a genome.

Both gene editing and gene modification are used in agriculture to develop plant varieties that are more drought tolerant and disease resistant in less time than traditional breeding techniques. The study notes that a lack of proactive public dialogue surrounding the primary introduction of genetically modified organisms did irreparable damage to the emerging scientific field of genetic engineering, and that the continued expansion of gene editing in the agricultural and medical fields has led many to call for broad public dialogue about the technology.

Gene editing in the medical field is also known as gene therapy and aims to treat and cure disease or make the body better able to fight disease. According to the Mayo Clinic, gene therapy holds promise as a treatment for a wide range of diseases, such as cancer, cystic fibrosis, heart disease, diabetes, hemophilia and AIDS. Research cited in the McFadden study showed that public opinion on gene editing in the medical field was more supportive for therapeutic uses than aversion for non-disease uses that are cosmetic.

Data were collected during two time periods using surveys distributed online by Qualtrics to samples of U.S. adults. The Institutional Review Board at the University of Delaware approved both surveys. Collecting data from two samples allowed researchers to examine the stability of results across groups of respondents and time.

Recent research on public opinion toward the use of biotechnology in agriculture has focused on differences in opinions between the use of gene editing and genetic modification. McFadden noted that studies published in 2019 and 2020 concluded that the public generally supports gene editing in agriculture more than genetic modification. However, the objective of the new study was to explore U.S. public opinion about gene editing in the agricultural and medical fields. Another goal of the study was to provide more insight into the relationship between opinions about the safety of gene editing and the potential impact to improve opinions about safety.

Public acceptance seems to be associated with whether the gene editing is done for medical or agricultural purposes. The study noted that when participants in U.S. focus groups were asked what they thought about when hearing the words gene editing, the medical field was discussed more frequently and extensively than agriculture.

Researchers pointed out that in 2018 there was an announcement of gene-edited twins in China that increased public awareness of medical applications. Public aversion to the use of related biotechnology in agriculture has also been well-documented, McFadden added, despite support from the scientific community. For example, he pointed to a 2014 Pew Research survey of U.S. adults and researchers affiliated with the American Association for the Advancement of Science estimating that 88% of its members agreed that genetically modified foods were safe to consume compared to only 37% of adults.

Results from the study indicate that people in the U.S. who are familiar with gene editing, or do not hold a negative opinion about safety, required less evidence to improve opinions about the safety of gene editing. On average, respondents in both samples were more familiar with gene editing in agriculture and more likely to have a positive opinion about its use in agriculture than for medical purposes.

When we have a negative opinion about something, we should maybe ask ourselves what would cause us to change our minds, McFadden said.

To learn more about Division of Agriculture research, visit the Arkansas Agricultural Experiment Station website:https://aaes.uada.edu. Follow on Twitter at @ArkAgResearch. To learn more about the Division of Agriculture, visithttps://uada.edu/.Follow us on Twitter at@AgInArk. To learn about extension programs in Arkansas, contact your local Cooperative Extension Service agent or visitwww.uaex.uada.edu.

The University of Arkansas System Division of Agricultures mission is to strengthen agriculture, communities, and families by connecting trusted research to the adoption of best practices. Through the Agricultural Experiment Station and the Cooperative Extension Service, the Division of Agriculture conducts research and extension work within the nations historic land grant education system.

The Division of Agriculture is one of 20 entities within the University of Arkansas System. It has offices in all 75 counties in Arkansas and faculty on five system campuses.

The University of Arkansas System Division of Agriculture offers all its Extension and Research programs and services without regard to race, color, sex, gender identity, sexual orientation, national origin, religion, age, disability, marital or veteran status, genetic information, or any other legally protected status, and is an Affirmative Action/Equal Opportunity Employer.

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Study shows the more you know about GMOs, the more you accept them as safe - EurekAlert

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Genome Editing Market Size to Reach USD 40.48 Billion by 2033 – BioSpace

Posted: June 24, 2024 at 2:37 am

According to latest report, the global genome editing market size was USD 8.45 billion in 2023, calculated at USD 9.88 billion in 2024, and is expected to reach around USD 40.48 billion by 2033, expanding at a CAGR of 16.96% from 2024 to 2033, North America dominated the market with the largest revenue share of 49% in 2023.

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Gene editing technologies, such as CRISPR-Cas9, TALENs, ZFNs, and meganucleases, represent pivotal advancements enabling scientists to enhance the characteristics of organisms ranging from plants to animals and bacteria. These technologies function akin to molecular scissors, precisely cutting DNA at targeted locations and facilitating the removal, addition, or replacement of specific DNA sequences. By altering DNA, scientists can modify physical traits like eye color and mitigate disease risks, thereby expanding the applications of genome editing across various sectors. The continuous development and application of these technologies are pivotal in driving growth within the genome editing market, fostering innovation and broader adoption across scientific and industrial domains.

Genome editing using clustered regularly interspaced short palindromic repeats (CRISPR) has revolutionized the ability to precisely and efficiently modify DNA within cells. This technique involves the Cas9 protein, guided by RNA, targeting specific DNA sequences and inducing cuts at precise locations marked by protospacer adjacent motif (PAM) sequences. These cuts enable scientists to disable or alter DNA sequences, facilitating precise modifications such as edits to genetic sequences or adding/removing sections of DNA.

Genome editing holds immense potential to transform cellular and organismal characteristics, offering applications across various fields including agriculture, medicine, and biotechnology. The continuous advancement and adoption of CRISPR-based technologies are key drivers propelling rapid growth within the genome editing market, fueling innovation and expanding possibilities for genetic manipulation and therapeutic applications.

Key Takeaways:

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U.S. Genome Editing Market Size and Growth

The U.S. genome editing market size was valued at USD 4.14 billion in 2024 and is projected to surpass around USD 16.49 billion by 2033, registering a CAGR of 16.6% over the forecast period of 2024 to 2033.

North America has emerged as a dominant force in the genome editing market, driven by strong public support and significant scientific advancements in CRISPR technology. Americans are increasingly receptive to gene editing techniques for therapeutic applications, particularly in treating heritable blood disorders like sickle cell anemia, as evidenced by promising clinical trial outcomes. This optimism, public opinion reflects a nuanced perspective on the ethical implications of gene editing for disease prevention in babies. A majority believes that widespread adoption of gene editing could lead to societal pressures for parents to utilize these technologies to mitigate disease risks in offspring. This regional landscape underscores North America's pivotal role in shaping the future of genome editing through technological innovation and evolving public discourse on ethical considerations.

Asia Pacific is anticipated to witness the fastest growth at a CAGR of 18.75% from 2024 to 2033, driven by significant opportunities in crop improvement and agricultural innovation. With more than half of the world's population residing in the region, there is a pressing need for sustainable agricultural practices to ensure food security. Genome editing technologies offer a promising solution by enabling precise modifications to crop genomes, enhancing traits such as yield, disease resistance, and nutritional content. Countries in Asia Pacific, including India, are keenly adopting genome editing to tailor agricultural products to meet specific demands.

Institutions like the National Agri-Food Biotechnology Institute (NABI) are pioneering efforts in applying genome editing tools to a wide range of crops such as banana, rice, wheat, tomato, and millet. This proactive approach positions Asia Pacific as a hub for innovation in agricultural biotechnology, fostering partnerships and research collaborations aimed at harnessing the full potential of genome editing to address regional food challenges and promote sustainable agriculture.

U.S. Genome Editing Market Trends

The presence of robust research infrastructure, a rise in genetically modified crops, and an increase in the prevalence of genetic diseases are some of the major factors boosting the U.S. genome editing markets growth. Moreover, in the U.S., genetic diseases such as cystic fibrosis are prevalent. On the other hand, a rise in the number of patent approvals for U.S.-based companies has also accelerated the adoption of genome editing tools in the country, leading to positive market growth. Further, with increased government funding and support for scientific R&D, the U.S. held the largest market share for genome editing technology in North America.

Europe Genome Editing Market Trends

The genome editing market in Europe was identified as lucrative. This is attributed to the adoption of new rules related to genome editing by European countries creating an opportunity for the market.

The UK genome editing market presents several potential opportunities that favor an increase in the usage of advanced genome editing tools. Numerous efforts undertaken by UK-based genome editing companies and funding initiatives supported by private & public entities drive the UK markets growth. In September 2021, the UKS Department for Environment, Food and Rural Affairs (Defra) declared that by the end of 2021, researchers who wanted to conduct field trials of gene-edited plants will no longer be required to submit risk assessments.

The genome editing market in France growth is driven by the rising prevalence of hereditary diseases, such as hemophilia and metabolic disorders. To cure such disorders, several researchers are using genome editing technologies. Furthermore, France is undertaking several efforts to drive innovation in plant genetics, thereby boosting market growth in the country. Some of the 28 leading private and public research organizations involved in plant breeding, plant science, and connected technologies formed the Plant Alliance.

The Germany genome editing market generated significant revenue in Europe in 2023, which can be attributed to the presence of developed global companies, such as Merck KGaA & QIAGEN, which offer genome editing and related products. The collaboration and partnership models among key players strengthen their market presence in the country as well as at a global level, hence, driving the revenue in the country.

Asia Pacific Genome Editing Market Trends

Asia Pacific is anticipated to witness the fastest growth at a CAGR of 18.75% from 2024 to 2033. The regional market growth is expected to be driven by the increasing demand for gene editing technologies and the rising prevalence of genetic disorders and diseases across countries like India and Australia. Moreover, the domestic companies providing gene editing products and services are attracting investments and funding. For instance, in April 2021, GenScript launched Research-Grade Lentiviral Vector Packaging Service for drug discovery, cell line development, and gene editing.

The China genome editing market is growth is driven by the local presence of key market players, such as GenScript. The company is taking initiatives to promote genome engineering services such as CRISPR services and gene services. The China market for genome editing is ready for growth due to the Chinese government's increasing focus on precision medicine and the presence of major players such as BGI, and Hebei Senlang Biotechnology.

The genome editing market in Japan is characterized by an increasing number of Japanese companies that are acquiring licenses to the CRISPR-Cas9 technology, potentially driving market growth. In addition, an increasing prevalence of genetic diseases and diabetics coupled with growing genomic research initiatives is expected to drive the market in Japan. In Japan, around 13.5% of the total population either has type 2 diabetes or impaired glucose tolerance.

The India genome editing market is expected grow in the near future. India possesses a high growth potential due to the high competency and intense demand for genome editing technology to improve agriculture productivity suitably. In the country, the Department of Biotechnologys (DBT) National Agri-Food Biotechnology Institute is utilizing CRISPR genome editing technology to modify bananas. Moreover, ongoing research projects related to CRISPR/Cas9 by Indian researchers and scientists are expected to drive the market growth.

Middle East And Africa Genome Editing Market Trends

The genome editing market in Middle East and Africa is projected to grow in the forthcoming years. The increasing applications of biotechnology in healthcare are contributing to the expansion of the market in this region.

The Saudi Arabia genome editing market is characterized by several ongoing research projects related to CRISPR genome editing technology which are expected to boost the market growth over the forecast period. The rising adoption of CRISPR technology for enhancing the immune system of plants is expected to drive market growth in the coming years.

The genome editing market in Kuwait is expected to witness rapid growth in the coming decade due to the increasing investment in scientific R&D, both by the government and private sector, which drives innovation in genetic technologies. This investment creates opportunities to develop new and improved genome editing tools and techniques.

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Market Dynamics

Driver

Versatile Genome-Editing Technologies

The emergence of highly versatile genome-editing technologies, such as CRISPR-Cas9, TALENs, ZFNs, and engineered Cas9 nickases, has revolutionized the ability to make precise, sequence-specific modifications in a wide range of cell types and organisms economically and swiftly. Recent advancements, including single-base editing without DNA breaks and self-inactivating vectors that link genomic modifications to self-degradation, promise enhanced specificity in editing. This potential reduction in off-target effects is critical as it correlates with the duration of cellular exposure to nucleases. These innovations are poised to fuel growth in the genome editing market by addressing key challenges and expanding therapeutic applications in clinically relevant settings.

Restraint

Challenges in Long-term Expression of Genome Editing Tools

Genome editing tools ideally require transient expression in target cells to mitigate risks of off-target nuclease genotoxicity and immune responses to prokaryotic proteins. Advancements and hundreds of therapies in clinical trials, the high costs associated with these treatments, often around US$1 million per procedure plus additional expenses for hospitalization and procedural complexities, pose significant barriers. These financial implications limit broader adoption and growth of the genome editing market, necessitating innovations to streamline costs and enhance accessibility for wider patient populations.

Opportunity

Advancements in HDR-Mediated Gene Editing

Precise genome editing, crucial for both preclinical research and clinical gene therapy, has traditionally relied on HDR (homology-directed repair). Recent efforts to enhance HDR efficiency include using rationally designed single-stranded oligodeoxynucleotide (ssODN) templates and employing NHEJ (non-homologous end joining) inhibitors. The delivery of Cas9 and HDR templates via AAVs has successfully achieved precise genome editing in post-mitotic neurons and cardiomyocytes. These advancements, HDR-mediated editing efficiency remains lower compared to the more predominant NHEJ pathway, which can introduce unintended genomic alterations. Addressing these challenges presents significant opportunities for innovation and growth within the genome editing market, particularly in enhancing HDR-mediated techniques and minimizing off-target effects.

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Report Highlights

By Technology Insights

The CRISPR/Cas9 segment held the largest market share of 43.89% of the global revenue in 2023, holding the largest market share due to its remarkable efficiency, precision, and versatility across various disciplines. Adapted from bacteria's natural immune defense mechanism against viruses, CRISPR/Cas9 enables precise modifications to DNA by using guide RNA (gRNA) to target specific genetic sequences. The Cas9 enzyme then cleaves the DNA at the targeted site, initiating the repair process that allows for editing genetic material in living cells. This revolutionary technology operates through a streamlined process of recognition, cleavage, and repair, offering researchers unprecedented capabilities to edit genes in a wide array of organisms and applications. Its adaptability has spurred innovation in agriculture, medicine, biotechnology, and beyond, making CRISPR/Cas9 a pivotal tool for advancing scientific research and addressing complex genetic challenges. As research continues to refine and expand the applications of CRISPR/Cas9, it remains at the forefront of genome editing technologies, driving significant developments and market growth worldwide.

The ZFN segment is expected to witness a substantial CAGR of 16.56% over the forecast period, driven by their role as precise gene-targeting tools. ZFNs function by inducing targeted double-strand breaks in DNA, which trigger cellular repair mechanisms capable of introducing specific mutations or replacing genes with high efficiency. Initially developed as a gene-targeting technology, ZFNs have evolved to find applications across various organisms and genetic contexts. Advancements in designing zinc-finger sets for new genomic targets, refining the design and selection processes remains an ongoing area of development. This technology's capability to facilitate targeted mutagenesis and gene replacement at high frequencies underscores its potential in advancing research and therapeutic applications. As methodologies continue to improve, ZFNs are expected to play a pivotal role in precision medicine, agriculture, and biotechnology, contributing to significant advancements and market expansion in genome editing technologies globally.

By Delivery Method Insights

The ex-vivo segment dominated the market with a share of 51.65% in 2023 the genome editing market, capturing a significant share. Ex vivo genome editing involves editing the genome of specific cells outside the body (in vitro), followed by the transplantation of these modified cells back into the patient to achieve therapeutic outcomes directly linked to the genetic modification. This approach offers distinct safety advantages, particularly in minimizing off-target gene editing risks, as the editing occurs in isolated cells under controlled laboratory conditions before reintroduction into the patient. Ex vivo genome editing is pivotal in advancing personalized medicine, as it allows for precise modifications tailored to individual genetic profiles. With ongoing advancements in technology and methodologies, ex vivo approaches are poised to drive further innovations in therapeutic applications, bolstering their prominence in the evolving landscape of genome editing delivery modes.

The in-vivo segment is projected to witness the fastest growth at a CAGR of 19.94% from 2024 to 2033 to advancements in technology that enable targeted gene modifications directly within the body. This approach eliminates the need for ex vivo manipulation of cells and offers potential benefits in terms of treatment efficiency and safety. Endonuclease-based strategies have shown promise in correcting diseases by targeting specific genes, driving ongoing research and clinical trials aimed at enhancing the therapeutic potential of in vivo genome editing across various genetic disorders. As these technologies continue to evolve and regulatory frameworks adapt, the in vivo segment is poised to play a pivotal role in shaping the future of genetic medicine.

By Application Insights

The genetic engineering segment held the largest market share in 2023 in genome editing, leveraging technologies that enable precise modifications to an organism's DNA. These tools facilitate the addition, removal, or alteration of genetic material at specific locations within the genome. One prominent approach is based on adapting bacterial immune defense systems, where RNA guides with specific sequences bind to targeted DNA sequences, akin to how bacteria use CRISPR arrays. This method enables researchers to edit DNA effectively and has widespread applications across various fields, driving innovation and growth in the genetic engineering market.

The clinical applications segment is expected to grow at a significant CAGR of 13.19% over the forecast period, particularly in germline genome editing, which involves modifying genetic material in germ cells and embryos. Unlike somatic genome editing, changes made in germline cells can be inherited by future generations. This approach holds promise for addressing genetic disorders and enhancing traits in offspring, with ongoing research exploring diverse targets and therapeutic purposes. As technologies advance, the application of genome editing in clinical settings continues to expand, driving forward new possibilities and advancements in genetic medicine.

By Mode Insights

The contract segment has emerged as the dominant force in the market, driven by genome editing technologies such as CRISPR/Cas. These advancements have significantly expanded the capabilities and efficiency of modifying genetic material in organisms. Genome editing is increasingly utilized to introduce agriculturally beneficial traits and genetic combinations in plants and animals. Contract services offer specialized expertise and resources to facilitate these genetic modifications, meeting the growing demand for tailored genetic solutions across agricultural sectors. This trend underscores the pivotal role of contract services in advancing genome editing applications for agricultural innovation and productivity enhancement.

The in-house segment is expected to grow at a CAGR of 13.4% from 2024 to 2033. This trend is driven by the adoption of in-house genetic counseling services, particularly in prenatal care settings. Studies have shown that integrating genetic counseling conducted by experienced professionals such as geneticist-obstetricians with expertise in prenatal ultrasound can notably enhance the detection rates of abnormal karyotypes. This approach provides healthcare facilities and institutions with greater control and customization over genetic counseling services, ensuring more effective prenatal care and diagnostic outcomes. As demand for personalized genetic counseling grows, the in-house model offers advantages in terms of efficiency, continuity of care, and enhanced patient outcomes, thereby fueling its anticipated expansion in the genetic counseling market.

By End-use Insights

The biotechnology and pharmaceutical companies segment accounted for the largest market share of 52% in 2023 in genome editing market in 2023. These companies have spearheaded the development of various genome editing techniques, with a notable focus on nucleases for precise genomic alterations. While multiple technologies have advanced to clinical trials, significant challenges persist in ensuring safe, scalable manufacturing and effective drug delivery. Biotech and pharmaceutical firms continue to innovate to overcome these hurdles, aiming to bring genome editing therapies to patients efficiently and affordably. Their leadership in this sector underscores their pivotal role in shaping the future of genetic medicine.

The academic and research institutions segment is expected to grow at the fastest CAGR of 19.22% over the forecast period in the genome editing market. These institutions play a crucial role in advancing genome editing technologies across various organisms and applications. CRISPR technology, for instance, enables researchers to create disease models in animals, study genetic causes, and develop cell models using human pluripotent stem cells. Genome editing is pivotal in modifying yeast cells for biofuel production and enhancing agricultural crop strains. The expanding use of genome editing tools in academic and research settings underscores their transformative potential in advancing scientific understanding and driving innovation across multiple fields.

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Recent Developments

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Some of the prominent players in the Genome editing market include:

Key Genome Editing Companies:

The following are the leading companies in the genome editing market. These companies collectively hold the largest market share and dictate industry trends.

Segments Covered in the Report

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2033. For this study, Nova one advisor, Inc. has segmented the global genome editing market.

By Technology

By Delivery Method

By Application

By Mode

By End-use

By Region

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Genome Editing Market Size to Reach USD 40.48 Billion by 2033 - BioSpace

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Experts: Don’t believe everyone who is hawking stem cells – The Times of Northwest Indiana

Posted: June 24, 2024 at 2:37 am

The mailings promised Life Without Pain! via stem cell injections or IVs administered in a patients own home. The allure was obvious: more than 20% of U.S. adults suffer from chronic pain.

A court exhibit from a lawsuit filed by Iowa Attorney General Brenna Bird is seen on a laptop computer May 8 in Urbandale, Iowa.

The flyers invited Iowans to free dinners across the state. Afterward, sales people traveled to potential customers homes for high-pressure pitches disguised as pre-screenings, according to prosecutors. More than 250 people signed up, paying $3,200 to $20,000 each for a total of $1.5 million. For this, a nurse practitioner came to their homes to administer injections and IVs filled with stem cells derived from umbilical cords.

Yet experts and regulators have alternately labeled such treatments as ripoffs, scams or simply unproven. In some cases, studies have documented real harm.

Last fall, Iowas attorney general sued two proprietors responsible for the mailings in her state, naming a Minnesota man who hosts a Christian entrepreneurship podcast and his Florida business partner for allegedly deceiving consumers, many of them elderly.

In bringing the lawsuit, Iowa joined attorneys general in New York, North Dakota, Georgia, Nebraska, Arkansas and Washington state who have sued businesses alleging they fraudulently promoted unproven stem cell treatments.

Stem cells have long fascinated researchers because of their ability to reproduce and, in some cases, transform into other cell types. Because of this, they are thought to hold the potential for treating many diseases and injuries.

But the FDA has approved only a handful of such therapies, and only for certain forms of blood cancer and immune system disorders. Stem cells are considered experimental for most uses, despite being marketed as a treatment for everything from autism and emphysema to sports injuries.

The FDA has repeatedly warned Americans to be wary of businesses hawking unapproved, unproven and costly stem cell therapies, which occasionally have caused blindness, bacterial infections and tumors.

In a 2020 notice, the agency expressed concern about patients being misled about products that are illegally marketed, have not been shown to be safe or effective, and, in some cases, may have significant safety issues.

Dr. Jeffrey Goldberg, chair of ophthalmology at the Byers Eye Institute at Stanford University, whose work has documented vision loss in some patients treated with cells removed from patients' own bodies, processed and reinjected, lamented that people are "desperately willing to shell out large sums of money for unproven and in some cases, explicitly sort of sham, so-called therapeutics.

Since August 2017, the FDA has issued about 30 warning letters regarding the unproven treatments.

Experts, including Dr. Paul Knoepfler, a stem cell researcher at the University of California at Davis, and Leigh Turner, a bioethicist at the University of California, Irvine, are among those who have raised alarm that such federal action is too little to regulate a U.S. industry which Turner estimated in 2021 topped 2,700 clinics.

Because states can seek substantial fines against wayward operators, Turner said their legal actions offer promise.

"If you look at them collectively, they might over time start to have an impact, he said.

The FDA offers training to attorneys general pursuing such cases. Dr. Peter Marks, director of the FDAs Center for Biologics Evaluation and Research, said federal regulators partner with state law enforcers in a shared mission.

Iowa Attorney General Brenna Bird speaks during a town hall campaign event for Republican presidential candidate Nikki Haley on May 17, 2023, in Ankeny, Iowa.

That puts people like Iowa Attorney General Brenna Bird on the front lines.

Last year, Bird brought the case over mailers offering Iowans a pain-free life, naming the now dissolved Biologics Health and Summit Partners Group, which operated under the name Summit Health Centers, as defendants. The state also sued the companies' proprietors: Rylee Meek, of Prior Lake, Minnesota, and Scott Thomas, of Thonotosassa, Florida.

Neither man claims to have any medical training. Yet over a series of free dinners across Iowa, attendees listened to their presentations about how stem cells could ostensibly repair damage linked to back or joint pain. The claims came despite an FDA warning that no such product has been approved to treat any orthopedic condition.

One testimonial featured a woman quoted as saying she had multiple sclerosis, fibromyalgia, degenerative joint problems and scoliosis. It implied the treatment worked so well she was able to stop using a walker and taking opioids. Prosecutors say that left people believing stem cells are effective at treating all the conditions listed.

The company offered packages ranging from 5 million cells to up to 60 million to fix customers' ailments. Iowas lawsuit described the practices as scattershot, for-profit experimentations.

Research has shown dead cells are often injected, Knoepfler said.

The Iowa case is still in the discovery stage, with the trial set for March 2025.

Meek and Thomas did not return multiple text and email messages from The Associated Press. Nor did their attorney, Nathan Russell, though he did rebut many of the allegations in court filings, including that the promotional information was deceptive or misleading. The filing stressed that Meek and Thomas always emphasized they were not doctors.

Instead, Meek promoted himself as the $100 million man and touted his business prowess on his Kings Council podcast. His and Thomas book, Intentional Influence in Sales: The Power of Persuasion with Neuro-linguistic Programming, is described as a way to get people to think the way you want them to think, without them even realizing it.

Nearly a quarter of Americans struggle with symptoms of depression, according to the latest Centers for Disease Control and Prevention data from an October 2023 survey. That number is down from 2020 to 2021, when the COVID-19 pandemic exacerbated mental health conditions for millions of Americans.

Like other forms of mental illness, depression impacts groups of people differently depending on their unique backgrounds and experiences. While depression is among the most common forms of mental illness, some portions of the U.S. are seeing rates of depression fall faster than others.

Northwell Health partnered with Stacker to look at which groups of people are the most likely to feel depressed, using data from the CDC.

Signs someone may have depression include an inability to focus, thoughts of death or suicide, hopelessness, and low self-worth, as well as changes in appetite and sleep patterns, according to the World Health Organization.

Depression can be transitorybrought on by the loss of a loved one or other difficult life eventsor chronic, such as for those who live with bipolar disorder. The latest data on depression rates suggest some of the uptick in depression during COVID-19 may have been more of the former.

Depression has lingered at elevated levels for some communities, including young people and those who identify as part of the LGBTQ+ community.

Americans ages 18 to 29 years old report the highest levels of depression, with those 30 to 49 years old showing the next highest levels, according to the CDC. Rates of depression taper off even more as Americans clear the age of 60.

Higher reported rates of depression in young people could partially be attributed to the way each generation views mental illness. Members of Gen Z, those born between 1997 and 2012, have been more open to talking about mental illness and seeking therapy, for example, than older generations who came of age at a time when mental health disorders were heavily stigmatized in media and popular culture.

Surveys have found that discrimination is often cited as a significant source of stress; Black and Hispanic adults, specifically, report higher levels of stress from discrimination compared to their white peers.

When it comes to depression rates, a similar trend appears. Hispanic, multiracial, and Black Americans report elevated rates of depression compared to white Americans, according to the latest survey data the CDC collected in late 2023.

Furthermore, LGBTQ+ Americans have reported higher levels of stress and mental illness compared to straight, cisgender people. Transgender individuals are also more than six times as likely to attempt suicide, according to a Swedish study published in The American Journal of Psychiatryone of the only studies to compile such data for an entire country over a 10-year period.

The current rates of depression among more vulnerable groups are particularly concerning at a time when mental health professionals are struggling to meet a higher demand for mental health care services.

Story editing byShannon Luders-Manuel. Copy editing by Tim Bruns.

This story originally appeared on Northwell Health and was produced and distributed in partnership with Stacker Studio.

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Experts: Don't believe everyone who is hawking stem cells - The Times of Northwest Indiana

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