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What’s Next
                         GENETICS AND SOCIETY
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                         Should We Alter Human Germ-Line Genomes?
                         In April 2015, Chinese scientists reported the use of CRISPR/
                                                           but it can cause unwanted off-target effects that alter sequences
                         Cas9 to correct ß-globin gene mutations—the cause of the dis-
                         ease  ß-thalassemia—in  human  embryos.  Although  these  em-
                                                           elsewhere in the genome. The consequences of these off-tar-
                         bryos were never placed in a womb, this publication opened a
                                                           get mutations when transmitted over many generations are un-
                                                           predictable; this is why the international summit concluded the
                         firestorm of controversy because some descendants of embry-
                         onic cells eventually will become sperm or eggs that could be
                                                           method is premature.
                                                             But even if the technologies can be perfected, should we
                         passed down to future generations. In other words, these stud-
                         ies demonstrated forcefully that gene editing technology is be-
                                                           ever employ them to alter human germ lines in eggs, sperm, or
                                                           embryos? Some people believe the entire idea is unethical be-
                         coming  powerful  enough  that  humans  will  soon  be  able  to
                                                           cause decisions made now will impact our descendants without
                         change their own evolutionary destiny.
                                                           their consent. Because it is conceivable that genome modifica-
                           In response to this report, the governments of the United
                                                           tions can be made eventually that will enhance traits like intelli-
                         States,  the  United  Kingdom,  and  China  organized  an  interna-
                         tional summit on human gene editing, held in Washington, D.C.
                                                           gence, some people argue that germ-line editing technologies
                                                           will inevitably lead to a further stratification of society: Likely,
                         in December of 2015 and attended by more than 500 scientists,
                                                           only  wealthy  individuals  would  be  able  to  afford  to  have
                         ethicists, and legal experts from 20 countries. The strong con-
                                                             “designer children” with these enhanced characteristics. But on
                         sensus of the summit was that genome editing of human em-
                         bryos intended for pregnancy is premature because its safety
                                                           the other side of the issue, some scientists argue that if gene
                                                           editing can be shown to be safe, without off-target effects, it
                         cannot  be  ensured,  but  the  participants  were  divided  as  to
                                                           would be unethical not to use this technology, at least to eradi-
                         whether the goal of altering human germ lines is ethical or desir-
                         able. As of this writing in 2016, the British and Chinese govern-
                                                           cate disease if not to improve human traits.
                         ments are likely to continue to fund research involving genome
                                                             Genome  editing  methods  are  advancing  so  rapidly  that
                                                           these issues will soon go beyond interesting theoretical debates
                         editing of human embryos not destined for pregnancy, but in the
                                                           to the point where they have real impact on people’s lives and
                         United States only private agencies fund such investigations.
                           Gene  editing  of  somatic  cells  to  cure  the  symptoms  of
                                                           those of future generations. If mankind will intentionally alter its
                           disease  is  relatively  noncontroversial,  but  altering  germ-line
                                                           own evolution, we had better be sure that the vast potential impli-
                           genomes  raises  many  issues.  Some  of  these  issues  are
                                                           cations of these decisions have been thoroughly considered.
                         •  Therapeutic genes can be delivered in recombinant viral
                                                            •  DNA introduced in adenoviral vectors remains extrachro-
                                                             mosomal, necessitating periodic repeats of the therapy.
                          vectors to somatic cells of patients either in vivo or ex vivo.
                                                            •  Scientists are gearing up to use genome editing methods
                         •  Retroviral vectors insert therapy genes into human
                                                             such as CRISPR/Cas9 to repair mutant genes in human
                          chromosomes, but this method can result in gene
                                                             somatic cells.
                          mutation and cancer.
                            essential concepts               technical. For  example,  CRISPR/Cas9 technology is  powerful,  637  Guided Tour   xv
                        210   Chapter 6  DNA Structure, Replication, and Recombination
                        DNA sequences. Site-specific recombination is crossing-  between two target sites in a single chromosome is removed
                        over that occurs only between              to create two independent DNA molecules (Fig. 6.31b). If
                                 WHAT’S NEXT two specific DNA target
                                                                                               What’s Next
                        sites that are usually less than 200 base pairs long. Site-  a bacteriophage genome was previously integrated into the
                        specific recombination is much simpler at the molecular
                                                                   host chromosome, excision is crucial to allow the bacterio-
                       Manipulation of the genome is the basis for many of the ex-  complex multicellular organism. Transgenic technology is   Each chapter closes with a What’s
                        level than is the homologous recombination discussed in
                       perimental strategies we will describe in Chapter 19, where   key to cloning the genes identified in mutant screens that   Next section that serves as a bridge
                                                                   phage genome to extricate itself and then to become incor-
                       we discuss how genetic analysis has been a crucial tool in  systems  of   porated in the virus particle.
                        the  previous  section.  In  particular,  in  most
                                                           are crucial for regulating development, and also to manipu-
                       unraveling the biochemical pathways of development—the   lating these genes in order to understand their precise func-  between the topics in the chapter just
                        site-specific  recombination,  a  single  protein  logically
                                                                      A third potential outcome of site-specific recombina-
                       process  by  which  a  single-celled  zygote  becomes  a   tions in the organism.  completed to those in the upcoming
                        called  a  recombinase  is  sufficient  to  catalyze  all  the
                                                                                               chapter or chapters. This spirals the
                       DNA: © Design Pics/Bilderbuch RF            tion systems is the inversion of a segment of DNA that is
                        breakage and joining steps of the process. If you are curi-  located between the two target sites (Fig. 6.31c). As you
                                                                                               learning and builds connections for
                        ous, Fig. 6.30 depicts the mode of action of one class of   can imagine, such inversion could constitute a molecular
                                                                                               students.
                        such recombinases.                         switch between two configurations of the same chromo-
                           The  organisms  that  take advantage  of  site-specific   some. The in-between segment is oriented in one direction
                        recombination  include  certain  kinds  of  bacteriophages
               har00909_ch18_618-645.indd   637                    in one state and in the other direction in the other state.
                                                                                         6/13/17   7:56 PM
                        that use this process for the integration (incorporation)   A final mode of site-specific recombination can occur
                        of their small, circular genome into the chromosome of   if the target site is found at the same position on each of two
                         New! Exciting Revised Content
                        the host bacterium (Fig. 6.31a). In this way, the bacteri-  homologous chromosomes. Action of the recombinase on
                        ophage DNA “hitchhikes” along with the bacterial chro-  these target sites will result in the reshuffling of regions on
                         Every chapter of the sixth edition has been revised and modernized significantly as compared with the fifth edition. More than 50 new
                        mosome:  When  the  host  DNA  replicates,  so  does  the   nonsister chromatids, an outcome that leads to recombinant
                         Figures and Tables were created, and more than 100 were revised. More than 125 new end-of-chapter problems were written, and
                        integrated bacteriophage genome.           chromosomes (Fig. 6.31d). To our knowledge, this situa-
                         many more revised for clarity. The entire Solutions Manual and Study Guide was updated, corrected, and revised by Michael Goldberg
                           Site-specific recombination is also important for the
                                                                   tion is not normally encountered in organisms that natu-
                         and Janice Fischer. Several new Fast Forward, Genetics and Society, and Tools of Genetics Boxes covering modern topics were cre-
                        reverse process of excision, in which the DNA integrated   rally use site-specific recombination. However, geneticists
                         ated. For breadth and clarity, Chapter 9 in the 5th edition was split into two separate chapters in the 6th edition: Chapter 9 (Digital
                         Analysis of DNA) and Chapter 10 (Genome Annotation).
                        Figure 6.30  One site-specific recombination mechanism. The Cre and Flp enzymes discussed in the text function as shown. The
                        red and blue target DNA sequences are identical to each other but are represented in different colors for clarity. These targets are
                                                                    Chapter 18  Manipulating the Genomes of Eukaryotes
                                                                632
                        embedded in different DNA molecules (black and gray dots). The subunits of the recombinase tetramer are yellow ovals; this enzyme
                        catalyzes all steps of the reaction. Black triangles are sites where recombinase cleaves single-stranded DNA. Note that resolution of the
                                                                mutant  mice  more  efficiently.  Of  wider  importance,
                        Holliday junction intermediate involves cleavage of the blue and red DNA strands that were not cleaved initially.    single-stranded RNA called sgRNA (single guide RNA).
                                                                                          3'
                                         5'                3'     researchers can apply the same tools in animals other than   At the 5′ end of the sgRNA is a 20 bp sequence that is
                                                                        5'
                                       3'                   5'  mice, or even in cultured cells, opening up many possibilities   complementary in sequence to a target site of interest in
                                                                                           5'
                                                                      3'
                                                                for the study of gene function and to establish new models   the genome to be altered. The 3′ end of the sgRNA binds
                                                                            Holliday junction
                                                                for human diseases.            specifically to the Cas9 protein. (As an aside, the 5′ and
                                                                  In all of these technologies, either a protein or an RNA   3′ regions of the sgRNA correspond respectively to the
                                                                molecule serves as a guide that brings a DNA-cleaving en-
                                                              (i) Cleavage                     crRNA and tracrRNA in the Tools of Genetics Box.) The
                                                                zyme  to  a specific genomic location. DNA repair of the   second component is a Cas9 polypeptide that has been
                                                                break can then result in a point mutation (a base pair change,
                                                              (ii) Strand                      altered so that it includes a short stretch of amino acids
                                                              exchange                         that constitute a nuclear localization signal, allowing the
                                                                or insertion or deletion of one or a few pairs) or a knockin of
                                                                specific DNA sequences. We describe here the newest and   protein to be imported into the nucleus where it can act
                                                                most efficient genome editing system, called CRISPR/Cas9.
                                                              (iii) Ligation                   on DNA.
                                                                  CRISPR is an acronym for clustered regularly inter-  In the nucleus, Cas9/sgRNA complexes seek out and
                                                                                           3'
                                       5'  3'              5' 3'  spaced short palindromic repeats. Many bacterial genomes   bind to their designated genomic DNA target. The Cas9
                                                                      5'
                                                                        3'
                                                                                          5'
                                                                contain a CRISPR region, which functions as an antiviral   enzyme within the complexes then makes a double-strand
                                                                immune system. CRISPR immunity also depends on endo-  break in the target DNA (Fig. 18.14). Repair of the break
                                                                                  Isomerization
                                                                nucleases called Cas proteins (CRISPR-associated proteins)   by nonhomologous end-joining (NHEJ; review Fig. 7.18)
                                                                encoded by the bacterial genome; these enzymes can make   often results in a small insertion or a deletion of a few base
                                                                         5'
                                          5'              3'    double-stranded breaks in DNA. The Tools of Genetics Box   pairs at the break. Such a mutation can knockout the func-
                                                                                         3'
                                         3'               5'    entitled How Bacteria Vaccinate Themselves Against   tion of a gene, for example if it corresponds to a frameshift
                                                                        3'
                                                                                          5' Viral
                                                                Infections with CRISPR/Cas9 describes in detail how bacte-  mutation in an open reading frame. 
                                                                ria use this mechanism to ward off infection by bacterio-  Alternatively, if DNA molecules corresponding to the
                                                                phages. The attention of the scientific community became   DNA flanking the break are introduced into cells at the
                                                                focused on  CRISPR/Cas9 when researchers realized they   same time as the Cas9/sgRNA, double-strand break repair
                                                                could adapt this system for use in any organism.
                                                               (i) Cleavage                    by homologous recombination can incorporate that DNA
                                                                  The genetically engineered CRISPR/Cas9 system has   into the genome at the break site, generating a knockin
                                                               (ii) Strand                     (Fig.  18.14).  Double-strand  breaks  are  recombinogenic
                                                                two  components.  The  first  is  an  investigator-designed,
                                                               exchange
                                                                Figure 18.14  Genome editing by CRISPR/Cas9. The sgRNA sequence is designed to bring the Cas9 endonuclease to a specific
                                                               (iii) Ligation
                                                                target in the genome. Repair after Cas9 cleavage can result in a knockout or a knockin, depending on whether or not a DNA fragment
                                         5'               3'    suitable for homologous recombination is introduced. NHEJ:  3' nonhomologous end-joining.
                                                                        5'
                                          3'              5'             3'              5'
                                                                                                         sgRNA
                                           Products of site-specific
                                              recombination                       Target sequence        Cas9
                                                                        Genomic DNA
                                                                                               DNA cleavage
                    har00909_ch06_181-218.indd   210                                                            5/12/17   9:21 PM
                                                                                    NHEJ             Homologous recombination
                                                                                            DNA repair
                                                                       Small deletion
                                                                       Small addition
                                                                               Knockout               Knockin
                                                             har00909_ch18_618-645.indd   632                                  6/30/17   10:53 AM
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