The results of a test-tube experiment were published ten years ago. The study did not make headlines when it was published in the journal Science. It didn't make any news over the course of the next few weeks.

She wondered if the title of the study had something to do with the oversight.

If I were writing the paper today, I would choose a different title.

The discovery pointed to a new method for editing genes that could be used to change human genes.

She said that when they published the paper, it was like starting a race.

One of the most celebrated inventions in modern biology has been the invention of CRISPR. Cancer biologists are using the method to find hidden vulnerabilities in tumors. Doctors are using a new tool to modify genes.

A diagram visualizing the process in which DNA is edited using CRISPR-Cas9.

This is the first thing. It's important to target the rightgene.

Scientists engineer a piece ofRNA that is a match for the genetic material they want to modify. The guide RNA is what it is.

There are two Don't let the target go to waste.

A piece of DNA is temporarily undone by anidase called Cas9

There are three. It's time to cut the genes.

The two strands of the double helix are cut if the guideRNA matches a section of theDNA.

There is a repaired section.

The fragments are from the human genome.

There are four. You can repair and change the genes.

The machinery is in the cell. One repair process uses a piece of DNA as a template to make a new one.

In order to trick the repair machinery into using the engineered DNA as the template for stitching together the broken pieces, scientists can introduce tailor-madeDNA into the cell.

Source: Howard Hughes Medical Institute; instructor materials from Bio-Rad’s Explorer education program Note: Diagram is simplified. Eleanor Lutz

The diagram is easy to understand.

Instructor materials from the Explorer education program can be found here.

Eleanor.

David Liu, a Biologist at Harvard University, said that the era of human gene editing isn't going to happen soon. "It's here"

Its influence goes beyond medicine. Evolutionary biologists are using technology to study the brains of Neanderthals. Plant biologists have edited seeds to make crops that are resistant to diseases. In the next few years, some of them could be on supermarket shelves.

The Max Planck Unit for the Science of Pathogens in Berlin won the 2020 Nobel Prize for chemistry for their work on the use of the CRISPR system. The 2012 study was praised by the award committee.

ImageJennifer Doudna shared the 2020 Nobel Prize for chemistry for her work on CRISPR.
Jennifer Doudna shared the 2020 Nobel Prize for chemistry for her work on CRISPR.Credit...Anastasiia Sapon for The New York Times
Jennifer Doudna shared the 2020 Nobel Prize for chemistry for her work on CRISPR.

There are a number of ethical questions that are more urgent than ever after a decade of the development of the tool.

Will the coming wave of altered crops feed the world and help poor farmers, or only enrich agribusiness giants that invest in the technology? Will the use of CRISPR-based medicine improve the health of vulnerable people around the world, or will it cost a million dollars?

Future generations may use the technology to alter human embryos. He Jiankui, a biophysicist in China, altered a human embryo's genes to make it resistant to H.I.V.

A court sentenced a doctor to prison. According to the MIT Technology Review, he was recently released. The health of the children is unknown.

Nobody else has followed Dr. He's example yet. It is possible that editing human embryos will become a safe and effective treatment for a variety of diseases in the future.

Is it possible to repair disease-causing genes in an embryo in the lab? What if parents wanted their children to have more desirable characteristics, such as eye color or intelligence?

Franoise Baylis is a bioethicist at a Nova Scotia university.

She was skeptical about the depth of understanding. There is a difference between making people better and making them better

ImageAn embryologist working with Dr. He Jiankui holds a plate containing human embryos injected with Crispr molecules in 2018.
An embryologist working with Dr. He Jiankui holds a plate containing human embryos injected with Crispr molecules in 2018.Credit...Mark Schiefelbein/Associated Press
An embryologist working with Dr. He Jiankui holds a plate containing human embryos injected with Crispr molecules in 2018.

They didn't invent their method from the ground up. They took their tools frombacteria.

Microbiologists discovered the Clustered Regularly Interspaced Short Palindromic Repeats in the 1980's. The research showed that thebacteria used theCRISP sequence as a weapon against invaders.

TheRNA can stick to a short stretch of an invading virus's genes. The viral genes are slashed and the infection is halted by the use of theseRNA molecule.

They realized that the system could allow them to cut a sequence of their own choosing. The only thing they had to do was make a matching piece ofRNA.

They created a bunch of the same piece of DNA. They created a new group ofRNA molecule that were programmed to reside on the same spot on the DNA. They mixed the three items in the test tubes. Many of the genes had been cut at the right place.

A series of round-the-clock experiments was conducted to see if CRISPR could work in living cells. She suspected that other scientists were on the chase. Soon, that hunch was correct.

In January of last year, five teams of scientists published studies in which they were able to use the tool. The first two papers were published in Cambridge, Mass., one at the Broad Institute and the other at Harvard.

ImageEmmanuelle Charpentier, a French microbiologist with the Max Planck Unit for the Science of Pathogens in Berlin, who shared the Nobel Prize for Chemistry in 2020 with Dr. Doudna.
Emmanuelle Charpentier, a French microbiologist with the Max Planck Unit for the Science of Pathogens in Berlin, who shared the Nobel Prize for Chemistry in 2020 with Dr. Doudna.Credit...Karsten Moran for The New York Times
Emmanuelle Charpentier, a French microbiologist with the Max Planck Unit for the Science of Pathogens in Berlin, who shared the Nobel Prize for Chemistry in 2020 with Dr. Doudna.

He remembers learning about the potential of the tool. He said that the papers looked great.

The method was able to remove pieces of DNA from cancer cells.

It became a way of saying to stop. A lot of people would want to know if you did that.

Cancer biologists began altering the genes in cancer cells to find out which genes were important to the disease. Last year, researchers at KSQ Therapeutics began a clinical trial of a drug that blocks the gene that is essential for the growth of certain tumors, because they discovered a gene that is important for the growth of certain tumors.

The two companies co-founded by Dr. Charpentier are running clinical trials for the treatment of cancer by editing immune cells.

Several companies are trying to reverse hereditary diseases with the help of a new technology. New results from a clinical trial involving 75 volunteers with a rare blood disorder were presented at a scientific meeting. Red blood cells carry oxygen.

The researchers were able to take advantage of the fact that humans have many genes. Fetal hemoglobin shuts down after a few months after birth.

Blood cells were taken from the bone marrow of the volunteers. The fetal hemoglobin gene is usually turned off by the switch they used. Red blood cells were created when the edited cells were returned to patients.

According to the researchers at the conference, out of 44 patients with the disease, 42 did not need blood transfusions. None of the patients that experienced drops in oxygen had to go to the hospital.

The two companies hope to get the treatment approved by the end of the year.

The companies are injecting the molecule into the human body. Two companies, one based in Cambridge and the other in Westchester County, N.Y., are working together to find a cure for transthyretin amyloidosis.

ImageEquipment in the lab of Feng Zhang, a leading CRISPR researcher with the Broad Institute in Cambridge, Mass.
Equipment in the lab of Feng Zhang, a leading CRISPR researcher with the Broad Institute in Cambridge, Mass.Credit...Tony Luong for The New York Times
Equipment in the lab of Feng Zhang, a leading CRISPR researcher with the Broad Institute in Cambridge, Mass.

The genes were shut down with the help of the doctors. At a scientific conference last Friday, researchers from Intellia reported that a single dose of the treatment produced a significant drop in the volunteers blood levels.

Agricultural scientists can use the same technology that allows medical researchers to modify human cells. When the first wave of CRISPR studies came out, Catherine Feuillet, an expert on wheat, saw its potential for her own work.

She said she exclaimed, "Oh my gosh, we have a tool." Steroids can be used to breed.

Dr. Feuillet is the CEO of Inari Agriculture, a company in Cambridge that is trying to make crops that use less water andfertilizer. British researchers have created a tomato with the ability to produce vitamins D and E.

Kevin is a plant scientist at the International Maize and Wheat Improvement Center in Mexico City. Small labs can create disease-resistant bananas, which could benefit poor nations, but would not interest companies looking for large financial returns.

The subject of a long-running dispute is the patent for the invention of CRISPR. A group led by the Broad Institute filed a lawsuit against another group led by the University of California. The institute claimed that its researchers were the first to invent a new type of editing technology.

In February of this year, the U.S. Patent Trial and Appeal Board issued a final ruling on the dispute. They decided in favor of the institute.

According to an expert at the University of Illinois College of Law, companies that have licensed the technology from the University of California will have to honor the Broad Institute patent.

The Broad Institute is going to need a big check from the big-ticket companies that are furthest along in clinical trials.

ImageDr. Zhang of the Broad Institute, which recently won a major patent dispute over Crispr technology.
Dr. Zhang of the Broad Institute, which recently won a major patent dispute over Crispr technology.Credit...Tony Luong for The New York Times
Dr. Zhang of the Broad Institute, which recently won a major patent dispute over Crispr technology.

There is a lot of room for improvement in the original system. The molecule is good at cutting out DNA but not as good at replacing it. Sometimes theCas9 misses its target. Cells can make mistakes when they repair the loose ends of DNA.

Some scientists have come up with new versions of the tool. At Harvard, Dr.Liu and his colleagues have been able to make a nick in one of the two strands of DNA. They can change a single genetic letter with less risk of genetic damage.

Dr.Liu is a co-owner of a company that is creating base-editing drugs. The first drug will be tested on people with the blood disorder.

Dr.Liu and his colleagues have attached the genes of the viruses to their host's genes. Prime editing is a new method that could allow for longer stretches of genetic material to be altered.

Prime editors are similar to wordprocessors. They replace function on DNA.

Rodolphe Barrangou, a CRISPR expert at North Carolina State University and a founder of Intellia, predicted that prime editing would become a part of the standard CRISPR toolkit. He said that the technique was too complicated to be widely used. He said it wasn't ready for prime time.

ImageDr. He claimed to have created the first genetically edited twin babies at the University of Hong Kong in 2018.
Dr. He claimed to have created the first genetically edited twin babies at the University of Hong Kong in 2018.Credit...Alex Hofford/EPA, via Shutterstock
Dr. He claimed to have created the first genetically edited twin babies at the University of Hong Kong in 2018.

Prime editing didn't exist in the year 2000. The standard CRISPR-Cas9 system was developed many years ago.

He wanted to make babies resistant to H.I.V. by using a piece of the embryo's genetic code. H.I.V. is rare for people who carry the same genes.

A pair of twin girls were born in November of last year. The announcement took many scientists by surprise, and they condemned him for putting the health of the babies at risk.

The way he presented the procedure to the parents was criticized by Dr. Baylis of the university. It was not possible for you to get an informed consent unless you said it was pie in the sky. She said that nobody has done it before.

Four years have passed since Dr. He announced the use of CRISPR on human embryos. They only look at embryos when they are small clumps of cells. There could be new treatments for infertility.

Bieke Bekaert is a graduate student in reproductive biology in Belgium. Alterations in the chromosomes can be caused by breaking the DNA. Ms. Bekaert said that it was more difficult than they thought. We don't know what's going on

Ms. Bekaert was still hopeful that the improvements on CRISPR could allow scientists to make precise alterations to human embryos. She thinks it may happen in her lifetime.