Louisville Medicine Volume 66, Issue 8 | Seite 34

DOCTORS' Lounge SPEAK YOUR MIND If you would like to respond to an article in this issue, please submit an article or letter to the editor. Contributions may be sent to [email protected] or may be submitted online at www.glms.org. The GLMS Editorial Board reserves the right to choose what will be published. Please note that the views expressed in Doctors’ Lounge or any other article in this publication are not those of the Greater Louisville Medical Society or Louisville Medicine. DRIVEN To Extinction Mary G. Barry, MD Louisville Medicine Editor [email protected] G ene drives scare me. It is now technically possible, in a con- trolled laboratory setting, to re- move whole mosquito species from the planet. The September 24 th issue of Nature Bio- technology reported work from the team of Dr. Andrea Crisanti, a molecular parasi- tologist at Imperial College London, a top public university that Prince Albert founded for scientific research. His team has been studying Anopheles gambiae mosquitoes and the use of genetic interference in their reproduction, with the aim of eradicating malaria. Using the CRISPR-Cas9 technique (the removal of one gene with the insertion of another in its place), his team developed a gene drive that caused the collapse of the lab mosquitoes in only eight generations. Per Wikipedia: “A gene drive works by cutting a chromosome at a specific site that does not encode the drive. This induces the cell to repair the damage by copying the drive sequence onto the damaged chro- mosome. The cell then has two copies of the drive sequence. This relies on the fact that double strand breaks are most often repaired by homologous recombination, using a template, instead of end to end.” A gene drive uses nested elements, a 32 LOUISVILLE MEDICINE homing endonuclease or an RNA-guided one such as Cas9: these cut out the gene being removed. The second part of the drive is the DNA repair template, which fits exactly into the double-stranded spot but carries the “kill shot” function. Its sides are homologous to the surrounding genes. Thus each organism, having been duped into repairing its damaged chromosome with a Trojan horse sequence, will get two copies of the gene drive. The offspring will inherit one ‘Kill’ gene and one wild gene. This method depends on sexual repro- duction, so it will not work with viruses and bacteria. But with mosquitoes, once a Kill gene-equipped parent mates with a non-kill gene parent, it is only a matter of time before the successive mating of many mosquitoes produces the mating of two mosquitoes carrying the Kill gene. This will produce an infertile organism, and eventually, no more mosquito eggs at all. Dr. Crisanti’s team used 20 cc cages. He said that did not allow for the naturalistic behavior of mosquitoes flying around and seeking mates. He estimated at least five more years before he could conduct any field tests on wild mosquito populations. However, Professor Luke Alphey’s original team from Oxford first produced genetically engineered mosquitoes back in 2002. These are male-only insects who have been reared from the 2002 originals (now in the second generation of design), who mate with wild females. Their offspring carry a gene that produces a protein that females cannot survive. The males survive it for a limited time, during which they mate with more females, but the gene does not persist for more than 10 generations and is not passable to any other species. Oxitec (now part of an American company, Intrexon Corporation) has conducted field trials in association with Grand Cayman and claims an 80-90 percent reduction of the number of mosquito eggs produced. This number has been disputed by government officials in the Cayman office of mosquito control. Florida, after Zika appeared there, was set to be a test site as well, but as yet no neighbor- hood would agree to serve as one. Formerly the Food and Drug Administration dealt with this technology in this country, but it is now being overseen by the Environmental Protection Agency. However, a different sort of mosquito has already been released in Florida. This technology has been used in Australia to combat Dengue fever. Males only (males do not bite, remember) which have been infect-