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CRISPR-Cas9 and Sickle Cell Anemia

By Elizabeth R. Everman

CRISPR-Cas9 and Sickle Cell Anemia


 

Abstract

In December 2023, the Food and Drug Administration (FDA) approved the first gene therapy using CRISPR-Cas9 gene editing to treat sickle cell anemia. This case study covers the basic mechanism of CRISPR-Cas9 gene editing in its original context (the bacterial adaptive immune response) and in the context of medical application of the gene editing tool. Starting with the hemoglobin protein and gene subunits, students learn about a single nucleotide change (SNP) that results in a cascade of consequences from an amino acid change to the overall structure and function of the hemoglobin protein. They then examine the consequences of the SNP in homozygous and heterozygous individuals, applying ideas underlying genetic equilibrium to see how carrier individuals have context-specific benefits and consequences of carrying one mutant copy of the beta subunit. After reviewing the mechanics of CRISPR-Cas9, students examine the edits made to the blood stem cells that ultimately lead to a cure for sickle cell anemia and discuss ethical considerations. The case is ideally suited for an upper-level undergraduate course in genetics, but it could be easily adapted for a course focusing on ethical considerations of research into personalized medicine, gene editing, and the future of health sciences.

   

Date Posted

12/12/2024

Overview

Objectives

  • Describe and classify the molecular basis of the mutation that leads to sickle cell anemia.
  • Differentiate between sickle cell anemia and sickle cell trait.
  • Apply the concepts of genetic equilibrium to human populations undergoing selection for malaria resistance.
  • Recognize the attributes of CRISPR-Cas that make it suitable for gene editing in medicine.
  • Define the process of hemoglobin switching and the key genes involved in regulation.
  • Summarize the CRISPR edit that resulted in the expression of fetal hemoglobin in Victoria Gray.
  • Discuss and justify the ethical considerations of treatments for diseases that require a change to the genomes of humans.

Keywords

CRISPR-Cas9; genetics; personalized medicine; sickle cell anemia; hemoglobin; gene interactions; gene editing; genetic modification; gene regulation; CASGEVY; Victoria Gray

  

Subject Headings

Biology (General)
Biotechnology
Genetics / Heredity
Molecular Biology

EDUCATIONAL LEVEL

Undergraduate upper division

  

FORMAT

PPTX, PDF

   

TOPICAL AREAS

Ethics, Science and the Media

   

LANGUAGE

English

   

TYPE/METHODS

Directed, Discussion

 

 

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