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FDA Approves Gene-Editing Treatment for Sickle Cell Anemia


A sign for the‍ Food ‍And Drug Administration is⁢ seen‌ outside of⁢ the headquarters on July 20, 2020 in White Oak,​ Maryland. (Photo by Sarah⁣ Silbiger/Getty Images)

OAN’s Brooke Mallory
3:57 ‌PM – Friday, December 8, 2023

A ground-breaking gene-editing therapy for sickle cell disease, a debilitating⁣ ailment that ⁤affects around 100,000 Americans, the majority of whom are people of color⁢ (POC),‍ was authorized by the U.S. Food and Drug Administration ⁣(FDA) ​on Friday.

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The‌ therapy claims to be able​ to repair the disease-causing gene.

For Johnny Lubin, a 15-year-old from Connecticut who⁣ has seen the crippling symptoms of the‌ condition,⁤ the discovery provides a⁤ glimmer of ⁣hope. Since birth, he has struggled with excruciating pain⁤ and health issues related to his sickle cell gene,⁤ which he genetically received from⁣ both of his parents.

Being typically shaped like⁢ “doughnuts,” red blood cells bend into stiff sickle ⁤shapes⁣ that clog ⁢blood vessels and impair the body’s ability to⁢ absorb oxygen.

Physicians ⁣had informed Lubin that he would not live past the age of 40.

“I was starting ‍to get a little bit scared. Like, I actually did want‍ to live past 40,” he said.

Lubin was in and out of hospitals ‌for almost ‌ten years. He⁤ claimed that he would keep⁤ track of the⁣ number of times he visited each hospital ‍room, and ⁤that one ​day he⁢ discovered he had visited‌ every room on the floor.

When Fabienne and J.R. Lubin, Johnny’s parents, found‍ out ⁢about a state-of-the-art clinical study‍ utilizing gene editing—a procedure that does not require ⁣a donor—they were desperate for a ​cure.

Lubin‌ first had chemotherapy to help eradicate ‌the aberrant cells after stem cells were taken out‌ of his bone marrow.

The protective form of hemoglobin, a protein that absorbs oxygen from the lungs and distributes it throughout‌ the body, was then​ increased ⁣in a lab using the editing technique known as “CRISPR.” Normally, this protective form of hemoglobin decreases‍ after birth. After that, the cells were reinfused⁤ into Lubin’s circulation.

The ⁣leader of pediatric stem cell transplantation ‍at New York-Presbyterian/Columbia University Irving ‍Medical ⁣Center and Johnny’s physician, Dr. Monica Bhatia, explained that altering the cell reprograms it⁣ to ⁢generate fetal hemoglobin.

“It’s been widely known that fetal hemoglobin‍ is somewhat protective, and those who have ​higher levels of⁤ fetal hemoglobin tend to have less‍ severe symptoms of sickle cell disease,” she said.

“You’re changing​ somebody’s DNA. So obviously, you wanna⁤ make sure that the corrections you’re making ⁤are, are the ones‍ you ‍want,” Bhatia ‍added.

Lubin now has much improved health and ⁣the possibility of living a ‍longer life after a difficult ‌five weeks in the hospital and ‍a ​six-month leave from school.

“I thought that was pretty cool how I ‍have like new cells, and ‌I honestly hoped, you know, I could get, ‌you ‍know,⁤ some super ⁣powers from it, you know,​ maybe become a superhero, ​you know, like‌ genetically engineered,” Lubin said.

Vertex Pharmaceuticals and CRISPR Therapeutics, located in Boston, developed the medication known as Casgevy.

Before ​the specialists declare the medication to be a guaranteed cure, patients​ must be⁤ monitored for ​an extended period of time. Although gene editing ‌may not⁤ be suitable for every sickle cell disease patient, it is anticipated to cost several million dollars per patient.

However, it would not stop the gene from being inherited by future generations.

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What are the ⁢ethical considerations associated with gene-editing therapy for sickle cell disease?

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The ​Significance of Gene-Editing Therapy

The authorization of⁢ gene-editing⁢ therapy by the FDA marks a significant breakthrough in the ‌treatment of ⁢sickle cell​ disease. This​ debilitating ailment, which primarily affects⁤ people of ‍color, ‌has caused immense suffering and decreased life ⁤expectancy for thousands of‌ Americans.‌ With the new therapy, there is hope ⁤for a better quality of life and a longer lifespan for individuals like Johnny Lubin.

Sickle cell disease ⁤is characterized by red blood⁤ cells that are abnormally shaped, resembling sickles. These misshapen‌ cells clog blood vessels and hinder the ⁣body’s⁣ ability to absorb ​oxygen. People ⁣with sickle cell disease ⁢experience excruciating pain and are⁤ prone to various health⁣ issues. ⁣Many‌ have been told that their life expectancy ​is limited,⁤ causing⁤ anxiety and fear.

However, gene editing offers ⁤a promising solution. ‍The therapy works by repairing the disease-causing gene ⁣and increasing the production of a protective form of⁣ hemoglobin ⁢known ⁢as fetal ⁤hemoglobin. Research has shown ⁢that higher ‌levels of fetal hemoglobin can lead to milder symptoms of sickle cell disease.

The successful implementation of gene​ editing ‌in Johnny Lubin’s case is a testament to its potential. Lubin, who had been in and out of hospitals for years, saw a⁣ significant improvement in his health after ​undergoing the⁣ therapy. ‌The ‌procedure involved chemotherapy‍ to eliminate aberrant cells and ‌increase fetal hemoglobin levels, followed ⁢by the reinfusion of modified cells into ⁣his ‍bloodstream.

Ethical Considerations and⁤ Future Prospects

While the approval of gene-editing therapy brings hope for many individuals suffering from‌ sickle cell disease, ‌there are ethical considerations that need to be‌ addressed. Altering a person’s DNA‍ raises concerns about ⁤the long-term effects and the potential‌ unintended consequences of manipulating genes.

Medical‌ professionals and researchers emphasize the importance of ensuring that gene corrections are⁤ accurate and targeted. This highlights‌ the need for ⁤rigorous testing and monitoring of patients who undergo gene‍ editing. The therapy’s high⁤ cost also poses ⁣a significant barrier to accessibility, with estimates suggesting a price tag of several million dollars ‍per patient.

Additionally, it’s important ⁢to note that⁢ gene editing does not eliminate the possibility‌ of the disease being inherited by⁤ future generations. Therefore, comprehensive ⁤genetic counseling and education should accompany the therapy to help individuals make informed decisions about ⁢family planning.

Despite these challenges, the authorization of gene-editing therapy for sickle cell disease is a major step forward in the medical field. ‌It⁢ offers hope, improved quality of ​life, and the potential for a longer lifespan ‍for those⁢ affected by the disease.

Conclusion

The approval of gene-editing therapy by the FDA provides a glimmer of hope for individuals living with sickle cell ⁤disease. By repairing the ‍disease-causing gene ‍and increasing the production‍ of protective hemoglobin, the⁢ therapy‍ offers the possibility of a better quality of⁤ life and increased life ‍expectancy.

However,⁣ ethical considerations and the high cost of the therapy must be addressed to ensure that it is⁤ accessible and safe for all ⁤patients. Long-term monitoring and genetic counseling are essential components‌ of ⁤the treatment process.

As research in ⁣gene editing continues‌ to advance, there ‍is hope for further breakthroughs in the treatment of genetic ​disorders. ⁤The authorization⁢ of this therapy is a significant milestone, bringing ‌us closer to a‌ future where genetic diseases can be effectively managed and ‌potentially cured.

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