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He Jiankui

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He Jiankui is a Chinese biophysicist who became a central figure in a global scientific debate. He is best known for his controversial use of genome editing in humans in 2018. This work involved altering the DNA of human embryos to change their biological traits. While some initially viewed his work as a breakthrough, it faced intense criticism from the scientific community. Many experts condemned his actions as irresponsible and unsafe. His work raised deep questions about the ethics of changing the human genome.

He Jiankui at Second International Summit on Human Genome Editing (cropped)
He Jiankui at Second International Summit on Human Genome Editing (cropped)

The mechanism of his experiment relied on a tool called CRISPR/Cas9. CRISPR/Cas9 is a gene-editing technology that acts like molecular scissors to cut DNA at specific locations. He Jiankui targeted a specific gene known as CCR5. This gene produces a protein that certain strains of HIV use to enter human cells. By using CRISPR/Cas9, he attempted to introduce a natural mutation called CCR5-Δ32. This specific mutation is known to provide some people with innate resistance to M-tropic HIV infection. The goal was to create embryos that would be resistant to the virus from birth.

To perform this editing, He Jiankui used a process called in vitro fertilization. During this process, he worked with eight couples to create embryos. Each couple consisted of an HIV-positive father and an HIV-negative mother. The team recruited these participants through a Beijing-based group called the Baihualin China League. He used a method called preimplantation genetic diagnosis to check the results. This involved removing three to five single cells from the embryos to verify the edits. He reported that the editing resulted in mosaicism, meaning the cells were not all edited in the same way. This meant the children still carried functional copies of the CCR5 gene alongside the disabled ones.

He Jiankui's academic journey began in Xinhua County, Hunan, where he was born in 1984. He grew up in a family of poor rice farmers. He showed an early obsession with physics and built a makeshift lab at home. He studied quantum physics at the University of Science and Technology of China. Later, he moved to the United States to attend Rice University. He earned his Ph.D. in biophysics in 2010 under Michael W. Deem. He was described as a high-impact student who specialized in mathematical modeling. He later moved to Stanford University to study CRISPR/Cas9 with Stephen Quake.

The consequences of his experiment were immediate and severe. In November 2018, he announced the birth of twin girls, known by the pseudonyms Lulu and Nana. It was later revealed that a third child, Amy, was also born from his work. Chinese authorities investigated his methods and found he had evaded research regulations. He was found guilty of the illegal practice of medicine by a district court. In December 2019, he was sentenced to three years in prison. He was also ordered to pay a fine of 3 million yuan. He was released from prison in April 2022.

Despite the controversy, He Jiankui has continued to pursue scientific work. In September 2023, he was recruited by the Wuchang University of Technology in Wuhan. He was named the inaugural director of the school's Genetic Medicine Institute. He has expressed a desire to focus on gene therapy for rare genetic diseases. One of his stated goals is to develop treatments for Duchenne muscular dystrophy. This is a condition that causes gradual muscle degeneration, especially in boys. He also mentioned interest in using a DNA synthesizer for information storage.

The impact of his work connects to broader discussions about biotechnology and law. His actions led to calls for specialized facilities to monitor the health of the gene-edited children. Scientists suggested these children need regular genome sequencing to check for abnormalities. However, this idea has faced pushback due to concerns about privacy and potential abuses. His case serves as a major example of the tension between scientific ambition and ethical boundaries. It highlights the need for strict international oversight in the field of human genome editing.

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