[HN Gopher] Babies made using three people's DNA are born free o...
       ___________________________________________________________________
        
       Babies made using three people's DNA are born free of mitochondrial
       disease
        
       Author : 1659447091
       Score  : 217 points
       Date   : 2025-07-16 21:43 UTC (3 days ago)
        
 (HTM) web link (www.bbc.com)
 (TXT) w3m dump (www.bbc.com)
        
       | foxyv wrote:
       | In vivo zygote mitochonrial transplantation. Neat! This is going
       | to add an interesting exception to matrilineal DNA testing in the
       | future.
       | 
       | Another thought, what about three parent households engaging in
       | IVF? Will this be an option to have 3 biological parents
       | regardless of disease? How will we keep records properly? What
       | are the legal consequences? Do mitochondrial parents need to pay
       | child support?
        
         | thaumasiotes wrote:
         | > In vivo zygote mitochonrial transplantation. Neat!
         | 
         | Absolutely not. This is in vitro:
         | 
         | >> The eggs from both the mother and the donor are fertilised
         | in the lab with the dad's sperm.
         | 
         | In vivo would make no sense.
        
           | Out_of_Characte wrote:
           | >In vivo would make no sense.
           | 
           | It would certainly be one of the more stranger ways to
           | explain the birds and the bees
        
         | perilunar wrote:
         | The amount of mitochondrial DNA is tiny though (~0.1%,
         | according to the article), and not particularly unique to any
         | individual, since it is passed down lately unchanged apart from
         | the occasional mutation. There's no point having 3 biological
         | parents unless there's a bad mutation in the mother's
         | mitochondrial DNA.
        
       | JLemay wrote:
       | This is such an incredible breakthrough and a huge win for
       | science and families alike, however its sad that despite decades
       | of work there is still no cure for mitochondrial disease. But the
       | chance to preventing it being passed on is still such a major
       | improvement. Also it's sad that only the uk is capable of doing
       | this atm bc it was the first country in the world to introduce
       | laws to allow their creation after a vote in Parliament in 2015,
       | while other countries were debating that it would open the doors
       | to genetically-modified "designer" babies
        
         | im3w1l wrote:
         | Cells can exchange mitochondria so in theory it might be
         | possible to flood the body with healthy mitochondria and get
         | them to slowly take over.
        
           | yorwba wrote:
           | I would expect that to activate the immune system. "the
           | unique components of mitochondria, when exposed, reveal their
           | prokaryotic history and are recognized as foreign by innate
           | immune receptors triggering an inflammatory response."
           | https://pmc.ncbi.nlm.nih.gov/articles/PMC6218307/
           | 
           | Maybe if you suppress the immune system, introduce working
           | mitochondria, and then stop taking the immunosuppressants,
           | any mitochondria that are still outside cells get cleaned up
           | and the ones that got absorbed are shielded and can do their
           | job.
        
             | inglor_cz wrote:
             | Maybe we can find some way to deliver mitochondria right
             | into the cells.
        
           | dr_dshiv wrote:
           | Mitochondrial health is definitely going to be a big theme in
           | the coming years.
        
         | FerretFred wrote:
         | It _is_ an incredible breakthrough and if it prevents disease
         | then all well and good, but are our Administrative Systems set
         | up to handle such an arrangement?
        
           | maxerickson wrote:
           | Sure. The mitochondrial donor can be treated as a source of
           | tissue and you are all done.
        
             | isodev wrote:
             | I really struggle why we keep maintaining some archaic
             | definitions around the "family unit" anyway. So someone has
             | 3 parents instead of 2 - nothing wrong with that.
        
               | drekipus wrote:
               | It's ok to not know why something is.
               | 
               | My daughter doesn't know why we have archaic laws around
               | seatbelts either, but she's 3.
        
         | FL33TW00D wrote:
         | The UK leads in this space as a previous PM had his newborn die
         | of a genetic disease.
         | 
         | Amazing the domino effect.
        
       | FollowingTheDao wrote:
       | Huge win for science ...big loss for evolution.
       | 
       | I am by no means a callous person, in fact, my therapist tells me
       | I have a problem with too much empathy, and in no way do I wish
       | parents to loose their children so young.
       | 
       | But what I am also not is a eugenicist, which is what this is,
       | eugenics.
       | 
       | "Eugenics is a set of largely discredited beliefs and practices
       | that aim to improve the genetic quality of a human population."
       | 
       | Now remember, first they are only preventing the _chance_ of a
       | baby being born with mitochondrial disease. But more importantly,
       | these mitochondrial diseases are still evident in the human
       | population because there is some survival advantage. This is what
       | happens with sickle cell disease [1]. The sacrifices these babies
       | make, dying so young, is a sacrifice for the survival of a
       | genetic population. In the case of mitochondrial diseases, this
       | favors the survival of female babies over male babies, or even
       | the benefit of higher amounts of oxidative stess in the mother to
       | fight off infection.
       | 
       | So by this method, even the female baby will be born without the
       | Mitochondrial mutation. What will this mean for her?
       | 
       | https://www.vanderbilt.edu/evolution/mitochondrial-dna-evolu...
       | 
       | "Accordingly, their model revealed that some mutations confer a
       | net replicative advantage over unmutated (wildtype) mtDNA,
       | causing the mutant mtDNA to proliferate within individual
       | organisms."
       | 
       | We know so little and we are acting like we know everything.
       | Humanity needs to stop thinking we are gods and accept our fates.
       | Eugenicists thought they knew what the best genes were to
       | survive, and this is no different.
       | 
       | [1] https://globalhealthnow.org/2024-06/how-sickle-cell-
       | disease-...
        
         | hobs wrote:
         | Generally the reason we think of Eugenicists as "bad guys" is
         | because they've been characterized by being happy to sterilize
         | or kill people to prevent their "subhuman genes" from being
         | passed down to the next generations.
         | 
         | This is different, another step in the erasure of genes that
         | harm humans. This is not a genocide.
         | 
         | It seems like your argument boils down to we should continue to
         | have horrible suffering and early death because diversity of
         | DNA is good and we shouldn't edit out potentially helpful
         | mutations (that also cause horrible suffering) - if we can beat
         | malaria, why would we need sickle cell?
        
           | MostlyStable wrote:
           | So I think this person is wrong, but the one little nugget in
           | there that is partially right is that I _do_ think it 's
           | important that, before we start modifying genomes on a wide
           | scale, we should have a pretty comprehensive database (100's
           | of thousands to millions) of whole-genome sequences
           | (alongside mitochondrial DNA) stored.
        
             | tomrod wrote:
             | To my understanding that's still super expensive. We can do
             | short SNPs (snippets? Not my field, I'm armchairing) for
             | cheap like good ole 23andme but not full genome cheaply.
        
               | MostlyStable wrote:
               | As of 2023, it was apparently <$1000/sequence [0], which
               | means it would be a few hundred million to maybe a
               | billion dollars. Which is a lot, but it really only needs
               | to be done once, and is a global project. That seems
               | pretty reasonable all things considered. But also, we can
               | probably wait a little while since it's not super crucial
               | until artificial genetic modification starts to get
               | widespread, which is still probably a decade off or so.
               | We could probably start just collecting samples now, and
               | as long as they are appropriately preserved, the actual
               | sequencing could be done later when it gets even cheaper.
               | 
               | [0] https://3billion.io/blog/whole-genome-sequencing-
               | cost-2023
        
         | perching_aix wrote:
         | > we are acting like we know everything. Humanity needs to stop
         | thinking we are god
         | 
         | These activities are in no way evidence for people thinking
         | (too?) highly of themselves or "as gods". Just a completely
         | made up accusation.
         | 
         | I also don't see why the _scary labels_ are relevant
         | necessarily. To be afraid of whether this qualifies as eugenics
         | or if you qualify as an eugenicist is sitting backwards on the
         | horse completely. But maybe I just misinterpreted your catious
         | wording and there 's no being afraid here - in other comments
         | you outright state you consider this eugenics, for example.
         | 
         | > [As] Humanity[, we need to] accept our fates.
         | 
         | No, we really don't. Though if _you_ and people of the same
         | opinion just accept fate, you also accept this research and
         | similar continuing on, so maybe this is not even a point of
         | debate in practice.
        
         | stefan_ wrote:
         | By this logic all gene therapy is eugenics.
        
           | hombre_fatal wrote:
           | Presumably all of medicine too since it keeps us from
           | "accepting our fates" and lets us procreate worse genes
           | instead of letting billions of people die sacrificially due
           | to their genes which is a "huge loss for evolution".
           | 
           | Kinda funny to attack TFA by associating it with a naughty
           | word while tracking in such awful ideas as if we're unable to
           | evaluate the ideas ourselves.
        
           | FollowingTheDao wrote:
           | No, it is only eugenics when it when gene therapy controls
           | the genetic makeup of a child before it is born. Gene therapy
           | for cancer is not eugenics.
        
             | quesera wrote:
             | > _controls the genetic makeup of a child before it is
             | born_
             | 
             | Selective breeding in livestock, mate selection in wild
             | animals and humans...
             | 
             | I do understand your point. I struggle with whether it is
             | cause for (more than theoretical) concern.
             | 
             | The ethical quandaries don't seem that important when it's
             | isolated to expression of personal choice.
             | 
             | State-driven decisions are ugly of course. And perhaps the
             | insanity that we see in dog breeding is very bad.
             | 
             | But we don't see the dog breeding problems in human parents
             | (aside from the initial mate selection, which can be
             | vicious!).
             | 
             | So where does that leave us? Using blunt tools is OK but
             | precise tools are bad?
        
             | stefan_ wrote:
             | But gene therapy can fix the genetic makeup of the living
             | child, then enable it to pass on its defective material.
             | That seems patently worse for evolution?
        
               | FollowingTheDao wrote:
               | If you take the case of sickle cell anemia, you'll find
               | this is not the case. You need to understand more about
               | genetics and why these mutation survive over generations.
               | They don't survive by accident they survive because when
               | they are heterogeneous, they are beneficial to the
               | population. It's only the unlucky child that ends
               | homozygous that will suffer from illness. But that is the
               | balance and sacrifice nature makes to keep a population
               | alive. It's indifferent and amoral, it's utilitarian. And
               | it's way beyond the comprehension of human knowledge.
        
               | monetus wrote:
               | > _And it's way beyond the comprehension of human
               | knowledge._
               | 
               | Are you fairly religious, if you don't mind my asking?
        
           | tomrod wrote:
           | Indeed. My understanding is that eugenics is typically
           | something where the choice is not allowed by the person or,
           | before birth, parents of the person affected by the
           | procedure.
        
         | Waterluvian wrote:
         | I think your argument is "we're screwing with nature in big
         | ways and we have a demonstrated history of being so confidently
         | wrong. This is dangerous." Which I think is a deeply important
         | discussion to be able to comfortably have without the layers of
         | disclaimers.
         | 
         | I think a lot of these biotechs that raise alarms are pretty
         | safe, and the problem is that we're _really bad_ at explaining
         | in lay terms how it all works, and people naturally assume the
         | worst.
         | 
         | I think it's also an issue of practicality (and this is where
         | it flirts with being eugenics). What's the alternative? To tell
         | people not to reproduce if they have known disease prone genes?
         | To make them not reproduce? To tell them they don't get
         | universal healthcare if they do?
         | 
         | I think mucking about with our building blocks is the least bad
         | option we have.
        
           | FollowingTheDao wrote:
           | Thanks for not being reactionary. You are in the minority so
           | I figured I would disclaim.
           | 
           | > What's the alternative?
           | 
           | Acceptance. These parents can still reproduce. A female child
           | will most likely be healthy, like the mother. And the male
           | child will not always be born with a mitochondrial disease.
           | People do not realize that father's can also pass
           | mitochondrial genetics to their children.
           | (https://www.ncbi.nlm.nih.gov/search/research-news/6639/)
           | 
           | In trying to remove all risk from our lives we are making it
           | inherently risky in other, usually unknown, ways.
           | 
           | All the spiritual practices talk about acceptance, so just
           | pick one.
           | 
           | But my bigger point is that it is still eugenics. And that is
           | bad no matter what the goal is.
        
             | perching_aix wrote:
             | > But my bigger point is that it is still eugenics. And
             | that is bad no matter what the goal is.
             | 
             | You're literally advocating for letting genetic diseases
             | cull the afflicted populations, "selecting for the better
             | genes" that way. Seemingly the exact opposite of your
             | claimed position, I hope you appreciate.
             | 
             | Or you have no problem with selection as long as "nature
             | does it"? That's the best idea I have for reconciling this
             | at least. Are we humans not part of nature though? Is you
             | preferring what nature does not just a preference still?
             | 
             | If we figure out that some specific genetic difference
             | results in people eventually dying before they reproduce,
             | what's the difference between editing that out vs. letting
             | nature do its thing?
        
               | lukeschlather wrote:
               | > If we figure out that some specific genetic difference
               | results in people eventually dying before they reproduce,
               | what's the difference between editing that out vs.
               | letting nature do its thing?
               | 
               | We're not that smart. Everything has unintended
               | consequences. One example some people have studied is
               | sickle-cell anemia. It's a recessive trait so if you get
               | two copies of the gene you get sickle-cell which is a
               | horrible disease. However, if you only get one copy of
               | the gene it provides substantial immunity against
               | malaria.
               | 
               | Now, maybe in this case you could say, okay, we will cure
               | malaria somehow, not worth sickle-cell existing. But the
               | thing is that gene isn't "the gene for sickle-cell
               | anemia," nor is it even "the gene for malaria resistance
               | and sickle-cell anemia." It affects hundreds, thousands,
               | maybe millions of different things.
               | 
               | I think there are some conditions where I don't have a
               | problem doing that, and sickle-cell, mitochondrial
               | disease, these things do seem "bad enough" to be worth
               | putting our fingers on the scale. But I am not sure it's
               | so clear-cut, and I think it's right to say that eugenics
               | are categorically suspect.
        
               | perching_aix wrote:
               | > We're not that smart.
               | 
               | How do you determine that? We've come far enough to see
               | and manipulate individual atoms, emit and count
               | individual photons, and build machines that understand
               | human language (if ever so fleetingly). Unless how we
               | work is fundamentally betraying how we can reason about
               | the world, and we find that that's intrinsically linked
               | to our genetics, I really don't see us not cracking it
               | eventually proper.
               | 
               | > Everything has unintended consequences.
               | 
               | People use medications every single day that are
               | effective for what they are taking it for, yet have
               | "unintended consequences" that are consciously ignored or
               | are found otherwise negligible by them. Seems like
               | unintended consequences are not a blocker. The criteria
               | hasn't been perfection even up to this point, it's always
               | been a desperation-driven best-effort. Much like life and
               | civilization as a whole.
               | 
               | I can appreciate e.g. hesitance in taking on the
               | responsibility of possibly being wrong about how
               | something like this works - nature cannot be blamed, but
               | humans can and that feels bad. But the alternative is
               | pretty clear and is not going away on its own. I'm pretty
               | sure at least that just like how genetic traits can be
               | evolved multiple times independently, genetic defects can
               | be too. This is also why I think to characterize this as
               | eugenics is extremely and fundamentally wrong. Eugenics
               | was about leveraging population control to ensure only
               | the "good" genes get passed on - a concept that
               | flagrantly flies in the face of this independent
               | recurrence effect, for one.
        
               | FollowingTheDao wrote:
               | > We've come far enough to see and manipulate individual
               | atoms, emit and count individual photons
               | 
               | The fact that you don't see the downsides of manipulating
               | atoms, and the trouble is causing in this very day with
               | the risk of nuclear war, literally proves that we are not
               | that smart.
               | 
               | > Eugenics was about leveraging population control to
               | ensure only the "good" genes get passed on
               | 
               | Everyone's assumption are that these genes that are
               | killing these children are "bad". They know these jeans
               | survived thousands of years of evolution for a reason.
               | And that's because on Balance. They are not bad, but for
               | some they are very bad. Human genetics cares about our
               | survival, it is totally a moral. It would rather a few
               | babies die so that hundreds could live.
        
               | perching_aix wrote:
               | I've posted a reply to this in haste, but it was a bit
               | more emotionally charged than ideal. This is a reworded
               | version that I believe reflects my thoughts more
               | accurately.
               | 
               | > The fact that you don't see the downsides of
               | manipulating atoms, and the trouble is causing in this
               | very day with the risk of nuclear war, literally proves
               | that we are not that smart.
               | 
               | That is a _very_ far removed interpretation of what I
               | wrote. As I 'm sure you're aware, nuclear bombs operate
               | on fission (or in rarer cases, fission and fusion). These
               | are atomic-scale processes, but do not involve atomic-
               | scale control (or in some cases, even control at all -
               | natural fission sites exist). A more faithful example for
               | what I said would be semiconductor manufacturing, where
               | the state of the art is 40-atoms wide tracks of
               | patterning resolution. The atomic pick-and-place I
               | describe was demonstrated, but has no practical
               | implementations that I'm aware of (would be way too
               | slow). But even if we go back to fission, nuclear plants
               | are providing stable, relatively clean baseline power at
               | reasonable costs, and for better or for worse, the world
               | didn't yet descend into WW3 either, and it's more than
               | fair to speculate that this is due to the temporary
               | checkmate nuclear bombs provide us. So as far as I'm
               | concerned, no, I think we're pretty alright still.
               | 
               | > Everyone's assumption are that these genes that are
               | killing these children are "bad".
               | 
               | But your position doesn't seem to care much for if this
               | assumption is correct or not. Even if it's bang-on
               | perfectly correct, you stated that this is eugenics
               | period, therefore it's bad. Was that not what you meant
               | to suggest then?
               | 
               | > They know these jeans survived thousands of years of
               | evolution for a reason.
               | 
               | How would you know? What if I disagree that reason and
               | purpose are ontologically real?
               | 
               | > Human genetics cares about our survival, it is totally
               | a moral.
               | 
               | I disagree that human genetics would be a conscious
               | process, and that it can thus care about things. I also
               | disagree that it can know anything about morals - morals
               | are a human concept, and they're not even universally
               | shared across us. Very clearly just the two of us seem to
               | hold ourselves to very different definitions of what's
               | moral, for example.
               | 
               | > It would rather a few babies die so that hundreds could
               | live.
               | 
               | I don't suppose you're claiming that this treatment (or
               | other genetic treatments) result(s) in the vast majority
               | of the patients dying?
        
             | Waterluvian wrote:
             | > remove all risk from our lives
             | 
             | As a parent of young kids, this is a core issue I grapple
             | with. I want my kids to have fun and take risks and learn
             | how to handle the bumpiness of life. But I don't want my
             | kids being maimed or killed.
             | 
             | I think the argument could be simplified to "we're
             | collectively better off if we live in a manner where one
             | consequence is that x% of us will get badly hurt." And I
             | personally believe that's a true statement.
             | 
             | My youngest was one of the x%. He played in a risky way
             | (that was entirely normal when I was a kid) and later that
             | night a team of orthopedic pediatric surgeons had to put
             | his body back together.
             | 
             | The hardest thing for me is not to be constantly saying
             | "that's too high; get down from there; don't go too far;
             | slow down" because that trauma lives with his mom and I far
             | more than it does with him. But I believe it's important
             | for him to keep taking risks.
             | 
             | I also believe it's up to each parent to decide how they
             | want to raise their kids. We don't get to collectively
             | decide for the parents.
             | 
             | Which relates back to the topic: I think it's collectivism
             | vs. individualism. I believe we cannot decide for people
             | that they don't get a choice in the matter. Even if one
             | might argue that this poses a collective risk to the
             | population.
        
               | tomrod wrote:
               | I'm so sorry that happened. As a parent, stories of
               | injured children get that bad-news stomach drop to me,
               | and I both empathize and sympathize. We are dealing with
               | a similar (but older child) issue now and it is just
               | heartbreaking to see them hurt.
        
               | FollowingTheDao wrote:
               | > I think it's collectivism vs. individualism
               | 
               | The idea of individualism is a hard one for me. Are we
               | really individuals? I mean, we get half our genetics from
               | each parent, so where is the individual? Can any of you
               | live as a total individual, without the assistance of
               | even a small group? When in human history, even primate
               | history, have you seen our species survive without a
               | community?
               | 
               | When a parent makes this decision for gene therapy, that
               | does not just affect the parents, it affects the child
               | (the outcome of which is still not understood) and it
               | affects those child's children.
               | 
               | Natural selection exists for a reason, but the
               | eugenicists think they can control it.
               | 
               | Comparing gene therapy to cognitive therapy (telling your
               | kids to not be stupid), is in no way comparable. Doing
               | gene therapy is not "raising your kids", it is creating
               | your kids.
               | 
               | I am saying this as someone who lives with THREE genetic
               | disorders. von Hippel-Lindau syndrome (Father and Mother,
               | hemangioblastomas), Cystathionine beta-synthase
               | deficiency (Mother, homocystinuria), and a DNM1L
               | Deficiency that leads to mitochondrial fission
               | dysfunction (myoptahy, ME/CFS, OCD, Anxiety, Asperger's).
        
             | tomrod wrote:
             | When applied to non-human life, the alleged benefits of
             | eugenics goes by the names domestication, husbandry, and
             | similar.
             | 
             | Correct me if I am wrong because I am absolutely not a
             | historian. Eugenics was horrible not because we understand
             | Mendellian genetics but because it was forced on people in
             | the intent to allegedly "improve" a (political boundary
             | placeholder)'s population in some way that was outright
             | obscene, including use by Nazi Germany and many other
             | places and regimes. US courts, etc.
             | 
             | I think the difference here is that the technology is not
             | forced to be used.
        
               | FollowingTheDao wrote:
               | Not all eugenicists had what they thought were Negative
               | intentions. In the 30s the plan was to send Native
               | Americans to the cities to to interbreed breed with white
               | people to make white people more communal.
               | 
               | And besides, aren't we forcing these genetic changes onto
               | the children without their consent?
        
             | jjcob wrote:
             | So as someone who spent the last few years caring for a kid
             | with a genetic defect.... I really don't wish that on
             | anyone.
             | 
             | If there is a way to detect or prevent genetic defects
             | before the kids are born, we should really allow people to
             | make a choice.
             | 
             | And I really don't care if doctors mix genetic material
             | from 3 people to make a healthy baby. It's still a form of
             | evolution. I'd think we should really try to give two
             | people who really want to have a kid a chance to have a
             | healthy kid...
        
             | nick__m wrote:
             | But my bigger point is that it is still eugenics. And that
             | is bad no matter what the goal is.
             | 
             | That's a thought terminating cliche for the ages ! The
             | problem with eugenics is the noneconsensual, racist,
             | ignorant ways and ideas of the early egenists. But the idea
             | of editing out genetic mutation that purely detrimental
             | (like the COMT-Val158Met polymorphism that make people
             | prone to psychosis and schizophrenia, or one of the
             | defective variants of the many genes that cause hereditary
             | blindness or deafnessl would be a net positive for
             | everyone. How can you argue otherwise?
             | 
             | They should not mess with genes where the sciences is not
             | 100% settled but that still leaves a lot's of mutations
             | known to be 100% deleterious. There are no benefits in
             | having hereditary blindness, deafness or schizophrenia!
        
               | FollowingTheDao wrote:
               | > How can you argue otherwise?
               | 
               | Because I know more about how integrated and complicated
               | genetics is than you?
               | 
               | Now you're talking about editing out polymorphisms, not
               | even mutations? Did you know the COMT is only a minor
               | risk for schizophrenia, right? And that it not only
               | metabolize is catecholamines, but also estrogens? How did
               | you know the COMT enzyme is stimulated by magnesium and
               | SAMe? Maybe the person needs just more of those than
               | needing to have genetic therapy.
        
               | nick__m wrote:
               | You didn't argue for anything! Assuming science had the
               | ability to cleanly edit that variant (which is not the
               | case today), the ethical choice is to remove that small
               | risk factor.
               | 
               | That variant of the COMT gene have a mountain of evidence
               | against it and no evidence showing any benefit
               | whatsoever. The fact that the COMT enzyme is also
               | implicated in estrogen metabolism is not an argument for
               | or against editing out the known defective variant of the
               | COMT gene.
               | 
               | There is an argument to be made that we should wait until
               | medical science has the means to cleanly and reliably do
               | a single gene edit but I don't buy the argument that
               | removing a gene variant from the humans genes pool is
               | eugenics therefore it's bad and should be forever
               | forbidden.
        
               | FollowingTheDao wrote:
               | > That variant of the COMT gene have a mountain of
               | evidence against it and no evidence showing any benefit
               | whatsoever
               | 
               | When you look at a single gene, you can see there's no
               | benefit. But when you look at the gene in contacts of the
               | whole genome, there could certainly be a benefit to
               | having a slower COMT enzyme.
               | 
               | For example, in someone with higher homocysteine, this
               | would be an advantage.
               | 
               | So you see the problem, you see the gene is bad because
               | of looking at the gene as an individual, but I see it as
               | probably beneficial when I look at the whole genome. And
               | this is why I am against gene editing. Unless you take
               | the gene, you wanna edit in the full context of the whole
               | genome you don't see the bad effects it might have in the
               | long run. And who is doing that? nobody.
        
         | throw_m239339 wrote:
         | This is just the beginning of all that. "Designer babies" will
         | obviously be a big business in the future, and one can take
         | that logic VERY far, even for an entire nation where all babies
         | will be mandated to have certain genes or characteristics... or
         | worst, mandated specializations...
         | 
         | Of course, science fictions authors,scientists and philosophers
         | have written plenty of material on the matter and the danger of
         | such societies... and it might blow up in our face one way or
         | another, but nothing aside of our demise can stop scientific
         | progress...
        
         | jl6 wrote:
         | Eugenics is any choice that influences the genetic makeup of
         | your descendants in a way that you believe to be desirable.
         | Choosing a tall partner because you want your kids to be tall
         | is eugenics. Eugenics happens every day, in every country. The
         | bad rap comes from historical attempts to apply it coercively.
         | Parents choosing to eliminate their genetic diseases is _not_
         | the same.
        
         | BurningFrog wrote:
         | Improving the genetic quality of a human population seems like
         | a good cause.
         | 
         | What got"eugenics" in disrepute was the evil things done to
         | people with "bad" traits:
         | 
         | - Killing them
         | 
         | - Forced sterilizing of them
         | 
         | - Forced abortion of their fetuses
         | 
         | That's awful, but because of the means, not because the goal of
         | a healthier population.
        
       | le-mark wrote:
       | Clever. So they fertilize an egg from the mother and another egg
       | from a donor with the fathers sperm. Then they yank out the
       | donor/father "pro nuclei" and replace it with the pro nuclei from
       | mother/father egg. Thus the child ends up with the donor's
       | mitochondria.
        
       | 999900000999 wrote:
       | Wouldn't it be significantly easier to just use the donor's egg
       | here ?
       | 
       | Or adopt?
       | 
       | This feels a bit narcissistic. If you and your partner determine
       | you have genetic traits you'd rather not have, you have the
       | option of not having biological children.
       | 
       | This just feels like it's going to open Pandora's box. You and
       | your partner are short and near sighted, edit in some height and
       | vision.
       | 
       | You're partner has ethnic traits they don't want to pass on ?
       | Just edit those out.
       | 
       | This feels like something that's going to start well intentioned,
       | but snowball into very strange outcomes.
       | 
       | God forbid this ever comes to America's profit driven health
       | system. The rich would have the option to edit in "better"
       | traits. Gattica here we come
        
         | gedy wrote:
         | I doubt problems would be unique to America, many parts Asia
         | are more aggressive with selective births and distorting sex
         | ratios already, I suspect this will be readily embraced and
         | with the much larger populations will be more an impact.
        
           | HPsquared wrote:
           | I think Fisher's Principle will assert itself in those cases
           | where the balance is disturbed currently. People will see how
           | "excess males" don't have as good outcomes as "scarce
           | females".
        
           | morkalork wrote:
           | It's definitely not unique to America, in fact America is in
           | some ways only catching up to other countries. What is
           | considered legal and ethical in say Mexico or Brazil if you
           | have money is a lot looser than in the USA. IVF clinics
           | happily advertise that they let you do sex selection.
        
         | laurent_du wrote:
         | Why is any of that a bad thing?
        
         | HPsquared wrote:
         | Mate selection is, consciously or otherwise, based on these
         | considerations already.
        
         | inglor_cz wrote:
         | "near sighted, edit in some vision"
         | 
         | And? I suspect that when the first glasses were made, someone
         | complained about people playing God, too: why do you want to
         | correct your eyesight when you were not intended to see well by
         | the Almighty?
         | 
         | Correction of genetic problems early on seems a lot better than
         | various complicated treatments down the line.
         | 
         | "Strange" often means just "we are not used to it", but the
         | next generations will take such things for absolutely granted.
         | 
         | It is no less strange that I, a Central European, am talking to
         | an American in almost real time and free of charge, and can
         | read his replies. That would be indeed very strange to anyone
         | prior to 1995 or so.
         | 
         | And yeah, this connectedness has downsides as well, but we may
         | work on them.
        
           | 999900000999 wrote:
           | What's a genetic "problem" ?
           | 
           | In some Asian countries modifying your eyes to look white is
           | a common practice. You could easily end up with biracial
           | people editing out some of their more ethnic features for the
           | next generation.
           | 
           | Not to mention their might be some mistakes along the way.
           | You can't git reset --hard a human.
           | 
           | As imperfect as humans are, that's what makes us human.
           | 
           | Now if as a consenting adult you want to modify yourself,
           | laser eye surgery, etc, go ahead.
        
             | inglor_cz wrote:
             | What about leaving this to the parents? Does the rest of
             | the society (in practice: busibodies who have enough time
             | to care) have a standing to stop them? Why should anyone
             | worship their ethnic features? That strikes me as extra
             | dystopian.
             | 
             | Obviously there are degrees to what is considered a
             | problem.
             | 
             | Few people would argue for leaving Huntington's or ALS-
             | related code in. That is just cruel.
             | 
             | There are deaf activists who protest any attempts to cure
             | deafness, but I would say most people won't agree with them
             | either.
             | 
             | Eye color may not be a problem per se, but does not strike
             | me as particularly important either - unless the state is
             | based on some neo-racist ideology, it probably should not
             | regulate this.
             | 
             | IMHO the real zone of shadows begins at outright
             | enhancements, especially those that will have downsides.
             | Maybe a certain gene sequence taken from bats or whales
             | will confer high resistance to cancer, but at the cost of
             | XXX or YYY. This is the sort of decision that will be
             | really hard.
        
               | 999900000999 wrote:
               | Honestly it's probably a better idea to ban this before
               | it becomes a problem.
               | 
               | You're talking about experimenting on non consenting
               | subjects. Why stop at 3 parents. Why not 300. Splice in
               | all the DNA you want.
               | 
               | Then 20 years later when the test subject has horrific
               | side effects due to processes we don't understand, ohh
               | well that's the cost of progress.
        
         | mrweasel wrote:
         | > Or adopt?
         | 
         | Adopt who? There is almost no children available for adoption,
         | only highly handicapped children who needs an auxiliary family.
         | 
         | Might be easier with a donor egg, but where are you going to
         | get that? Egg donation is highly regulated and many would find
         | it hard to get a donor. Of course this solution also requires a
         | donor egg, so you'd already need to have that available.
        
           | stephendause wrote:
           | > There is almost no children available for adoption
           | 
           | This is not true, at least in the United States. For one
           | thing, there are many children in foster care who want to be
           | adopted. It is also possible, though difficult and expensive,
           | to adopt infants from mothers giving up their children for
           | adoption as well. I am not saying it's an easy option or that
           | everyone should do it, but it is an option.
        
         | daedrdev wrote:
         | Humanity has discarded natural selection thanks to modern
         | medicine. Gene mutations that would have meant someone didn't
         | survive now can be treated.
         | 
         | The cold truth is that it is thus inevitable that in the future
         | humanity will need gene modification to avoid the spreading of
         | harmful mutations. This is what they are doing here, especially
         | since mitochondrial DNA is inherited directly from the mother
         | means that any problems will be propagated to all future
         | generation unlike normal genes.
        
           | wizzwizz4 wrote:
           | It's not really a "cold" truth: eugenics isn't _inherently_
           | bad, it 's just us humans have an annoying cultural problem
           | where we do horrible horrible things (including, but not
           | limited to, genocide) whenever anyone tries to attempt
           | eugenics. (It _might_ be  "human nature" preventing us from
           | ever doing eugenics ethically, but all the evil eugenicists
           | have a shared cultural background, so it's hard to tell.)
           | 
           | From this perspective, techniques that are _technically_
           | eugenics, but can 't feasibly be used in evil ways, are
           | unambiguous progress. I'm wary of gene editing, but the
           | technique described in the article doesn't seem like a
           | slippery slope to me.
        
             | daedrdev wrote:
             | I just think people are going to heavily disagree what is
             | moral and immoral eugenics. Like there was an article here
             | recently about how there was drama with gene editing to
             | remove blindness in one's children in the blind community
        
               | wizzwizz4 wrote:
               | When I've investigated _why_ there 's drama (though there
               | isn't actually _much_ for blindness, afaik: HN comments
               | by sighted people are not primary sources), I 've found
               | that it's mainly concerns about the eradication of
               | culture - which are understandable: the way the world's
               | currently organised, _all_ non-normative cultural
               | expression is penalised.
        
               | squigz wrote:
               | Can you link to that? This is particularly interesting to
               | me because, as I've commented in the past, I've never
               | encountered this feeling in the blind community, while
               | it's relatively common in the deaf community,
        
             | martin-t wrote:
             | There is no _we_.
             | 
             | There are people who have a deep emotional need to control
             | other people's lives and use all available tools to do
             | that.
             | 
             | There are also people who don't have that need at all and
             | would very much like to use the same tools to improve
             | themselves or their children.
             | 
             | These are two separate groups but "we" are limiting the
             | second group's access to tools in order to prevent the
             | first group from misusing it.
             | 
             | In fact, some people tabooize the tools and intentionally
             | attack even the second group for using them because they
             | either afraid of the first group or, more often, because
             | they are not even aware there are different types of people
             | with different motivations and driving needs.
        
           | attemptone wrote:
           | >Humanity has discarded natural selection thanks to modern
           | medicine. Gene mutations that would have meant someone didn't
           | survive now can be treated.
           | 
           | There is still selection going on and it is difficult to
           | argue that it is not natural. The pressures we are exposed to
           | are just not consistent with some idealized natural state and
           | thus seem "unnatural".
           | 
           | Be careful, "natural selection" is a specific descriptor that
           | describes a selection process that is contrasted by
           | "artificial selection". The second one comes up from time to
           | time in human context; we call it "eugenics".
        
         | mpalmer wrote:
         | This feels like something that's going to start well
         | intentioned, but snowball into very strange outcomes.
         | 
         | So it's like most technology, then.
        
       | kenjackson wrote:
       | In the US would this be considered abortion by pro-life
       | activists?
        
         | blargthorwars wrote:
         | I'm prolife. Perhaps. You're destroying one human in this
         | process.
         | 
         | Some of us are a bit more comfortable with IVF-like processes
         | because the intent is to foster human life rather than take it,
         | just as it's acceptable to cause an abortion in the process of
         | saving a mother.
        
           | hylaride wrote:
           | > Some of us are a bit more comfortable with IVF-like
           | processes because the intent is to foster human life rather
           | than take it, just as it's acceptable to cause an abortion in
           | the process of saving a mother.
           | 
           | But that (fostering human life) is also not a settled debate
           | if the laws in some states are any indication. But debate is
           | hard in jurisdictions where minority opinion can hold sway
           | (like in Florida where a referendum hit 57% for enshrining a
           | right to abortion).
           | 
           | While I'm resolutely pro-choice and don't consider a
           | fertilized cell to be "human", (before I continue I want to
           | be clear, I 100% support these types of procedures in the
           | article) there is eventually going to be a grey area where
           | debate needs to happen before we hit Gattaca-style dystopian
           | editing.
           | 
           | PS This is not meant to argue against your view per se, which
           | I disagree with but respect. I mean to illustrate how very
           | quickly this gets messy and rational debate flies out the
           | window. But that's the same with anything political in
           | today's climate... :-/
        
           | N1ckFG wrote:
           | Afaik it's a misconception that MRT necessarily involves the
           | destruction of an embryo. The spindle transfer method
           | transplants the mother's egg's DNA into the donor's egg
           | before fertilization, so only one embryo is ever created. The
           | UK trials exclusively used the older pronuclear transfer
           | method, where two embryos are created and the donor's is
           | destroyed, because the journey to full regulatory approval
           | took about a decade and embryos are currently safer to freeze
           | and thaw than eggs. In a hypothetical scenario where MRT
           | became as widely available as IVF, this would not need to be
           | the case for new patients.
        
           | sneak wrote:
           | Being anti-abortion (what you call pro-life) doesn't also
           | automatically mean that you share the belief that human life
           | and the associated rights thereof begin at the instant of
           | fertilization.
           | 
           | It seems you mean to imply that you are against the
           | destruction of a fertilized viable embryo, but then the rest
           | of your message seems to suggest that it isn't that
           | important.
        
           | perching_aix wrote:
           | > You're destroying one human in this process.
           | 
           | How so? They're removing the pro-nuclei before they fuse
           | (which is when a new human, specifically their first
           | sovereign cell and their DNA, would be formed). So even if
           | you consider life to start at conception, this is precisely
           | just before that still, meaning there's no human being
           | destroyed here - unless I misunderstand the biology going on
           | (or the article is not correct).
        
         | bpodgursky wrote:
         | Only the extreme fringe is willing to go to bat against IVF.
         | Maybe 10%.
        
           | basisword wrote:
           | I think it's higher than that. The Catholic Church is against
           | IVF. Although not all its followers will stick to all its
           | teachings a significant number will.
        
             | olddustytrail wrote:
             | It's not dogma, it's just advice. And I think the vast
             | majority of people would just ignore it.
             | 
             | Frankly, advice on having children from celibate men
             | doesn't need special consideration from women.
             | 
             | I say this as someone who was at least raised Catholic and
             | still has an affection for the faith.
        
               | svieira wrote:
               | It is in fact _dogma_ that IVF is forbidden to Catholics
               | (see Humanae Vitae #12 and the Catechism #2376)
               | 
               | https://www.vatican.va/content/paul-
               | vi/en/encyclicals/docume...
               | 
               | https://www.vatican.va/content/catechism/en/part_three/se
               | cti...
        
               | olddustytrail wrote:
               | Neither of those are dogma.
        
           | msgodel wrote:
           | Where I came from (rural and very conservative) everyone is
           | 100% against IVF and frankly, religion aside, I'm not sure
           | it's good. There are certainly ways to abuse it and there's a
           | certain kind of person it's popular with.
        
             | nkrisc wrote:
             | > there's a certain kind of person it's popular with.
             | 
             | People who have trouble naturally conceiving a child?
        
             | bpodgursky wrote:
             | I don't believe you.
             | 
             | Where did you come from?
        
             | throwaway7783 wrote:
             | Like what and like who? You don't think people who cannot
             | naturally conceive deserve to have kids? Or something else?
        
         | karel-3d wrote:
         | There is a gamut of what is pro-life, pro-lifers themselves
         | don't agree with each other on IVF.
         | 
         | (the same as with pro-choicers and third trimester abortions
         | for example)
        
       | MrDrDr wrote:
       | I think it would be better to describe this as an 'organelle'
       | transplant as it would be easier for people to understand and
       | discuss. Yes there is a donor (egg) and yes the new child will
       | pass on the mitochondria to her children. But calling it a 3
       | person baby is unhelpful and misleading as IMO mitochondria DNA
       | is of a different category to chromosomal DNA.
        
         | gus_massa wrote:
         | It's inheritable so it's more than a liver transplant.
         | 
         | I agree that DNA in mitochondria is much smaller than DNA in
         | the nucleus. But in each person there are many mitochondria and
         | they nay have slightly different DNA. And the DNA in
         | mitochondria has a different variation than the DNA in the
         | nucleus. So it's difficult to weight both.
         | 
         | Can we say 2.1 parents? A long time ago I read that most binary
         | classifications are not completely binaries, it's just that 2
         | options cover almost all the cases. (Are virus alive?) I guess
         | integer classifications also have hidden corner cases.
         | 
         | I also remember from a biology book that in a lab they mixed
         | two blastula(?) of small lizards(?) or something like that.
         | They had different skin color and the baby had patches of both
         | colors. Does that count as 2 or 4 parents?
        
           | tialaramex wrote:
           | Certainly Mother Nature is not obliged to have simple easy to
           | understand binaries where it would be convenient for us and
           | so if we think we see such a binary we should keep in mind
           | that maybe we hallucinated it into existence because it was
           | convenient and that's all.
        
         | jungturk wrote:
         | DNA can migrate between the nucleus and the mitochondria (and
         | vice versa) so its not entirely black & white.
        
         | sidewndr46 wrote:
         | While it is a different category that chromosomal DNA, it is
         | still an essential part of mammalian life. None of use would
         | exist in our current forms without mitochondria
        
       | SoftTalker wrote:
       | This will run into objections from those who believe that life
       | begins at conception. I can imagine this procedure being illegal
       | in many jurisdictions.
        
         | sigmoid10 wrote:
         | This procedure is already banned in the US, despite the fact
         | that it was pioneered in New York.
        
           | tripplyons wrote:
           | Couldn't patients have the procedure performed elsewhere as
           | medical tourists? I don't see a viable way to prevent it.
        
             | serial_dev wrote:
             | Yes, that's my understanding as well. Those who can afford
             | it, can travel to a different country and try. But I assume
             | it's so expensive that only a select few can go through
             | this process.
        
               | SoftTalker wrote:
               | Some states have tried to make it illegal to travel to
               | another state to have a banned procedure such as an
               | elective abortion. I don't know how that has held up in
               | court in practice.
        
         | mcintyre1994 wrote:
         | I heard from the news in the UK that it's currently only
         | allowed in the UK and one other country, which I think might
         | have been Australia.
        
         | khazhoux wrote:
         | Which is strange because I spoke with God last week and he told
         | me he is ok with this procedure.
        
           | Smar wrote:
           | Lies, I haven't talked with anyone yesterday.
        
           | globular-toast wrote:
           | You should publish your findings in a bestselling book.
        
         | svieira wrote:
         | I am pretty sure _most_ people would not be all right with
         | organ donation _a la_ The Island. The fact that the person is
         | vulnerable and invisible doesn 't make it better.
        
           | paulryanrogers wrote:
           | When is it a person?
           | 
           | Are women carrying partial people in their eggs?
           | 
           | If most fertilized eggs naturally fail to implant then should
           | we monitor urine and arrange funerals for those lost?
        
             | throwpoaster wrote:
             | > Are women carrying partial people in their eggs?
             | 
             | Yes.
             | 
             | > If most fertilized eggs naturally fail to implant then
             | should we monitor urine and arrange funerals for those
             | lost?
             | 
             | Weird strawman.
        
               | kevingadd wrote:
               | Not that weird of a strawman:
               | 
               | > According to the Metro, several states have prosecuted
               | women for miscarriages or stillbirths. They include South
               | Carolina, Georgia, Arkansas, Texas, California,
               | Mississippi, and Ohio. It appears West Virginia has
               | joined the ranks as well.
               | 
               | > Though California has since passed laws banning
               | criminal charges and investigations of pregnancy loss, it
               | previously jailed two women for stillbirths.
               | 
               | Also:
               | 
               | > Raleigh County Prosecuting Attorney Tom Truman told
               | WVNS 59News that a number of criminal charges under state
               | code, including felonies, could be levied against a woman
               | who flushes fetal remains, buries them, or otherwise
               | disposes of remains following an involuntary abortion,
               | also called a miscarriage.
               | 
               | We've established arbitrary lines on when the embryo
               | progresses to the point of having a legally mandated
               | funeral in some parts of the US.
               | 
               | https://www.ndtv.com/world-news/new-law-in-us-state-
               | could-le...
        
               | seattle_spring wrote:
               | > Weird strawman
               | 
               | Comparing abortions to harvesting organs from cloned
               | humans? I agree, definitely a weird strawman.
        
         | Terr_ wrote:
         | Meh, those "personhood at conception" [0] folks will always be
         | whining at reality anyway, since what they imagine to be "plain
         | common sense" is actually crazy. To wit:
         | 
         | 1. Identical twins from one conception are _not_ a single
         | person.
         | 
         | 2. An entity with chimerism (two conceptions) is one person,
         | _not_ two people simultaneously.
         | 
         | 3. If I make an SCNT clone [1] of someone, that's another
         | person, not property or a mobile body part.
         | 
         | 4. They aren't freaking out about zillions of regular
         | miscarriages, because they don't _actually_ believe those are
         | people-deaths.
         | 
         | _________
         | 
         | [0] They _say_ life, but it really helps to nail them down to a
         | much more specific definition ASAP, because they often to
         | retreat into fallacies of equivocation. HeLa cells are not a
         | person.
         | 
         | [1] https://en.wikipedia.org/wiki/Somatic_cell_nuclear_transfer
        
           | grosswait wrote:
           | Many families have private ceremonies for miscarriages
        
             | Terr_ wrote:
             | I am personally aware. Yet why do you believe people
             | declaring chanting "life begins at conception" _do not_
             | make preventing miscarriages into a part of their national
             | political platform the same way as criminalizing abortion?
             | 
             | That's like someone who says "cows are people" and wants
             | the death penalty for hamburgers, but they're a-OK with
             | dairy farms and leather.
             | 
             | It shows that even the proponents of the slogan don't
             | actually believe it.
        
           | throwpoaster wrote:
           | So much straw here I'm looking for Rumpelstiltskin.
        
             | Terr_ wrote:
             | What are you claiming the phrase actually means then?
        
       | w10-1 wrote:
       | So mother and father contribute the nucleus, and donor egg has
       | everything else-- which is a lot more than mitochondria.
       | 
       | DNA required by mitochondria are both in the mitochondria and in
       | the nucleus. This seems to show there is no co-evolution of the
       | two; or the genetic distance of the donor might matter.
       | 
       | Still TBD whether other problems arise. If they do, I wonder if
       | the affected person has any ability to get medical records of the
       | other subjects, to compare diagnoses or treatments,
       | notwithstanding privacy protections.
        
         | throwawaymaths wrote:
         | > DNA required by mitochondria
         | 
         | DNA _that codes for proteins that are_ required by the
         | mitochondria...
         | 
         | The DNA in the nucleus itself does not make its way to the
         | mitochondria.
         | 
         | > This seems to show there is no co-evolution of the two
         | 
         | There is plenty of co-evolution between the two. But the idea
         | that the genetic distance between donors doesn't matter is
         | pretty substantiated by the fact that people of two races can
         | have children.
        
       | amriksohata wrote:
       | [flagged]
        
         | dang wrote:
         | " _Eschew flamebait. Avoid generic tangents._ "
         | 
         | https://news.ycombinator.com/newsguidelines.html
         | 
         | Edit: we unbanned you because you promised you wouldn't do this
         | kind of thing, and your account seems to have reverted to the
         | earlier pattern. I'm not just talking about the current comment
         | --I mean the pattern of using HN primarily to comment on
         | political/national/religious/ideological topics. If you would
         | please fix this so we don't have to ban you again, that would
         | be good.
         | 
         | https://news.ycombinator.com/item?id=35505325
        
           | paxcoder wrote:
           | But this is fine:
           | https://news.ycombinator.com/item?id=44619241
        
             | dang wrote:
             | Of course it's not fine.
             | 
             | If you see a post that ought to have been moderated but
             | hasn't been, the likeliest explanation is that we didn't
             | see it. You can help by flagging it or emailing us at
             | hn@ycombinator.com.
             | 
             | https://hn.algolia.com/?dateRange=all&page=0&prefix=false&q
             | u...
        
       | throwaway106382 wrote:
       | Who has to pay child support?
        
       | eddie_catflap wrote:
       | My son Oliver was born with mitochondrial disease and was killed
       | by conditions associated with it at the age of 19. Some of the
       | people mentioned in the report here were involved in his
       | diagnosis and care.
       | 
       | His life deteriorated from that of a normal, fun loving
       | intelligent kid to an isolated bed-bound disabled teenager, fed
       | by total parenteral nutrition and suffering a variety of awful
       | complications. His eventual passing was cruel and brutal. I'm not
       | sure we will ever get over it as a family.
       | 
       | This treatment does now at least offer me a glimmer of
       | grandchildren (my daughter having decided she would not risk
       | children of her own until now). It's a remarkable achievement.
        
         | jayski wrote:
         | I'm very sorry that happened to your son, and that you and your
         | family had to endure it.
        
       | codedokode wrote:
       | If most diseases are caused by errors in DNA, cannot we make
       | mandatory DNA screening, detect such errors, and warn potential
       | parents not to make children? Eventually this could lead to these
       | diseases simply disappearing, and studying invalid DNA sequences
       | seems to be much cheaper than researching the treatment for the
       | disease.
        
         | sorcerer-mar wrote:
         | The mapping from DNA to health outcome is unbelievably
         | chaotic/high-cardinality, then mixed in with various
         | environmental/social/cultural factors that don't show up in DNA
         | at all.
         | 
         | Drugs are in fact _how we come to understand_ this chain of
         | causality, piece by piece.
         | 
         | So yeah, what you describe is obviously the dream (hand waving
         | through some ethical considerations) but we just don't know
         | anywhere close to enough about the biology.
        
         | unnamed76ri wrote:
         | I guess you've never met teenagers.
        
       ___________________________________________________________________
       (page generated 2025-07-19 23:00 UTC)