Science has managed to turn off the extra chromosome of Down syndrome. It has also opened the great ethical debate on gene editing

In the complex genetic map that surrounds the known down syndromethe problem is not that there is a lack of information in our cells, but that there is an excess. The presence of a third copy of chromosome 21 It unbalances the entire cellular system that ends up generating an entire clinic that today did not have any type of cure. But thanks to clinical advances and revolutionary gene therapies, we have found a way to turn off this gene that is extra in the cells of people with Down. A natural switch. To understand this advance, we must look at how nature itself resolves its own genetic imbalances. And, for those who do not know, in human beings sex is determined by two types of chromosomes: X and Y. If you are a woman, you will have XX chromosomes, and if you are a man, you will have XY. The problem, boiling it down to its most basic, is that always one of the ‘X’ genes must be silenced so that the genetic load is compensated in humans. And this is something that is done thanks to the gene XIST which encodes an RNA molecule that covers the chromosome and alters its chromatin, silencing de facto their genes. Something that has been developed by nature itself in order to maintain the species, and then the question is obligatory: why not use this natural switch to silence the chromosomes that generate diseases as important as Down syndrome? It’s not something new. The idea of ​​using this “switch” to be able to alter the gene expression of the chromosomes that we have in excess is not new, since in 2013 the researcher Jeanne Lawrence demonstrated for the first time that this RNA could induce the silencing of the extra chromosome 21 in human cells that were in culture in a laboratory. Later, in 2020, it was applied to neural stem cells, but the historical problem has always been the same: the very low efficiency when integrating this gene into the affected cells.. A new milestone. This has changed radically, as a team at Beth Israel Deaconess Medical Center in Boston has published a new article in PNAS with a solution to eradicate this bottleneck thanks to the tool CRISPR/Cas9. This system can be visualized as simple scissors that specifically cut into our DNA to eliminate something that was left over or altered. The problem is that it was not very efficient at integrating new genetic material, and to overcome this, scientists have developed a modified version of CRISPR/Cas9 that boosts the success rate of the integration of the XIST gene which will silence the third chromosome 21. Good results. Here we recognize how XIST has been integrated into 20-40% of cell lines that have trisomy 21. Furthermore, the method reliably affects only the extra copy of chromosome 21 without silencing other genes that can cause other diseases. There are problems. Despite the enthusiasm, the technique is far from being applied in humans, since one of the biggest challenges of CRISPR is the mutations off-target, That is, it acts on other genetic points that are its marked objectives. And this occurs when these ‘scissors’ cut a sequence of DNA that closely resembles its target, but which in reality is not. In this way, an error off-target It could trigger severe cellular problems or even cancer. Recent studies show that experimentation on embryos with these techniques often results in mosaicism with edited and unedited cells, as well as incomplete edits. This means that right now we have to work on having greater specificity in the genetic objectives of the therapy so that the consequences of using it are not much greater than the fact of curing a disease. Ethical shock. The controversy is served with genetic therapies in general, since right now one of the lines that are open is to eliminate this extra chromosome directly in a human embryo before implementing it in a woman so that she is not born with this disease. This is where bioethicists they point because experimenting with human embryos damages their physical integrity and poses irreversible risks for future generations. Furthermore, they underline the urgency of distinguishing between the use of CRISPR for purely therapeutic purposes, such as treating symptoms, and its use for “genetic improvement” or the selection of embryos that are much more advanced or genetically perfect. This is also added to the fact that genetic editing in embryos for reproductive purposes is currently prohibited in most countries. Images | Sangharsh Lohakare In Xataka | The surprising thing is not that we have sequenced the DNA of a Neanderthal from 11,000 years ago: it is what it has revealed

Science has managed to turn off the extra chromosome of Down syndrome. It has also opened the great ethical debate on gene editing

In the complex genetic map that surrounds the known down syndromethe problem is not that there is a lack of information in our cells, but that there is an excess. The presence of a third copy of chromosome 21 It unbalances the entire cellular system that ends up generating an entire clinic that today did not have any type of cure. But thanks to clinical advances and revolutionary gene therapies, we have found a way to turn off this gene that is extra in the cells of people with Down. A natural switch. To understand this advance, we must look at how nature itself resolves its own genetic imbalances. And, for those who do not know, in human beings sex is determined by two types of chromosomes: X and Y. If you are a woman, you will have XX chromosomes, and if you are a man, you will have XY. The problem, boiling it down to its most basic, is that always one of the ‘X’ genes must be silenced so that the genetic load is compensated in humans. And this is something that is done thanks to the gene XIST which encodes an RNA molecule that covers the chromosome and alters its chromatin, silencing de facto their genes. Something that has been developed by nature itself in order to maintain the species, and then the question is obligatory: why not use this natural switch to silence the chromosomes that generate diseases as important as Down syndrome? It’s not something new. The idea of ​​using this “switch” to be able to alter the gene expression of the chromosomes that we have in excess is not new, since in 2013 the researcher Jeanne Lawrence demonstrated for the first time that this RNA could induce the silencing of the extra chromosome 21 in human cells that were in culture in a laboratory. Later, in 2020, it was applied to neural stem cells, but the historical problem has always been the same: the very low efficiency when integrating this gene into the affected cells.. A new milestone. This has changed radically, as a team at Beth Israel Deaconess Medical Center in Boston has published a new article in PNAS with a solution to eradicate this bottleneck thanks to the tool CRISPR/Cas9. This system can be visualized as simple scissors that specifically cut into our DNA to eliminate something that was left over or altered. The problem is that it was not very efficient at integrating new genetic material, and to overcome this, scientists have developed a modified version of CRISPR/Cas9 that boosts the success rate of the integration of the XIST gene which will silence the third chromosome 21. Good results. Here we recognize how XIST has been integrated into 20-40% of cell lines that have trisomy 21. Furthermore, the method reliably affects only the extra copy of chromosome 21 without silencing other genes that can cause other diseases. There are problems. Despite the enthusiasm, the technique is far from being applied in humans, since one of the biggest challenges of CRISPR is the mutations off-target, That is, it acts on other genetic points that are its marked objectives. And this occurs when these ‘scissors’ cut a sequence of DNA that closely resembles its target, but which in reality is not. In this way, an error off-target It could trigger severe cellular problems or even cancer. Recent studies show that experimentation on embryos with these techniques often results in mosaicism with edited and unedited cells, as well as incomplete edits. This means that right now we have to work on having greater specificity in the genetic objectives of the therapy so that the consequences of using it are not much greater than the fact of curing a disease. Ethical shock. The controversy is served with genetic therapies in general, since right now one of the lines that are open is to eliminate this extra chromosome directly in a human embryo before implementing it in a woman so that she is not born with this disease. This is where bioethicists they point because experimenting with human embryos damages their physical integrity and poses irreversible risks for future generations. Furthermore, they underline the urgency of distinguishing between the use of CRISPR for purely therapeutic purposes, such as treating symptoms, and its use for “genetic improvement” or the selection of embryos that are much more advanced or genetically perfect. This is also added to the fact that genetic editing in embryos for reproductive purposes is currently prohibited in most countries. Images | Sangharsh Lohakare In Xataka | The surprising thing is not that we have sequenced the DNA of a Neanderthal from 11,000 years ago: it is what it has revealed

For years we blamed testosterone for men living shorter lives. Now we know that the culprit is a chromosome

For decades, biology has observed an incontestable demographic fact: women live longer than men. It has often been blamed lifestyleto testosterone or to the greater male propensity for risky activities. However, science has found a much more subtle and genetic culprit that we carry in all our cells and that literally we start to lose as we get older. A genetics class. In a very general way, we must remember that all our genetic information is collected in 46 chromosomes which are found within the nuclei of our cells in pairs. But there is a part of all these chromosomes that define us as men or women: The presence of two X chromosomes defines women and the presence of one X chromosome with one Y defines men. Although there is great genetic complexity behind something as redundant as a pair of chromosomes, what interests us in this case is that science has seen a effect called mLOYwhich is literally the loss of Y chromosome mosaic in men. And different scientific articles suggest that it is not a simple side effect of getting older, but rather it is a “silent killer” that explains much of the longevity gap between the sexes. The runaway chromosome. For a long time, the Y chromosome was considered the “little brother” of the genome. Small, with few genes and almost exclusively responsible for determining the male sex with no other known functions, almost all of which fall on the X chromosome of considerable size. But the truth is that we were wrong, and the Y chromosome has great importance in the adult life of men. The mLOY phenomenon. This occurs when the cells that are in charge of manufacturing the blood elementslike erythrocytes, platelets, or lymphocytes, suffer errors when dividing and lose the Y chromosome. Something that generates a “mosaic” in our body, that is, some white blood cells have the Y chromosome while others do not. But what is disturbing is the frequency with which it occurs, since, according to the data reviewed, this is something that has been detected in 40% of men at age 60 and in 70% of men at age 90. There is damage. Until recently, it was believed that losing this chromosome was benign and normal, a simple “genetic gray hair.” But the evidence accumulated between 2022 and 2025, including massive UK Biobank studies and the recent German studio LURIChas set off alarm bells: losing the Y chromosome is not harmless and has important side effects. The heart. One of these side effects is precisely heart failure, which is a very prevalent disease in the elderly. Here science has been able to see that, by eliminating the Y chromosome in mice, the animals rapidly developed cardiac fibrosis. That is, their hearts were filled with scar tissue, becoming rigid and, therefore, having great difficulty pumping blood. But it is not the only disease that occurs, since in the United Kingdom Biobank, men with mLOY in more than 40% of their white blood cells had a 31% higher risk of dying from cardiovascular causes. And even the LURIC study published last year, carried out on 1,700 men, found that the mLOY effect increased the risk of fatal heart attack by almost 50%. More diseases. Beyond the heart, the impact of losing the Y chromosome also affects our body’s defense system to be able to combat different threats. Among them we have cancer, since the immune system needs the Y chromosome to effectively monitor the tumor cells that arise. Its loss is associated with a worse prognosis in bladder cancer and other solid tumors, since it is as if our body’s security guards had gone partially blind. In addition to cancer, the frequency of mLOY has also been seen to be up to 10 times higher in patients who have Alzheimer’swith studies showing an almost 3 times higher risk of developing the disease. The COVID. During the pandemic we saw that older men died much more than women without fully understanding why. We now know that the loss of the Y chromosome increases 54% risk of fatality for being infected with COVID in the elderly, finally offering a biological explanation for this bias. Is there a solution? It may seem depressing to know that a part of our DNA decides to abandon us and cause us so many problems, but in reality, it is a hopeful finding. And it is hopeful, since, seeing that the loss of the Y chromosome is a direct cause of a disease, therapeutic doors open. In experiments with mice, it has been seen that treatment with an antifibrotic drug was able to reverse the cardiac damage caused by the loss of the chromosome. This means that the mLOY effect can be used as a marker in a blood test, as happens with cholesterol, to predict a patient’s cardiac risk and to be able to give preventive treatments to delay it and improve the patient’s quality of life. Images | nrd Miroslaw Miras In Xataka | The X chromosome has new clues about aging: why women tend to live longer than men

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