{"id":130430,"date":"2024-09-23T10:09:00","date_gmt":"2024-09-23T14:09:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=130430"},"modified":"2024-09-23T12:10:21","modified_gmt":"2024-09-23T16:10:21","slug":"the-code-breaker-book","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/the-code-breaker-book\/","title":{"rendered":"The Code Breaker: Book Overview (Walter Isaacson)"},"content":{"rendered":"\n<p>Have you heard of <a href=\"https:\/\/www.shortform.com\/blog\/crispr-gene-editing-technology\/\">CRISPR<\/a> and wondered what all the fuss is about? How could this groundbreaking technology <a href=\"https:\/\/www.shortform.com\/blog\/how-to-make-a-difference-in-the-world\/\">change the world<\/a> as we know it?<\/p>\n\n\n\n<p><em>The Code Breaker<\/em>, a book by Walter Isaacson, explores the fascinating world of CRISPR gene editing technology. The book lays out its development, focusing on Nobel Prize winner Jennifer Doudna&#8217;s contributions, and examines the moral quandaries and potential applications of this revolutionary scientific tool.<\/p>\n\n\n\n<p>Continue reading for an overview of this important book.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-code-breaker-book-overview\"><em>The Code Breaker<\/em> Book Overview<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.simonandschuster.com\/books\/The-Code-Breaker\/Walter-Isaacson\/9781982115869\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Code Breaker<\/em><\/a><em>, <\/em>a book by Walter Isaacson published in 2021, discusses the advent and <a href=\"https:\/\/www.shortform.com\/blog\/future-of-crispr\/\">future of CRISPR<\/a>, a groundbreaking scientific tool. Isaacson traces its development (focusing on the contributions of scientist and Nobel Prize winner <a href=\"https:\/\/www.shortform.com\/blog\/who-is-jennifer-doudna\/\">Jennifer Doudna<\/a>) and explores its significance as a victory for women in science. He also argues that CRISPR has the potential to change life as we know it and explains how, in some ways, it already has.<\/p>\n\n\n\n<p>Isaacson is a journalist who served as the editor of <em>Time <\/em>magazine and CEO of CNN. He\u2019s also a history professor at <a href=\"https:\/\/liberalarts.tulane.edu\/history\/people\/faculty-staff-name\/walter-isaacson\" target=\"_blank\" rel=\"noreferrer noopener\">Tulane University<\/a> and author of several popular biographies, including <a href=\"https:\/\/shortform.com\/app\/book\/leonardo-da-vinci\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Leonardo Da Vinci<\/em><\/a><em>, <\/em><a href=\"https:\/\/shortform.com\/app\/book\/elon-musk-isaacson\/1-page-summary\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Steve Jobs<\/em><\/a><em>, <\/em>and <a href=\"https:\/\/shortform.com\/app\/book\/steve-jobs\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Elon Musk<\/em><\/a><em>. <\/em>In 2021, President Joe Biden awarded Isaacson the <a href=\"https:\/\/www.whitehouse.gov\/briefing-room\/speeches-remarks\/2023\/03\/21\/remarks-by-president-biden-at-the-presentation-of-the-2021-national-humanities-medals-and-national-medals-of-arts\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Humanities Medal<\/a> in recognition of his work to bridge the sciences and the humanities.<\/p>\n\n\n\n<p>In our overview, we\u2019ll focus on four of the many threads Isaacson weaves together. In Part 1, we\u2019ll define the biological process known as CRISPR and explain how it works. In Part 2, we\u2019ll discuss the scientists behind CRISPR gene editing technology, with a focus on the life and career of Jennifer Doudna. In Part 3, we\u2019ll explore the moral quandaries that the advent of CRISPR technology presents. Finally, in Part 4, we\u2019ll discuss some of CRISPR\u2019s realized and potential real-world applications.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Part 1: The Biological Process Known as CRISPR<\/strong><\/h3>\n\n\n\n<p><a href=\"https:\/\/www.shortform.com\/blog\/what-is-crispr-and-how-does-it-work\/\">CRISPR is<\/a> short for \u201cclustered regularly interspaced short palindromic repeats,\u201d which refers to a repetitive pattern inside the DNA of some types of micro-organisms. It\u2019s a natural biological feature that scientists discovered and used to facilitate gene editing. We\u2019ll give some scientific background that will help you understand CRISPR. Then, we\u2019ll explain how scientists discovered CRISPR in nature and figured out how it works.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Scientific Background<\/strong><\/h4>\n\n\n\n<p>To help you understand CRISPR, Isaacson provides some scientific background information on three basic biological units: genes, DNA (deoxyribonucleic acid), and RNA (ribonucleic acid). Let\u2019s explore those now.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Genes<\/h5>\n\n\n\n<p>Isaacson traces CRISPR\u2019s development back to the proto-genetic theories of scientists Charles Darwin and Gregor Mendel in the mid-1800s. Darwin, who proposed the theory of evolution, argued that certain traits were passed down through generations via a process called <a href=\"https:\/\/www.shortform.com\/blog\/natural-selection-in-evolution\/\">natural selection<\/a>. He thought reproduction occurred when tiny parts of both parents\u2019 bodies migrated into the egg and sperm and then blended in the offspring, but this wasn\u2019t quite correct. Mendel then showed that some<em> <\/em>traits are dominant (more likely to appear) and others are recessive (less likely to appear). These findings led other scientists to hypothesize about the existence of <strong><em>genes<\/em><\/strong><strong>\u2014molecular units containing inheritable traits<\/strong>.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">DNA<\/h5>\n\n\n\n<p>Later, scientists discovered that genes are segments of DNA (deoxyribonucleic acid), a molecule inside which inheritable traits are encoded. In the 1950s, scientists Rosalind Franklin, James Watson, and Francis Crick showed that DNA has a double helix structure that can be split in two and replicated\u2014this process is what enables genes to be inherited. Isaacson notes that Franklin\u2019s contributions to the discovery of DNA\u2019s structure were undervalued because of her gender (Watson and Crick were men and have received greater historical recognition).<\/p>\n\n\n\n<p>According to Isaacson, experts long believed that they could begin to solve inheritable medical problems by studying DNA and identifying problematic genes. This led to the formation of the <a href=\"https:\/\/www.shortform.com\/blog\/what-was-the-human-genome-project\/\">Human Genome Project<\/a> (an international effort to catalog human DNA) in the 1990s. But Isaacson explains that this approach was lacking\u2014<strong>DNA only tells you which genes are present in a cell, <em>not <\/em>how to alter them.<\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\">RNA<\/h5>\n\n\n\n<p>Alongside DNA, cells contain a molecule called RNA (ribonucleic acid). Until the 1980s, scientists only knew about one type of RNA: <em>messenger RNA <\/em>(<em>mRNA), <\/em>which copies and transmits genetic information. Then, scientists discovered another type of RNA called <em>ribozymes<\/em>, which act like enzymes (a kind of protein that catalyzes chemical reactions). They also found out that ribozymes could help RNA molecules <em>splice <\/em>themselves\u2014that is, the molecules could make copies of themselves that automatically cut out certain unnecessary sections. Isaacson explains that this discovery opened the door for scientists like Jennifer Doudna to research how <strong>RNA could be used to alter genes.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>CRISPR in Nature<\/strong><\/h4>\n\n\n\n<p>Now that you know the fundamental science underlying CRISPR, let\u2019s talk about what CRISPR is and how it works. As a reminder, the label \u201cCRISPR\u201d refers to a repetitive pattern inside DNA. Isaacson explains that scientists in the 1980s noticed that this phenomenon occurred in some bacterial cells, but they weren\u2019t sure what it was or why it mattered. A researcher solved that mystery a few years later\u2014in the bacteria he studied, cells with CRISPR were immune to viral infection, while cells without CRISPR were susceptible to viral infection. Therefore, he dubbed CRISPR a natural antiviral defense mechanism.<\/p>\n\n\n\n<p>Once CRISPR was discovered, scientists set out to decipher how it worked. First, they noticed that the pattern was usually accompanied by enzymes known as <em>Cas enzymes<\/em>. They theorized that when a virus attacks a bacterial cell, the bacterial cell\u2019s Cas enzymes cut segments of the virus\u2019s genetic material (either DNA or RNA, depending on the virus). Then, the cell copies those segments into the bacteria\u2019s DNA, which results in the DNA pattern known as CRISPR. The next time the virus attacks, the cell \u201crecognizes\u201d the virus because its genes are now encoded in the cell\u2019s DNA\u2014which enables the cell to better defend itself against that specific virus. Isaacson explains that this understanding of how CRISPR and Cas work is correct, but not complete.<\/p>\n\n\n\n<p>Isaacson says in 2012, American biochemist Jennifer Doudna teamed up with French scientist Emmannuelle Charpentier to fully explain how<strong> CRISPR-Cas systems defend bacterial cells against invading viruses<\/strong>. They published a paper on how three essential molecules\u2014a Cas enzyme called Cas9 and two kinds of RNA called crRNA (CRISPR RNA) and tracrRNA (trans-activating CRISPR RNA)\u2014work together to facilitate the process. First, tracrRNA creates crRNA, and these molecules combine to produce \u201cguide RNA\u201d (gRNA) and then bind to Cas9. Then, using its matching code as a guide, the gRNA finds the right spot to slice the virus\u2019s DNA. Finally, Cas9 makes a cut in the DNA where the gRNA attached, disabling the virus.&nbsp;<\/p>\n\n\n\n<p>Importantly, in this paper, Doudna and Charpentier also suggested that in the future, scientists could potentially use the CRISPR-Cas9 system to edit human genes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Part 2: Jennifer Doudna and the Scientists Behind CRISPR Technology<\/strong><\/h3>\n\n\n\n<p>While many scientists played key roles in the development of the gene editing technology known as CRISPR, Isaacson focuses on Jennifer Doudna. We\u2019ll explore how Doudna\u2019s early life and career led her to help develop the CRISPR technology. We\u2019ll also discuss the relative contributions of her colleagues and competitors. Finally, we\u2019ll explain how CRISPR launched Doudna\u2019s career.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Doudna\u2019s Early Life and Career<\/strong><\/h4>\n\n\n\n<p>Doudna was born in 1964 and spent the majority of her childhood in Hawaii. Because she was in the minority of white children there, she felt like an outsider, and she took refuge in Hawaiian nature. Isaacson explains that two adults in Doudna\u2019s life nurtured her fascination with nature: A friend of her parents, who was a biologist, taught her some scientific basics during nature walks, and her father gave her a copy of <a href=\"https:\/\/www.simonandschuster.com\/books\/The-Double-Helix\/James-D-Watson\/9780743216302\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Double Helix<\/em><\/a> (the story of how scientists Crick, Watson, and Franklin discovered the structure of DNA). The book excited Doudna for two reasons: First, it inspired her to investigate <em>why <\/em>the world worked as it does. Second, it taught her that despite what her teachers said, women <em>could <\/em>be scientists.<\/p>\n\n\n\n<p>Doudna majored in chemistry at Pomona College and went to graduate school at Harvard University. Isaacson explains that at the time, most biologists were preoccupied with studying DNA because they thought it was the next scientific frontier. However, Doudna\u2019s advisor at Harvard encouraged her to focus on RNA. Doudna began exploring ribozyme structure and function, which presaged her work with CRISPR. Then, as a postdoctoral researcher at the University of Colorado, she set out to discover <em>why <\/em>RNA could be used to edit genes. With the help of her labmate and future husband Jamie Cate, she mapped out RNA\u2019s structure, which helped her understand how it worked.<\/p>\n\n\n\n<p>Isaacson explains that with these discoveries under her belt, <strong>Doudna was officially an expert on RNA.<\/strong> The University of California at Berkeley offered her a professorship, and she continued to research RNA in that capacity. There, she focused on RNA interference\u2014a process that she hypothesized could be used for gene editing. Doudna\u2019s research on gene editing took a different turn than she expected, though: When a colleague suggested that she apply her RNA expertise to CRISPR, she tasked her lab with learning how Cas enzymes worked by determining their structure. Once they accomplished that, Doudna moved onto groundbreaking research\u2014she teamed up with Charpentier to clarify how the CRISPR-Cas system works.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Doudna Developed CRISPR Technology Alongside Colleagues and Competitors<\/strong><\/h4>\n\n\n\n<p>Isaacson explains that after Doudna helped discover how CRISPR-Cas9 works in nature, she focused on developing the system into a technology for human use. Doudna played a huge role in the development of CRISPR <em>technology<\/em>, but she didn\u2019t do it alone\u2014both colleagues and competitors helped her establish this scientific innovation. Let\u2019s discuss the contributions each key player made toward the advent of CRISPR technology.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Doudna Collaborates With Charpentier<\/h5>\n\n\n\n<p>Around the same time that Doudna began researching Cas enzymes, other scientists were conducting experiments aimed at preventing viral infections in the bacteria used to make yogurt. They discovered that they could <em>insert <\/em>CRISPR elements into bacterial cells instead of waiting for cells to naturally develop CRISPR-derived immune defenses. The scientists also confirmed that cells\u2019 CRISPR defenses were inheritable. Based on this discovery, the scientific community concluded that it could potentially use CRISPR to create inheritable alterations to any type of gene.<\/p>\n\n\n\n<p>Doudna and Charpentier turned this potentiality into an actuality, writes Isaacson. They realized that since crRNA determined which genes to cut out of a virus, they could use different versions of crRNA with different targets to edit any segment of DNA they wanted. To simplify this process, they fused together crRNA and tracrRNA to create sgRNA (single-guide RNA) in 2013. <strong>The invention of sgRNA transformed CRISPR from a biological process into a gene editing tool<\/strong>. They experimented with single-celled organisms and proved that they could edit genes at will. Isaacson explains that other gene editing tools already existed, but CRISPR gene editing technology quickly displaced them because it was more straightforward and efficient.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Doudna Competes With Zhang (and Other Scientists)<\/h5>\n\n\n\n<p>Isaacson explains that although Doudna and Charpentier successfully demonstrated that they could edit the genes of single-celled organisms, it wasn\u2019t immediately clear that the same process could be used in more complex cells (like human cells). As soon as Doudna and Charpentier published their paper on CRISPR gene editing technology, <strong>scientists around the world began competing to become the first to use it in human cells. Doudna\u2019s primary competitor in this race was Feng Zhang, <\/strong>a Harvard-educated biochemist with expertise in earlier forms of gene editing technology<strong>.<\/strong><\/p>\n\n\n\n<p>Zhang says that he independently figured out how CRISPR works <em>and <\/em>used it to edit human and mouse cells by the middle of 2012. But Isaacson explains there are two reasons not to give Zhang credit for the <a href=\"https:\/\/www.shortform.com\/blog\/who-invented-crispr-technology\/\">invention of CRISPR<\/a> gene editing technology: First, according to Zhang\u2019s own records, he didn\u2019t understand how important Cas9 and tracrRNA were to the CRISPR process; Doudna and Charpentier definitely made that discovery. Second, Zhang didn\u2019t create sgRNA (the synthetic molecule that transformed CRISPR from a natural process into a technology)\u2014Doudna and Charpentier did. However, Zhang disagrees that sgRNA is integral to the technology, and Doudna\u2019s lab discovered that sgRNA doesn\u2019t work well for editing human cells.<\/p>\n\n\n\n<p>According to Isaacson, the race to optimize CRISPR gene editing technology for human cells was close. Zhang made modifications to the original version of sgRNA that Doudna and Charpentier developed. His paper was published the same day as another scientist\u2019s paper, and the other scientist\u2019s modifications to sgRNA proved more suitable for human DNA editing than Zhang\u2019s. Later the same month, Doudna published her own paper, which demonstrated another way to apply CRISPR to human cells. Two other scientists published papers on the same topic that year. Since multiple scientists made significant contributions to the application of CRISPR gene editing technology in human cells, <strong>it was difficult to say who invented the process.<\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\">The War for Patent Rights and Recognition<\/h5>\n\n\n\n<p>Isaacson explains that both academia and the biotechnology industry are extremely competitive. In academia, being the first to make a discovery leads to greater prestige and career success. In the biotechnology industry, being first enables you to develop patents.<\/p>\n\n\n\n<p>The competitive nature of scientific research\u2014and the ambiguity surrounding who truly invented the process for human gene editing\u2014led Doudna, Charpentier, and Zhang to become embroiled in a war for patent rights and recognition. Let\u2019s explore how that played out.<\/p>\n\n\n\n<p>In 2013, Doudna, Zhang, and other scientists established a CRISPR-focused medical research company <em>together <\/em>called Editas Medicine. However, Doudna left the company a few months later due to a conflict: Doudna and Charpentier had applied for a patent together, as had Zhang and his team.<strong> Zhang paid to accelerate the application process, so he was granted the patent for CRISPR first.<\/strong> Isaacson says that Doudna felt this was unfair: She believed she and Charpentier were the first to develop the technology, and she thought Zhang\u2019s actions were underhanded and proved him untrustworthy. She left Editas Medicine to join Intellia, an offshoot of a biotechnology company she\u2019d built earlier in her career (Caribou Biosciences).<\/p>\n\n\n\n<p>Meanwhile, conflict was also brewing between Doudna and Charpentier: Charpentier viewed herself as the primary researcher who discovered CRISPR technology, while Doudna felt it was a joint project for which she was entitled equal recognition. Due to this conflict, Charpentier formed her own biotechnology company instead of joining Doudna (or Zhang).<\/p>\n\n\n\n<p>Nevertheless, Doudna and Charpentier were jointly awarded several prizes for their work on CRISPR. Isaacson explains that these prizes affirmed two things: Doudna and Charpentier had made relatively equal contributions, and despite Zhang\u2019s patent approval, they were the first to discover the technology. These <a href=\"https:\/\/www.shortform.com\/blog\/affirmation-and-visualization-7-habits\/\">affirmations<\/a> were echoed by the greater scientific community when one of Zhang\u2019s associates published an article lauding Zhang for his contributions to the discovery. Critics of the article argued that the article\u2019s writer ignored Doudna\u2019s contributions because he was sexist, which led to a Twitter firestorm.<\/p>\n\n\n\n<p>Isaacson explains that since their application was still being processed when Zhang\u2019s patent was awarded, Doudna and Charpentier were legally entitled to continue fighting for patent rights. They argued in court that they deserved the patent because they were the first to develop CRISPR gene editing technology and to say that it could be used in human cells. Zhang countered that he deserved the patent because Doudna and Charpentier\u2019s original version of sgRNA didn\u2019t work in humans and his innovation solved that problem. The US Patent Office determined Zhang should have the patent after all, but Doudna and Charpentier won other patent wars abroad, in nations like Mexico, China, New Zealand, and Japan.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How CRISPR Launched Doudna\u2019s Career<\/strong><\/h4>\n\n\n\n<p>Isaacson explains that despite her loss in the war for US patent rights, Doudna\u2019s career has benefited tremendously from her contributions to CRISPR science and technology. He focuses on two primary benefits: First, <strong>Doudna entered the biotechnology industry.<\/strong> She started her own company (Caribou Biosciences), briefly worked for Editas Medicine with Zhang, and then returned to Caribou by joining its offshoot, Intellia. She then founded a research nonprofit (the Innovative Genomics Institute or IGI) and a company called Mammoth Biosciences, which both played an important role in the fight against Covid-19.<\/p>\n\n\n\n<p>Second, <strong>Doudna and Charpentier were jointly awarded the Nobel Prize in Chemistry<\/strong> in 2020 for their research on CRISPR. Isaacson explains that their victory was historic for a few reasons. First, it usually takes decades for the Nobel Prize Committee to reward contributions to science. Second, there were only two recipients instead of the usual three\u2014which means the committee decided that Zhang and other competitors were less deserving of credit for CRISPR gene editing technology. Finally, for the first time, all the recipients were women (and only five of nearly 200 previous recipients in history had been women). Doudna and Charpentier agreed that this was a monumental win for women and hoped it would inspire girls to pursue science.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Part 3: CRISPR Presents Moral Quandaries<\/strong><\/h3>\n\n\n\n<p>Now that you know what CRISPR is and how it came to be, let\u2019s discuss what its advent means for society. First, we\u2019ll discuss the moral quandaries CRISPR gene editing presents. Then, we\u2019ll explain how scientists and policymakers have addressed them so far.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Germline Editing<\/strong><\/h4>\n\n\n\n<p>Isaacson says that most people think it\u2019s morally OK to edit <em>somatic <\/em>cells\u2014non-reproductive cells that affect only an existing person\u2019s bodily composition. But <strong>people disagree about whether it\u2019s OK to edit <\/strong><strong><em>germline <\/em><\/strong><strong>cells<\/strong>, which include eggs and sperm. When you edit germline cells, you genetically modify potential future offspring, and the changes you make could be inherited by <em>their <\/em>offspring as well. Isaacson describes a few opinions on each side of the debate.<\/p>\n\n\n\n<p>Some people who are <em>against <\/em><a href=\"https:\/\/www.shortform.com\/blog\/germline-editing\/\">germline editing<\/a> argue that <strong>it\u2019s wrong because it\u2019s heretical or unnatural<\/strong>\u2014either God or nature (via evolution) designed our genes the way they are for a reason, so humans shouldn\u2019t interfere. Isaacson says this argument may not be logical: If nature or God endowed us with the ability to develop and use CRISPR, then using it <em>can\u2019t <\/em>be unnatural or heretical. He also notes that genes aren\u2019t distributed fairly\u2014some people suffer more than others for no reason other than the luck of the genetic draw\u2014and we may be morally obligated to even the playing field. However, Isaacson recognizes some <a href=\"https:\/\/www.shortform.com\/blog\/existential-threats-to-humanity\/\">existential risks<\/a> of germline editing: We might develop hubris and become ungrateful for what nature or God gave us.<\/p>\n\n\n\n<p>Some people who are <em>in favor of <\/em>germline editing argue that <strong>we have a moral duty to set our children up for success.<\/strong> Philosopher Julian Savulescu calls this stance \u201cprocreative beneficence.\u201d Isaacson says that germline editing would accomplish this goal more efficiently than somatic editing. To illustrate, consider the blood disorder called sickle cell disease: Somatic edits can cure individuals, but germline edits could prevent their descendants from developing sickle cell disease in the first place. Theoretically, this would improve human life by leaps and bounds. But there\u2019s also a downside to making germline edits\u2014we might decrease genetic diversity, which is an evolutionary disadvantage.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Interventions vs. Enhancements<\/strong><\/h4>\n\n\n\n<p>Isaacson says that scientists aren\u2019t likely to abandon germline editing research, so society must determine <em>under what conditions <\/em>germline editing should occur. He describes a continuum of conditions that are under heavy debate by experts in the field. Many people believe <strong>germline editing is only OK when it serves as a <em>medical intervention<\/em><\/strong> (with sickle cell, for example). They don\u2019t believe it\u2019s OK to unnecessarily <em>enhance <\/em>germline cells (like editing genes to make children conventionally attractive). They view genetic enhancements the way most people view the use of performance enhancement drugs in sports\u2014they give people an unfair advantage and undermine the significance of talent, merit, and success.<\/p>\n\n\n\n<p>But Isaacson explains that <strong>the boundary between interventions and enhancements is sometimes unclear<\/strong>\u2014for example, acne is both a medical and cosmetic issue. This issue becomes even murkier when we consider that certain genes often have disadvantages <em>and <\/em>advantages. For example, inheritable mental illnesses are associated with higher creativity. If we edited out mental illnesses to <a href=\"https:\/\/www.shortform.com\/blog\/freedom-from-suffering\/\">reduce suffering<\/a>, it might have a negative effect on the arts.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>The Inequality Issue<\/strong><\/h4>\n\n\n\n<p>Finally, Isaacson says that many people are concerned that <strong>the advent of human gene editing technology could exacerbate inequality.<\/strong> Gene editing therapies of <em>all <\/em>types\u2014somatic and germline, interventions and enhancements\u2014are likely to be extremely costly. Therefore, they\u2019d only be available to wealthy people. In the case of germline edits, the edits would be inheritable, which means wealthy people\u2019s descendants would be genetically advantaged. Over time, this could significantly widen the gap between rich and poor people\u2014wealth and poverty would be inscribed in our genetic makeup, leading to clearly apparent differences in our features and abilities.<\/p>\n\n\n\n<p>For this reason, writes Isaacson, some <a href=\"https:\/\/www.shortform.com\/blog\/people-who-dont-support-you\/\">detractors<\/a> argue that gene editing should be strictly regulated (if it\u2019s allowed at all) so that it can only benefit society, not make it worse. On the other hand, some proponents of gene editing believe that free-market <a href=\"https:\/\/www.shortform.com\/blog\/capitalism-theory\/\">capitalism<\/a> entitles us to make the best choices available to us given our individual means. For those on this side of the debate, individual freedoms outweigh any concern for the potential cumulative effects gene editing may have on society.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>CRISPR-Related Policies<\/strong><\/h4>\n\n\n\n<p>Isaacson explains that, when the field of bioengineering gained steam in the 1970s, scientists immediately recognized two threats. First, their research had serious consequences for society. Second, they might face government interference if they didn\u2019t prepare for these consequences responsibly. Therefore, scientists gathered at conferences to create their own policies governing bioengineering research ethics.\u00a0<\/p>\n\n\n\n<p>After Doudna invented CRISPR gene editing technology, she had a nightmare that Adolf Hitler wanted to use it for nefarious purposes. Isaacson says that this dream, along with other fears about the potential consequences of her invention, led her to revive the tradition of science policymaking. She helped organize a 2015 conference where, after much debate, <strong>researchers concluded that germline gene editing research should be paused<\/strong> until scientists knew more about the risks it posed and could come up with safe, ethical research guidelines. However, germline gene editing research later resumed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Part 4: CRISPR Applications<\/strong><\/h3>\n\n\n\n<p>Regardless of the as-yet-unresolved moral quandaries that CRISPR presents, research involving CRISPR marches on full steam ahead. We\u2019ll discuss CRISPR\u2019s many applications\u2014some that have already been realized and some that are yet to come.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Realized Applications of CRISPR<\/strong><\/h4>\n\n\n\n<p>Isaacson describes many realized <a href=\"https:\/\/www.shortform.com\/blog\/what-has-crispr-been-used-for\/\">applications of CRISPR<\/a>, but we\u2019ll focus on three of the most momentous ones here.&nbsp;<\/p>\n\n\n\n<p>First, in 2019, a Chinese scientist named <strong>He Jiankui created the first <\/strong><strong><em>designer babies<\/em><\/strong><em> <\/em>(modified humans created via germline gene editing). When the three babies were embryos, he edited a gene they had called CCR5, which makes you susceptible to HIV infection (but also protects you from West Nile Virus). The experiment was controversial because he blatantly disregarded the agreement science policymakers had made to pause germline editing. He faced international criticism and was convicted of criminal charges in China. His experiment led Doudna and other scientists to make a statement denouncing his actions and laying out guidelines for safer future experimentation with germline editing.<\/p>\n\n\n\n<p>Second, CRISPR has been applied as a medical intervention in the form of <strong>somatic sickle cell gene therapies<\/strong>. This process involves taking stem cells from a sickle cell patient, editing the DNA in those cells to promote the production of healthy blood cells, and reinjecting the edited cells into the patient. Isaacson says that in 2020, the first patient to receive this treatment was cured of sickle cell disease. The treatment is expensive, and scientists believe germline sickle cell therapy could be more cost effective. However, extensive germline sickle cell therapy could be problematic: Most people with sickle cell disease live in parts of Africa where malaria is endemic, and the sickle cell gene protects you from malaria.<\/p>\n\n\n\n<p>Finally, at the biotechnology organizations they founded, <strong>Doudna and Zhang spearheaded projects aimed at combating the Covid-19 pandemic.<\/strong> Isaacson says that bureaucratic obstacles prevented the US government from addressing the need for diagnostic tools quickly enough, so private scientists took the lead. Doudna and Zhang adapted diagnostic tools they\u2019d created previously (to test for viruses like Zika and HPV) to diagnose Covid-19. They released simple, disposable, at-home tests for public use in April 2020 and freely shared their methods online so that anyone could use or enhance the technology. Doudna\u2019s colleagues also invented a CRISPR-based vaccination method that may be adapted for use in future viral outbreaks.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Potential Applications of CRISPR<\/strong><\/h4>\n\n\n\n<p>As we\u2019ve mentioned, Isaacson explains that many of CRISPR\u2019s realized applications will likely be enhanced and reused in the future (for example, CRISPR-derived tests and vaccines for Covid could be used to combat other viruses). He also notes that gene therapy trials for both viruses and diseases, including Huntington\u2019s disease (a painful neurodegenerative condition), cancer, and congenital blindness, are already underway. Finally, Isaacson lists two other potential applications of CRISPR that could change the world: <a href=\"https:\/\/www.shortform.com\/blog\/what-is-biohacking\/\">biohacking<\/a> and bioweaponry.<\/p>\n\n\n\n<p>Isaacson describes <strong>biohacking <\/strong>as a social movement aimed at democratizing biotechnology. One well-known biohacker, Josiah Zayner, sells CRISPR technology kits online, which enables anyone with the funds to buy one to do their own gene editing experiments\u2014for example, <a href=\"https:\/\/www.the-odin.com\/colorbacteria\/\" target=\"_blank\" rel=\"noreferrer noopener\">one kit enables you to make bacteria bioluminescent<\/a>. Zayner once publicly injected <em>himself <\/em>with a CRISPR solution to demonstrate his belief that everyone should have access to this technology. One benefit of expanding access is that as more people work with CRISPR, advancements will be made more quickly. But Isaacson implies that biohacking may also have serious risks.<\/p>\n\n\n\n<p>Finally, Isaacson explains that many officials worry that CRISPR technology could be used to engineer <strong>bioweapons<\/strong>. For this reason, the US Department of Defense (DoD) sponsors research on <em>anti-CRISPRs<\/em>: naturally occurring systems that help viruses overcome CRISPR defenses in bacteria. Some scientists, including Doudna, are working on creating and implementing anti-CRISPR technology that could be used to fend off a CRISPR-derived bioweapon. Isaacson also notes that the DoD is currently pursuing research on the use of genetic enhancements to create supersoldiers.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Have you heard of CRISPR and wondered what all the fuss is about? How could this groundbreaking technology change the world as we know it? The Code Breaker, a book by Walter Isaacson, explores the fascinating world of CRISPR gene editing technology. The book lays out its development, focusing on Nobel Prize winner Jennifer Doudna&#8217;s contributions, and examines the moral quandaries and potential applications of this revolutionary scientific tool. Continue reading for an overview of this important book.<\/p>\n","protected":false},"author":9,"featured_media":130629,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[40,33,160],"tags":[1595],"class_list":["post-130430","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-books","category-people","category-science","tag-the-code-breaker","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Code Breaker: Book Overview (Walter Isaacson) - Shortform Books<\/title>\n<meta name=\"description\" content=\"Walter Isaacson&#039;s book The Code Breaker explores the world of CRISPR technology and Jennifer Doudna&#039;s contributions. 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