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Science
31 July 2024

Chinese Scientist He Jiankui Returns To Genetic Research Sparking Ethical Concerns

After prison, He Jiankui reemerges aiming to develop treatments for genetic disorders while facing scrutiny over his past actions.

In a world grappling with the ethical implications of genetic engineering, the return of Chinese scientist He Jiankui is reigniting debates that were thought to have settled in the aftermath of his controversial experiments. Known for creating the first gene-edited babies, He is stepping back into the spotlight after serving a three-year prison sentence for conducting unauthorized genetic modification. His claims of creating twin girls, Lulu and Nana, with manipulated genomes using the CRISPR technology, initially heralded a new era for gene editing but quickly spiraled into a controversial saga.

When He Jiankui first announced in November 2018 that the twins had been born, the scientific community and the general public were thrown into a whirlwind of astonishment and concern. The purpose behind modifying the embryos was to make them resistant to HIV, a noble objective on the surface. However, as the reporting unfolded, it was revealed that He’s methods not only violated ethical standards prevalent in the scientific community but also potentially endangered the lives of the infants involved. Notably, He proceeded with his experiments despite knowing that the embryos had unwanted mutations—a significant factor that amplified outcry among bioethicists and peers alike.

The aftermath of He’s announcement was swift and severe. Chinese authorities intervened, and He was sentenced to three years in prison for his illicit actions in April 2019. His experiment soon became a focal point of ethical discussions, drawing comparisons to horrific medical practices from history, as leading scientists and bioethicists expressed their horror at his actions. Kiran Musunuru, for example, did not mince words, likening He's actions to the unethical experiments conducted by Nazi doctors. His work was condemned not just for the ethical breaches it represented but also for the potential harm it posed to the children as well as to public perception of genetic modification as a whole.

After completing his prison term, He Jiankui has resurfaced with a different agenda. He has expressed a desire to focus on treating genetic diseases through his new organization, the Rare Disease Research Institute, which he established in the Daxing district of Beijing. In a series of written communications, He stated his commitment to working on conditions such as Duchenne muscular dystrophy and other rare genetic disorders, but this renewed focus has been met with skepticism.

Influential voices within the scientific community have raised concerns about He’s motivations and the implications of his renewed research. Despite his assurances of compliance with ethical guidelines, doubts persist. The funding for his new initiatives is particularly striking; He has highlighted plans to raise significant amounts of money from prominent business figures like Alibaba founder Jack Ma and Tencent’s Huateng Ma. Critics warn that He’s pursuit of capital could lead to a repeat of past mistakes if safety protocols and ethical considerations are not strictly adhered to.

Each step of He's resurrection back into the scientific realm underscores the delicate balance between medical advancement and ethical considerations in genetic engineering. While he promises transparency in his future research, the shadows of his past loom large. Many in the gene-editing field advocate for stricter regulations on embryo editing. Prominent scientists, including Nobel laureate David Baltimore, stand firm against any normalization or acceptance of He’s past actions, insisting that what He did was an egregious breach of scientific ethical conduct.

Moreover, the uncertainty surrounding the health and well-being of the genetically modified children—Lulu, Nana, and a third child known only to authorities—adds another layer of complexity. Without any public information about the twins’ health, questions remain about their development and the long-term implications of the editing performed. Experts have unanimously called for stringent monitoring of these children to understand the ramifications of the changes made to their genomes. Bioethics specialists stress the importance of treating these children as vulnerable populations, emphasizing the need for heightened monitoring to mitigate societal stigmatization.

Looking forward, He’s return is poised to challenge the boundaries of both science and ethics. His announcement that he plans to conduct studies using discarded human embryos, while reassuring on some levels, incites anxiety given his past. Scientists acknowledge the need for advancements in genetics to help combat heritable diseases, but He’s history raises fundamental questions: can the scientific community trust him to conduct research responsibly? How far can we push genetic editing without crossing ethical lines? Many assert that while gene therapies show extraordinary potential, the stakes of allowing He’s return are alarmingly high.

As He Jiankui attempts to re-establish himself in the field, he faces an uphill battle against a backdrop of ethical scrutiny and public skepticism. His path forward will not only determine the direction of his own career but could also reshape the future of genetic engineering as a whole. For the scientific community, it's essential that lessons learned from He's transgressions guide future practices. Whether he can navigate these turbulent waters remains to be seen, and many will be watching closely.

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