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Meet the baby who received the world’s first personalized CRISPR therapy

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Two doctors wearing full PPE hold and interact with baby KJ

Baby KJ Muldoon, who was born with a genetic disease that affected his ability to metabolize proteins, is the first person to receive a bespoke CRISPR treatment. Credit: Children’s Hospital of Philadelphia

A baby boy with a devastating genetic disease is thriving after becoming the first known person to receive a bespoke, CRISPR therapy-for-one. KJ Muldoon, now almost 10 months old, received three doses of a gene-editing treatment designed to repair his specific disease-causing mutation, which impaired his body’s ability to process protein. While Muldoon appears healthy, it is too soon to use the word “cure”, says paediatrician Rebecca Ahrens-Nicklas. “This is still really early days.”

Nature | 5 min read

Reference: New England Journal of Medicine paper

Researchers have coaxed embryonic stem cells to grow into fluid-filled amniotic sacs roughly the same size as a four-week-old sac surrounding a developing embryo. The model sacs, which expanded to some 2 centimetres wide over a period of three months, could be used to study the protective structure. Researchers extracted and analysed the fluid inside model sacs and found that it was rich with proteins and metabolites important for fetal health and growth.

Nature | 4 min read

Reference: Cell paper

Groups of large language models (LLMs) playing simple games can develop social norms. After several rounds of a ‘game’ that paired copies of the LLM Claude together and asked them to choose a letter from the alphabet, pairs began selecting the same letter. This suggests that the LLMs developed a collective bias — a type of social norm. The formation of collective biases could result in harmful biases, says complexity scientist and study co-author Andrea Baronchelli, even if individual agents seem unbiased.

Nature | 4 min read

Reference: Science Advances paper

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Features & opinion

Pharmacologist Lorna Ewart jokes that in 2012, in the early days of organ-on-a-chip technology, she was initially “laughed out of the room” by colleagues after making a toxicity-testing pitch. The tune has since changed. Last month, the US Food and Drug Administration (FDA) announced plans to phase out, within the next 3–5 years, animal testing for new drug candidates approaching the clinic. Weeks later, the National Institutes of Health said it was also deprioritizing animal models in biomedical research. Ewart says she was “taken aback by the boldness of the roadmap”. Funding is a big problem, and some toxicologists are concerned — for example, the Society of Toxicology just released a statement that they are concerned about the speed at which this is going. Nevertheless, it’s possible, says Ewart, who is now chief scientific officer at organ-on-chip company Emulate. “There’s a tremendous amount of work to be done but some huge opportunities ahead.”

Nature Reviews Drug Discovery | 5 min read

A place of remembrance is slowly forgotten in the latest short story for Nature’s Futures series.

Nature | 6 min read

Physicists have developed a portable ‘trap’ to contain antimatter and tested it by driving it on the back of a truck around the grounds of CERN, Europe’s particle physics laboratory. Their system is a step forward in efforts to transport particles made at CERN’s ‘antimatter factory’ to other labs, something currently impossible due to antimatter’s fragility. “We built it so that it fits through a regular door,” says particle physicist Christian Smorra. “You could even take it home with you if you want. You should check though that the floor holds — it still weighs about 900 kilograms.”

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