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Medicine Science Technology

In First, Doctors Treat Rare Genetic Disorder With an Injection In Utero (arstechnica.com) 52

An anonymous reader quotes a report from Ars Technica: Three babies with a rare genetic disorder have been spared the worst effects of their condition thanks to an experimental injection they received in utero, researchers report this week in The New England Journal of Medicine. The success marks the first time a genetic disorder has been partially reversed by such a treatment prior to birth. The in utero injections treated a rare, recessive genetic condition called X-linked hypohidrotic ectodermal dysplasia (XLHED), which affects the development of skin, hair, nails, and teeth. People with the disorder have sparse body and head hair, dry eyes, mouths, and airways, and few teeth, which are usually pointy. But most dangerously, the condition also disrupts development of sweat glands throughout the body. People with XLHED have fewer sweat glands and/or poorly functioning ones. This leaves individuals vulnerable to high fevers and over-heating (hyperthermia), which can be life-threatening and lead to medical complications.

For the new experimental treatment, the researchers realized that it all came down to timing. Humans develop sweat glands much earlier in their development, generally between the 20th and 30th week of pregnancy. To prevent XLHED from wreaking havoc, the researchers needed to deliver the protein prior to birth. After testing the idea for safety and efficacy in mice and monkeys, doctors in Germany got a compassionate-use approval to try it in a 38-year-old pregnant woman. She had a family history of XLHED, a young son with the condition, and was found to be carrying twin boys with it, too. [...] The researchers will track the babies' development to see if the effects are permanent, but data from animals suggests that they will be.

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In First, Doctors Treat Rare Genetic Disorder With an Injection In Utero

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  • I'm a vegan cannibal, so I'm not sure how to feel about this. Hopefully it goes well!
    • I'm a vegan cannibal, so I'm not sure how to feel about this.

      Let me congratulate you. If more vegans were eaten by cannibals, there would be one less sojourns of annoyance in the world.

  • by Anonymous Coward

    Yay for doctors being able to spare child #2 and #3 from the worst effects of this horrible condition (they'll still have it).

    But one must ask: wouldn't it have been more considerate of the parents to not conceive these children? One might consider tubal ligation (especially since the mother has the condition, we didn't hear about the father), vasectomy, an IUD, or any of the many safe and effective methods of birth control.

    You know who I am. Posting anonymously to avoid nastiness.

    • the mother has the condition, we didn't hear about the father

      It is a recessive trait. You only get the disease if both parents carry the gene.

      On-line dating sites should have checkboxes for these recessive genes, so people don't inadvertently pair up.

      • On-line dating sites should have checkboxes for these recessive genes, so people don't inadvertently pair up.

        Why? If both parents carry the recessive, then there is one chance in four that the kid will have the gene reinforced. Not generally worth the bother of worrying about...

        • Reinforced is the wrong term.

          There is a 1/4 chance that a child suffers from the gene. And a 100% chance it gives (if it has it) further to its kids.

          Then again there is a 1/4 chance that it does not have it.

          And then again a 1/2 half it has it, and from there another 50% chance it passes it to its children.

          However for many genes we know meanwhile that the terms recessive and dominant are meaningless. It was a simplification we still learn in school, but it has nothing to do how genetics really works.

      • It's recessive AND X-linked.
        This means that if mom has the disease, she has 2 x-chromosomes with the faulty gene.
        That means ALL male offspring WILL HAVE the disease (as they will get their single x-chromosome from their mother, and the y-chromosome from their father, so there will never be a healthy x-chromosome for them, regardless of what the father has).
    • by MobyDisk ( 75490 )

      I'll treat this as a serious question worth answering.

      They may not have known, at the time of conception, that child #1 had the condition. I have some friends who conceived their second child shortly before realizing child #1 was severely autistic. They only tested the fetus after child #1 was diagnosed.

    • ay for doctors being able to spare child #2 and #3 from the worst effects of this horrible condition (they'll still have it).

      But one must ask: wouldn't it have been more considerate of the parents to not conceive these children? One might consider tubal ligation (especially since the mother has the condition, we didn't hear about the father), vasectomy, an IUD, or any of the many safe and effective methods of birth control.

      Those were my thoughts too....

      I mean, if these were my potential kids and I knew

      • Again: the defect is a lack of hair!

        What the funk is wrong with you? Never saw a bald person that is a genius?

        • by sjames ( 1099 )

          NO, that is only the most minor effect. They also have only 4 or 5 teeth, all abnormal. But more seriously, no sweat glands. That means they seriously overheat at the slightest provocation. As in medical emergency, not need to sit down for a minute.

          As genetic diseases go, it's not the worst of the lot, but it's a lot more than missing hair.

  • by Gravis Zero ( 934156 ) on Friday April 27, 2018 @04:22PM (#56516061)

    She had a family history of XLHED, a young son with the condition, and was found to be carrying twin boys with it, too.

    I think it's terrible that despite having a life's worth of warning about the outcome that the parents decided to go ahead and burden children with their own genetic shortcomings. There are orphans that need adopting but despite that they decided to pass on their problems to an entirely new generation. The selfishness of humans really just blows my mind.

    I'm all for science but I can't help but scorn people who insist on having their own children while knowing the price their progeny will have to pay.

    • Judging from the article, XLHED is not that bad.

      So what is your stupid problem with people wanting a child? Ever tried to adopt one? It takes a decade or two to be in line to even be considered ... there are not many kids for adoption in a western country.

      I'm all for science but I can't help but scorn people who insist on having their own children while knowing the price their progeny will have to pay.

      The price is a lack of HAIR you dumb moron.

      • by Anonymous Coward

        " People with XLHED have fewer sweat glands and/or poorly functioning ones. This leaves individuals vulnerable to high fevers and over-heating (hyperthermia), which can be life-threatening and lead to medical complications. "

        Did you even _bother_ to read the summary?

    • And people want babies, not children. Babies, especially ones of the right color, are actually hard to come by. What's _not_ hard to come by are kids ages 6 and up who come from broken homes. Most of the time they end up in phoney foster care homes that are really small scale orphanages (know people making a good living running these). Nobody wants them because they're full of problems from the rough upbringing and, well, they're not cute babies. It's a screwed up situation all around.
    • There are orphans that need adopting

      No there aren't. There are far more people that want to adopt than there are children available, and most prospective parents don't qualify.

      My wife and I tried to adopt, and were told right at the beginning that it was a waste of time. We had two disqualifications, either of which was sufficient:
      1. We already had our own kids.
      2. One of us (me) was over 50.

      So we got a dog instead.

  • But I have definite plans this fine Friday night to make an in utero injection or two.

    • But I have definite plans this fine Friday night to make an in utero injection or two.

      Your sig seems to contradict your Friday night's endeavor.

      • Or perhaps they seek me out, wherever I may be.

        (Neither of us believes that, but it's a fun conceit nevertheless)

  • Treated in utero?

    But Nancy P says they aren't even people until you take them home from the hospital!

    • At 20 weeks in the US, you can legally kill a baby in the womb OR perform life-saving surgery on them. How that makes any sense whatsoever is beyond me.

      • At 20 weeks in the US, you can legally kill a baby in the womb OR perform life-saving surgery on them. How that makes any sense whatsoever is beyond me.

        Beyond me too.

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