The Disappointing NAS Gene Drive Report

Biopolitical Times
An hour glass with sand slowly being pulled down by gravity.

On June 8, the National Academies of Sciences, Engineering, and Medicine issued a report about gene drives, titled:

Gene Drives on the Horizon: Advancing Science, Navigating Uncertainty, and Aligning Research with Public Values

The headline of the associated press release summed it up succinctly:

Gene-Drive Modified Organisms Are Not Ready to Be Released Into Environment; New Report Calls for More Research and Robust Assessment

Francis Collins, director of the National Institutes of Health, commended the authors for a "thoughtful and comprehensive review of the unprecedented potential and challenge of gene drive technologies." That’s true enough. It is a valuable resource for a much-needed public debate — but it is sadly incomplete, and occasionally misleading. 

The report’s skepticism about "reversal drives" is welcome (see Recommendation 5-5, p. 99) but inadequate. If gene drive technology goes wrong, is the solution really to be more gene drive? Indeed, Kevin Esvelt, one of the pioneers of (and an advocate for) gene drive told The New York Times that the report failed to adequately flag its central risk. 

"They assume you can safely run a contained field trial," he said. "But anytime you release an organism with a gene drive system into the wild you must assume there is a significant chance that it will spread — globally — and factor that in."

The report makes repeatedly admits that field research is most likely to occur in "low- and middle-income countries" (p. 6 etc), recognizes "that many countries lack the capacity to develop a comprehensive regulatory scheme for gene drives from scratch" (p. 8), and the like. These should be warning flags. If technology really can help underdeveloped nations, the impetus should come from them. And the U.S. is not a party to the multilateral Convention on Biological Diversity (CBD) and its protocols, which aims to promote fair and equitable sharing of benefits arising from genetic resources. U.S. institutions are developing technology that, if applied, will mostly be used elsewhere. Centuries of exploitation do not suggest that wealthy foreigners are the best judges of humanitarian needs. 

(Or perhaps we should invite Cuban doctors to set up clinics in Appalachia?)

The report also appears to downplay the possibility of "weaponizing" gene drive technology. The worst case — a deliberately belligerent release of modified pathogens — would surely rank with nuclear destruction as a prospect to be avoided; and mere mistakes could be as bad. There is a reason the ETC Group titled its comment [pdf] on the report:

Stop the Gene Bomb!

Jim Thomas of the ETC Group wrote an excellent article about the report for the Guardian, calling for the CBD to agree on an international moratorium on release of gene drives. Friends of the Earth asked sardonically, "Permanently changing a species: What could go wrong?" and called for a moratorium. Ron Bailey of Reason initially wrote an apparently knee-jerk response ("Go slow and let more people suffer and die") which misunderstood Esvelt’s position; he then appended a much more interesting Correction acknowledging that "How to regulate an open access commons is always a perplexing problem." Michael Specter in The New Yorker called the National Academies’ effort "a worthy, if somewhat tepid, report," and Stanford’s Hank Greely agreed, in a valuable blog post that made "Eight Quick Points."

Finally, the report sometimes reads as though its goal was not so much "aligning research with public values" as "aligning public values with research." It’s striking that the "stakeholders" mentioned do not appear to include any of the civil-society groups widely known to have raised concerns about this issue. "Stakeholders" are described (Figure 7-1, p. 122) as "people with direct professional or personal interests in gene drives." May I raise my hand? I work with the Center for Genetics and Society; other public interest organizations that have been involved with gene drive deliberations include ETC GroupFriends of the Earth, and International Center for Technology Assessment.

Unfortunately, the initial flurry of reactions seems to have died down. Gene drive could be a major disruptive technology. It could affect not only our environment — the "out there" — but our food and even our selves. This report deserves to provoke a massive, global debate. A long pause for reflection is the least that is needed. Or T. S. Eliot may have finally been proved correct:

This is the way the world ends
Not with a bang but a whimper.

Previously on Biopolitical Times: