Gene Therapy 2.0

When Kala Looks gave birth to fraternal twin boys in January 2015, she and her husband, Philip, had no idea that one of them was harboring a deadly mutation in his genes.

At three months old, their son Levi was diagnosed with severe combined immune deficiency, or SCID, which renders the body defenseless against infections. Levi’s blood had only a few immune cells essential to fighting disease. Soon he would lose them and have no immune system at all.

Kala and Philip frantically began sanitizing their home to keep Levi alive. They got rid of the family cat, sprayed every surface with Lysol, and boiled the twins’ toys in hot water. Philip would strap on a surgical mask when he came home from work.

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At first, Kala and Philip thought their only option was to get Levi a bone marrow transplant, but they couldn’t find a match for him. Then they learned about an experimental gene therapy at Boston Children’s Hospital. It was attempting to treat children like Levi by replacing the gene responsible for destroying his immune system.

“I thought, this isn’t real,” Kala says. “There’s no way this could work.”

Nonetheless, the Lookses flew from their home in Michigan to Boston in May 2015. Days later, Levi got an infusion of the therapy into his veins. He has been a normal boy ever since—and he has even grown larger than his twin brother. Babies born with SCID typically didn’t survive past two years old. Now, a one-time treatment offers a cure for patients like Levi Looks.

Gene Therapy 2.0

• BreakthroughFirst gene therapies on track for approval in the U.S. More are on the way.
• Why It MattersThousands of diseases stem from an error in a single gene. New treatments could cure them.
• Key Players- Spark Therapeutics 
  - BioMarin 
  - BlueBird Bio 
  - GenSight Biologics 
  - UniQure
• AvailabilityNow

Researchers have been chasing the dream of gene therapy for decades. The idea is elegant: use an engineered virus to deliver healthy copies of a gene into patients with defective versions. But until recently it had produced more disappointments than successes. The entire field was slowed in 1999 when an 18-year-old patient with a liver disease, Jesse Gelsinger, died in a gene-therapy experiment.

Gene-Therapy Time Line

But now, crucial puzzles have been solved and gene therapies are on the verge of curing devastating genetic disorders. Two gene therapies for inherited diseases—Strimvelis for a form of SCID and Glybera for a disorder that makes fat build up in the bloodstream—have won regulatory approval in Europe. In the United States, Spark Therapeutics could be the first to market; it has a treatment for a progressive form of blindness. Other gene therapies in development point to a cure for hemophilia and relief from an incapacitating skin disorder called epidermolysis bullosa.

Fixing rare diseases, impressive in its own right, could be just the start. Researchers are studying gene therapy in clinical trials for about 40 to 50 different diseases, says Maria-Grazia Roncarolo, a pediatrician and scientist at Stanford University who led early gene-therapy experiments in Italy that laid the foundation for Strimvelis. That’s up from just a few conditions 10 years ago. And in addition to treating disorders caused by malfunctions in single genes, researchers are looking to engineer these therapies for more common diseases, like Alzheimer’s, diabetes, heart failure, and cancer. Harvard geneticist George Church has said that someday, everyone may be able to take gene therapy to combat the effects of aging.