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''Make People Better'' is a 2022
documentary film A documentary film (often described simply as a documentary) is a nonfiction Film, motion picture intended to "document reality, primarily for instruction, education or maintaining a Recorded history, historical record". The American author and ...
about the use of
genetic engineering Genetic engineering, also called genetic modification or genetic manipulation, is the modification and manipulation of an organism's genes using technology. It is a set of Genetic engineering techniques, technologies used to change the genet ...
(called
CRISPR gene editing CRISPR gene editing (; pronounced like "crisper"; an abbreviation for "clustered regularly interspaced short palindromic repeats") is a genetic engineering technique in molecular biology by which the genomes of living organisms may be modified. ...
) to enhance two twins girls to be immune to HIV. Directed by Cody Sheehy of Rhumbline Media, it was originated by Samira Kiani, a biotechnologist then at
Arizona State University Arizona State University (Arizona State or ASU) is a public university, public research university in Tempe, Arizona, United States. Founded in 1885 as Territorial Normal School by the 13th Arizona Territorial Legislature, the university is o ...
. It focuses on the circumstances involving Chinese biologist
He Jiankui He Jiankui ( zh, s=贺建奎, p=Hè Jiànkuí ; born 1984) is a Chinese biophysicist known for his controversial first use of genome editing in humans. He served as associate professor of biology at the Southern University of Science and ...
who created the first genetically modified humans in 2018. Featured experts included Antonio Regalado, senior editor for biomedicine of ''
MIT Technology Review ''MIT Technology Review'' is a bimonthly magazine wholly owned by the Massachusetts Institute of Technology. It was founded in 1899 as ''The Technology Review'', and was re-launched without "''The''" in its name on April 23, 1998, under then pu ...
'', who first discovered and revealed the secret experiment, and Benjamin Hurlbut, a bioethicist at the Arizona State University. The film was released on 13 December 2022 by Gravitas Films and Internationally by Cats & Docs. It premiered at
Hot Docs Canadian International Documentary Festival The Hot Docs Canadian International Documentary Festival is the largest documentary festival in North America. The event takes place annually in Toronto, Ontario, Canada. The 27th edition of the festival took place online throughout May and Jun ...
, and simultaneously launched on iTunes Store and
Amazon Prime Video Amazon Prime Video, known simply as Prime Video, is an American subscription video on-demand over-the-top streaming television service owned by Amazon. The service primarily distributes films and television series produced or co-produced by ...
. The title was taken from
James Watson James Dewey Watson (born April 6, 1928) is an American molecular biology, molecular biologist, geneticist, and zoologist. In 1953, he co-authored with Francis Crick the academic paper in ''Nature (journal), Nature'' proposing the Nucleic acid ...
's reply as He asked him, "Do you think that that's enetically modifying babies isa good thing to do?"


Background


''Code of the Wild: The Nature of Us''

CRISPR (clustered regularly interspaced short palindromic repeats) gene editing is a scientific method by which DNA molecules are cut using an enzyme, CRISPR associated protein 9 (
Cas9 Cas9 (CRISPR associated protein 9, formerly called Cas5, Csn1, or Csx12) is a 160 dalton (unit), kilodalton protein which plays a vital role in the immunological defense of certain bacteria against DNA viruses and plasmids, and is heavily utili ...
) so that specific genes can be removed or replaced. The technique, independently developed by
Emmanuelle Charpentier Emmanuelle Marie Charpentier (; born 11 December 1968) is a French professor and researcher in microbiology, genetics, and biochemistry. As of 2015, she has been a director at the Max Planck Institute for Infection Biology in Berlin. In 2018, sh ...
and
Jennifer Doudna Jennifer Anne Doudna (; born February 19, 1964) is an American biochemist who has pioneered work in CRISPR gene editing, and made other fundamental contributions in biochemistry and genetics. She received the 2020 Nobel Prize in Chemistry, wit ...
, had been used to make genetically modified organisms and better genes in genetic diseases. Samira Kiani was a researcher on CRISPR gene editing at
Arizona State University Arizona State University (Arizona State or ASU) is a public university, public research university in Tempe, Arizona, United States. Founded in 1885 as Territorial Normal School by the 13th Arizona Territorial Legislature, the university is o ...
and teamed up with Cody Sheehy of the Rhumbline Media to make a documentary film on the revolutionary technique. They started a project called ''Code of the Wild: The Nature of Us'' in 2018''.'' They first approached expert in the field, George Church at Harvard University, who was popularly known as the "Founding Father of
Genomics Genomics is an interdisciplinary field of molecular biology focusing on the structure, function, evolution, mapping, and editing of genomes. A genome is an organism's complete set of DNA, including all of its genes as well as its hierarchical, ...
", and Antonio Regalado, senior editor for biomedicine of ''
MIT Technology Review ''MIT Technology Review'' is a bimonthly magazine wholly owned by the Massachusetts Institute of Technology. It was founded in 1899 as ''The Technology Review'', and was re-launched without "''The''" in its name on April 23, 1998, under then pu ...
'', who had been well-versed in the development of the technique. Regalado hinted them that CRISPR gene-edited babies would be born in China "very soon". They further learned from Kiani's former acquaintance Ryan Farrell who was working as a public relations specialist to He Jiankui, associate professor in the Department of Biology of the
Southern University of Science and Technology The Southern University of Science and Technology (SUSTech) is a municipal public university in Shenzhen, Guangdong, China. It is owned and funded by the Shenzhen Municipal People's Government. In 2022, there were over 10,000 students enrolled. Th ...
(SUSTech) in
Shenzhen Shenzhen is a prefecture-level city in the province of Guangdong, China. A Special economic zones of China, special economic zone, it is located on the east bank of the Pearl River (China), Pearl River estuary on the central coast of Guangdong ...
, China, that He was running a human germline-editing experiment. They visited He for an interview but received no information on the forthcoming genetically modified babies.


He Jiankui affair

On 25 November 2018, Regalado posted on ''MIT Technology Review'' website that He Jiankui was making CRIPSR babies. As it was publicised, He was prompted to announce his experiment and posted the news of the birth of twins, nicknamed Lulu and Nana, on
YouTube YouTube is an American social media and online video sharing platform owned by Google. YouTube was founded on February 14, 2005, by Steve Chen, Chad Hurley, and Jawed Karim who were three former employees of PayPal. Headquartered in ...
in five videos the same day. He formally presented the experiment at the Second International Summit on Human Genome Editing organized at the
University of Hong Kong The University of Hong Kong (HKU) is a public research university in Pokfulam, Hong Kong. It was founded in 1887 as the Hong Kong College of Medicine for Chinese by the London Missionary Society and formally established as the University of ...
on 28 November 2018. He explained that the experiment was to make the babies resistant to
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
infection as they were (as embryos) obtained from an HIV-positive father. He specifically used a mutant gene named ''
CCR5-Δ32 CCR5-Δ32 (or CCR5-D32 or CCR5 delta 32) is a genetic variant of the CCR5 gene characterized by a 32-base-pair deletion that produces a nonfunctional receptor on the surface of immune cells, conferring strong resistance to HIV-1 infection in indi ...
'' that is known to confer
innate resistance to HIV A small proportion of humans show partial or apparently complete innate resistance to HIV, the virus that causes AIDS. The main mechanism is a mutation of the gene encoding CCR5, which acts as a co-receptor for HIV. It is estimated that the propor ...
. The twins were born in secrecy in October 2018, and a third baby (revealed in 2022 as Amy) was then almost born, as He reported. Although the ''
People's Daily The ''People's Daily'' ( zh, s=人民日报, p=Rénmín Rìbào) is the official newspaper of the Central Committee of the Chinese Communist Party (CCP). It provides direct information on the policies and viewpoints of the CCP in multiple lan ...
'' announced the experimental result as "a historical breakthrough in the application of gene editing technology for disease prevention," the news was met with criticisms from scientists. The
Chinese Academy of Medical Sciences Peking Union Medical College, also as Chinese Academy of Medical Sciences, is a national public medical sciences research institution in Dongcheng, Beijing, Dongcheng, Beijing, China. Originally founded in 1906, it is affiliated with the Nationa ...
publicly condemned the experiment as violation of medical regulations and ethical norms. A group of 122 Chinese scientists jointly issued a statement that the experiment was unethical, "crazy" and "a huge blow to the global reputation and development of Chinese science". He's university, local authorities, and the Chinese government made a series of investigations, and He was found guilty of violating academic ethics and national laws on the use of human embryos. On 21 January 2019, He was fired by SUSTech and all connections were terminated. On 30 December 2019, the Shenzhen Nanshan District People's Court sentenced He to three years in prison and with a fine of 3 million
RMB The renminbi ( ; symbol: ¥; ISO code: CNY; abbreviation: RMB), also known as the Chinese yuan, is the official currency of the People's Republic of China. The renminbi is issued by the People's Bank of China, the monetary authority of Chin ...
(US$430,000).


Participants

The film was based on the involvement of the following people: * He Jiankui, who made the first CRISPR-edited babies * Antonio Regalado, editor of ''MIT Technology Review'' who first revealed He's experiment * Ryan Farrell, a public relations specialist to He * Benjamin Hurlbut, a bioethicist at the Arizona State University


Reception and review

Courtney Small on ''Point of View Magazine'' gives a positive review, remarking: "A necessary conversation starter, ''Make People Better'' is an intriguing examination of a scientist who was hung out to dry by a community who helped elevate him in the first place." Liz Whittemore on ''Reel News Daily'' agrees, commenting that it "does an excellent job of putting scientific advances into perspective." Chris Jones on ''The Atlanta Mail'' commented it as "an excellent film for anyone interested in" the understanding of scientific development. However, the film received mostly critical reviews. Beandrea July on ''
The New York Times ''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' criticised the film, saying that "a glut of animations and B-roll footage makes the film's visuals feel convoluted, and a flat narrative structure further muddies the waters." She also wrote that the way Sheehy presented the story was clumsy and "deflating the films dramatic tension with so little fanfare that the information’s premature landing barely registers." She also criticised the film for omitting the news that He was released (in April 2022) while the film was being made. Christopher Cross on ''Tilt'' said that the documentary is a narrow-sighted view as the case is not just for scientists, and argues that Sheehy "ignores some of the most glaring facets of a hugely impactful breakthrough. As a thriller, ''Make People Better'' is solid, but as a documentary, it's better enjoyed as a Wikipedia article." G. Owen Schaefer, a biomedical ethicist at the
National University of Singapore The National University of Singapore (NUS) is a national university, national Public university, public research university in Singapore. It was officially established in 1980 by the merging of the University of Singapore and Nanyang University ...
said, "The documentary does not reflect critically on its own title. The origin of the phrase "make people better" is surprising and the film's most clever narrative moment, so I won't spoil it. But does heritable gene editing really make people better? Perhaps instead, it makes better people."


References


External links


Official website
* {{imdb title, 19298844
Rotten Tomatoes profile
2022 documentary films 2022 films Works about genetics Genome editing Documentary films about science