My A.I. Psychosis

My A.I. Psychosis

Doctors Can Now Switch Genes Off Without Cutting DNA

Two one-time infusions that turn a gene down, with the DNA left intact, have shown results in people, one adding muscle in a wasting disease and one holding hepatitis B down for 17 months.

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My A.I. Psychosis
Oct 23, 2026
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TL;DR

Gene editing used to mean cutting DNA, a permanent change. A newer approach leaves the DNA intact and simply turns a gene down, which in principle means the change could one day be undone. That approach now works in people in two different tissues. One infusion held hepatitis B in check for up to 17 months, and another switched off the gene behind a muscle-wasting disease and added muscle in six patients who were expected to lose it. The numbers are small and none of it is approved. But if it holds up, a single shot that quietly dials a bad gene down, rather than a lifetime of pills or a permanent edit, becomes a real option for a widening list of diseases.

Below the line, for paid subscribers: The full story: where it stands, how we got here and what's dated next; our Odds board on 5 milestones, starting with "Scribe reports first human data from its one-time cholesterol silencer by 2027"; our labeled speculation on what it adds up to; and every source.

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