Author Archives: Muznah Khan

About Muznah Khan

Collab Studies Coord Ctr

Cover Letter: Health Promotion Internship

495 Paul Hardin Drive
muznahk@live.unc.edu
Phone: (919) xxx-xxxx

March 10, 2016

Jason Horay
Medical Mutual
700 Spring Forest Road
Suite 400
Raleigh, NC 27609

Dear Mr. Horay,

I have always had a keen interest in the health field. As a child I loved listening to my older sister describe new technological advancements in the medical world, as well as the challenges and opportunities for health behavior and wellness promotion around the world. When I saw the Health Promotion Internship listing on Medical Mututal’s website, I was delighted to be able to apply for the position as it combines my passion for the field with the requisite practical experiences and skills.

I am currently a freshman at the University of North Carolina at Chapel Hill and intend to pursue a Nutrition (B.S.) degree from the Gillings School of Public Health. I also plan to attend medical school after graduation. My previous and current academic coursework consists of several foundational courses relevant to this position, including Statistics, Biology, Chemistry, and Exercise Sports Science.

Additionally, my current job at the Collaborative Studies Coordinating Center (CSCC) in the Department of Biostatistics has allowed me to practice and enhance a variety of key skills required in a Health Promotion Intern. Collecting and analyzing programmatic records and statistical data have made me proficient in Microsoft Excel and comfortable with different types of research software and work-flow processes. I have developed excellent communication and team building skills through regular one-on-one and virtual project collaboration with local and national research sites, program supervisors and co-workers. Completing self-directed trainings for all programs I use and website management functions I perform also underscores my ability to learn quickly and grasp new concepts easily.

Furthermore, my extracurricular experiences from high school can be highly valuable for this internship. As an example, being selected to participate in the North Carolina Summer Ventures in Science and Mathematics gave me the opportunity to develop and implement the type of rigorous research project that would be necessary for this internship. Similarly, as an active member and leader within numerous non-profit and health-focused organizations such as Cary Teen Council and Manna Project International, I have worked closely with partners to promote, implement and evaluate different types of organizational activities.

The North Carolina Medical Society Employee Benefit Plan sounds like a highly valuable resource for North Carolina physicians and practices. Working as a Health Promotion Intern on this program will be a meaningful and enriching experience. Based on my genuine interest in the health sciences field as well as my educational and professional experiences, I believe I am an excellent candidate for the position and hope to hear from you soon.

Thank you for your time and consideration,

Muznah Khan

Health Promotion Internship

Medical Mutual is a company that provides professional liability insurance to physicians, hospitals, and other health care institutions. Medical Mutual stays ahead of the curve by developing resources that minimize risk exposures and ensure compliance and been voted best for 12 consecutive years. Currently the company is accepting applications for the Health Promotion Internship this summer, in the Raleigh office.

As an intern for Medical Mutual this summer, I would be exposed to many areas related to public health. I would asses health education needs, review claims data, identify resources for health education programs, and be exposed to the facilitation and implantation of health education in participating practices across North Carolina. I would be working in an office setting; mostly doing independent work, but sometimes working in a group. As an intern in this company, I wouldn’t just be getting coffee; I would be doing something relevant and important for medical professionals. From this internship, I will gain an understanding of the legal matters concerning medical professionals and what exactly health education is.

The internship lasts for 10-12 weeks, running from May to August. I have emailed Jason Horay at Jason.Horay@mmicnc.com about creating my own work schedule and am waiting for a response. The company suggests a total of 35-40 hours of work per week for this internship. I have also emailed Mr. Horay about the payment for this internship. The job description didn’t mention any payment, so I’m thinking it’s not a paid program. Because the office is located in Raleigh, I will be able to stay at home and commute daily. I will need money for gas and food, but none for the internship itself.

This internship has many requirements. The applicant must be pursuing a degree in health promotion, worksite wellness, public health or something else relevant to this area. The applicant must have good communication skills, both oral and written, and must display a high level of professionalism. The application must also be highly motivated, organized and self-directed. An online application must be filled out in order to be considered for the internship position. Along with the application, the company requires a cover letter, resume, and two letters of recommendation. The application is due on March 1, 2016.

I am very interested in the medical field and hope to attend medical school after college. Although not directly in a medical setting, this position will allow me to be in an environment related to the health field. I will be exposed to areas and information that I previously wouldn’t have thought of as related to the medical world. This internship will allow me to understand and be exposed to the less common aspects of the health field. Furthermore, I am interested in the Gillings School of Public Health and I believe this internship will give me a better understanding of public health. The main drawback to this internship is the lack of payment. However, I’m not too worried about that because I will be gaining experience and knowledge that will be very beneficial for my future.

From Cutting Bacteria to Helping Humans Fight Infectious Diseases: The New Age of Gene Editing

Muznah Khan 

The World Health Organization has proclaimed the current outbreak of the Zika virus a public health emergency with potential repercussions around the world. This troubling virus is known to be transmitted from person to person through the bite of a mosquito, and at the moment there is no solid prevention method.

However, what if there was a way to stop this outbreak from spreading by genetically removing a mosquito’s ability to carry the virus, thereby ending its ability to transfer it to humans? This option would have been improbable a few years ago, but a gene-editing tool called CRISPR has made it a viable solution.

Overview of Genome Editing

Genome editing, the process of editing or changing an organism’s DNA (genetic makeup), has been around for many decades now. Various gene-editing methods have been successfully utilized to modify genes in animals and agricultural crops, even in humans. However, no past method compares to the efficiency of the CRISPR/Cas9 immune system process. CRISPR stands for “Clustered Regularly Interspaced Short Palindromic Repeats” and it is the newest and most promising gene editing method yet.

Zinc finger nucleases and TALENs were the main gene editing methods in use before CRISPR. Both of these work in similar ways to CRISPR but have significant drawbacks.

Zinc fingers are engineered proteins that can be programmed to target specific genes in an organism. These proteins have two ends: one end is tailored to recognize a specific DNA sequence while the other end cuts the DNA at a certain point. Each DNA edit done using this process required scientists to create a new zinc finger protein designed specifically for the targeted DNA sequence. This was a long, costly process that didn’t always produce positive results.

Soon after zinc fingers, the TALEN (Transcription Activator-Like Effector Nucleases) method was created. TALENs are proteins that work similarly to zinc fingers. While an improvement over zinc fingers, TALENs are too large to work with and take more time to construct making the method ineffective in time-sensitive scenarios as ones presented by disease outbreaks such as the Zika virus outbreak.

What Makes CRISPR Different?

In 2012, researchers studying bacteria observed their unique ability to fight viral infections using an immune system they called CRISPR. The researchers realized they could use the CRISPR system as a tool for highly targeted genetic engineering in other organisms.

Unlike previous methods, CRISPR does not require a series of steps that, if performed incorrectly, could be quite harmful. To target a new DNA sequence, scientists only need to create a new RNA strand (genetic cousin to DNA that attaches to DNA at its bases), not a whole new protein as needed for other gene-editing processes. In a study conducted by Spencer Knight and his team, it was shown that even though the Cas9 protein complex within CRISPR can attach to the wrong site at times, it is very uncommon for cleaving, the cutting of DNA, to occur. The protein quickly moves onto the next DNA segment not giving it enough time to cleave.

Simplified Cas9/CRISPR complex

How Does CRISPR Work in an Organism?

To understand how CRISPR works, let’s use the example of its interaction with viruses. With the CRISPR immune system, virally infected bacteria are able to use a protein called Cas9 which can detect, cut, and then degrade viral DNA. After viral DNA enters the bacterial cell, the cell creates complementary RNA, the genetic cousin of DNA, which matches the viral DNA at each of its bases. The RNA and Cas9 protein create a complex that searches through the cell’s entire DNA to find and cut matching viral DNA, inactivating the virus.

The CRISPR complex is customizable so researchers can program it, by creating new RNA strands, to recognize ANY DNA sequence in an organism’s cells, making it an important genome engineering method for all organisms, not just an immune system in bacteria.

Real World Applications

The flexibility and efficiency of CRISPR presents itself to many useful applications, especially in the fight against infectious diseases. In one of a number of successful projects, researchers have been able to use CRISPR to create mosquitoes resistant to the malaria parasite. They were able to remove a segment of mosquito DNA that allowed it to carry the parasite and replace it with a DNA sample synthetically engineered in the lab. 100% of these mutated mosquitoes’ offspring are resistant to the malaria-causing parasite that they otherwise would transfer to humans.

Similar to malaria, the Zika virus is spread by mosquitoes. Currently there is no conclusive way of stopping the spread of the virus.

But maybe there is.

Researchers have actually started considering CRISPR as a solution. Scientists could potentially remove the gene segment that gives mosquitos’ their ability to carry the Zika virus. Similar to the malaria experiment, these mosquitoes could become genetically unable to carry and transmit Zika virus.

Proving CRISPR’s versatility, further studies show CRISPR being successfully used in the editing of both plants and animals. Scientists in China have created goats with deletions in the gene that inhibits muscle and hair growth. These goats are better able to support the country’s meat and wool industries.

Also in China, Gao Caixia’s group has used CRISPR to disable four rice genes with positive results and removed a gene in wheat that could lead to plants resistant to powdery mildew. These plants are the first of many shown to be responsive to the Cas9/CRISPR technology.

CRISPR also promises significant advancements in disease control and gene therapy—the prevention of disease through alterations in an organism’s genome. From studies on animals, CRISPR could be used to treat blindness, HIV and many other diseases in humans. In addition to treating diseases, CRISPR could be used to enhance the human body.

Ethical Concerns

There have been ethical concerns raised about gene editing right from the earliest days of the technology, and CRISPR is no different. With the technology moving so quickly, many scientists feel it’s necessary to discuss the ethical implications of CRISPR.

One major concern is in editing the human genome. Is it right to edit human embryos and alter genes for generations to come? Is it even safe to do such a thing?

Another concern is the environmental impact genetically engineered organisms can have. Genetically modified organisms can be harmful to humans and other organisms if they are not watched carefully. Furthermore, mutated insects (i.e mosquitoes) can cause an imbalance in the environment and be detrimental to species around them.

Ethical concerns will always be a concern for every new technology as societies grapple with the pros and cons of scientific advancements. However, carefully considered regulations and guidelines can eliminate many safety and ethical concerns.


Like any new technology, more studies need to be conducted before widespread use of CRISPR is seen. Researchers are still trying to better understand the CRISPR system, but from what they have gathered, CRISPR is the best gene editing technology yet. And with millions of lives at stake, we can at least consider CRISPR’s promising role in combatting debilitating diseases such as malaria and Zika virus.

References:

  1. Doudna, Jennifer. “We Can Now Edit Our DNA. But Let’s Do It Wisely.” TED. TED Conferences, Sept. 2015. Web. 26 Jan. 2016.
  2. Pennisi, E. “The CRISPR Craze.” Science 341.6148 (2013): 833-36. Web. 25 Jan. 2016.
  3. Caplan, A. L., B. Parent, M. Shen, and C. Plunkett. “No Time to Waste–the Ethical Challenges Created by CRISPR.” EMBO Reports 16.11 (2015): 1421-426. Web.

 

The New Age of Gene Editing Query Letter

Muznah Khan
495 Paul Hardin Drive
Chapel Hill, NC 27514
muznahk@live.unc.edu

February 4, 2016

Dear Ms. Boyd,

As the World Health Organization has recently proclaimed, the current outbreak of the Zika virus is a major public health emergency with potential repercussions around the world. This troubling virus is known to be transmitted from person to person through the bite of a mosquito. What if there was a way to stop this outbreak by genetically removing a mosquito’s ability to carry the virus, thereby ending its ability to transfer it to humans? This solution would have been improbable a few years ago, but CRISPR has made it a viable option. As a young researcher investigating this possibility, I humbly ask you to consider publishing my research on this topic in your esteemed journal.

I am an undergraduate student at the University of North Carolina at Chapel Hill, currently studying Exercise and Sports Science. I have spent several years with a team of experienced researchers investigating the potential applications of the CRISPR genome-editing tool for mitigation of mosquito-borne infectious diseases. Given that your journal focuses on the most recent advancements in practical and promising applications of laboratory and medical technology, I believe the topic of my article “From Cutting Bacteria to Helping Humans Fight Infectious Diseases: The New Age of Gene Editing” is quite relevant.

Genome editing, the process of editing or changing an organism’s DNA, has been around for many decades now. Various gene-editing methods have been successfully utilized to modify genes in animals and agricultural crops. However, no past method compares to the efficiency of the CRISPR/Cas9 system. CRISPR stands for “Clustered Regularly Interspaced Short Palindromic”.

Researchers studying bacteria observed their unique ability to fight viral infections using an immune system called CRISPR. From their observations, the researchers realized they could use the CRISPR system as a tool for genetic engineering. In most organisms, a break in DNA is quickly fixed by the organism’s cells. To researchers, this ability of cells means they can remove segments of DNA from an organism and insert new genes in their place during the mending process. Furthermore, unlike previous methods, CRISPR does not require a series of steps that, if performed incorrectly, could be quite harmful. CRISPR is also highly cost effective compared to previous technologies, making it an even bigger hit in the world of genetic engineering

The science world is very excited about the real-world applications of this new gene editing technology. In one of a number of successful projects, researchers have been able to use CRISPR to remove a segment of mosquito DNA and replace it with a DNA sample engineered synthetically in the lab, thereby creating mosquitos that are resistant to the malaria-causing parasite. This is a significant step towards defeating a devastating disease and it is just the beginning to what CRISPR is capable of in the war against mosquito-borne diseases that kill millions of people every year.

The CRISPR technology is still in the early stages of development; however, researchers all around the world have recognized it as the next big advancement in the field of genome editing. In my article, I will explain the process of using CRISPR to advance the fight against Zika and other mosquito-borne disease. I will further analyze the effectiveness of CRISPR compared to past gene editing methods and discuss what researchers believe to be the future of CRISPR. Furthermore, as with all genetic engineering techniques, there are many ethical concerns floating around and this article will introduce key issues and propose practical solutions for some of these concerns.

Thank you for considering my article for your journal.

Sincerely,
Muznah Khan

 

CRISPR Annotated Bibliography

  1. Doudna, Jennifer. “We Can Now Edit Our DNA. But Let’s Do It Wisely.” TED. TED Conferences, Sept. 2015. Web. 26 Jan. 2016.

Jennifer Doudna, the co-inventor of the new gene editing technology, CRISPR-Cas9, explains how it works and its potential uses. The breakthrough for this new technology came from the study of bacteria. The CRISPR technology uses a protein called Cas9. A guide RNA (synthetically made) that matches the sequence of the DNA in question, at a specific location, attaches to the Cas9 protein to form a complex. Once this complex finds matching DNA sequences, it attaches at that site, and the Cas9 makes a precise cut, removing that DNA strand. After a break, the cell can repair the site by integrating a new piece of DNA. This is why the CRISPR technology is so important for genome engineering- it allows us to insert new DNA into an organism at a specific location.

  1. Pennisi, E. “The CRISPR Craze.” Science 341.6148 (2013): 833-36. Web. 25 Jan. 2016. 

Many new gene editing tools have been developed but CRISPR is the most efficient and easy to use. Previous methods couldn’t control where a gene was cut or where new genes were added. CRISPR, however, through the use of Cas9 and the synthetically made guide RNAs (combination of tracrRNA and spacer RNA), is able to cut a genome in an exact location. The CRISPR technique has been used on mice embryos to produce new mice models. The CRISPR method has also been used on crops to disable genes and recently has been used to target genes related to human diseases.  The CRISPR method, however, is not perfect. According to some tests, there is a possibility the guide RNA can target DNA that differs from the intended DNA by up to five bases (A, T, G, C). In some cases, the guide RNA targets the wrong DNA, potentially causing unnecessary breaks.

  1. Caplan, A. L., B. Parent, M. Shen, and C. Plunkett. “No Time to Waste–the Ethical Challenges Created by CRISPR.” EMBO Reports 16.11 (2015): 1421-426. Web.

There are many ethical concerns with the CRISPR technology. One concern is the ability to edit human embryos. Many people argue this is unsafe and crosses ethical lines. The next big concern is related to GMOs. Organisms have been genetically modified for years, yet many people still have major concerns. With CRISPR technology, it will be much easier and cheaper to produce these potentially unsafe genetically modified organisms. Because the process is so simple, in the wrong hands, ­­CRISPR could also be used to create harmful viruses and bioweapons.

  1. Bassett, Andrew R., and Ji-Long Liu. “CRISPR/Cas9 and Genome Editing in Drosophila.” Journal of Genetics and Genomics1 (2013): 7-19. ScienceDirect. 18 Dec. 2013. Web. 28 Jan. 2016. 

This article first introduces previous gene editing methods such as zinc fingers and explains the problems associated with those methods. It then goes on to describe how the CRISPR (clustered regularly interspaced short palindromic repeat) system has been used in Drosophila (flies) and the varying outcomes (links to studies are also included). Many tests have been done on flies using a multitude of techniques (inserting plasmids, inserting mRNA, etc). They all showed positive changes in the Drosophila DNA because of the CRISPR method. These studies are important for expanding the CRISPR technology. The article also discusses limitations to the CRISPR system such as the sgRNA (simple guide RNA) cleaving efficiency, where the complex isn’t able to cut the DNA. This could occur because of the structure of the Cas9/RNA complex or the chromatin structure. Any disfiguration in these structures could decrease the complex’s performance.

  1. “New Studies Advance Understanding of CRISPR Gene Editing.” HHMI News. Howard Hughes Medical Institute, 1 Dec. 2015. Web. 28 Jan. 2016. 

This article goes into more detail about how the CRISPR technology works and discusses Cas9’s ability to attach to its true target. It is quite common for Cas9 to attach to the wrong site, but very uncommon for cleaving to occur. Scientists performed a study to determine how Cas9 avoids cleaving at incorrect sites (the complex quickly moves on when the RNA and DNA aren’t an exact match, not leaving enough time for a cut) and how it can quickly find its true target in a sea of DNA. Another study of Cas9 shows it surprisingly persisting in heterochromatin regions. In clustered DNA, the protein is slowed but still persists.

Autism

Autism is a mental disability that has been around for a long time. Writings from before the Civil War describe many cases of what is now known as autism. Autism has no exact definition. Individuals thought to have autism show varying symptoms. For example, some individuals show an amazing understanding of numbers while others can only count to ten.