Major Research That Could Improve the World Medicine: A universal flu vaccine The universal flu shot, which has eluded scientists for decades, may be one truly groundbreaking medical advances that could show up in the next 10 years. "It has sort of become a joke that a universal flu vaccine is perennially just five to 10 years away," said Dr. Amesh Adalja, an infectious-disease specialist and senior scholar at the Johns Hopkins Center for Health Security in Baltimore. But now, it appears that this "may actually be true," Adalja told Live Science. "Various approaches to universal flu vaccines are in advanced development, and promising results are starting to accrue." In theory, a universal flu vaccine would provide long-lasting protection against the flu, and would eliminate the need to get a flu shot each year. Some parts of the flu virus are constantly changing, while others remain mostly unchanged from year to year. All of the approaches to a universal flu vaccine target parts of the virus that are less variable. This year, the National Institute of Allergy and Infectious Diseases (NIAID) began its first-inhuman trial of a universal flu vaccine. The immunization aims to induce an immune response against a less variable part of the flu virus known as the hemagglutinin (HA) "stem." This Phase 1 study will look at the safety of the experimental vaccine, as well as participants' immune responses to it. Researchers hope to report their initial results in early 2020. Another universal-vaccine candidate, made by the Israeli company BiondVax, is currently in Phase 3 trials, which is an advanced stage of research that looks at whether the vaccine really is effective — meaning that it protects against infection from any strain of flu. That vaccine candidate contains nine different proteins from various parts of the flu virus that vary little between flu strains, according to The Scientist. The study has already enrolled more than 12,000 people, and results are expected at the end of 2020, according to the company. Climate Change: Transformed energy systems Scientists have been predicating the effects of burning coal and fossil fuels on the temperature of the planet for over 100 years. When this is burned, uniting with oxygen, it adds about 7,000,000,000 tons of carbon dioxide to the atmosphere yearly. This tends to make the air a more effective blanket for the earth and to raise its temperature. As a result, the whole world felt an uptick in warming. "I think we will see a breakthrough when it comes to action on climate," said Michael Mann, a distinguished professor of meteorology at Penn State University. "But we need policies that will accelerate that transition, and we need politicians who will support those policies," he told Live Science. In the next decade, "the transformation of energy and transportation systems to renewable energy sources will be well under way, and new approaches and technologies will have been developed that allow us to get there faster," said Donald Wuebbles, a professor of atmospheric sciences at the University of Illinois at Urbana-Champaign. And, "the increasing climate-related impacts from severe weather and perhaps from sea-level rise finally get enough people's attention that we really begin to take climate change seriously." Good thing too, because based on recent evidence, there's a scarier, more speculative, possibility: Scientists might be underestimating the effects that climate change has had on this century and beyond, Wuebbles said. "We should learn much more about that over the next decade." Editing Genes Ever since the double-helix structure of DNA was revealed in the early 1950s, scientists have hypothesized about the possibility of artificially modifying DNA to change the functions of an organism. The first approved gene therapy trial occurred in 1990, when a four-year-old girl had her own white blood cells removed, augmented with the genes that produce an enzyme called adenosine deaminase (ADA), and then reinjected into her body to treat ADA deficiency, a genetic condition that hampers the immune system’s ability to fight disease. The patient’s body began producing the ADA enzyme, but new white blood cells with the corrected gene were not produced, and she had to continue receiving injections. Now, genetic engineering is more precise and available than ever before, thanks in large part to a new tool first used to modify eukaryotic cells (complex cells with a nucleus) in 2013: CRISPR-Cas9. The gene editing tool works by locating a targeted section of DNA and “cutting” out that section with the Cas9 enzyme. An optional third step involves replacing the deleted section of DNA with new genetic material. The technique can be used for a wide range of applications, from increasing the muscle mass of livestock, to producing resistant and fruitful crops, to treating diseases like cancer by removing a patient’s immune system cells, modifying them to better fight a disease, and reinjecting them into the patient’s body. In late 2018, Chinese researchers led by He Jiankui announced that they had used CRISPRCas9 to genetically modify human embryos, which were then transferred to a woman’s uterus and resulted in the birth of twin girls—the first gene-edited babies. The twins’ genomes were modified to make the girls more resistant to HIV, although the genetic alterations may have also resulted in unintended changes. The work was widely condemned by the scientific community as unethical and dangerous, revealing a need for stricter regulations for how these powerful new tools are used, particularly when it comes to changing the DNA of embryos and using those embryos to birth live children. With proper ethical guidelines in place, research in editing genes will benefit mankind with its potential in solving some of the medical problems faced by people.