Jean Bennett - Developed first FDA approved gene therapy for humans

In this inspiring episode, hosts Eli and Claire interview Dr. Jean Bennett, a pioneering gene therapy researcher who developed the first FDA-approved gene therapy to treat inherited blindness. Dr. Bennett shares her remarkable journey from childhood curiosity to groundbreaking scientific achievement, offering invaluable advice for young women pursuing careers in STEM.

Dr. Bennett is Professor Emeritus of Ophthalmology at Penn Medicine and a trailblazer in gene therapy research. Over her three-and-a-half-decade career, she has transformed the treatment of inherited retinal diseases. Her work at the Scheie Eye Institute led to one of the first FDA-approved drugs to help cure blindness, specifically for retinitis pigmentosa.

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Key Topics Discussed

Early Influences and Career Path

  • Growing up in New Haven, Connecticut with a Yale professor father who co-invented the first laser

  • Early fascination with biology sparked by a microscope and the book "The Microbe Hunters"

  • Choosing seeds over candy at age four—an early sign of scientific curiosity

  • Her father as a role model for hands-on scientific work

Educational Journey

  • Unique training path: PhD in early development studying sea urchins

  • Postdoctoral work on mammalian development in mice

  • Pivotal moment witnessing gene insertion creating "super mice"

  • Decision to attend Harvard Medical School to learn about diseases

  • Combining laboratory science with clinical application

Overcoming Challenges

  • Being advised to leave science by a male professor

  • Finding mentorship from Dr. Virginia Lee, who encouraged her to "put on the jets"

  • Confronting the tenure decision with three young children

  • Dealing with ongoing imposter syndrome throughout her career

The Gene Therapy Breakthrough

The Dog Studies

  • Working with three blind puppies: Lancelot, Guinevere, and King Arthur

  • The eureka moment when veterinary technicians reported the dogs could see after just two weeks

  • Dogs went from cowering in corners to running, playing catch, and avoiding obstacles

  • Why dogs were chosen over mice (fortuitous decision that saved the research)

Moving to Human Trials

  • Starting with three adults before moving to children

  • First four patients came from Italy due to lack of genotyped patients in the US

  • The emotional moment of witnessing blind children gain vision

  • Navigating FDA approval and institutional review boards

  • Creating comprehensive consent forms addressing unknown risks

Gene Therapy Applications

  • Why the eye is an ideal target for gene therapy (minimal immune response)

  • Expanding to other organs: cochlea (inner ear) for hearing loss

  • Potential for kidney, brain, and systemic disease treatments

  • Current FDA-approved gene therapies for spinal muscular atrophy, muscular dystrophy, and hemophilia

Current Work and Future Directions

  • Recently returned from three months in New Zealand

  • Consulting with Opus Genetics on rare conditions

  • Developing gene therapy for age-related macular degeneration

  • Creating a sheep model for inherited blindness in New Zealand

  • Continuing to mentor the next generation of scientists

Memorable Quotes

"I'm gonna show Dr. So-and-so that I can do it."

"Put on the jets, show them that you can do it, accept every invitation you're given to a talk, write papers, do your experiments, and just put on the jets." - Virginia Lee's advice

"All the credit goes to them [patients] for taking the risks."

"Find something that you like to do because otherwise what you will end up doing will be a chore."

"I try to remind myself that I have actually seen amazing things happen in the lab and it's not my imagination run wild."

Key Advice for Young Women in Science

On Career Development

  • Find something you genuinely love doing

  • Seek out mentors and don't be afraid to reach out to people doing exciting work

  • It's never too early to explore your interests and contact experts

  • Explore different paths until you find what fits

On Dealing with Failure

  • Sometimes failure teaches you more than success

  • When hitting a wall, step back, get advice, then move on to something else

  • Let things percolate—fresh perspectives often come with time

  • Use setbacks as motivation to prove doubters wrong

On Imposter Syndrome

  • Recognize it's common and may never fully go away

  • Remember you're part of a team—no one succeeds alone

  • Focus on the facts and amazing things you've witnessed

  • Acknowledge everyone's unique contributions

On Being a Woman in Science

  • Listen and observe carefully before speaking

  • Think about how to communicate effectively within male-dominated spaces

  • Find and support other women in science

  • Keep in touch with trainees and help them throughout their careers

The Importance of Collaboration

Dr. Bennett emphasized the critical role of her husband, Dr. Albert Maguire, in their research success:

  • He brought clinical expertise and surgical skills to the laboratory work

  • Served as Principal Investigator for clinical trials

  • Spent one afternoon per week in the lab performing specialized procedures

  • Combined his patient care experience with her laboratory expertise

Resources and Connections

  • Scheie Eye Institute at Penn Medicine

  • Virginia Lee's previous Girl Power Gurus interview

  • Opus Geneticstx.com/ (developing gene therapy for rare conditions)

  • Research on age-related macular degeneration

Closing Thoughts

Dr. Bennett's story is one of perseverance, collaboration, and genuine passion for science. From selecting seeds over candy as a four-year-old to developing groundbreaking treatments that restore sight, her journey demonstrates that following your curiosity and pushing through obstacles can lead to truly transformative work. Her emphasis on teamwork, mentorship, and treating colleagues and patients as family offers a powerful model for the next generation of scientists.

Show Notes & Links Of Interest

[00:00 - 02:00] Introduction and Episode Preview

  • Hosts introduce Dr. Jean Bennett and her work at Scheie Eye Institute

  • Preview of retinitis pigmentosa and gene therapy discussion

[02:00 - 03:20] Guest Introduction and Gene Therapy Basics

  • Dr. Bennett introduces herself as Professor Emeritus at Penn Medicine

  • 35 years studying gene therapy

  • Explanation: Gene therapy manipulates DNA/RNA to alter cell characteristics

[03:20 - 05:30] Childhood in New Haven, Connecticut

  • Father was Yale professor and co-inventor of the first laser

  • He was a role model for hands-on science

  • Early memory at age 4: choosing seeds over candy

  • Parents gave her a microscope, mother gave her "The Microbe Hunters" book

  • Knew from childhood she wanted to study biology

[05:30 - 06:00] Alternative Career Dreams

  • Wanted to be a pianist

  • Still an amateur pianist but knew she wouldn't reach professional level

[06:00 - 09:00] Biggest Career Challenge: The Tenure Decision

  • As assistant professor at Penn, faced critical tenure threshold

  • Male professor advised her to leave science

  • She had three young children (oldest was 6)

  • Couldn't find senior women professors to talk to

  • Found Dr. Virginia Lee, who became her “idol”

[09:00 - 10:00] Virginia Lee's Pivotal Advice

  • Virginia Lee: "Put on the jets, show them that you can do it"

  • Accept every speaking invitation, write papers, do experiments

  • Another female professor had discouraged her, saying children made career impossible

  • Dr. Bennett's response: "I'm gonna show Dr. So-and-so that I can do it"

[10:00 - 12:20] Path to Medical School

  • PhD on sea urchin early development

  • Moved to mammalian development with mice

  • Witnessed groundbreaking experiment: gene insertion creating "super mice" 5x normal size

  • Realized potential: if genes can make mice bigger, they could treat disease

  • Met someone at NIH working on gene therapy who advised: go to medical school, learn diseases, return to lab

  • Applied to Harvard Medical School ("What are the chances?") and got in

[12:20 - 14:20] Dealing with Failure and Self-Doubt

  • Failure can teach valuable lessons about hypothesis and process

  • When hitting a wall: get advice, then move on to something else

  • Let things percolate, come back refreshed

  • Example: FDA initially rejecting proposals, then finding solutions after reflection

[14:20 - 18:00] The Gene Therapy Breakthrough: The Dog Studies

  • Three blind puppies: Lancelot, Guinevere, King Arthur

  • Dogs were scared, couldn't see, hunched in corners

  • Injected one eye of each dog with gene therapy

  • Two weeks later: veterinary technicians called with breakthrough news

  • Dogs were watching people, running, playing catch, avoiding objects

  • Dr. Bennett's eureka moment: behavior completely changed

[18:00 - 19:00] Why Dogs Instead of Mice?

  • Fortuitous decision that saved the research

  • Reagent didn't work well in mice but did work in dogs

  • Would have ended experiments if they'd stuck with mice

  • Dog eyes are large (larger than human eyes)

  • Have area analogous to human macula (central vision)

  • Surgical techniques transferable to humans

[19:00 - 21:00] Gene Therapy Applications Beyond the Eye

  • Eye ideal because minimal immune response

  • Similar immune characteristics in cochlea (inner ear)

  • Medical student developed cochlear gene therapy for hearing loss

  • Children with congenital deafness recently treated successfully (New England Journal of Medicine)

  • Kidney potential target

  • Systemic diseases now being treated: spinal muscular atrophy, muscular dystrophy, hemophilia

[21:00 - 23:00] Research Beyond Ophthalmology

  • Mainly ophthalmology because in ophthalmology department

  • Benefits of university: collaborators in multiple fields

  • Has worked on cochlea, heart, muscular dystrophy, brain disorders

  • Free range approach to research

[23:00 - 24:20] Imposter Syndrome

  • Never gotten rid of it: "What am I doing here? How did I fool everybody?"

  • Still feels like she's learning

  • Reminds herself of amazing things witnessed in lab

  • Recognizes work requires "a village of people"

  • Just helping with the whole mission

[24:20 - 25:00] Greatest Accomplishment

  • Most proud of persevering and leading team to develop first gene therapy

  • Feels lucky to work with amazing people

  • Getting to know incredible patients who volunteered

  • The experience has been extraordinary

[25:00 - 28:00] The Clinical Trial Journey

  • Phase 1 trial enrolled 12 people

  • Multiple ingredients needed: approvals, consent forms, safety protocols

  • Comprehensive consent included imagined adverse events (no one had done this before)

  • Example: "What if you don't like your vision? We have ways of removing it"

  • Surprising challenge: no genotyped patients available in US

  • Italian collaborators had genotyped their patients

  • First four patients were Italian (unexpected)

  • Americans eventually caught up

[28:00 - 30:00] Starting with Adults, Moving to Children

  • Dog studies showed better results with puppies than adult dogs

  • Can't start unknown technology trials with children (vulnerable subjects)

  • First tested three adults

  • When adults showed no adverse effects and improved, enrolled first child

  • Children are vulnerable subjects requiring extreme caution

[30:00 - 32:00] Current Work

  • Recently returned from three months in New Zealand

  • Working in clinics, advising on gene therapy development

  • New Zealand doesn't have gene therapy yet but has patients and expertise

  • Consulting with Opus Genetics on very rare conditions

  • Helping develop gene therapy for age-related macular degeneration

  • Creating sheep model for inherited blindness in New Zealand (many sheep available there)

[32:00 - 33:00] Why Sheep Eyes?

  • Similar to dog eyes in size

  • Have center of fine visual discrimination like dogs

  • Different pupil appearance but similar internal structure

[33:00 - 35:00] Mentors and Role Models

  • Had many role models at various career stages

  • Most were males (few women scientists running labs at the time)

  • PhD advisor was excellent mentor (heartbroken when she went to medical school)

  • French Anderson (gene therapy pioneer) recommended Harvard Medical School

  • Sought them out based on exciting work they were doing

[35:00 - 36:00] Collaboration with Husband

  • Key to success: collaboration with husband

  • Husband brought specialized surgical expertise

  • One afternoon per week in lab doing subretinal and intravitreal injections

  • He was PI of clinical trials, determined effectiveness tests

  • Combined laboratory and clinical expertise

[36:00 - 38:00] Advice for Young Women

  • Find something you like to do, otherwise it becomes a chore

  • May take time to explore and find what fits

  • Never too early to reach out to people and explore interests

  • Seek mentors who encourage you

  • Support is key

[38:00 - 39:00] Empowering Women

  • Tries to be role model for trainees of all ages (junior high through attendings)

  • Provides experience, recognition, credit, and constructive criticism

  • Keeps in touch after direct work relationship ends

  • Views trainees as part of her family

  • Wants to help with their careers, passing on what others did for her

[39:00 - 40:00] One Quality to Embrace

  • Listen and observe

  • As usually the only woman in the room, learned to reflect before speaking

  • Think about how to say things effectively

  • Helps feel part of the team while staying true to herself

[40:00 - 42:00] Closing and Career Discussion

[42:00 - 43:00] Post-Interview Reflection

  • Hosts discuss Dr. Bennett's positive attitude and family approach

  • Appreciation for her care about people beyond just science

  • Discussion of how she persevered despite being told to quit

  • Connection to Virginia Lee's similar story

  • Emphasis on passing wisdom forward and building each other up

Hosts