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Cape Biology
What is Gene Therapy
 According to the… Gene therapy is an
  experimental technique that uses genes to
  treat or prevent disease. In the future, this
  technique may allow doctors to treat a
  disorder by inserting a gene into a patient’s
  cells instead of using drugs or surgery.
  Researchers are testing several approaches
  to gene therapy, including:
 Replacing a mutated gene that causes
  disease with a healthy copy of the gene.
 Inactivating, or “knocking out,” a mutated
  gene that is functioning improperly.
 Introducing a new gene into the body to help
Cont….. What is gene therapy
Imagine that you accidentally broke one of your neighbor's
  windows. What would you do? You could:
 Stay silent: no one will ever find out that you are guilty,
  but the window doesn't get fixed.
 Try to repair the cracked window with some tape: not the
  best long-term solution.
 Put in a new window: not only do you solve the problem,
  but also you do the honorable thing.
 What does this have to do with gene therapy?
  You can think of a medical condition or illness as a
  "broken window." Many medical conditions result from
  flaws, or mutations, in one or more of a person's genes.
  Mutations cause the protein encoded by that gene to
  malfunction. When a protein malfunctions, cells that rely
  on that protein's function can't behave normally, causing
  problems for whole tissues or organs. Medical conditions
How Does Gene Therapy Work?
 Gene therapy is designed to introduce genetic
  material into cells to compensate for abnormal genes
  or to make a beneficial protein. If a mutated gene
  causes a necessary protein to be faulty or missing,
  gene therapy may be able to introduce a normal copy
  of the gene to restore the function of the protein.
 A gene that is inserted directly into a cell usually does
  not function. Instead, a carrier called a vector is
  genetically engineered to deliver the gene. Certain
  viruses are often used as vectors because they can
  deliver the new gene by infecting the cell. The viruses
  are modified so they can’t cause disease when used
  in people. Some types of virus, such as retroviruses,
  integrate their genetic material (including the new
  gene) into a chromosome in the human cell. Other
  viruses, such as adenoviruses, introduce their DNA
Examples Of Gene Theropy
 An example of gene therapy is?
 A) Injection of insuline into a diabetic person
  B)Insertion of the insuline gene in a mammalian
  cell culture
  C) insertion of the insulin gene in E.co;i
  D)Insertion of the omsuline gene in a diabetic
  person's pancrease cells
  E) None of the above
 Answer D) Insertion of the omsuline gene in a
  diabetic person's pancrease cells

 Gene therapy is literally adding a functioning
 gene into a patient that does not have a
 functioning copy.
Advantages and Disadvantages of
Gene Therapy
  The Pros:
 The most important factor in the development of gene
  therapy is the fact that, for genetic disorders, there is
  only one way of curing the disease – replacing the
  defective gene with a healthy copy .
 If gene therapy targets the reproductive cells of
  carriers of such genetic disorders as cystic fibrosis,
  Parkinson’s disease, or cancer, it is possible that any
  children the carrier goes on to have would be free of
  the defective gene and on a bigger scale the disease
  can be wiped out completely
 Gene therapy, when successful, can have a number
  of advantages over drug therapy such as providing a
  cure rather than easing the symptoms.
Disadvantages
 The current lack of knowledge and understanding of
  the treatment means that its safety is unknown. The
  current scientific understanding is based on theory
  rather than solid fact
 In clinical trials already carried out the effects of the
  treatment have only been short-lived. To achieve long
  term results much more research is needed.
 Drug therapy, although not offering the possibility of a
  cure, is a tried and tested method and is therefore
  deemed safer
 With current knowledge there is no guarantee that the
  vector carrying the healthy gene will end up in the
  specific place it is intended – there is a risk of causing
  even more damage to the genetic make-up that can
  result in severe consequences for the patient
Medical Uses of Gene Therapy
 Gene therapy is being used in many ways. For
    example, to:
   Replace missing or defective genes;
   Deliver genes that speed the destruction
    of cancer cells;
   Supply genes that cause cancer cells to revert
    back to normal cells;
   Deliver bacterial or viral genes as a form
    of vaccination;
   Provide genes that promote or impede the growth
    of new tissue; and;
   Deliver genes that stimulate the healing of
    damaged tissue.
Agricultural uses
Ethical Issues raised of Gene
Therapy
    Because gene therapy involves making changes to the body’s set of
    basic instructions, it raises many unique ethical concerns. The ethical
    questions surrounding gene therapy include:
   How can “good” and “bad” uses of gene therapy be distinguished?
   Who decides which traits are normal and which constitute a disability or
    disorder?
   Will the high costs of gene therapy make it available only to the
    wealthy?
   Could the widespread use of gene therapy make society less accepting
    of people who are different?
   Should people be allowed to use gene therapy to enhance basic human
    traits such as height, intelligence, or athletic ability?
   Current gene therapy research has focused on treating individuals by
    targeting the therapy to body cells such as bone marrow or blood cells.
    This type of gene therapy cannot be passed on to a person’s children.
    Gene therapy could be targeted to egg and sperm cells (germ cells),
    however, which would allow the inserted gene to be passed on to future
    generations. This approach is known as germline gene therapy.
   The idea of germline gene therapy is controversial. While it could spare
    future generations in a family from having a particular genetic disorder, it
    might affect the development of a fetus in unexpected ways or have
    long-term side effects that are not yet known. Because people who
    would be affected by germline gene therapy are not yet born, they can’t
    choose whether to have the treatment. Because of these ethical
    concerns, the U.S. Government does not allow federal funds to be used

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Interactive intro to gene therapy

  • 2. What is Gene Therapy According to the… Gene therapy is an experimental technique that uses genes to treat or prevent disease. In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient’s cells instead of using drugs or surgery. Researchers are testing several approaches to gene therapy, including:  Replacing a mutated gene that causes disease with a healthy copy of the gene.  Inactivating, or “knocking out,” a mutated gene that is functioning improperly.  Introducing a new gene into the body to help
  • 3. Cont….. What is gene therapy Imagine that you accidentally broke one of your neighbor's windows. What would you do? You could:  Stay silent: no one will ever find out that you are guilty, but the window doesn't get fixed.  Try to repair the cracked window with some tape: not the best long-term solution.  Put in a new window: not only do you solve the problem, but also you do the honorable thing.  What does this have to do with gene therapy? You can think of a medical condition or illness as a "broken window." Many medical conditions result from flaws, or mutations, in one or more of a person's genes. Mutations cause the protein encoded by that gene to malfunction. When a protein malfunctions, cells that rely on that protein's function can't behave normally, causing problems for whole tissues or organs. Medical conditions
  • 4. How Does Gene Therapy Work?  Gene therapy is designed to introduce genetic material into cells to compensate for abnormal genes or to make a beneficial protein. If a mutated gene causes a necessary protein to be faulty or missing, gene therapy may be able to introduce a normal copy of the gene to restore the function of the protein.  A gene that is inserted directly into a cell usually does not function. Instead, a carrier called a vector is genetically engineered to deliver the gene. Certain viruses are often used as vectors because they can deliver the new gene by infecting the cell. The viruses are modified so they can’t cause disease when used in people. Some types of virus, such as retroviruses, integrate their genetic material (including the new gene) into a chromosome in the human cell. Other viruses, such as adenoviruses, introduce their DNA
  • 5. Examples Of Gene Theropy  An example of gene therapy is?  A) Injection of insuline into a diabetic person B)Insertion of the insuline gene in a mammalian cell culture C) insertion of the insulin gene in E.co;i D)Insertion of the omsuline gene in a diabetic person's pancrease cells E) None of the above  Answer D) Insertion of the omsuline gene in a diabetic person's pancrease cells Gene therapy is literally adding a functioning gene into a patient that does not have a functioning copy.
  • 6. Advantages and Disadvantages of Gene Therapy The Pros:  The most important factor in the development of gene therapy is the fact that, for genetic disorders, there is only one way of curing the disease – replacing the defective gene with a healthy copy .  If gene therapy targets the reproductive cells of carriers of such genetic disorders as cystic fibrosis, Parkinson’s disease, or cancer, it is possible that any children the carrier goes on to have would be free of the defective gene and on a bigger scale the disease can be wiped out completely  Gene therapy, when successful, can have a number of advantages over drug therapy such as providing a cure rather than easing the symptoms.
  • 7. Disadvantages  The current lack of knowledge and understanding of the treatment means that its safety is unknown. The current scientific understanding is based on theory rather than solid fact  In clinical trials already carried out the effects of the treatment have only been short-lived. To achieve long term results much more research is needed.  Drug therapy, although not offering the possibility of a cure, is a tried and tested method and is therefore deemed safer  With current knowledge there is no guarantee that the vector carrying the healthy gene will end up in the specific place it is intended – there is a risk of causing even more damage to the genetic make-up that can result in severe consequences for the patient
  • 8. Medical Uses of Gene Therapy  Gene therapy is being used in many ways. For example, to:  Replace missing or defective genes;  Deliver genes that speed the destruction of cancer cells;  Supply genes that cause cancer cells to revert back to normal cells;  Deliver bacterial or viral genes as a form of vaccination;  Provide genes that promote or impede the growth of new tissue; and;  Deliver genes that stimulate the healing of damaged tissue.
  • 10. Ethical Issues raised of Gene Therapy Because gene therapy involves making changes to the body’s set of basic instructions, it raises many unique ethical concerns. The ethical questions surrounding gene therapy include:  How can “good” and “bad” uses of gene therapy be distinguished?  Who decides which traits are normal and which constitute a disability or disorder?  Will the high costs of gene therapy make it available only to the wealthy?  Could the widespread use of gene therapy make society less accepting of people who are different?  Should people be allowed to use gene therapy to enhance basic human traits such as height, intelligence, or athletic ability?  Current gene therapy research has focused on treating individuals by targeting the therapy to body cells such as bone marrow or blood cells. This type of gene therapy cannot be passed on to a person’s children. Gene therapy could be targeted to egg and sperm cells (germ cells), however, which would allow the inserted gene to be passed on to future generations. This approach is known as germline gene therapy.  The idea of germline gene therapy is controversial. While it could spare future generations in a family from having a particular genetic disorder, it might affect the development of a fetus in unexpected ways or have long-term side effects that are not yet known. Because people who would be affected by germline gene therapy are not yet born, they can’t choose whether to have the treatment. Because of these ethical concerns, the U.S. Government does not allow federal funds to be used

Notas del editor

  1. Genetic Home reference Handbook http://ghr.nlm.nih.gov/handbook/therapy/procedures dated january 17, 2013