Devi
Devi
Devi
Gene Therapy
If a person is born with a hereditary disease, can a
corrective therapy be taken for such a disease? Gene
therapy is an attempt to do this. Gene therapy is a
collection of methods that allows correction of a gene defect
that has been diagnosed
in a child/embryo. Here
genes are inserted into a
person’s cells and tissues
to treat a disease.
Correction of a genetic
defect involves delivery of
a normal gene into the
individual or embryo to
take over the function of
and compensate for the non- functional gene.
The gene clinical gene therapy was given in 1990 to a
4year old girl with adenosine deaminase (ADA)
deficiency. This enzyme is crucial for the immune system
to function. The disorder is caused due to the deletion of the
gene for adenosine deaminase. In some children ADA
deficiency can be cured by bone marrow transplantation;
in others it can be treated by enzyme replacement therapy,
in which functional ADA is given to the patient by
injection. But the problem with both of these approaches that
they are not completely curative. As a first step towards
gene therapy, lymphocytes from the blood of the patient are
grown in a culture outside the body. A functional ADA
cDNA (using a retroviral vector) is then introduced into
these lymphocytes, which are subsequently returned to the
patient. However, as these cells are not immortal, the
patient requires periodic infusion of such genetically
engineered lymphocytes. However, if the gene isolate from
marrow cells producing ADA is introduced into cells at
early embryonic stages, it could be permanent cure.
Molecular Diagnosis:
For effective treatment of a disease, early diagnosis and
understanding the path physiology is very important.
The term diagnosis refers to the act or process of
determining the nature and cause of a disease through
evaluation of patient history, examination and review of
laboratory data. In short, diagnosis is what the disease is
For e.g. you can have a diagnosis of asthma.
Methods of Diagnosis
Traditional Modern
2. ELISA:
Based on the principle of Antigen-Antibody
interactions.
Infection by pathogen can be detected by the
presence of antigens (proteins, glycoprotein) or by
detecting the antibodies synthesized against the
pathogen.
The enzymes frequently used in ELISA include
peroxides and alkaline phosphate.
Transgenic Animals:
Animals that had their DNA manipulated to possess and
express an extra gene are known as transgenic animals.
The genome of their animals has been changed and they
can carry genes from other species. Examples of transgenic
animals include rats, rabbits, pigs, sheep, cow, monkey and
fish although over 95% transgenic animals are mice.
How are transgenic animals produced?
1. DNA microinjection
2. Retrovirus-mediated gene transfer
3. Embryonic stem cell mediated gene transfer.
Why are these transgenic animals being produced?
1. Some transgenic animals are produced for specific
economic trait.
2. Other transgenic animals are produced as disease
models (animals genetically manipulated to exhibit
disease symptoms so that effective treatment can be
studied.
Benefits from
transgenic animals
can be studied under 3
heads
Cows that
produce
Medicine human
protein
enriched
milk
Larger
sheep that
Agriculture grow more
wool.
Goats that
produce
Industry spider
milk for
material
production
1. Medicine:
Normal physiology and development: Transgenic
animals can be specifically designed to allow the
study of how genes are regulated, and how they
affect the normal functions of the body and its
development E.g., Study of complex factors involved
in growth such as insulin-like growth factor. By
introducing genes from other species that alter the
formation of this factor and studying the biological
effects that result, information is obtained about the
biological role of the factor in the body.
Study of disease: Many transgenic animals are
designed to increase our understanding of how genes
contribute to the development of disease. These are
specially made to serve as models for human diseases
so that investigation of new treatment for diseases is
made possible. Toady transgenic models exist for
many human diseases such as cancer, cystic
fibrosis, rheumatoid arthritis and Alzheimer’s
Biological Products: Medicines required to treat
certain human diseases can contain biological
products, but such products are often expensive to
make. Transgenic animals that produce useful
biological products can be created by the introduction
of the portion of DNA (or genes) which codes for a
particular product such as human protein (-1-
antitrypsin) used to treat emphysema. Similar
attempts are being made for treatment of
phenylketonuria (PKU) and cystic fibrosis. In 1997,
the first transgenic cow, Rosie, produced human
enriched protein milk. The milk contained the
human alpha- lactalbumin and was nutritionally a
more balanced product for human babies than
natural cow milk
Vaccine Safety: Transgenic mice are being
developed for use in testing the safety of vaccines
before they are used on
humans. Transgenic
mice are being used to
test the safety of the
polio vaccine. If
successful and found
to be reliable, they
could replace the use of monkeys to test the safety of
batches of the vaccine.
Chemical Safety Testing: This is known as
toxicity/safety testing. The procedure is the same as
that used for testing toxicity of drugs. Transgenic
animals are made that carry genes which made them
more sensitive to toxic substances than non-
transgenic animals. They are then exposed to the
toxic substances and the effects studied. Toxicity
testing in such animals will allow us to obtain
results in less time.
2. Agriculture:
I. Breeding: Farmers have
always used selective
breeding to produce animals
that exhibit desired traits.
Traditional breeding is a
time consuming difficult
task. When technology
using molecular biology was developed, it becomes
possible to develop traits in animals in a shorter time
and with more precision. In addition, it offers the
farmer an easy way to increase yields.
II. Quality: Transgenic cows exist that produce more
milk with less lactose or cholesterol, pigs and cattle
that have more meat on them, and sheep that grow
more wool. In the past, farmers used growth hormones
to spur the development of animals but the technique
was problematic, especially since residue of the
hormones remained in the animal product.
III. Disease resistance: Scientists are attempting to
produce disease resistant animals, such as influenza
resistant pigs, but a very limited number of genes
area currently known to be responsible for resistance
to diseases in farm animals.
Ethical Issues: