Gene Therapy

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GENE THERAPY

What is Gene Therapy ?

= isinsertion of usually genetically


altered genes into cells specially to
replace defective genes in the
treatment of genetic disorders to
provide a specialized disease-
fighting function.
Category of Gene Therapy
1. Somatic Gene Therapy- the process of
DNA transfer involves any of the cells in the
body except the sex cells.

2. Germline gene therapy- results in


permanent changes that are passed on to
the patient’s children.
Approaches to Gene Therapy
1. GENE AUGMENTATION THERAPY-involves
adding DNA that contains a functional version of
the lost gene back into the cell.
Ex. Cystic fibrosis
Functioning Gene

Insert
gene

• Cell with nonfunctioning cell functioning


• Gene normally
2. GENE INHIBITION THERAPY
- use to transfer gene whose product
either inhibits the expression of
another gene or interferes with the
activity of the product of another
gene.
-suitable for the treatment of
infectious disease and cancer.
3. KILLING OF SPECIFIC CELLS
-insertion of a gene into a disease cell that
causes the cell to die.
It can be achieved by:
1. Insertion of suicide gene that produces
highly toxic product which ultimately kill the
cell.
2. Insertion of DNA that triggers the expression
of a protein that marks the cell and
subsequently attack by antibodies.
Target Diseases of Gene Therapy
• Severe Combined Immunodeficiency
Disease(SCID)
• Adenosine
Deaminase(ADA)Deficiency-a genetic
disorder that damages the immune
system.
• Blindness- inability to see
• Hemophilia- Bleeder’s
Disease( lack clotting factors)
• Beta Thalassemia- hemoglobin
synthesis disorder
• Cancer
• Cardio-vascular Disorders
• September 14, 1990- the first
successful trial of gene therapy
was performed at the National
Institute of Health Clinical Center.
• The recipient is a 4-year old girl
with ADA or Adenosine
Deaminase Deficiency.
• GENDICINE – the first commercial
gene therapy that was approved by
china for the treatment of certain
cancer.
• In December 7, 2011, Russian
Ministry of Healthcare registered
NEOVASCULGEN in the state registry
of Medication. It is designed to treat
a Peripheral Artery Disease.
Risks of Gene Therapy
• Chimeric Antigen receptor cell
therapy (CAR-T)
• For blood cancer patients
• Side effect: swelling on the brain.
Risks
• Possibility of Harmful DNA mutation.
• It may result to cancer.
• Since viruses are used to deliver the
functional copy of a gene, it may result to
production of toxins, immune and
inflammatory responses, gene control
and targeting issues.
Ethical and Moral Issues
• Genetic Testing: Prenatal test- what if it
will be found out that the embryo or
fetus have mutated genes, that makes
the individual abnormal, If you are the
parent, will you continue to give birth to
the child or abort so that he will not
suffer in this life.
Regulation on the use of gene Therapy

• This may lead to the


enhancement of other
traits like height, beauty,
intelligence, weight etc.
Case Study:
• Luxturna – the gene therapy for blindness
specifically retinal diseases

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