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