Human Gene Therapy

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HUMAN GENE

THERAPY

SUBMITTED TO SUBMITTED BY
Dr. SHIPRA SHUKLA DOLLY
MSC (BIOTECH.)
3rd SEM.2018-20
INTRODUCTION
• Gene therapy is the introduction of genes in to
existing cells to prevent or cure a wide range
of disease.
• It is a technique for correcting defective genes
responsible for disease development .
• The first approved gene therapy experiment
occurred on september 14,1990 in US, when
Ashanti De Silva was treated for ADA-SCID.
TYPES OF GENE THERAPY
SOMATIC CELL GENE THERAPY GERM LINE GENE THERAPY
• Therapeutic genes • Therapeutic genes
transferred into the somatic transferred in to the germ
cell cell.
• Eg.Introduction of genes • Eg. Genes introduced into
into bone marrow cells eggs and sperms.
,blood cells,skin cells, etc. • It is heritable and passed on
• Will not be inherited later to later generations .
generations. • For safety ,ethical and
• At present all researches technical reasons , it is not
directed to correct genetic being attempted at present.
defects in cells.
EXAMPLE OF GENE THERAPY
• 1st gene therapy-to correct deficiency of
enzyme, Adenosine deaminase (ADA).
• Performed on a 4yr. Old girl Ashanti De Silva.
• Was suffering from SCID-severe combined
immunodeficiency.
• Caused due to defect in gene coding for ADA.
IN VIVO GENE THERAPY
• Direct delivery of thereputic gene into target
cell into patients body.
• Carried out by viral or non viral vector system.
• In vivo gene transfer is necessary when culture
cells cannot be re –implanted in patients
effectively.
EXAMPLE OF IN VIVO GENE THERAPY
• In patients with cystic fibrosis ,a protein called
cystic fibrosis transmembrane regulator
(CFTR) is absent due to a defect.
• In the absence of CFTR chloride ions
concentrate with in the cells and it draws
water from surrounding.
• Treated by in vivo replacement of defective
gene by adenovirus vector.
VECTOR IN GENE THERAPY
• To transfer the desired gene into a target cell,a
carrier is required such vehicles of gene
delivery are known as vectors.
• 2 main classes
Viral vectors
Non viral vectors
VIRAL VECTORS
1. RETROVIRUS VECTOR SYSTEM
 Can carry a DNA of size-less than 3.4kb.
 Target cell –dividing
2. ADENOVIRUS VECTOR SYSTEM
 Adeno virus with a DNA genome-good vectors.
 Target-non dividing human cell.
 Eg. Common cold , adenovirus.
3. ADENO ASSOCIATED VIRUS VECTOR
4. HERPEX SIMPLEX VIRUS VECTOR
NON VIRAL VECTOR SYSTEM
1. PURE DNA CONSTRUCT
2. LIPOPLEXES
3. DNA MOLECULAR CONJUGATES
4. HUMAN ARTIFICIAL CHROMOSOMES
METHODS OF GENE DELIVERY
PHYSICAL METHOD
GENE GUN
MICRO INJECTION
MICRO MANIPULATIOR
CHEMICAL METHOD
USING DETERGENT MITURES
LIPOFECTION
OTHER TYPES OF GENE THERAPY
GENE AUGMENTATION THERAPY
Most common form of gene therapy
Eg. Replacement of defective p53 gene by a
normal one in liver cancer.
GENE INHIBITION THERAPY
 Two types- antigen and antisense therapy
 Antigen
 Antisense
ADVANTAGES
o Gene therapy has the potential to eliminate
and prevent hereditary disease such as cystic
fibrosis ,ADA-SCID etc.
o It is a possible cure for heart disease, AIDS and
cancer .
o It is gives someone born with a genetic
disease a chance to live.
o It can be used to eradicate disease from the
future generations.
DISADVANTAGES
o Immune response to the transferred gene
stimulates a potential risk to gene therapy .
o Viruses used as vector for gene transfer may
cause toxicity ,immune responses, and
inflammatory reaction in the host .
o Disorders caused by defects in multiple genes
can not be treated effectively using gene
therapy

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