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What Are The Pros And Cons Of Gene Therapy

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Gene therapy aims to replace faulty genes with properly functioning copies to cure disease. This report will discuss gene therapy, the underlying biology of cystic fibrosis (CF), current treatments and the use of gene therapy to cure CF. The advantages and disadvantages of gene therapy will be analysed and a decision will be made on its effectiveness as a treatment for CF and other genetic coditions.
Gene therapy is an experimental treatment, which is used to replace mutated, improperly functioning genes with regular DNA. There are several gene therapy methods, most of which involve using a vector to transport the corrected gene into targeted cells. Retro viruses, adeno viruses, adeno ascosciated viruses and liposomes are commonly used as …show more content…

Naturally, the immune system fights foreign pathogens. This function is crucial for health, However, it can cause dangerous side effects during gene therapy. As mentioned previously, gene therapy patient Jesse gelsinger died from multiple organ failure, after treatment for an X linked liver disease. Since Gelsinger's death in 1999, gene therapy researchers have focused on using the lowest effective dose of the corrected DNA possible. Immunosuppressents have also been used to eliminate the risk of immune response. However, immunosuppressents can have serious side effects such as severe infection and uncontrollable bleeding. In cystic fibrosis patients, the use of immunosuppressents would likely result in death due to lung infection. One way to limit immune response without, increasing infection risk is by Inserting the corrected gene into the target cells outside of the body. Normally, vectors are injected,swallowed or inhaled by patients depending on the location of the target cells. This method of gene therapy is called in-vivo, because the treatment occurs inside the body. The ex vivo method of gene therapy involves harvesting target cells and growing them in a petri dish via tissue culture. By using the ex vivo method, a dangerous immune system response cannot occur and scientists can check that the gene has been succesfully implanted into the genome. In cystic fibrosis, …show more content…

However, many genetic disorders stem from complex multiple gene mutations, dominant genes, functional genes that are overactive or on the wrong part of the genome.. Environmental factors such as ultravoilet radiation or exposure to toxins can also be involved in genetic disorders. This is why scientists are currently investigating treatments such as Spliceosome-Mediated RNA Trans-splicing (SMaRT), gene silencing and the modification of immune cells to target specific molecules. SMaRT Targets and replaces mutated section of MRNA rather than replacing Genes on a DNA strand. it uses specialized enzymes to target and replace the diseased nucleotide sequence on the MRNA. Gene silencing is an approach used to turn a gene "off" so that protein cannot be produced. Gene-silencing can target a gene's DNA directly, or target mRNA transcripts made from the gene. There are three types of gene silencing; triple-helix-forming oglionucleotide therapy, RNA interferance and ribozyme therapy. Triple-helix-forming oligonucleotide therapy targets the DNA sequence of a mutated gene to prevent its transcription. This technique delivers short, single-stranded pieces of DNA, called oligonucleotides, that bind in the groove between a gene's two DNA strands. This binding creates a triple-helix structure that blocks the DNA

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