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
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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
By using somatic gene therapy, it is possible to improve the pulmonary disease in cystic fibrosis. Somatic cell gene therapy only affects body cells and does not effect the sperm and egg cells, as it does in germ line therapy, this therefore means that will not prevent the disease occurring in future generations. Although this type of gene therapy has be seen to work and increase the life span of a person suffering from cystic fibrosis, it has to be done several times over the patients life because the effects do not last very
DNA has about 12 million single nucleotide polymorphisms and thousands of copy number variants, most of which are not harmful. Sometimes these mutations in genes can cause genetic disorders that end up altering or inhibiting protein function. Gene Therapy focuses on correcting the mutated genes usually by inserting a normal gene into the genome. Researchers treat these diseases this way by repairing dysfunctional gene or by providing copies of the missing gene. They isolate the normal DNA and package it into a vector. Other ways include replacing the abnormal gene with a normal one, repair the mutated gene, or altering the regulation of a certain gene. As of right now, reparative results have been marginal, there is potential of gene therapy treating single-gene disorders.
Cystic fibrosis is known to be one of the most common and deadly diseases in Caucasians, affecting 1 in 2500 children. This percentage results in 30,000 individuals within the United States to be diagnosed with CF. There are over 1900 mutations of this gene that cause a wide variety of severities within this disease. (McCance, Huether, Brashers, & Rote, 2010) Due to its complex mutation and unknown cause, only treating the symptoms of CF have been the main treatment protocol to this disease. Current treatments are cumbersome and expensive providing patients with life expectancy only into their twenties, but usually younger in most cases. There has been specific progress towards a cure involving gene therapy providing hope for a cure to
“A team of scientists conducted a trial therapy that replaced defective genes that cause cystic fibrosis. The results showed noteworthy advantage that enhanced patients' lung function. This innovation was developed by the technology firm Imperial Innovations. The worn-out genes were replaced by using inhaled molecules of DNA, which send normal working duplicate of the gene to lung cells. "Patients who received the gene therapy showed a significant, if modest, benefit in tests of lung function compared with the placebo group," said Eric Alton, the team's lead researcher, who works at Imperial College London.”
Gene therapy is another approach to eradicating genetic diseases. “Gene therapy was considered for a long time appropriate only to treat monogenic diseases by means of a therapeutic gene transfer for replacement of a defective homologous gene.” (NPR 1) It is a very efficient way to prevent genetic diseases such as Crohn's. Modern day technology and scientists are curing many genetic diseases around the world using many forms or genetic
Once this is determined, we will use gene therapy to treat Cystic Fibrosis. We will use the adenovirus treatment mentioned above, but in order to counter the fact that it doesn’t last long enough, we will propose more frequent dosages of this treatment. The dosages will be administered with aerosol. We will have to do research to find the right amount of time to wait in between dosages because if we give them too close together, this will cause too much inflammation. If this approach does not end up working, we will also consider finding a way to enable the adenovirus once it has been administered. This would allow the adenovirus to replicate and stay in the patient’s DNA, which could possibly cure CF. Another option is finding a way to lessen the cell-mediated immune response. Once we performed research and clinical trials, we would determine which combinations of these options would work to cure Cystic
Gene therapy is one of the newest, yet controversial solutions to treating many diseases, including Cystic Fibrosis. Gene therapy is the insertion of a normal gene into deficient cells using an appropriate vector (Hart, et al. 2006). However, it does have potential risks, leading to the argument of if they should be used or not, and if used, is a viral or non-viral approach better. It becomes complicated since many symptoms of these diseases begin in early childhood, and deciding whether or not to subject a child to these possible dangers is a hard choice, but do the benefits outweigh the risks? As stated above, Cystic Fibrosis can lead to early death, around 37 years old (Hulslander 2017), so if death is the impending result, shouldn’t every possible measure be examined, if not explored?
Gene therapy is the insertion of normal or genetically altered genes into cells to replace defective genes. The gene is usually inserted into
There have been multiple setbacks in this technology. Some immediate side effects is that the body thinks that the virus inserting the healthy gene is a virus and tries to fight it. A severe response to the virus could lead to the death of the individual. Another major side effect in the long run is the development of other diseases. There have been multiple reports of operations that have gone successful, but in a few years that patient developing diseases like leukemia and most of the patients died. Right now there are probably more negative effects to gene therapy and more research would need to be developed to ensure that the likelihood of death is not so high. More research and operations on animals would have to be done to ensure it is safe on
Over 70,000 people worldwide have cystic fibrosis, a genetic disease that causes a buildup in mucus, difficulty breathing, and damage to the lungs (Cystic Fibrosis, n.d.). Currently, there is no cure, but treatments such as gene therapy may help those who have the disease (Gene Therapy, n.d.). Gene therapy is a method of treating genetic diseases in which a vector such as a virus delivers the genes to target cells. This causes the expression of a person’s genes to change (Hanna, 2006). Somatic cells or germline cells can be treated (Gene Therapy, n.d.). Gene transfer to somatic cells changes the recipient’s genome (Hanna, 2006). Somatic gene therapy is likely to be a successful way to treat diseases caused by a single mutation (Gene Therapy,
Gene therapy is term that offers a wide range of treatment types. These types of
Gene therapy is an experimental technique that uses genes to treat or prevent disease. Currently, there are a lot of studies and experiments that allow doctors to treat a disorder by inserting a gene into a patient’s cells instead of using drugs or direct surgery. Researchers are testing several approaches to gene therapy, such as replacing a mutated gene that causes disease with a healthy copy of the gene, inactivating, or “knocking out,” a mutated gene that is functioning improperly, introducing a new gene into the body to help fight a disease, and helping to regenerate precious cells. Although gene therapy has a very active and promising approach for a number of disease, there are still several risks and side effects. Hence, the therapy
There are three techniques that researchers are working on. The first and most common is ex vivo ( or "outside the living body") therapy. The defective cells are removed from the patient and replaced with the normal DNA before returning to the body. This therapy targets the blood cells because many genetic defects alter the functioning of one type of these cells or another. But since blood cells have limited life spans follow-up treatments are required. Future efforts will most likely target stem cells of the bone marrow. Stem cells are ideal for gene therapy because they appear to be immortal. Researchers have obtained stem cells from human bone marrow, but they are having difficulties getting genes into the cell as well as inducing the cells to produce many new blood cells (Anderson, 1995).
Cystic Fibrosis (CF), is another disease that is taking to genetic therapy. If a corrected gene could somehow enter the cells that line the lungs, it will then start producing the critical proteins that CF patients need. This has been done, although in small quantities. These results, however, have raised hopes that sometime in the future, CF may be curable.
Gene therapy is the method of use of genes by inserting a functioning gene into body cells in order to correct the disease by inactivating altered genes with inserting a genetically modified gene into the body in place of drugs to fight disease (Verma, 1990).