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Gene Therapy

Gene therapy is a genetic engineering technique used to cure disease.

Procedure

Procedure

  • Gene therapy involves the introduction of a target gene (the gene that confers a beneficial trait) into the genome.
    • The genome has been transformed.
  • The target gene is then transcribed and translated to produce the desired protein.
  • The protein counteracts the effect of a disease that is caused by a mutation.
Allele interactions

Allele interactions

  • Gene therapy is used to treat diseases that are caused by a mutation in a gene.
  • The way that gene therapy is used depends on the allele interactions of the gene that causes the disease.
    • If the mutation is in the recessive allele, a wild-type (typical of the species) dominant allele is inserted into the genome. The dominant allele counteracts the mutant alleles.
    • If the mutation is in the dominant allele, an allele that 'silences' the mutant allele is inserted in the genome.
Vectors

Vectors

  • Gene therapy uses vectors to insert the target gene into the genome.
  • Vectors transport allow the gene to be taken up by the cells of the host. The genome is then transformed.
    • Types of vector include plasmids, bacteriophages, liposomes, & naked DNA.
  • When choosing a vector, you need to consider factors such as the target cell, size of the gene to be inserted, and any immune response that may be caused.
    • For example, bacteriophages are a type of virus so may cause an immune response. They may, however, be able to deliver larger genes than naked DNA. Naked DNA is sensitive and easily broken down.
Types of gene therapy

Types of gene therapy

  • There are two types of gene therapy -
    • Somatic therapy - altering of alleles in adult body cells. This is a short term therapy and needs repeating.
    • Germline therapy - altering of alleles in sex cells. This is illegal in humans.
Example - cystic fibrosis

Example - cystic fibrosis

  • Cystic fibrosis is caused by a mutation in the CFTR gene.
  • The CFTR gene codes for a chloride ion channel that or transports Cl- ions out of cells and into mucus.
  • Cl- ions lower the water potential of mucus. This causes water to leaves cells and enter mucus by osmosis.
  • So, when the channel is mutated Cl- ions do not enter mucus. Mucus becomes thick & sticky.
    • This leads to problems such as a build-up of mucus in the lungs, blockage of digestive system ducts, and clogging of the cervical canal with mucus.
Cystic fibrosis - gene therapy

Cystic fibrosis - gene therapy

  • Treating cystic fibrosis with gene therapy would involve delivering a correctly function CFTR protein to affected cells.
  • This therapy is the subject of multiple clinical trials and has shown some promise.
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