• Gene therapy is an experimental technique that uses genes to treat or prevent disease. In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient’s cells instead of using drugs or surgery. Cell types Somatic • In somatic cell gene therapy (SCGT), the therapeutic genes are transferred into any cell other than a gamete, germ cell, gametocyte, or undifferentiated stem cell. Any such modifications affect the individual patient only, and are not inherited by offspring. Somatic gene therapy represents mainstream basic and clinical research, in which therapeutic DNA (either integrated in the genome or as an external episome or plasmid) is used to treat disease. Germline • In germline gene therapy (GGT), germ cells (sperm or egg cells) are modified by the introduction of functional genes into their genomes. Modifying a germ cell causes all the organism's cells to contain the modified gene. The change is therefore heritable and passed on to later generations. Australia, Canada, Germany, Israel, Switzerland, and the Netherlandsprohibit GGT for application in human beings, for technical and ethical reasons, including insufficient knowledge about possible risks to future generations. HISTORY OF GENE THERAPY • The first approved gene therapy clinical research in the US took place on 14 September 1990, at the National Institutes of Health (NIH), under the direction of William French Anderson How can Gene therapy benefits us • Gene therapy replaces a faulty gene or adds a new gene in an attempt to cure disease or improve your body's ability to fight disease. Gene therapy holds promise for treating a wide range of diseases, such as cancer, cystic fibrosis, heart disease, diabetes, hemophilia and AIDS. How can Gene therapy affect us Negatively • Some of these risks may include: The immune system may respond to the working gene copy that has been inserted by causing inflammation. The working gene might be slotted into the wrong spot. The working gene might produce too much of the missing enzyme or protein, causing other health problems. How much Gene therapy • The cost of these treatments, though, ranges from about $500,000 to $1.5m. And over a lifetime, drugs like nusinersen can be even more expensive: $750,000 in the first year followed by $375,000 a year after that – for life. As these prices suggest, it's expensive to get a gene therapy drug to the market.