PREPARED BY: ( GROUP 6 ) 1990 - The first approved gene therapy case at the National Institute of Health, UK. It was performed on a four year old named Ashanti DaSilva. It was a treatment for a genetic defect that left her with an immune system deficiency. WHAT IS GENE THERAPY?
- A type of experimental treatment
in which foreign genetic material ( DNA or RNA) is inserted into a person’s cells to prevent or fight disease. Gene therapy is being studied in the treatment of certain types of cancer or diseases. Basic Process of Gene Therapy - Replacing a mutated gene that causes Several disease with a healthy copy of the gene approaches to gene therapy - Inactivating, or “knocking out,” a are being mutated gene that is functioning tested, improperly including: - Introducing a new gene into the body to help fight a disease In general, a gene cannot be directly inserted into a person’s cell. It must be delivered to the cell 1st is the IDENTIFICATION 2nd is the REPLICATION 3rd is the INSERTION TYPES OF GENE THERAPY Somatic Gene Therapy - Obtaining blood cells with a genetic disease then introduce a normal gene into the defective cell - Has to be done several times because the effects does not last long, can't pass to the next Germline Gene Therapy - Involves genetic modification of the gametes (reproductive cells, the egg cells and the sperm cells) that will pass to the next generation Vectors - vehicles that delivers the gene to the cells
Viruses - have the natural ability to
deliver genetic materials into cells.
Retrovirus - inserts its genetic code
directly into the chromosomes of the host cell Adenovirus - introduce the deoxyribonucleic acid (DNA) they carry to the nucleus but not into the chromosomes
Fatty Liposomes and Directly injecting to
the skin cells or tumor cells - not as effective as the viruses used. Ex Vivo - outside the living, cells are modified outside the body and then transplanted back again. In Vivo - inside the living, vector can be injected or given intravenously (IV) directly to the specific tissue in the body Stem Cell Gene Theraphy Stem Cell – are the mother cells that have the potential to become any type of cell in the body. They have the ability to self- renew or multiply. Ex vivo, isolating the stem cells and genetically correcting them, then transplanting it back in the body with the Embryonic Cells - cells that are self- replicating, derived from human embryos or human petal tissue and able to differentiate into 3 primary germ cell layers, and into any type of cell in the Somatic Cells - bodyAny cell of the body except sex cells. Can differentiate only into different cell types present in the tissue of their origin The Bioethics of Gene Theraphy 1. How can 'good' and 'bad' uses of gene therapy be extinguished.
2. Who decides which traits are
normal and which constitue a 3. Will the high costs of gene therapy make it available only to wealthy? 4. Could the widespread use of gene therapy make society less accepting of people who are different? 5. Should people be allowed to use gene therapy to enhance basic human traits such as height, intelligence or ADVANTAGES & DISADVANTAGES List of the Advantages of Gene Therapy 1. It offers the possibility of a positive medical outcome. 2. 2. We can treat disease or illness in meaningful ways. 3. 3. It could improve a person’s life in other ways 4. We already know that it can be a successful treatment option.
5. There are out-of-body treatment options
available.
6. Gene therapy could be useful in the
treatment of multiple diseases. 7. The medical impact of gene therapy can create permanent results.
8. New treatment options are coming out all
of the time.
9. It can work in combination with cell
therapy techniques. List of the Disadvantages of Gene Therapy 1. There could be unwanted immune system reactions. 2. Current gene therapy methods can sometimes target the wrong cells. 3. The delivery viruses might recover their ability to create 4. Gene therapies could cause a potential tumor.
5. There is no guarantee that the gene
therapy will work .
6. Some patients might experience
incompatibility issues. 7. Humans could develop a resistance to the gene therapy.
8. The cost of gene therapy is prohibitive to
a number of families.
9. Ethical concerns about gene therapy exist
10. It typically works best in single-gene mutations.