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Presentation on Gene Therapy 3/26/03

Somatic Gene Therapy

Karin

Basic Definition of "Somatic Gene Therapy":

The introduction of a fully functional gene into a target cell, with the aim of correcting a specific genetic disease.

Monogenic Therapies

  • Targets disorders caused by the mutation in a single gene
    • Cystic fibrosis
    • Sickle cell anemia
    • Hemophilia A
  • Aim
    • Cure disease by introducing fully functional gene into the tissues of affected organs

Multifactorial Gene Therapy

  • Involves interaction of multiple genes, including possible involvement of environment and infectious agents
  • Aim
    • Induce or improve body’s own ability to heal or alter itself
    • Covers broad array of therapies:
      • HIV
      • Cancer
      • Treatments changing height and weight

Current Performance of Gene Therapy

  • Monogenic disorders
    • Modified Viral Vectors
    • Retroviruses
    • Adenoviral Vectors
    • Herpes Simplex Virus vector
  • Ribozymes and Oligonucleotides – modify protein expression
    • DNA/ Lipid complexes
  • Problems
    • Maloney based retrovirus only transduce dividing cells
    • Lenti-virus
    • Long-term expression of gene product is limited
    • Limited number of patients
  • Ribozymes and Oligonucleotides – modify protein expression
  • DNA/ Lipid complexes
  • Problems
    • Maloney based retrovirus only transduce dividing cells
    • Lenti-virus
    • Long-term expression of gene product is limited
    • Limited number of patients

Multifactorial therapy

  • Induce immune system to kill cancerous cells
    • Addition of genes for TNF
    • Induce suicide genes
  • Addition of MDR genes- chemo
  • Protective vaccines

References:

Textbook: Genetic Engineering, Science and Ethics on the new frontier

http://www.fda.gov/fdac/features/2000/gene.html

http://www.ornl.gov/TechResources/Human_Genome/medicine/genetherapy.html

http://www.colby.edu/~wjgallit/st112project/Gene%20Therapy

 

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