Avneet -Gene Therapy

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    GENE

    THERAPY

    By- AVNEET KAUR

    .

    MODERATOR- Prof .VIRENDRA SINGH

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    What is gene therapy ?

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    Imagine that you accidentally brokeone of your neighbor's windows

    I. Stay silent: no one will ever find out

    that you are guilty, but the window

    doesn't get fixed.

    II. Repair it with some tape: not the best

    longterm solution.

    III. !ut in a new window: not only do yousolve the problem, but also you do

    the honorable thing.

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    "any medi#al #onditions result from

    flaws in one or more genes. What are

    your treatment options?I. Stay silent: ignore the geneti# disorder

    and nothing gets fixed.

    II. $ry to treat the disorder with drugs orother approa#hes: depending on thedisorder, treatment may or may not be agood longterm solution.

    III. !ut in a normal, fun#tioning #opy of thegene: if you #an do this, it may solve the

    problem%E

    N

    E

    T

    H

    E

    R

    A

    P

    Y

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    What is Gene Therapy?

    &ene therapyis !" i#s"rio# of $"#"s i#o %#

    i#&i'i&(%)*s +"))s %#& iss("s o r"% %

    &is"%s", s(+! %s % !"r"&i%ry &is"%s" i# !i+!

    % &")""rio(s (%# %))")" is r"/)%+"& i! %

    f(#+io#%) o#". T!" "+!#o)o$y is si)) i# is i#f%#+y

    0

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    (), *hromosomes, +&enes: ) rief Introdu#tion

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    WHAT IS A C LL?

    $asic building blocks of all li%ing things&

    Human body composed of trillions of

    cells&

    "ell contain bodys hereditary material&

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    NUCL US

    Cells command center

    Houses DNA

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    E%+! +!rooso"

    is %&" (/ of DNA

    i$!)y +oi)"& %#y

    i"s %ro(#&/ro"i#s +%))"&

    !iso#"s !%

    s(//or is sr(+(r".

    What is a

    chromosome?

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    What is a gene?

    G"#"s %r" %&" (/ of DNA.

    E%+! +!rooso" +o#%i#s

    %#y $"#"s.

    I# !(%#s, $"#"s si8"- fro %

    f" !(#&r"& DNA %s"s oor" !%# 2 i))io# %s"s.

    H(%# !%s "si%"& """#

    27,777 %#& 20,777 $"#"s13

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    Ho Genes Wor!"""?

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    Ho #o genes #irect the $ro#uction o% $roteins?

    $"#"s +o#%i# !" i#for%io# #""&"& o %9"

    f(#+io#%) o)"+()"s +%))"& /ro"i#s.

    :o(r#"y fro $"#" o /ro"i# +o#siss of o %:or

    s"/s; r%#s+ri/io# %#& r%#s)%io#.TRANSCRIPTI&N

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    Why Genetic (isorders?

    %)"r"& so !% !"

    "#+o&"& /ro"i#s%r" (#%)" o +%rry

    o( !"ir #or%)

    f(#+io#s, $"#"i+&isor&"rs +%# r"s().

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    Gene therapy -Background

    1990 !he first gene therapy ournal

    published, Human Gene Therapy

    1990 !he first approved gene therapy

    clinical trial too# place when $shanthi

    %e&ilva, a ' year old girl (Maryland )

    with $%$deficient &evere *ombined

    +mmunodeficiency , was given her own !

    cells engineered with a retroviral vector

    carrying a normal $%$ gene.

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    )$ubble $*+,

    2333 -T!" firs $"#"

    !"r%/y +(r" %s

    r"/or"& !"# A)%i#

    =is+!"r >P%riss(++""&"& i# o%))y

    +orr"+i#$ +!i)&r"# i!

    SID or @()" oy

    sy#&ro"

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    How It Works ?A '"+or &")i'"rs !" !"r%/"(i+ $"#" i#o %

    /%i"#s %r$" +"))

    T!" %r$" +"))s "+o" i#f"+"& i! !" 'ir%)

    '"+or

    T!" '"+ors $"#"i+ %"ri%) is i#s"r"& i#o !"

    %r$" +"))

    =(#+io#%) /ro"i#s %r" +r"%"& fro !" !"r%/"(i+

    $"#" +%(si#$ !" +")) o r"(r# o % #or%) s%"

    21

    -teps in Gene

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    -teps in GeneTherapy

    !/;CC"#+%r%.s#.+oC"&i%410126CG"#"T!"r%/y.!) 22

    http://encarta.msn.com/media_461561269/Gene_Therapy.htmlhttp://encarta.msn.com/media_461561269/Gene_Therapy.html
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    -omatic and Germ #ineGene Therapy

    G"#" !"r%/y +%# %r$" so%i+ >o&y or

    $"r >"$$ %#& s/"r +"))s.

    I# so%i+ $"#" !"r%/y !" r"+i/i"#*s$"#o" is +!%#$"&, ( !" +!%#$" is #o

    /%ss"& o# o !" #" $"#"r%io#. G"r )i#" $"#" !"r%/y !" #")y

    i#ro&(+"& $"#" is /%ss"& o# o !"

    offs/ri#$.

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    TRANSFECTION

    is the introduction of

    DNA into animal orplant cells

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    ) new gene is in5e#ted into an adenovirus ve#tor, whi#h is

    used to introdu#e the modified () into a human #ell. If the

    treatment is su##essful, the new gene will ma6e a fun#tionalprotein. 25

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    #imitation of (irect GeneInduction

    Si/)"s "!o&

    Fii"& %//ro%+!-

    (s"& o#)y i! +"r%i#iss("s %#& r"(ir"s

    )%r$" %o(#s of

    DNA.

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    !on %iral

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    !on0%iralmethods

    In5e#tion of (a6ed ()

    !hysi#al "ethods :

    1le#troporation

    &ene &un

    Sonoporation "agnetofe#tion

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    In1ection of !aked

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    In1ection of !aked(!/

    si/)"s "!o& of #o#-'ir%) r%#sf"+io#.

    )i#i+%) ri%)s +%rri"& o( of i#r%(s+()%r i#:"+io#

    of % #%9"& DNA/)%si& o++(rr"& i! so"

    s(++"ss.

    I# %&&iio# ri%)s i! #%9"& PR/ro&(+,

    s!o"& sii)%r or $r"%"r s(++"ss.

    "))()%r (/%9" of #%9"& DNA is $"#"r%))y

    i#"ffi+i"#.32

    http://en.wikipedia.org/wiki/Naked_DNAhttp://en.wikipedia.org/wiki/Polymerase_chain_reactionhttp://en.wikipedia.org/wiki/Polymerase_chain_reactionhttp://en.wikipedia.org/wiki/Naked_DNA
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    Physical 2ethods 3

    1le#troporation:

    Us"s s!or /()s"s of !i$!

    'o)%$" o +%rry DNA

    %+ross !" +")) "r%#".

    s!o+9 +%(s"s "/or%ry

    for%io# of /or"s i# !"+")) "r%#", %))oi#$

    DNA o)"+()"s o /%ss

    !ro($!.

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    Effi+i"# ( !i$! r%" of +")) &"%! )ii"& is

    (s", i#+)(&i#$ +)i#i+%) %//)i+%io#s.

    171*$R8()4)7)(*-1 $R)(S91*$I8(

    #" "!o& of ")"+ro/or%io#

    By (si#$ % !i$!-'o)%$" /)%s% &is+!%r$", DNA

    %s "ffi+i"#)y &")i'"r"& fo))oi#$ '"ry s!or

    >i+ros"+o#& /()s"s.

    Effi+i"# %#& +%(s"s )"ss +"))()%r &%%$".

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    -onoporation

    )ppli#ation 8f

    ltrasound that +r"%"s

    r%#si"# /or"s i# % +"))

    "r%#", %))oi#$ &r($

    o)"+()"s, /ro"i#s, or

    for"i$# DNA o "#"r !"

    +")).

    3

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    "hemical 2ethods3

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    ( d i

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    (endrimers !i$!)y r%#+!"& %+roo)"+()"i! % s/!"ri+%)

    s!%/".

    *ationi# dendrimer > o#" i! % /osii'" s(rf%+"

    +!%r$" is +o#sr(+"&.

    -8W I$ W8R;S

    I# /r"s"#+" of $"#"i+ %"ri%) s(+! %s DNA or

    RNA i &o "/or%ry %sso+i%io# i! !" #(+)"i+

    %+i&.O# r"%+!i#$ is &"si#%io# !" &"#&ri"r-#(+)"i+

    %+i& +o/)" is !"# %9"# i#o !" +")) 'i%

    "#&o+yosis47

    http://en.wikipedia.org/wiki/Macromoleculehttp://en.wikipedia.org/wiki/Macromolecule
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    1.- vivo gene therapy

    .+n vivo gene therapy

    /. /ntisense therapy

    $

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    /ntisense therapy

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    P bl i h G

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    Problems with GeneTherapy S!or Fi'"&

    H%r& o r%/i&)y i#"$r%" !"r%/"(i+ DNA i#o$"#o" %#& r%/i&)y &i'i&i#$ #%(r" of +"))s/r"'"# $"#" !"r%/y for )o#$ i"

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    Current tatus

    =DA !%s# %//ro'"& %#y !(%# $"#" !"r%/y/ro&(+ for s%)"

    R1)S8(S: I# 1666, 15-y"%r-o)& J"ss" G")si#$"r &i"& fro

    ()i/)" or$%# f%i)(r" 4 &%ys %f"r r"%"# foror#i!i#" r%#s+%roy)%s" &"fi+i"#+y.D"%! %s ri$$"r"& y s"'"r" i(#" r"s/o#s" o

    %&"#o'ir(s +%rri"r

    J%#(%ry 2773, !%) o (si#$ r"ro'ir(s '"+ors i#)oo& s" +"))s "+%(s" +!i)&r"# &"'")o/"&)"(9"i%-)i9" +o#&iio# %f"r s(++"ssf() r"%"# for-)i#9"& s"'"r" +oi#"& i(#o&"fi+i"#+y

    &is"%s" 46

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    nresolve! "#estions

    Can gene expression $e controlle! in thepatient%

    &hat happens i' nor(al gene isoverexpresse!%

    )o* long *ill the therapy last%

    &hat is the $est vector to #se%

    &hat is the (ini(#( n#($er o' cells

    nee!e! to in'ect to achieve s#ccess% 01

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    !eferences

    1.TETBOOK O= MIROBIOFOGL BL

    ANANTNARALAN.

    2.TETBOOK O= BIOHEMISTRL BL

    SATLANARALAN.3.TETBOOK O= BIOHEMISTRL BL

    HARPER.

    4.GENETHERAPL HANDBOOK.

    02

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