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Questions and Answers
Which of the following is true regarding integrating gene therapy for Cystic Fibrosis?
Which of the following is true regarding integrating gene therapy for Cystic Fibrosis?
Which of the following statements about adenovirus use in CF gene therapy is incorrect?
Which of the following statements about adenovirus use in CF gene therapy is incorrect?
Which of the following represents a disadvantage of non-integrating gene therapy methods?
Which of the following represents a disadvantage of non-integrating gene therapy methods?
Which of the following is a symptom associated with emphysema?
Which of the following is a symptom associated with emphysema?
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Which of the following is an accurate statement regarding the causes of emphysema?
Which of the following is an accurate statement regarding the causes of emphysema?
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Which statement about the role of B cells is correct?
Which statement about the role of B cells is correct?
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Which of the following is an implication of the ADA deficiency related to SCID?
Which of the following is an implication of the ADA deficiency related to SCID?
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Which statement about ex vivo gene therapy is correct?
Which statement about ex vivo gene therapy is correct?
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Which of the following accurately describes the role of the CFTR gene in gene therapy for cystic fibrosis?
Which of the following accurately describes the role of the CFTR gene in gene therapy for cystic fibrosis?
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Which type of lymphocyte is NOT directly affected by SCID?
Which type of lymphocyte is NOT directly affected by SCID?
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Which of the following is a characteristic of non-integrating gene therapy for cystic fibrosis?
Which of the following is a characteristic of non-integrating gene therapy for cystic fibrosis?
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Which of the following correctly describes SCID?
Which of the following correctly describes SCID?
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In the context of SCID, which assertion is incorrect?
In the context of SCID, which assertion is incorrect?
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Which of the following is an incorrect assumption about T cells in SCID?
Which of the following is an incorrect assumption about T cells in SCID?
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Which of the following accurately reflects the relationship between SCID and lymphocyte function?
Which of the following accurately reflects the relationship between SCID and lymphocyte function?
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Which option correctly summarizes the purpose of introducing a correct CFTR gene copy in cystic fibrosis treatment?
Which option correctly summarizes the purpose of introducing a correct CFTR gene copy in cystic fibrosis treatment?
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Which statement regarding the effects of dATP accumulation is incorrect?
Which statement regarding the effects of dATP accumulation is incorrect?
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Which statement about gene therapy approaches for cystic fibrosis is incorrect?
Which statement about gene therapy approaches for cystic fibrosis is incorrect?
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Which of the following statements accurately describes a characteristic of gene therapy for cystic fibrosis?
Which of the following statements accurately describes a characteristic of gene therapy for cystic fibrosis?
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Which of the following statements about the gene therapy process is true?
Which of the following statements about the gene therapy process is true?
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Which of the following is NOT a characteristic of SCID?
Which of the following is NOT a characteristic of SCID?
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Which statement about the limitations of gene therapy is accurate?
Which statement about the limitations of gene therapy is accurate?
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Which statement is correct regarding the treatment of alpha-1 antitrypsin deficiency?
Which statement is correct regarding the treatment of alpha-1 antitrypsin deficiency?
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Which of the following correctly describes a consequence of the genetic mutations causing SCID?
Which of the following correctly describes a consequence of the genetic mutations causing SCID?
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Which of the following approaches is NOT associated with gene therapy for sickle cell anemia?
Which of the following approaches is NOT associated with gene therapy for sickle cell anemia?
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Which option wrongly describes the involvement of lymphocytes in immunity?
Which option wrongly describes the involvement of lymphocytes in immunity?
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Which of the following statements accurately reflects the challenges in gene therapy for emphysema?
Which of the following statements accurately reflects the challenges in gene therapy for emphysema?
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Which of the following is NOT a method commonly used in gene therapy?
Which of the following is NOT a method commonly used in gene therapy?
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Which is an incorrect assertion concerning gene therapy for Severe Combined Immunodeficiency (SCID)?
Which is an incorrect assertion concerning gene therapy for Severe Combined Immunodeficiency (SCID)?
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Which of the following statements is incorrect regarding gene therapy's potential for treating monogenic diseases?
Which of the following statements is incorrect regarding gene therapy's potential for treating monogenic diseases?
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Which of the following is a limitation of current gene therapy approaches for monogenic diseases?
Which of the following is a limitation of current gene therapy approaches for monogenic diseases?
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Which of the following approaches does NOT enhance the efficacy of gene therapy?
Which of the following approaches does NOT enhance the efficacy of gene therapy?
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Which of the following statements about oncolytic agents is correct?
Which of the following statements about oncolytic agents is correct?
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Which of the following best describes the role of adenovirus in gene therapy?
Which of the following best describes the role of adenovirus in gene therapy?
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Which of the following concerning gene transfer is incorrect?
Which of the following concerning gene transfer is incorrect?
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Which of the following is a potential ethical concern regarding gene therapy?
Which of the following is a potential ethical concern regarding gene therapy?
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Which statement about cancer cell targeting by oncolytic vectors is incorrect?
Which statement about cancer cell targeting by oncolytic vectors is incorrect?
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Which of the following is NOT a method by which oncolytic agents induce cell death?
Which of the following is NOT a method by which oncolytic agents induce cell death?
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Which of the following statements about the effects of using retroviral vectors is incorrect?
Which of the following statements about the effects of using retroviral vectors is incorrect?
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Which of the following accurately describes suicide genes in gene therapy?
Which of the following accurately describes suicide genes in gene therapy?
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Which of the following is not a reason for choosing specific viruses in oncolytic therapy?
Which of the following is not a reason for choosing specific viruses in oncolytic therapy?
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Which of the following concerns is least related to the introduction of gene therapy?
Which of the following concerns is least related to the introduction of gene therapy?
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Flashcards
Gene therapy approaches for Sickle Cell Anemia
Gene therapy approaches for Sickle Cell Anemia
Various methods to correct the defective gene causing Sickle Cell Anemia, including gene editing and gene replacement.
SCID (Severe Combined Immunodeficiency)
SCID (Severe Combined Immunodeficiency)
A genetic disorder in which the immune system is very weak or non-functional.
Non-integrating gene therapy
Non-integrating gene therapy
A gene therapy method where the new gene is not incorporated into the existing DNA.
Integrating gene therapy
Integrating gene therapy
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CFTR gene
CFTR gene
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Cystic Fibrosis
Cystic Fibrosis
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Monogenic Disease
Monogenic Disease
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Ex vivo gene therapy
Ex vivo gene therapy
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Gene therapy for cystic fibrosis
Gene therapy for cystic fibrosis
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Alpha-1 antitrypsin deficiency
Alpha-1 antitrypsin deficiency
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Gene therapy for monogenic diseases
Gene therapy for monogenic diseases
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Gene therapy for SCID
Gene therapy for SCID
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Gene therapy for sickle cell anemia
Gene therapy for sickle cell anemia
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Emphysema
Emphysema
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Describe gene therapy
Describe gene therapy
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Cystic fibrosis treatment
Cystic fibrosis treatment
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Alpha-1 antitrypsin treatment
Alpha-1 antitrypsin treatment
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How to treat SCID
How to treat SCID
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Integrating gene therapy disadvantage
Integrating gene therapy disadvantage
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Non-integrating gene therapy disadvantage
Non-integrating gene therapy disadvantage
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Adenovirus gene therapy disadvantage
Adenovirus gene therapy disadvantage
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Emphysema cause
Emphysema cause
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Emphysema symptoms
Emphysema symptoms
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Oncolytic Gene Therapy
Oncolytic Gene Therapy
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How do oncolytic vectors kill cancer cells?
How do oncolytic vectors kill cancer cells?
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Viral Vectors in Oncolytic Therapy
Viral Vectors in Oncolytic Therapy
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Gene Transfer in Cancer Therapy
Gene Transfer in Cancer Therapy
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Suicide Genes
Suicide Genes
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Antiangiogenesis Genes
Antiangiogenesis Genes
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Ethical Concerns of Germline Therapy
Ethical Concerns of Germline Therapy
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Carcinogenesis and Retroviral Vectors
Carcinogenesis and Retroviral Vectors
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Access to Gene Therapy
Access to Gene Therapy
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Potential Effects of New Genes
Potential Effects of New Genes
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SCID
SCID
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Lymphocytes
Lymphocytes
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B cells
B cells
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T cells
T cells
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ADA
ADA
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dATP
dATP
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Ribonucleotide reductase
Ribonucleotide reductase
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Feedback inhibition
Feedback inhibition
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Purines
Purines
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How does ADA deficiency lead to SCID?
How does ADA deficiency lead to SCID?
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Study Notes
Biochemistry and Biotechnology Fundamentals: Gene Therapy II
- This course covers gene therapy approaches for various genetic disorders.
Contents
- Gene therapy for monogenic diseases
- Gene therapy for cystic fibrosis
- Gene therapy for emphysema
- Gene therapy for sickle cell anemia
- Gene therapy for SCID
Learning Objectives
- Explain gene therapy approaches for cystic fibrosis
- Describe alpha-1 antitrypsin deficiency and its treatment
- Differentiate between different gene therapy approaches for treating sickle cell anemia
- Discuss the reasons and therapy for SCID
Gene Therapy: Overview of ex vivo Gene Therapy
- Cells are harvested from the patient
- A virus is altered so it cannot reproduce
- Altered cells are injected into the patient's body
- Cells become transgenic
- Altered cells produce the desired protein
- Altered virus is mixed with patient's cells
- A gene is inserted into the virus
Cystic Fibrosis (Monogenic Disease)
- Genetic CFTR mutation at birth
- CFTR mutant protein with abnormal ion transport
- Viscous mucus and inflammation
- Leads to infection, obstruction, inflammation and structural damage
- Resulting in pulmonary insufficiency, premature death, and decreased mucus viscosity.
- Treatments include rhDNase I for improved pulmonary function and reduced infections.
Cystic Fibrosis (Monogenic Disease): Mechanism
- Healthy cells have a functional CFTR protein for Cl− ion transport.
- In cystic fibrosis, CFTR protein is faulty, leading to thick mucus build-up.
- Mucus builds up in the lungs, pancreas, and other organs.
Gene Therapy for Cystic Fibrosis
- Correct version of the CFTR gene is placed in the patient's cells
- The presence of the correct CFTR gene allows cells to produce normal CFTR proteins.
- Gene therapy for cystic fibrosis can be achieved through:
- Non-integrating gene therapy
- Integrating gene therapy
Non-Integrating Gene Therapy for Cystic Fibrosis
- A piece of DNA with the correct CFTR gene is provided to the patient's cells
- The DNA remains separate from the patient's genome
- Cells can still use the new copy to make normal CFTR proteins.
- Advantage: doesn't disrupt the rest of the genome.
- Disadvantage: not permanent (repeated treatment may be needed).
Integrating Gene Therapy for Cystic Fibrosis
- A piece of DNA containing the correct CFTR gene is delivered to patient's cells
- The new gene becomes a permanent part of the patient's genome.
- Advantage: permanent.
- Disadvantage: the new gene could insert into a critical part of the genome.
Disadvantages of Using Adenovirus in CF Gene Therapy
- Lack of adenovirus receptor on alveolar sac cells leading to low transduction
- Immunogenicity (immune response)
- Non-integration: adenovirus genome stays as an episome and doesn't integrate into host genome.
- Not permanent
Emphysema
- Emphysema is a lung disease primarily caused by smoking, air pollution, chemical fumes, and exposure to irritants damaging the lungs and airways.
- Symptoms include shortness of breath, coughing, and fatigue.
- Alpha-1 antitrypsin deficiency (AATD) can also cause emphysema.
Alpha-1 Antitrypsin Deficiency
- Elastin is a stretchy protein crucial for lung function.
- Elastase, a protein that degrades elastin, needs control.
- Alpha-1-antitrypsin (AAT) inhibits elastase to prevent elastin breakdown.
- In AATD, low AAT levels lead to excessive elastase activity and lung damage, causing emphysema.
Gene Therapy for Alpha-1 Antitrypsin Deficiency
- A short coding sequence for AAT would correct the deficiency.
- Gene delivery could be targeting various tissues and cell types, without impacting lungs.
- The goal of gene therapy is to continuously express the gene to treat affected individuals
Sickle Cell Anemia (Monogenic Disease)
- In sickle cell anemia, the amino acid glutamic acid is replaced by valine in the beta-globin chain of hemoglobin
- Sickle cells block blood flow, depriving organs of oxygen
- This can damage nerves and organs, including kidneys, liver, and spleen.
- Leads to symptoms like anemia, jaundice, pain crises, splenomegaly, and stroke.
Sickle Cell Anemia: Gene Therapy
- Several gene therapy approaches exist for sickle cell anemia.
- Using CRISPR, a gene is silenced to enable production of fetal hemoglobin, preventing sickling
Severe Combined Immunodeficiency (SCID)
- A rare genetic disorder where development of functional T cells and B cells is impaired.
- This is due to multiple genetic mutations, with two main types of lymphocytes being B and T cells
- This results in an almost absent immune system.
- Adenosine deaminase (ADA) deficiency is a common cause because the buildup of dATP inhibits ribonucleotide and DNA synthesis, thereby impacting T and B cells, which are vulnerable as they are rapidly dividing cells.
- Gene therapy approaches are available
ADA Converts Deoxyadenosine to a Non-Toxic Substance
- Normal function of ADA converts deoxyadenosine into deoxyinosine (not toxic)
- ADA deficiency leads to deoxyadenosine buildup that's harmful, damaging B and T cells
Gene Therapy for SCID: Ex Vivo Approach
- Hematopoietic stem cells (HSCs) are extracted.
- Modified HSCs are introduced and returned to the bloodstream
- Viral vectors like lentiviruses and retroviruses allow for long-term gene expression.
Cancer Gene Therapy: Immunotherapy
- Cancer cells are harvested and grown in vitro.
- Genes are added to make cancer cells more recognizable by the immune system.
- Altering the cells is followed by growing and killing the cells in vitro
- Cellular contents are used to create a vaccine
Cancer Gene Therapy: Oncolytic Agents
- Gene therapy uses viruses that are modified to target and destroy cancer cells.
- These modified viruses propagate themselves and/or express cytotoxic proteins, causing cancer cell death.
Cancer Gene Therapy: Gene Transfer
- The introduction of foreign genes into cancer cells or surrounding tissue.
- Genes can be suicide genes or antiangiogenesis genes.
- Adenovirus is commonly used as a gene transfer viral vector in clinical trials.
Ethical considerations in gene therapy
- Carcinogenesis, interference with natural selection, effect on offspring, access to therapy, use of gene therapy for enhancement, prenatal use, distinction between good and bad uses of technology, who decides on normal and disordered traits, high costs of gene therapy, and widespread use altering social acceptance of individuals.
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Description
Test your knowledge on gene therapy methods for Cystic Fibrosis and the characteristics of emphysema. This quiz covers key statements regarding adenoviruses, non-integrating methods, and symptoms associated with emphysema. Challenge yourself with these important medical concepts!