Gene Therapy Flashcards

1
Q

What is gene therapy

A

Treatment of a disease by the transfer of genetic material into a patient’s cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are chromosomal disorders

A

Excess or loss of chromosomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are monogenic disorders

A
  1. Inherited disorders caused by a mutation of a single gene
  2. Autosomal dominant
  3. Autosomal recessive
  4. X-linked recessive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are polygenic disorders

A

Diseases associated with multiple genes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the consequence of mutations within coding regions (exons)

A

Leads to non-functional proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the consequence of mutations outside of coding regions (introns)

A

Can cause alterations in efficiency of transcription, translation and splicing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the types of mutation

A
  1. Silent mutation
  2. Conservative missense mutation
  3. Non-conservative missense mutation
  4. Nonsense mutation
  5. Frame-shift mutation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a silent mutation

A

A single base change has no effect on the amino acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a conservative missense mutation

A

A single base change has changed the amino acid to one that has similar functional groups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a non-conservative missense mutation

A

The amino acid cannot function similarly to the wildtype sequence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a nonsense mutation

A

The base substitution leads to a STOP codon, the rest of the sequence is not translated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a frame-shift mutation

A

The addition or deletion of a nucleotide alters the reading frame and changes all the codons after the mutation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does frame-shift mutation occur

A

During DNA replication there is strong strand slippage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What was the first licensed gene therapy drug

A

Glybera for lipoprotein lipase deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Features of somatic gene therapy

A

Confined to the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Features of germ-line therapy

A
  1. Permanent transmissible modification
  2. Gametes of the next generation altered
  3. Widely banned
17
Q

What is the criteria for gene therapy

A
  1. Disease is incurable by other means
  2. Molecular basis of the disease must be known
  3. Accessibility of target organ/ tissue
  4. Longevity of targeted cells
  5. Low expression leading to large effect
  6. Ethical approval
18
Q

What diseases meet the criteria of gene therapy

A
  1. Monogenic inherited diseases
  2. Acquired diseases: cancer, infection, cardiovascular?