Gene Therapy Flashcards

1
Q

What is gene therapy?

A

Replacing bad genes with good (a genetic defect)

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2
Q

what are the 2 methods of gene therapy?

A

Somatic and germline

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3
Q

What will somatic gene therapy influence?

A

The individual

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4
Q

What will germline therapy influence?

A

Future generation illegal in most countries

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5
Q

What is a transgene?

A

A gene that has been transferred naturally by genetic engineering

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6
Q

What is the intro of transgene called?

A

Transgenesis - changes phenotype of an organism

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7
Q

What does a transgene describe?

A

a segment of DNA containing a gene sequence that has been isolated from one organism and introduced to a different one

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8
Q

What does a non-native segment of DNA retain?

A

Ability to produce RNA or protein in transgenic organism

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9
Q

What are the 2 methods of delivering transgene?

A

In vivo - in body

ex vivo- out of body

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10
Q

How is transgene delivery dictated?

A

By the nature of the disease

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11
Q

What does In vivo gene therapy try to do?

A

Directly deliver transgene to site of disease

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12
Q

What gene disorder can affect several tissue types?

A

Cystic fibrosis

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13
Q

How does gene therapy work?

A

Replaces a defective gene

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14
Q

What does current gene therapy use for treatments?

A

Gene addition

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15
Q

Transgenes dont integrate, what do they exist as?

A

Episomes

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16
Q

How are transgenes delivery into a cell?

A

Via delivery vehicle or vector

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17
Q

What are the most widely used transgene delivery vehicles?

18
Q

Why are Viruses used for transgene delivery?

A

Experts at entering human cells and expressing transgenes

19
Q

What are the 3 common viruses used as delivery vehicles for transgenes?

A

Adenovirus - common cold
Retrovirus - HIV
Herpesvirus - cold sores

20
Q

What are lipid based delivery vehicles called?

A

Lipoplexes

21
Q

Out of the 3 viruses which one is the only one that integrates?

A

Retrovirus

22
Q

What is gene therapy best suited for the treatment of?

A

Single gene recessive disorders

23
Q

What is Jesse gelsingers relevance to gene therapy?

A

Lowest point - he had an x-linked genetic disease of the liver, his immune response to the adenovirus lead to multiple organ failure because of high ammonia levels of OTC

24
Q

What is X-SCID?

A

A lethal immunogenic disorder where immune response are severly compromised of IL2-RG gene

25
What receptors share the IL2-RG gene?
IL2,4,7,9,15,21
26
What does the IL2-RG mutation mean in regards to immunity?
Loss of interleukin functions, Loss of T cells and B cells defective reduced IgG- treatment is bone marrow transplant
27
What can retrovirus gene therapy be used for?
Inset a functioning copy of IL2-RG gene using MLV vector into haemopoietic stem cells
28
What is wrong with using IL2-RG for an MLV vector in the stem cells?
Retroviral integration in the LM02 promoter leads to expression of protein leukemoegenesis
29
What can Adenovirus gene therapy be used for?
Head and neck cancer
30
How does the adenovirus gain success with head and neck cancer patients?
Use oncolytic virus (specific target cancer) - onyx-15
31
What antiviral medication can be usd to treat CMV infections? (brain tumours)
Ganciclovir
32
What gene therapy approach can be used for melanomas?
Ex vivo with MART-1
33
What is cystic fibrosis?
Faulty gene that controls movements of salt and water in and out of cells leads to increase mucus secretion
34
What is the most common cystic fibrosis mutation?
F506del - deletes 3 nucleotides coding for phenylanine
35
How can cystic fibrosis affect homozygote conditions?
Thicker mucous membrane Absence of vas deference due to increase mucus thickness - infertility Pancreatic insuffiency blockage with duct
36
How can cystic fibrosis affect heterozygote conditions?
Increase airway reactivity and pool pulmonary function and chronic rhinosinutis
37
What gene therapy helps CF?
Adenovirus Liposome via nebulisation Serpin enzyme
38
What does original version of crispr do?
Snips dna in precise location to delete faulty genes
39
What does new crispr do?
instead of cutting genome the cas9 eznyme latches on to whatever genes attached to
40
How does CRISPR work with muscular dystrophy?
Team boosted second gene that produces protein utrophin than compensates in muscle growth and strength
41
How does CRISPR work with acute kidney injury?
Targets KLOTHO (renal damage protection) and IL10 (anti inflammatory cytokine)
42
What does Caveats do?
Target genes boosted in organs through body