Gene therapy & editing Flashcards
cause of flu virus?
influenza A
name 2 stomach flu - viral gastroenteritis vomiting bug causing virus names
norovirus
retrovirus
what virus causes chickenpox?
VZV
or dormant VZV for shingles
what virus causes cold sore?
herpes simplex
what viruses may cause hand foot mouth disease?
coxsackievirus A16
enterovirus
What is gene therapy?
process of introducing foreign genomic materials (i.e. nucleic acids) into host cells to elicit a therapeutic benefit
What are the 2 nucleic acids that are delivered to treat disease in gene therapy?
DNA or siRNA
(using genetic material as drug, pack into DDS and deliver)
gene therapy = new tool to cure human disease and involves transfer of what?
genetic material into cells/tissue to prevent/ cure a disease
transfection
What are 3 gene alterations gene therapy is used to make?
- introduce a new gene
- replace defected/mutated gene
- silence gene not working properly (STOP protein expression)
What genetic material is introduced as a new gene or replacing a defected/mutated gene?
plasmid DNA
What genetic material is used to silence a gene not working properly?
- small interfering RNA (siRNA)
- short-hairpin (shRNA)
why do you need a delivery vector to deliver plasmid DNA?
else DNA will degrade
What are the 2 types of genetic diseases that gene therapy is used to treat?
- single gene defect disease
- polygenetic or non-hereditary
Give an example of a single gene defect disease.
haemophilia - a hereditary (genetic) disease affecting blood’s ability to clot
Give examples of polygenetic or non-hereditary diseases?
- cancer
- CVD
- hepatitis
polygenetic/nonhereditary conditions are harder to treat than single gene defect, why?
more than 1 gene involved, along w environmental factors
origin can be complex
gene therapy is used to treat but also prevent, as in the case of SARS-CoV-2 vaccines.
outline how these work
prevent infection by causing body to produce antibodies against SARS-CoV-2 spike proteins
elicit immune response
problem with influenza and sars-cov-2 vaccines?
the virus may change by nest year, body wont recognise -> infection
What are the 2 main classes of delivery vectors used in gene therapy? to induce transfection of cells
viral
non-viral
give examples of non-viral delivery vectors
(1st term)
liposomes
polymers
CNTs
What are 2 categories of transfection methods in gene therapy?
- in-vivo
- ex-vivo
What is meant by in-vivo gene therapy?
within living:
gene transferred to cells inside patient directly using vector
Which is more common: in-vivo or ex-vivo?
ex-vivo
Which is more risky: in-vivo or ex-vivo and why?
in-vivo
immune reaction possible from vectors used
could be rejected straight away
What are examples of in-vivo vectors? 3
viruses
bacterial plasmids
NPs
Methods used in in-vivo gene therapy 3
tissue injection- recombinant virus
systemic infusion- DNA liposome
(biolistic gene gun- plasmid DNA)
Outline the steps of how in vivo gene therapy works.
DNA (gene) encapsulated in vector
gene therapy- inject in
gene released into cell
gene expresses proteins
- receptor
- secreted
What is meant by ex-vivo gene therapy?
cells modified outside body then transplanted back in again
what does ex-vivo gene therapy allow?
targeting of specific cells
Explain how ex-vivo gene therapy works.
- cells from px blood/bone marrow removed and grown in lab
- cells exposed to gene therapy vector carrying desired gene (i.e. virus enters cells then inserts desired gene into cells DNA)
- cells grow in lab then returned by IV injection
What are the 3 limitations to ex-vivo gene therapy?
- complex as cells require maintenance in vitro
- indirect introduction: immune response
- modified/transfected cells may not fulfil function
In what ways can ex-vivo gene therapy transfected cells not fulfil function?
may:
- not function as desired due to patient rejection
- malfunction, triggering an immune response
- not work at all once transplanted
Diagram of ex-vivo gene therapy (retrovirus)
Summarise ex-vivo gene therapy….
slide 17
Summary of differences between in and ex-vivo gene therapy
slide 18
With viral drug delivery (virus as vectors), what is the basic essence of what we do?
how do they work?
- remove original disease-causing genes
- replace w genes needed to stop disease
- then insert altered viruses into px diseased cells in-vivo or ex-vivo
What are the 2 viral cycles?
lytic and lysogenic
What is lytic or virulent viral cycle?
virus enters host, replicates, lyses (burst open) host cell causing its death
(cell opens and releases stuff)
What is the lysogenic or latent viral cycle?
viruses become dormant in cell and integrate its own DNA into host cell DNA, later activating in response to external signal
2 examples of lysogenic/ latent viruses?
HIV and Herpes viruses
do you get integration of viral DNA into host chromosomes/DNA with lytic or lysogenic viral cycles?
lysogenic
What are examples of viral vectors?
- retroviruses
- adenoviruses
- adeno-associated viruses (AAV)
Structure of a retrovirus
viral DNA, enz, reverse transcriptase in core and around: envelope of proteins + lipids
What is the size of retroviruses?
nm diameter
100nm in diameter - considered nanomedicine
What genetic material is found within retroviruses?
RNA
How do retroviruses work?
uses reverse transcriptase to make DNA from RNA which can be inserted into the genome
What do retroviruses do when they infect host cells?
inject RNA and reverse transcriptase enzyme into cytoplasm of that cell
What is an example of a retrovirus?
HIV
what enzyme do retroviruses require to work? why?
reverse transcriptase
as want RNA later to be converted back to DNA
Are retroviruses used in in or ex-vivo gene therapy?
ex-vivo
What cell type do retroviral vectors affect?
divided
What is the therapeutic gene size that retroviruses can deliver?
8Kb
What genetic material is found within adenoviruses?
double-stranded DNA
What types of infections do adenoviruses cause in humans? 3
- respiratory
- intestinal
- eye
What is an example of an adenovirus?
common cold
whats the size range in nm of adenovirus?
90-100nm
What cell type do adenoviral vectors affect?
dividing and quiescent
eg cancer and dormant cells
What is the therapeutic gene size that adenoviral vectors can deliver?
37Kb
huge
what type of virus is AAV?
adeno-associated.
small DNA viruses
How do AAVs work?
non-pathogenic, small DNA viruses that integrate into chromosome 19 in humans w the helper virus (cannot replicate alone)
what helper virus may be used with AAV?
adeno!! or herpes virus
are AAV pathogenic or non?
non-pathogenic
not known to cause disease
What type of genetic material is found within AAVs?
linear single-stranded DNA
What cell type do AAVs infect?
dividing and non-dividing
therapeutic gene size of AAVs?
4.5kb
tiny
difference between viral vectors and CNTs (non-viral) in terms of genes you can incorporate.
CNT: can put multiple on surface but here limited
whats the easier choice out of the 3 viral vectors studied?
adenovirus. nothing req like reverse transcriptase (retro) or helper virus (AAV)
What is found within the AZ/Oxford vaccine (ChAdOx1)?
chimpanzee adenovirus vector containing spike protein of COVID-19
AZ/oxford vaccine can generate strong immune resoibse from 1 dose.
its been genetically changed so its impossible for it to do what?
grow in humans
How do non-viral delivery vectors change in change when complexed w therapeutic gene?
- lipoplex
- polyplex
- carboplex
What charge must non-viral delivery vectors have?
positive (cationic)
Why must non-viral delivery vectors be cationic?
DNA/RNA is negatively charged so it can increase its cellular uptake
with cationic DDS of non-viral vectors, hopefully no immune response so ->?
readministration can be acheived
What is the advantage of non-viral delivery vectors over viral vectors?
no limitation on size of therapeutic gene delivered
What is the advantage of viral delivery vectors over non-viral delivery vectors?
viral are more efficient at transfecting genetic material
in vivo efficiency higher than non-viral vectors
Explain how liposomes traffic genetic material.
trafficking: lipoplexes
1) complex liposome w gene to form lipoplex
2) lipoplex endocytosed into cell
3)a) if endosome used to transport in matures, DNA fragments as endosome forms lyosome/ degradation :(
b) if endosome mixes w lipid, gene escapes and reaches nucleus via nuclear pores
what do we want the non-viral vectors to escape in the cell?
endosome compartment
think low pH…
Which of the COVID-19 vaccines out of the Moderna, Pfizer and AZ/Oxford use mRNA?
non viral DDS
Moderna and Pfizer
What are the advantages of using mRNA as the therapeutic gene delivered?
- safer than whole virus/DNA delivery. not infectious
- processed directly IN cytosol (no need to reach nucleus like DNA)
- has a short half-life so can be regulated by molecular design
- not immunogenic
How is mRNA safer than whole virus or DNA delivery?
- not infectious
- cannot integrate into host genome