{"id":8,"date":"2016-09-18T21:59:11","date_gmt":"2016-09-19T02:59:11","guid":{"rendered":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/?p=8"},"modified":"2016-11-28T19:04:03","modified_gmt":"2016-11-29T01:04:03","slug":"gene-therapy","status":"publish","type":"post","link":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/2016\/09\/18\/gene-therapy\/","title":{"rendered":"Gene Therapy"},"content":{"rendered":"<p>What is the first thing you think of when you hear gene therapy? Some of the words that come to mind may be unnatural, suspicious, or even has potential. <a href=\"https:\/\/ghr.nlm.nih.gov\/primer\/therapy\/genetherapy\">Gene therapy<\/a> is a type of treatment used to treat or prevent diseases. While it is still under research to determine its effectiveness and potential hazards, this technology could be the answer to curing certain diseases.<!--more--><\/p>\n<p><strong>What are Genes?<\/strong><\/p>\n<p>Genes, located inside <a href=\"https:\/\/www.genome.gov\/26524120\/chromosomes-fact-sheet\/\">chromosomes,<\/a> are made up of DNA and have a role in making proteins. In other words, genes act as a blueprint for the body. Every person obtains a copy of each gene from their parents. Everyone&#8217;s\u00a0genes are slightly different which explains why we look like our parents but are still unique. Genes can range in size depending on the species being looked at. For example, \u00a0<em>Escherichia coli<\/em> has around 5,500 genes, a mouse has around 23,000, and humans contain around 25,000 genes. Eukaryotes, organisms with a nucleus inside their cells, contain coding and non-coding regions inside their genome. The coding-regions code for functional proteins while the non-coding regions do not. Most plant and animals genomes have a large portion of non-coding regions that are suspected to help regulate how genes are expressed<sup>[3]<\/sup>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-24\" src=\"http:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/geneinchromosome-300x144.jpg\" alt=\"geneinchromosome\" width=\"435\" height=\"209\" srcset=\"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/geneinchromosome-300x144.jpg 300w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/geneinchromosome.jpg 500w\" sizes=\"auto, (max-width: 435px) 100vw, 435px\" \/><\/p>\n<p><strong>How does gene therapy work?<\/strong><\/p>\n<p>Gene therapy can be used to restore a mutation or replace a defective gene with a healthier one. \u00a0In order to place a gene inside of a cell, a vector is needed. The vector, usually a virus, is used to deliver the gene to a designated spot. The vector is genetically engineered so that it will not cause disease when it is inside a human cell. As soon as the DNA sequence is dropped off, it will start producing proteins that restore the cell to its normal function. \u00a0It is rare but a vector can sometimes insert the DNA into the wrong place. If inserted into a gene that regulates when a gene is turned on or off, it can possibly lead to cancer<sup>[1]<\/sup>.<\/p>\n<p>Some methods of insertion include injection, intravenously into a specific tissue, or it can be done in a laboratory. \u00a0A patient&#8217;s cells are removed and then introduced to the vector so that the engineered virus will never be in the human body. The cells that now carry the vector and the healthy gene are returned to the patient<sup>[4]<\/sup>. Gene therapy is still being tested in clinical trials but there has been success in <a href=\"http:\/\/www.ama-assn.org\/ama\/pub\/physician-resources\/medical-science\/genetics-molecular-medicine\/current-topics\/gene-therapy.page?\">human<\/a>s. The first successful \u00a0gene therapy trial treated a four year old child who was prone to repeated infections. In 1990, researchers at the National Institutes of Health helped treat this rare genetic disease called adenosine deaminase deficiency<sup>[1]<\/sup>.<\/p>\n<div id=\"attachment_37\" style=\"width: 373px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-37\" class=\" wp-image-37\" src=\"http:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/gene-therapy-300x225.jpg\" alt=\"This graph shows the steps in gene therapy\" width=\"363\" height=\"272\" srcset=\"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/gene-therapy-300x225.jpg 300w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/gene-therapy.jpg 638w\" sizes=\"auto, (max-width: 363px) 100vw, 363px\" \/><p id=\"caption-attachment-37\" class=\"wp-caption-text\">This graph shows the steps in gene therapy<\/p><\/div>\n<p><strong>What diseases can be treated using gene therapy?<\/strong><\/p>\n<p>Some of the diseases that have been used in gene therapy human clinical trials include severe combined immunodeficiency diseases, cystic fibrosis, and Cabavan&#8217;s disease. Other diseases like cancer, AIDS, Alzheimer&#8217;s diseases, \u00a0and cardiovascular diseases are possible candidates for gene therapy. There are about 4,000 diseases have have been traced to gene disorders. <sup>[1]<\/sup><\/p>\n<p><strong>What else can gene therapy do?<\/strong><\/p>\n<p>According to the American Medical Association, gene therapy can also:<\/p>\n<ul>\n<li>Deliver genes to destroy\u00a0cancer cells or make cancer cells return back to normal<\/li>\n<li>Deliver viral or bacterial genes that act as vaccinations<\/li>\n<li>Deliver genes that help\u00a0new tissue grow or help regenerate damaged tissue<\/li>\n<\/ul>\n<p><strong>Gene therapy progress<\/strong><\/p>\n<p>Gene therapy depends on the ability for the vector to deliver the gene. Other methods are being researched to make gene therapy more efficient and safe for use. A few of the methods mentioned by T <a href=\"https:\/\/www.researchgate.net\/profile\/Takuro_Niidome\/publication\/11013384_Gene_therapy_progress_and_prospects_nonviral_vectors\/links\/55113c440cf20352196dadb9.pdf\">Niidome and L Huang <\/a>include: gene delivery using a chemical carrier, lipid-mediated gene delivery, peptide-mediated gene delivery, and polymer gene delivery. \u00a0The safest gene therapy method is to use naked DNA without having to use a vector. This method is also hard to do because of rapid degradation after injection but certain techniques can be used to enhance gene uptake. Vein injection, local injection, ultrasound, artery injection, electroporation, or a gene gun can be used for enhancement.\u00a0<sup>[2]<\/sup><\/p>\n<p><strong>Final Thoughts<\/strong><\/p>\n<p>Gene therapy is still in the early stages of research but has huge potential to treat certain diseases. New techniques are currently being developed and tested to ensure safety and efficiency.\u00a0Even though we are far from perfecting gene carriers, this technique could potentially help thousands of children born with immunodeficiency problems.<\/p>\n<p><a href=\"https:\/\/tedxboston.org\/speaker\/leschly\">Nick Leschly<\/a> went on TED Talks to talk about gene therapy. For those interested in learning more about gene therapy or just wants to hear what he has to say, look up Gene therapy&#8211;The time is now; Nick Leschly at TEDxBoston or <a href=\"https:\/\/www.youtube.com\/watch?v=Ez560GnkSrE\">click here<\/a>.<\/p>\n<div id=\"attachment_53\" style=\"width: 413px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-53\" class=\" wp-image-53\" src=\"http:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks-300x169.jpg\" alt=\"Nick Leschly as he talks about gene therapy on TED Talks\" width=\"403\" height=\"227\" srcset=\"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks-300x169.jpg 300w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks-768x432.jpg 768w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks-1024x576.jpg 1024w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks-676x380.jpg 676w, https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-content\/uploads\/sites\/4515\/2016\/09\/ted-talks.jpg 1280w\" sizes=\"auto, (max-width: 403px) 100vw, 403px\" \/><p id=\"caption-attachment-53\" class=\"wp-caption-text\">Nick Leschly as he talks about gene therapy on TED Talks<\/p><\/div>\n<p><strong>References<\/strong><\/p>\n<p style=\"text-align: left\">Gene Therapy [Internet], AMA Publications; [cited 2016 September 18]. Available from\u00a0http:\/\/www.amaassn.org\/ama\/pub\/physician-resources\/medical-science\/genetics-molecular medicine\/current- topics\/gene-therapy.page?<\/p>\n<p style=\"text-align: left\">Niidome, T. Huang, L. \u00a0Gene Therapy Progress and Prospects: Nonviral vectors,\u00a0Gene Therapy (2002) 9, 1647\u20131652<\/p>\n<p style=\"text-align: left\">Herron JC, Freeman S. Evolutionary Analysis. 5th ed. Glenview, IL: Pearson Eduction, Inc; 2015. (582-584).<\/p>\n<p style=\"text-align: left\">\u00a0How does gene therapy work? [Internet], [updated \u00a02016 September 13], U.S Department of Health and Human Services;\u00a0[cited 2016 September 18]. Available from https:\/\/ghr.nlm.nih.gov\/primer\/therapy\/procedures<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is the first thing you think of when you hear gene therapy? Some of the words that come to mind may be unnatural, suspicious, or even has potential. Gene therapy is a type of treatment used to treat or prevent diseases. While it is still under research to determine its effectiveness and potential hazards, [&hellip;]<\/p>\n","protected":false},"author":4511,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-8","post","type-post","status-publish","format-standard","hentry","category-genetics","post-preview"],"_links":{"self":[{"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/posts\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/users\/4511"}],"replies":[{"embeddable":true,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":29,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/posts\/8\/revisions"}],"predecessor-version":[{"id":74,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/posts\/8\/revisions\/74"}],"wp:attachment":[{"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/media?parent=8"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/categories?post=8"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eportfolios.isucomm.iastate.edu\/sanddog2\/wp-json\/wp\/v2\/tags?post=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}