2nd half Flashcards
(186 cards)
severe combined immunodeficiency disease (SCID)
Also known as bubble boy syndrome, caused by mutation in adenosine deaminase (ADA) gene. No normal response to infection. because no ADA means no other enzymes after ADA. Makes shit ton of Deoxy ATP which destroys t cells and prevents b cells from being activated
how is gene therapy done for SCID
remove ADA deficient lymphocytes from scid patient, culture cells in lab, infect cells with a retrovirus that has normal ADA gene, reinfuse ADA-gene back into SCID patient. the patients need some levels of t cells
what are the effects of gene therapy for SCID (negative and positive)
one patient developed immunity to gene transfer system, little to no ADA expression. no adverse effects otherwise.
how do you get dna into cells for gene therapy, pros and cons of each
viral vectors (easy, fast), electroporation (breaking membrane, harmful), direct injection into blood or other tissue (depends on target, inefficient), particle bombardment (harmful), liposomes (inefficient), crispr (in the future, may have off target effect). (even voldemort doesn’t like crack pipes)
adeno-associated virus (AAV) characteristics
specific chromosomal site, long term expression, nontoxic, infects dividing and nondividing cells, carries small genes. has an episome.
adeno-associated virus (AAV) applications
cystic fibrosis, sickle cell disease, thalassemias, canavan disease (cindy stole talia’s candy)
adenovirus (AV) characteristics
large virus, carries large genes, transient expression (not long), evokes immune response, infects dividing and nondividing cells
adenovirus (AV) applications
cystic fibrosis, hereditary emphysema, (also used for otc deficiency
herpes characteristics and applications
long term expression, infects neuroglia, used for brain tumors.
retrovirus characteristics
stable but imprecise integration, long term expression. most types only infect dividing cells, nontoxic. integrates into the genome itself, which may cause cancer. can deliver big genes
retrovirus applications
gaucher disease, hiv infection, cancers, scid (combined with adenovirus and herpes: cindy obsessively hates engineering but greatly hates computer science)
how to make sure enough transgene will be in the right cells at the right time??
Ex vivo is the best, strong promoters, tissue specific promoters. insulators (prevent transgene from silencing surrounding environment, prevents enhancers from activating the wrong stuff around transgenes)
immune responses to vector or transgene product cause what
reduction in transgene expression, adenovirus causes common cold, and since everyone has immunity against it, cells expressing transgene shit get deleted
what is the problem with transgene inserting into a functional gene, consequences?
common for DNA to go to actively transcribed parts of genome, and could promote proto-oncogenes or tumor suppressor genes
What is SCID X-linked mutations due to
deficiency in IL2 receptor gamma
How did the gene therapy trials in france aim to remedy SCID X-linked, what are the results
ex vivo gene therapy of CD34+ cells (which are precursors to lymphocytes, which are the missing B and T cells). the results are that 3 of 11 got t-cell lymphoblastic leukemia, but 10 developed functional immune system
What will happen if a transgene is put into LMO2 gene
it will have a ton of LMO2 protein because the transgene boosted expression rates
Why does moving LMO increase expression
you probably moved it next to an enhancer
leber congential amaurosis (LCA)
visual impairment in childhood, total blindness when 30-40. abnormal roving eye movements (nystagmus) and abnormal electroretinography (ERG). poor pupillary light reflexes
what genes does LCA affect
5% of LCA patients have muated RPE65. You can have homozygous or compound hetero mutations. RPE65 affects phototransduction and photoreception
how did briard dogs help us know about LCA
four nucleotide deletion (AAGA) makes a premature stop codon
What vector was used for RPE65 gene therapy, how was it
rAAV2, adult subjects remained healthy
What does prof nirenberg do to let blind people see
For people with no photoreceptor, they get optogenetic components put into retinal ganglion cells to let ganglion cells work as photoreceptors. They then wear glasses with an encoder that helps visualize for the ganglion cells, so the brain can construct an image
incomplete dominance
red and white get pink