MadSci Network: Genetics |
Hi Robert. Your question really refers to gene therapy, in which a gene can be introduced into a patient who presents with a genetic disorder. I will focus on that. First, in order for gene therapy to be performed, the gene corresponding to the abnormal gene in the patient must be identified and spliced into the appropriate therapeutic vector. Identification of genes involved in hereditary disorders is usually accomplished by looking for co-inheritence of specific chromosomal genetic "landmarks" with the disease in family trees. These genetic landmarks bring the investigator to the general area of the mutated gene. This is like trying to find someone in Chicago by looking for the Sears Tower- you know it's Chicago and that the person you're looking for is somewhere in the general vicinity. Now it's time to do a street-by-street search. Once the gene has been identified, it is spliced into a bacterial plasmid. The plasmid is a circular piece of DNA that replicates over and over in bacteria, producing hundreds of copies of itself in each cell. Large amounts of the spliced gene can therefore be made in the bacteria and then purified in the test tube. In general, splicing is accomplished by digesting the DNA with one or more enzymes(restriction endonucleases) that cut DNA at specific places (determined by the presence of specific nucleotide recognition sequences). Another enzyme (DNA ligase) sews the DNA fragments into a bacterial plasmid that is added to the mixture. This plasmid, containing inserted human DNA, is then driven into bacteria where it is able to replicate. Finally, the gene is respliced into a therapeutic vector. The vector used depends on the disease. For instance, cystic fibrosis is treated with a therapeutic vector that is transported into the patient's lung cells in the form of a modified virus (like a cold virus) that is able to infect lung tissue. The viral DNA is injected into lung cells which need the normal version of the cystic fibrosis gene in order to function properly. Since the viral DNA contains a spliced cystic fibrosis gene that acts normally, the symptoms of the disease are alleviated. -Dan Wexler