M12: Learning Activity: Guide Questions: 1. How Gene Therapy or Cell Therapy Can Help Cure Diseases?
M12: Learning Activity: Guide Questions: 1. How Gene Therapy or Cell Therapy Can Help Cure Diseases?
Guide Questions:
1. How gene therapy or cell therapy can help cure diseases?
Diseases treated by gene therapy. Gene Therapy was initially meant to introduce
genes straight into human cells, focusing on diseases caused by single-gene defects,
such as cystic fibrosis, hemophilia, muscular dystrophy, and sickle cell anemia. Three
types of diseases for gene therapy can be distinguished. First Disease is monogenic
disorders, single locus (gene) is defective and responsible for the disease, 100%
heritable. For example, Sickle cell anemia, Severe Combined Immunodeficiency, Cystic
fibrosis, Hemophilia, Duchenne muscular dystrophy, Huntington’s disease, Parkinson’s,
Hypercholesterolemia, Alpha-1 antitrypsin, Chronic granulomatous disease, Fanconi
Anemia and Gaucher Disease. Second Disease is Polygenic disorders, multiple genes
involved, disease may be dependent on environmental factors and lifestyle. Examples:
Heart disease, Cancer, Diabetes, Schizophrenia and Alzheimer’s disease. Last is
Infectious diseases, such as HIV.
First, it cannot be given another dose. In the event a person is not satisfied with
the outcome, the person cannot receive another dose of the gene therapy. Participating
in a clinical trial may also prevent future participation in other trials or from receiving
other types of treatments. Second, long-term effects unknown. Gene therapy can be an
alteration for the lifetime, so people should be aware that there could be long term
effects (both good or bad) that are unknown at this time. Third, informed consent.
Before participating in a clinical trial, a member of the research team should review any
potential risks and benefits with the patient or caregiver. Fourth, No guarantees.
Therapies being studied in clinical trials are not a guaranteed cure and cannot guarantee
beneficial results. There is always a chance that the investigational treatment may not
work.
6. What are the ethical issues associated with gene and cell therapy?
Ethical issues in genetic therapy involve the use of genetic science for human
good and the avoidance of preventable harms. Immediate issues are the control and
confidentiality of results of genetic testing, possible discrimination against those found to
have genetic diseases, and the just allocation of beneficial genetic therapies. One of the
ethical issues raised by research using cell therapy is the development of embryonic
stem cells from fertilized eggs. Because obtaining embryonic stem cells requires the
destruction of human embryos, it runs up against existing ethical taboos. Some religious
and anti-abortion groups argue that the destruction of embryos after stem cells is
tantamount to the death of a life. In addition, in order to avoid "human fertilized eggs
research is killing life", some people use human and animal cell fusion experiment.
Whatever the outcome is, it is now highly controversial and worth pondering.
7. What are stem cells? Why are stem cells so important in gene and cell therapy?
Stem cells are cells that can self-renew and can mature into at least one type of
specialized cell. Stem cells provide two major benefits for gene and cell therapy. First,
they provide a cell type that can self-renew and may survive the lifetime of the patient.
Second, stem cells provide daughter cells that mature into the specialized cells of each
tissue. These differentiated daughter cells can replace the diseased cells of the afflicted
tissue(s). Therefore, gene and cell therapy that uses stem cells theoretically improves
the disease condition for as long as those modified stem cells live, potentially the lifetime
of the patient.