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Ethical issues of gene therapy
Ethical issues of gene therapy
Ethical issues of gene therapy
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Gene therapy focuses on the replacement of defective genes with modified functioning genes. Many diseases are caused by a defective gene meaning the body is incapable of producing essential proteins or enzymes. In its simplest form, gene therapy aims to identify the defective gene and fix this gene with the replacement of a normal gene (Senn).
2.2 Types of Gene Therapy
There are two types of gene therapy, somatic gene therapy and germ line gene therapy. Somatic gene therapy involves fixing the defective gene. With this form of therapy, only somatic cells are targeted and not the germ line cells, otherwise known as the gametes or sex cells. If the modification of DNA is confined to body cells only, then the altered gene only affects the patient treated and not any offspring by that patient. Germ line gene therapy changes the genetic pool of the person treated and involves incorporation of an engineered gene into the gametes permanently altering the genes of the patient and these genes would be inherited by future generations. This type of therapy is banned in many countries such as Australia, Canada and Germany due to ethical and technical concerns, including insufficient knowledge about possible risks to future generations (Strachnan). The USA has no federal legislation specific to germ line or somatic gene therapy other than the general US Food and Drug Administration (FDA) testing regulations that apply to all therapies (Is Gene Therapy Safe?).
The types of diseases that can be treated by gene therapy are those where replacement of a single gene is able to cure the disorder. Some of the main diseases currently being researched in gene therapy studies include cancer, hemophilia, sickle cell anemia, muscular dystro...
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...he removal of millions of white blood cells called T cells, which are then genetically modified and restructured to target the cancer cells. These cells are then returned to the patient’s body where they multiply to fight off the cancer (Marchione). This and other recent clinical successes are most encouraging and have led to a renewal of interest in gene therapy with scientists, doctors, commentators all calling for continued investment in the area.
What is more, we are now seeing gene therapy treatment getting closer to commercialization. Approval of the first gene therapy treatment in either the US or Europe occurred in November 2012 when the European Commission endorsed the recommendation of the European Medicines Agency to approve Glybera, a gene therapy, which address lipoprotein lipase deficiency which is the cause of severe pancreatitis (Richards).
Gene therapy is the application of the technique where the defect-causing "bad" genes are replaced by correct "good" genes. The idea of gene therapy is to treat the disease by correcting the "bad" DNA (Deoxyribonucleic acid) rather than the current me thod of providing drugs, or proteins not produced by the defective gene. Gene therapy addresses the problem first hand by directly working with the genetic information causing the disease. From the book Shaping Genes, Dr. Darryl Macer says "It is like f ixing a hole in the bucket, rather than trying to mop up the leaking water." There are two kinds of gene therapy, somatic cell gene therapy and germline gene therapy.
There have been four somewhat recent successful gene therapy treatments. The four deal with correcting hemophilia, bone marrow transplants, skin cancer, and vessel growth. In the success with the bone marrow transplants, French researchers collected bone marrow cells from patients, used gene therapy to correct the bone marrow, and then returned the bone marrow to the patient. This was 80% successful as reports 16 months after the transplants showed. Squamous cell carcinoma, skin cancer of the head and neck, was treated using gene therapy as well. The fourth trial was where DNA was used to carry a substance that stimulates blood vessel growth to damaged heart tissue and in this trial there was much success noted.
Gene therapy works in three ways; it works to replace a missing or defective gene with a normal one, replace a faulty gene so that it will function properly and it works to activate and deactivate a gene, allowing it to “switch” on and off. Gene therapy is done by the deliverance of a gene to a cell via a carrier, or vector, such as a virus. Scientists lean more towards using a virus because they can seek out particular cells and transfer pieces of deoxyribonucleic acid into them. Scientists also take advantage by deactivating their harmful characterizes and modifying them to carry particular gene into designated cells. After gene therapy is done, the genes can then stimulate the production needed for standard functioning, allowing that gene to return to its previous normal state. Therefore, if a patient were to be in the beginning stages of cancer, gene therapy would seek out the cancerous gene and replace it with a healthy one and minimizes the disease from
Despite being magical of gene therapy, it is high-risk. Few people got benefits from it, and it has a low rate of success. Prior to the human trial, Batshaw and Wilson had done experiment on animals to ensure the safety. Over 20 experiments have been done on mice but only 12 of them survived at last (Sophia, M. and Kolehmainen, J.D., 2000). More seriously, complicating diseases, which can be more dangerous than genetic diseases, might set in during the treatment period. In December 200...
Gene therapy is a provisional technique that is the insertion of normal genes into the cells where there is a missing or miscoded gene to fix a genetic disorder. In the 1960s and early 1970s,
Gene therapy can be done by using either somatic, which are from the body, or germ, which are from egg or sperm, cells. In somatic gene therapy the recipient's genome, genetic makeup, is changed, but the changes are not passed down to the next generation. In germ line gene therapy, the parents' egg and sperm cells are changed with the goal of passing on the changes to their offspring. Germ line gene ...
There are two types of genetic technology. Somatic gene therapy is used to repair genes that do not function properly in a person. Not that controversial because it only changes genes in organs and is not passed on to the next generation (p. 116, Garreau, 2005) .
Since its inception, gene therapy has captured the attention of the public and ethics disciplines as a therapeutic application of human genetic engineering. The latter, in particular, has lead to concerns about germline modification and questions about the distinction between therapy and enhancement. The development of the gene therapy field and its progress to the clinic has not been without controversy. Although initially considered as a promising approach for treating the genetic of disease, the field has attracted disappointment for failing to fulfil its potential. With the resolution of many of the barriers that restricted the progress of gene therapy and increasing reports of clinical success, it is now generally recognised that earlier expectations may have been premature.
The first gene therapy trial was started by Dr.William French Anderson. And the patient was Ashanthi,a four year old girl who had SCID. Ashanthi had the disease because of the missing enzyme adenosine deaminase (ADA). This missing ADA stopped her body from constantly producing white blood cells that are needed to fight infections. Ashanthi was in a very vulnerable state with infections that are seen as mild. Ashanthi was able to get two choices of treatment, Antimicrobial drugs that can be used to treat SCID but only with short term benefits or a bone marrow transplant from a matching donor. The bone marrow is a soft tissue located in the centre of our bones and its purpose is to make red blood cells, platelets and white blood cells. For Ashanthi, a transplanted bone marrow would increase the production of white blood cells and would give her a strong immune system to fight the infections. Sadly however, this option was not successful because of the lack of compatible bone marrow donors. Then scientists decided to start a new gene therapy to treat Ashanthi. The scientists would get Ashanthi’s white blood cells from her blood and working copies of the adenosine deaminase gene were put into the cells by a vector. A vector is a “vehicle” used by scientists to add new genes into the DNA, But for Ashanthi, the
Dec. 2013. http://www.disabled-world.com/artman/publish/genetic-engineering.shtml Park, Tristen S., Steven A. Rosenberg, and Richard A. Morgan. "Treating Cancer with Genetically Engineered T Cells." National Center for Biotechnology Information. PubMed Central (PMC), 12 June 2011.
John Harris in the article "Is Gene Therapy a Form of Eugenics?" says that there is no moral difference between treating dysfunction and genetic enhancement, where improvement protects life and health. Gene therapy is the treatment of diseases with the help of genes, while eugenics is the science of improving the population of people, by deducing the desired characteristics. John Harris identifies eugenics producing the best offspring. He supports eugenics in those cases when we are talking about the potential life of a child from the life of a potential disability. According to Harris, gene therapy is ethically justified, since improving the qualities will lead to the protection of the future generation. It should be noted that he believes
Gene therapy enables patients to survive incurable diseases. In the field of genetic diseases, ADA-SCID, CGD and hemophilia are three main ones. ADA-SCID is known as the bubble boy disease. CGD is related to immune system that would lead to fungal infections which are fatal. Patients with Hemophilia are not able to induce bold bleeding (Gene therapy for diseases, 2011). Gene therapy also has good effects on cancer treatment and neurodegenerative diseases, which include Parkinson’s disease and Huntington’s disease. Viral infections, including influenza, HIV and hepatitis can also be treats by it (Gene therapy for diseases, 2011). According to the Science Daily in 2011, gene therapy now can apply to heart failures and neurologic diseases as well.
Today the world has a cure for cancer and shortly after: a cure for autoimmune disorders. Cellectis, a biotechnology company, created white blood cells that were altered by immune engineering. Through a gene-editing technique called TALENs, researchers were able to create white blood cells made to hunt down Leukaemia. Great Ormond Street Hospital in London has already cured a patient diagnosed with Leukaemia but not without fear for regulators and media backlash due to the vial of cells they had in possession was not permitted for usage.
Position Paper: Gene Therapy in Humans. Advancements in science and medicine are usually accompanied by a myriad of ethical and moral implications. The fairly recent advancement in genetics, called gene therapy, is no exception to the baggage of polarizing views that come with new technology. Gene therapy is an extremely hot topic in both the scientific world and everyday life. New technology, discoveries, and breakthroughs are rapidly occurring in the field every day.
What are the risks and what are the possible benefits? Currently, gene therapy is one of the only ways to change the genetic makeup of an animal or human. Also, the chance of gene therapy being successful in animals is fifty percent, while in humans it is five percent. Human Genetics Alert believes “Once we begin to consciously design ourselves, we will have entered a completely new era of human history, in which human subjects, rather than being accepted as they are, will become just another kind of object, shaped according to parental whims and market forces”. HGA provides background information on the currently available resources used in Genetic Engineering.