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Introduction
Gene therapy is a technique which has the prospect of providing an advantageous method in curing genetic diseases. Although still in development, successful trials have occurred, and conceptually, the idea being tested is ideal in the fight against lethal diseases such as haemophilia, cystic fibrosis and cancer. However, much controversy surrounds the idea, due to its undeveloped nature, potential biological risks and hefty failures in the past. The use and development of gene therapy in the future is a deliberated topic. This investigation aimed to consider potential risks and benefits, giving rise to the question: gene therapy; friend or foe?
Biological Background
Gene therapy is a process used to cure diseases and disorders caused by mutated or defective genes in patients, which alters or inhibits the production of essential proteins used in normal functionality (Hunt, 2008). Fundamentally, the treatment involves the delivery of functioning DNA into cells, which incorporates into the genome and replaces the defective gene, or repairs, alters or deactivates genes causing the disease (Genetic Home Reference, 2014; Hunt, 2008).
Gene therapy employs vectors to deliver functioning genes into cells, a ‘vector’ being a vehicle in which DNA can be transferred. They can be viral or non-viral, and treatment can occur in vitro and ex vivo (inside and outside the body) (ScienceDaily, 2014; University of Utah, 2014). The use of viral vectors mimics the survival techniques of viruses. A virus is a miniscule particle containing genetic material; lacking material to reproduce on its own, it infects a host, injecting its DNA or RNA, and utilises the host’s cellular machinery to reproduce (Freudenrich, 2014). In gene therapy,...
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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.
The beginning of Gene Therapy began in the late 1980’s, which was completely unsuccessful. In the fall of 1999 the death of University of Pennsylvania trial participant, Jesse Gelsinger was followed by much public outcry and legal problems that put an immediate halt on all gene therapy research. The reason Jesse was being treated with Gene therapy was to attempt to cure the teenager’s rare liver disease.
...ne starts life with an equal chance of health and success. Yet, gene therapy can also be thought of as a straight route towards a dark outlook, where perfection is the first priority, genes are seen as the ultimate puppeteer, and personal freedom to thrive based on one’s self isn’t believed to exist. With the emergence of each new technological discovery comes the emergence of each new ethical debate, and one day, each viewpoint on this momentous issue may be able to find a bit of truth in the other. Eventually, our society may reach a compromise on gene therapy.
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,
In the past 40 years, scientists have developed and applied genetic engineering to alter the genetic make-up of organisms by manipulating their DNA. Scientists can use restriction enzymes to slice up a piece of DNA from an organism with the characteristics they want and spliced (joint) to a DNA from another organism. DNA that contains pieces from different species is called recombinant DNA, and it now has different genetic material from its original. When this DNA inserted back into the organism, it changes the organism’s trait. This technique is known as gene-splicing (Farndon 19).
"The aim is to decrease the fear of a brave new world and to encourage people to be more proactive about their health. It [Gene therapy] will help humans become better physically and even mentally and extend human life. It is the future” (Hulbert). Dr. Hulbert, a genetic engineer, couldn’t be anymore right; more time, money, and research needs to be put into gene therapy and genetic engineering, since it can cure certain illness and diseases that are incurable with modern medicine, has fewer side-effects than conventional drugs or surgery, and allows humans to be stronger physically and mentally at birth. Gene therapy or genetic engineering is the development and application of scientific methods, procedures, and technologies that permit direct manipulation of genetic material in order to alter the hereditary traits of a cell, organism, or population (NIH). It essentially means that we can change DNA to make an organism better. Genetic engineering is used with animals and plants every day; for example with genetic...
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.
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.
The purpose of gene therapy is to introduce a new or corrected gene into a human so that the protein synthesized from transcription and translation of the new gene will correct the disease. Although gene therapy is still within the early stages of development, there have been some patients that have gone through a clinical trial using gene therapy and some of the diseases experimented on using this disease include cystic fibrosis, AIDS, and certain cancers (Misra 2013). There are two types of gene therapy; somatic gene therapy and germline therapy. Somatic gene therapy only targets body cells curing the individual rather than alteration of genes of future offspring, which is the aim of germline therapy. In gene therapy, a vector is used to introduce the corrected or new gene to the diseased individual. Some of the most common vectors include adenoviruses, adeno-associated viruses, retroviruses, and herpes simplex virus (Misra 2013). A four-year-old boy in Arlington, Texas, diagnosed with Shwachman-Diamond syndrome at the age of 14 months will be cured through the introduction of a functional SBDS gene by somatic gene
Gene therapy is one of the most rapidly growing techniques in the medical field. One out of ten people are affected by genetic disorders. Defective genes that code for an incorrectly formed protein, resulting in a severely hindered function, cause genetic disorders or process that are usually lethal. The essential idea was to replace the defective genes causing the disorder by introducing a confirmed healthy form into the patient through some sort of vector. Vectors are fragmented down into two groups, viral and non-viral.
One of the biggest concerns involved in gene therapy in humans is the lack of knowledge and the possibility for consequences later on or i...
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.