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Turn in your Unit 2 Formative (rubric stapled) Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table Do Now – 11.22.16 Which two vectors carry plasmid DNA? Naked DNA and liposome Which two vectors carry ssDNA? Adenoassociated virus and Herpes Simplex Virus Which vector carries dsDNA? Adenovirus Which vector carries RNA? Retrovirus Which vector has a maximum capacity of 5,000 bp? Adeno-associated virus Take out your 2.2.1 packet and Unit 2 Review Guide – turn to the vector table 2.2.1: Gene Therapy © 2003 University of Utah Vector Types http://gslc.genetics.utah.edu How the vector carries genetic material RETROVIRUS ADENOVIRUS In the form of RNA rather than DNA. Double-stranded DNA . The most famous is Human Immunodeficiency Virus (HIV), which causes AIDS. The common cold virus. 8, 000 base pairs Maximum length of DNA that can be inserted into vector + Infects only dividing cells Permission gran ADVANTAGES ADENO-ASSOCIATED VIRUS HERPES SIMPLEX VIRUS LIPOSOME NAKED DNA Single-stranded DNA Single-stranded DNA Plasmid DNA packaged into miniature lipid –based pockets that can fuse to the cell’s own membranes, The DNA is released and transported into the nucleus Plasmid DNA molecule all by itself that can be taken up by some cells, and transported into the nucleus 7,500 base pairs 5,000 base pairs 20,000 base pairs + Infects both dividing and non-dividing cells very effectively + Possible to target specific cell types by engineering proteins on the virus surface to recognize special proteins on the target cell’s surface + Does not cause illness in humans + Infects a wide range of dividing and nondividing cell types very effectively + Need the assistance of a “helper” virus to replicate themselves inside cells + Possible to target specific cell types by engineering proteins on the virus surface to recognize special proteins on the target cell’s surface + Integrates into the host cell’s genome; 95% of the time, it will integrate into a specific region on Chromosome 19, greatly reducing the chance that integration will disrupt the function of other genes in the + Infects cells of the nervous system + Will not integrate into the host cell’s genome, but is a circular piece of DNA that replicates when the cell divides; will stay in the cell’s nucleus for a long time + Will not disrupt the function of other genes in the host cell + Will not generate an immune response + Better suited for ex vivo gene therapy approaches + Will not generate an immune response + Generally not toxic Objective SWBAT choose the appropriate vector for each gene therapy scenario. SWBAT review for their Unit 2 Test. 2.2.1: Gene Therapy Name: ______________________________ Date: ___________________ Period: _____ Activity 2.2.1 Gene Therapy Introduction In Lesson 2.1, you explored the science behind genetic testing and screening. You saw how DNA sequencing technology and bioinformatics have opened the door to identifying specific genes in our genome. Faulty genes are often at the heart of devastating illnesses and disorders. But what if scientists could penetrate our cells and replace a gene that is malfunctioning? With a working copy of the gene, the proper protein could be produced and the disease could be eliminated. It may sound like science fiction, but scientists have already opened the door to this molecular treatment known as gene therapy. Gene therapy is the practice of inserting functional genes into a person’s genome to replace faulty genes. Doctors and medical researchers are working to restore function to cells that are affected by genetic disorders. To accomplish this goal, scientists have to get the right gene to the right cells in the right tissue. This is not an easy task. Many vectors, or delivery systems, for gene therapy are actually viruses. The idea of using viruses to deliver treatment may sound frightening, but these tiny pathogens can be used as an effective way to target our cells and insert new genes. In this activity, you will investigate how gene therapy works and learn about the vectors currently being investigated as possible transport systems for new genes. You will read current research on gene therapy trials and gather evidence for and against this type of disease treatment. Ultimately, you will develop a policy for regulating and controlling future gene therapy research. 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 2.2.1: Gene Therapy 1. 2. Follow the worksheet – complete on looseleaf (determine the appropriate vectors for each condition – then explain which vector is the best) Answer and discuss the 2.2..1: conc questions. 2.2.1: Gene Therapy © 2003 University of Utah Vector Types http://gslc.genetics.utah.edu How the vector carries genetic material RETROVIRUS ADENOVIRUS In the form of RNA rather than DNA. Double-stranded DNA . The most famous is Human Immunodeficiency Virus (HIV), which causes AIDS. The common cold virus. 8, 000 base pairs Maximum length of DNA that can be inserted into vector + Infects only dividing cells Permission gran ADVANTAGES ADENO-ASSOCIATED VIRUS HERPES SIMPLEX VIRUS LIPOSOME NAKED DNA Single-stranded DNA Single-stranded DNA Plasmid DNA packaged into miniature lipid –based pockets that can fuse to the cell’s own membranes, The DNA is released and transported into the nucleus Plasmid DNA molecule all by itself that can be taken up by some cells, and transported into the nucleus 7,500 base pairs 5,000 base pairs 20,000 base pairs + Infects both dividing and non-dividing cells very effectively + Possible to target specific cell types by engineering proteins on the virus surface to recognize special proteins on the target cell’s surface + Does not cause illness in humans + Infects a wide range of dividing and nondividing cell types very effectively + Need the assistance of a “helper” virus to replicate themselves inside cells + Possible to target specific cell types by engineering proteins on the virus surface to recognize special proteins on the target cell’s surface + Integrates into the host cell’s genome; 95% of the time, it will integrate into a specific region on Chromosome 19, greatly reducing the chance that integration will disrupt the function of other genes in the + Infects cells of the nervous system + Will not integrate into the host cell’s genome, but is a circular piece of DNA that replicates when the cell divides; will stay in the cell’s nucleus for a long time + Will not disrupt the function of other genes in the host cell + Will not generate an immune response + Better suited for ex vivo gene therapy approaches + Will not generate an immune response + Generally not toxic 2.2.1: Gene Therapy © 2002 University of Utah Situation One NFS Co. Genetic Science Learning Center Situation Two CellMart RETROVIRUS ADENOVIRUS NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE NOT POSSIBLE NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. Although the NF1 gene contributes to parts of the nervous system, the HSV will not integrate into the host cell’s genome. An immune response is possible. POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, the gene may integrate into the host cell’s genome in random locations and disrupt another gene. NOT POSSIBLE Vector infects only ADENOASSOCIATED VIRUS POSSIBLE NOT POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, it might cause an immune response. The blood-clotting gene is encoded by 7,350 base pairs. The gene is too large to fit in this type of vector. POSSIBLE The genes of this POSSIBLE Vector is effective at HERPES SIMPLEX VIRUS NOT POSSIBLE Blood clotting factors are not part of the nervous system. They are part of the circulatory system. NOT POSSIBLE Lung cells are not LIPOSOME NOT POSSIBLE Vector has no cell target specificity NOT POSSIBLE Vector has no cell target specificity NOT POSSIBLE Vector has no cell NAKED DNA NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE Vector has no cell target specificity. NOT POSSIBLE Vector has no cell 2.2.1: Gene Therapy of Utah 2030 Ea 15 NorthLearning Center,Science Science LearningGenetic Genetic © 2002 University of Utah© 2002 University Situation One NFS Co. Situation One Two NFS Co. CellMart Situation Situation Two Three CellMart Oma, Inc. RETROVIRUS ADENOVIRUS NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE NOT POSSIBLE NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. Although the NF1 gene contributes to parts of the nervous system, the HSV will not integrate into the HERPES host cell’s genome. SIMPLEX An immune VIRUS response is possible. RETROVIRUS NOT POSSIBLE POSSIBLE The vector NF1 gene The can isbeencoded by 8,454 base introduced into blood pairs.cells, The which gene is stem too large to fit in this divide frequently. type of vector. However, the gene may integrate into the host cell’s genome in random locations and disrupt another gene. POSSIBLE The vector can be NOT POSSIBLE introduced intoonly blood Vector infects stem cells, which dividing cells. Lung dividedivide frequently. cells slowly, if However, the gene at all. may integrate into the host cell’s genome in random locations and ADENOVIRUS NOT POSSIBLE POSSIBLE The vector NF1 gene The can isbeencoded by 8,454 base introduced into blood pairs.cells, The which gene isdistem too large to fit in Howthis vide frequently. type of vector. ever, it might cause an immune response. ADENOASSOCIATED VIRUS ADENOASSOCIATED VIRUS NOT POSSIBLE POSSIBLE NOT The blood-clotting NF1 gene is enThe codedisby 8,454 base gene encoded by pairs. base The gene 7,350 pairs.is too large t in large this The genetois fitoo type of vector. to fit in this type of vector. HERPES SIMPLEX VIRUS NOT POSSIBLE POSSIBLE NOT Although the NF1 Blood clotting facgeneare contributes tors not part ofto parts of the nervous the nervous system. system, HSV will They arethe part of the not integrate into the circulatory system. host cell’s genome. An immune response is possible. POSSIBLE NOT POSSIBLE NOT POSSIBLE The vector can be POSSIBLE introduced blood The genes into of this stem cells, which vector do not in- divide frequently. tegrate into the However, it might cause genome. Repeated an immune would response. treatments be necessary. An immune response is The blood-clotting POSSIBLE gene isisencoded Vector effectiveby at 7,350 base pairs. entering lung cells, The typically gene is too large and does to fitcause in thisan type of not immune vector. response. Blood facNOTclotting POSSIBLE tors are notare part of Lung cells not the nervous system. part of the nervous They are They part of the system. are circulatory system. part of the respiratory system LIPOSOME NOT POSSIBLE Vector has no cell target specificity LIPOSOME NOT POSSIBLE POSSIBLE NOT Vector has has no no cell cell Vector target specifi specificity city target NAKED DNA NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NAKED DNA NOT POSSIBLE POSSIBLE NOT The NF1 gene is enVector has no cell coded specifi by 8,454 target city.base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE NOT POSSIBLE Vector no cell NOT has POSSIBLE target specifi Vector has nocity cell target specificity Vector no cell NOT has POSSIBLE target specifi Vector has nocity. cell target specificity. © 2002 University of Utah RETROVIRUS ADENOVIRUS ADENOASSOCIATED VIRUS 2.2.1: Gene Therapy Situation One NFS Co. Learning Science 84112 City, UT Salt Lake North 2030 East,Genetic 15Utah 2002 University Center, of Genetic Science©Learning Situation Two CellMart Situation Situation Three One Oma, Inc. NFS Co. Situation Situation Four Two SBG, Inc. CellMart NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, the gene may integrate into the RETROVIRUS host cell’s genome in random locations and disrupt another gene. NOT POSSIBLE The NF1 geneonly is enVector infects coded bycells. 8,454Lung base dividing pairs.divide The gene is if cells slowly, tooall. large to fit in this at type of vector. POSSIBLE POSSIBLE The virus vectorinfects can be introduced intobut blood dividing cells, instem cells, tegrates intowhich the host dividegenome frequently. cell’s in ranHowever, the gene dom locations, which may integrate into the might disrupt another host cell’s genome rein gene. An immune random is locations and sponse possible. disrupt another gene. HERPES SIMPLEX VIRUS NOT POSSIBLE NOT POSSIBLE NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. Although the NF1 gene contributes to parts of the nervous system, the HSV will not integrate into the host cell’s genome. An immune response is possible. POSSIBLE NOT POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, it might cause an immune response. The blood-clotting gene is encoded by 7,350 base pairs. The gene is too large to fit in this type of vector. ADENOVIRUS NOT POSSIBLE POSSIBLE The genes NF1 gene is enof this coded by 8,454 vector do not in-base pairs. The tegrate intogene the is too large to fit in this genome. Repeated type of vector. treatments would be necessary. An immune response is possible. POSSIBLE vectordoes can not be The virus introducedinto into blood integrate the stem cells, which genome, and so, divide frequently. Howrepeated treatments ever, itbe might cause would necessary. an immune response. Also, may cause an immune response. ADENOASSOCIATED VIRUS NOT POSSIBLE POSSIBLE The NF1 gene is enVector is effective at coded by 8,454 base entering lung cells, pairs. The gene and typically doesis too cause large toanfitimmune in this not type of vector. response. NOT POSSIBLE POSSIBLE The blood-clotting Vector infects cells gene is encoded effi ciently, usuallyby 7,350 baseinto pairs. integrates a speThe is too large cifi c,gene non-disruptive to fit in this type of location, and typically vector. does not cause an immune response. NOT POSSIBLE LIPOSOME NOT POSSIBLE Vector has no cell target specificity NOT POSSIBLE NAKED DNA NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE Blood clotting factors are not part of the nervous system. They are part of the circulatory system. Vector has no cell target specificity Vector has no cell target specificity. HERPES SIMPLEX VIRUS LIPOSOME NAKED DNA NOT POSSIBLE Although Lung cellsthe areNF1 not gene contributes to part of the nervous parts of the nervous system. They are system, therespiratory HSV will part of the not integrate into the system host cell’s genome. An immune response is possible. NOT POSSIBLE Blood clotting T-cells are not facpart of torsnervous are not part of the system. the nervous They are partsystem. of the They aresystem. part of the immune circulatory system. NOT POSSIBLE Vector has no cell target specifi specificity city target NOT POSSIBLE Vector has no cell tartarget specifi city get specifi city. Enters cells less effectively than viruses. NOT POSSIBLE The NF1 gene is enVector has no cell coded by 8,454 target specificity.base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE Vector has no cell tartarget specifi city. get specifi city. Enters cells less effectively than viruses. © 2002 University of Utah Situation One NFS Co. RETROVIRUS ADENOVIRUS ADENOASSOCIATED VIRUS NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE NOT POSSIBLE NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. Although the NF1 gene contributes to parts of the nervous system, the HSV will not integrate into the host cell’s genome. An immune response is possible. 2.2.1: Gene Therapy of Utah City, UT 84112Genetic Scienc © 2002 East, Salt Lake 2030 University Genetic Science Learning Center, 15 North 7 of 6 Situation Two CellMart Situation Three Oma, Inc. POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, the gene may integrate into the host cell’s genome in random locations and disrupt another gene. NOT POSSIBLE Vector infects only dividing cells. Lung cells divide slowly, if at all. RETROVIRUS Situation Situation Four One SBG, Inc. NFS Co. NOT POSSIBLE POSSIBLE The virus NF1 gene is enThe infects coded by 8,454 dividing cells, butbase inpairs. The is tegrates intogene the host too large to fit in cell’s genome in this rantype of vector. dom locations, which might disrupt another gene. An immune response is possible. Situation Situation Five Two CF, Inc. POSSIBLE NOT POSSIBLE The vector canonly be Vector infects introduced into blood dividing cells. Lung stem divide cells, which cells slowly, if divide at all frequently. However, the gene POSSIBLE NOT POSSIBLE The vector can be introduced into blood stem cells, which divide frequently. However, it might cause an immune response. The blood-clotting gene is encoded by 7,350 base pairs. The gene is too large to fit in this type of vector. POSSIBLE The genes of this vector do not integrate into the genome. Repeated treatments would be ADENOVIRUS necessary. An immune response is possible. NOT POSSIBLE POSSIBLE The virus NF1 gene enThe does is not coded by 8,454 base integrate into the pairs. The gene genome, and so, is too large to fi t in this repeated treatments type ofbe vector. would necessary. Also, may cause an immune response. POSSIBLE POSSIBLE The vector vector is can be The effective introduced blood at entering into non-dividstem cells, ing cells likewhich lung divide frequently. Howcells, but can cause ever, it might cause HERPES SIMPLEX VIRUS NOT POSSIBLE Blood clotting factors are not part of the nervous system. They are part of the circulatory system. POSSIBLE NOT POSSIBLE Vector is effective at entering lung cells, and typically does not cause an immune response. Lung cells are not part of the nervous system. They are part of the respiratory system ADENOASSOCIATED VIRUS NOT POSSIBLE POSSIBLE The NF1 genecells is enVector infects coded by 8,454 base efficiently, usually pairs. The gene is integrates into a spetoo large to fi t in this cific, non-disruptive type of vector. location, and typically does not cause an immune response. NOT POSSIBLE POSSIBLE The vector blood-clotting The is effective gene is encoded by at entering non-divid7,350 base pairs. ing cells like lung The gene is too large cells, and typically to fit in this type of HERPES SIMPLEX VIRUS NOT POSSIBLE POSSIBLE NOT Although T-cells arethe notNF1 part of gene contributes to the nervous system. parts of the nervous They are part of the system, the HSV will immune system. not integrate into the host cell’s genome. An immune response is possible. NOT POSSIBLE POSSIBLE NOT Bloodcells clotting Lung are facnot tors are notnervous part of part of the the nervous system. system. They are Theyofare of the part thepart respiratory circulatory system. LIPOSOME NOT POSSIBLE Vector has no cell target specificity NOT POSSIBLE Vector has no cell target specificity NOT POSSIBLE NAKED DNA NOT POSSIBLE The NF1 gene is encoded by 8,454 base pairs. The gene is too large to fit in this type of vector. NOT POSSIBLE Vector has no cell target specificity. NOT POSSIBLE Vector has no cell target specificity Vector has no cell target specificity. LIPOSOME NAKED DNA NOT POSSIBLE POSSIBLE NOT Vector has has no no cell cell tarVector target specifi city get specificity. Enters cells less effectively than viruses. NOT POSSIBLE POSSIBLE NOT Vector has has no no cell cell tarVector target specifi cityEnters get specifi city. cells less effectively than viruses. NOT POSSIBLE POSSIBLE NOT The NF1 gene is enVector has no cell tarcoded by 8,454 base get specificity. Enters pairs.less Theeffectively gene is cells too large to than viruses.fit in this type of vector. NOT POSSIBLE POSSIBLE NOT Vector has has no no cell cell tarVector target specifi city. get specifi city. Enters cells less effectively than viruses. opposing viewpoint of the articles that you were assigned. Use only the notes that you took as your partners presented their evidence. 14. When both sides have been argued, come to a consensus as to whether gene therapy research should be continued. As a group, write a two to three paragraph statement regarding what you believe to be effective policy for gene therapy research. Should research continue? If so, with what restrictions? If you decide research should not be continued, explain why and provide possible alternatives. 2.2.1: Gene Therapy 15. Explain your group’s decision and policy to the class. 16. Use the Internet to find an article about gene therapy being used for a disease, disorder or condition NOT discussed in this activity. Bullet key points of the article in your laboratory journal and share your findings with the class. Conclusion 1. How do doctors and researchers decide whether a disease is a good candidate for gene therapy? Diseases caused by single gene mutations that cause defective proteins in somatic cells. The researchers test out the vector before actually trying it out on a patient or a patient’s cell. Cells are infected with the viral vector ex vivo (outside of the body) before an in vivo therapy is 2. tried. What are the advantages and disadvantages of using viral vectors for gene therapy? The advantages of using viral vectors for gene therapy include: it can target specific cells, it can integrate into the host’s DNA. The disadvantages: can interrupt genes upon insertion, and it can cause an immune response. 3. What factors must be considered when choosing a vector for a gene therapy trial? 2. What are the advantages and disadvantages of using viral vectors for gene therapy? 2.2.1: Gene Therapy 3. What factors must be considered when choosing a vector for a gene therapy trial? Gene therapy is the practice of inserting functional genes into a person’s genome to replace faulty genes. When choosing the appropriate vector you want to be sure the gene of interest will fit into the vector, the vector targets the right cells, and it should limit side effects. 4. A young boy suffers from Neurofibromatosis Type 1 (NF1), a genetic nervous system disorder that causes tumors to grow around nerve cells. The gene for NF1, approximately 8,400 base pairs long, is located on chromosome 11. What is the best candidate for a vector for gene therapy in this case? Provide evidence from your research to support your choice. The keys to solving this problem are: 1) the type of cell that is the target of the vector [nerve cell] 2) the characteristics of the target cell [nerve cells do not divide] 3) the length of the gene to be carried by the vector [8,400 bp] Sounds like Herpes Simplex Virus would be an appropriate vector. 2.2.1: Gene Therapy 5. Many athletes and administrators fear the widespread use of gene doping – the use of gene therapy to modify genes that improve athletic performance. Describe at least two genetic modifications that would improve the performance of an athlete. Make sure to mention the body system(s) affected as well as the specific goal of the therapy. Increases strength of athletes’ muscles. Could inject a gene that generates testosterone, growth hormone, or a muscle-strengthening protein. 6. Do you believe gene doping should be considered cheating? Why or why not? Opinion. 6. Do you believe gene doping should be considered cheating? Why or why not? 2.2.1: Gene Therapy 7. Why do you think testing for gene doping would be extremely difficult? Invasive - would need to isolate DNA, then sequence the DNA to see if the DNA sequence has changed compared to DNA found in the non targeted somatic cells. 8. Explain why some physicians and clinicians feel that gene therapy is a distant future consideration. There have been many failures along with the successful cases. Many are still violently opposed to the experimentation. As of 2007, there have been 1,340 completed or approved gene therapy clinical trials in 28 different countries worldwide. The United States is responsible for 64.2% of all gene therapy trials. Other major contributors include the United Kingdom at 11.1%, Germany at 5.5%, and Switzerland at 3.1% (Edelstein et al. 2007). Exit Slip Have you already started studying for your test? Why or why not? Homework Do Now/Exit Slip Reflection Parent Signature EC Review Guide Unit 2 Test on Tuesday Video https://www.youtube.com/watch?v= jAhjPd4uNFY