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Genetic Engineering of
Bacteria to Produce
Human Proteins
Human insulin
gene
human cell
bacterial DNA
Bacteria produces
human INSULIN
protein, which is
purified and given
to patients
Insert
bacterial/human DNA
into bacterial cell
Genetic Engineering of
Bacteria to Produce
Human Proteins
Human blood
clotting gene
human cell
bacterial DNA
Bacteria produces
BLOOD
CLOTTING
PROTEIN,
which is purified
and given to
patients
Insert
bacterial/human DNA
into bacterial cell
Genetic Engineering of
Bacteria to Produce
Human Proteins
Human erythropoietin
gene
human cell
bacterial DNA
Bacteria produces
ERYTHROPOIETIN
PROTEIN,
which is purified and
given to patients
Insert
bacterial/human DNA
into bacterial cell
Gene Therapy
• An experimental treatment
which attempts to treat a disease
by inserting a gene into the cells
of a human
• >3000 patients have been
treated in >300 clinical trials
around the globe
• No gene therapy treatment is yet
approved for general use
Jesse Gelsinger
- received gene therapy for OTC
Deficiency
- died September 1999
Gene Therapy for OTC
Deficiency
Normal
OTC gene
human cell
Insert the OTC
gene into a virus
Deliver the virus directly
into vein leading to liver
 virus infects liver
cells and delivers gene
 OTC protein is
produced inside the
person
Severe Combined
Immunodeficiency
(SCID)
• The first disease to be
treated with gene therapy
• Persons with SCID lack a
functional immune system
and are susceptible to severe
infections
David Vetter (1972-1984)
- lived in a sterile “plastic
bubble” because had a
single defective gene that
caused Severe Combined
Immunodeficiency (SCID)
Gene Therapy for SCID
Remove blood
cells from
patient
Re-infuse the
blood cells
into the patient
Infect blood
cells with a
virus that has
been genetically
engineered to
carry the
corrected SCID
gene
Ashanthi DeSilva
- inherited SCID
-received 1st ever gene
therapy in 1990
Gene Therapy for SCID
Using Long-lived
Umbilical Cord Blood
Cells
Remove blood
cells from the
umbilical cord
Re-infuse the
cord blood cells
into the patient
Infect cord
blood cells with
a virus that has
been genetically
engineered to
carry the
corrected SCID
gene
Andrew Gobea
(& mom)
- inherited SCID
- received 1st ever gene
therapy using long-lived cord
blood cells
Other Partially
Successful Gene
Therapy Trials
• therapy to induce new blood
vessel growth in patients with
blocked heart arteries or with
other circulatory problems
• therapy to induce brain tumor
cells to “commit suicide”
Ethical Questions
Concerning Gene
Therapy
• Should treatments be used to change
the appearance, intelligence, or
athletic ability of healthy people?
• Should parents be allowed to
genetically manipulate their children
before birth?
• Should gene therapy be allowed that
alters germ-line cells (reproductive
cells that will pass the altered genes
to future generations)?