Biotechnology and its Applications

Biology · Class 12

Simulation · Biology · Class 12

ADA gene therapy: why the lymphocytes must be topped up

From the lesson Gene therapy in Biotechnology and its Applications. Change the values and watch what happens.

ADA gene therapy: why the lymphocytes must be topped upBiology · Class 12

The idea behind it

NCERT §10.2.2

  • Gene therapy is a set of methods for correcting a gene defect diagnosed in a child or an embryo. It treats disease by putting genes into the person's cells and tissues.
  • A normal gene is delivered into the person or embryo to take over the function of the non-functional gene and compensate for it.
  • The first clinical gene therapy was in 1990: the patient, a girl aged 4, had adenosine deaminase (ADA) deficiency.
  • ADA is an enzyme crucial for the immune system to work. The disorder arises from deletion of the gene for ADA.
  • Some children with ADA deficiency can be cured by bone marrow transplantation; others receive enzyme replacement therapy, injections of working ADA. Neither approach is completely curative.
  • In gene therapy, lymphocytes from the patient's blood are grown in culture outside the body, a functional ADA cDNA is introduced into them using a retroviral vector, and the cells are returned to the patient.
  • These lymphocytes are not immortal, so the patient needs periodic infusions of the engineered cells.
  • Putting the ADA gene, isolated from marrow cells, into cells of an early embryo could cure the disorder permanently.