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Презентация на тему Medical biotechnology

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Insulin - první gen biotech 1982
Medical Biotechnology Insulin - první gen biotech 1982 Recombinant proteins for human use~2003Approved in US or EU Recombinant interferon: isolation of cDNAStrategies for isolating either the genes or cDNAs Hybrid products: INFInterferons assist the immune response by inhibiting viral replication Site-specific directed mutagenesis: hGHhGH: 191 AAc, 22,1 kDaOne of first therapeutic Optimizing gene expressionMultistep process:Design a protein, construct a recombinant molecule, express Cystic fibrosisGenetic disease affecting lungs and digestive systemAverage life span 37 TreatmentGenentech: hDNase I in CHO cellsNot a cure, but alleviates symptomsPurified Optimizing treatmentAnother symptom,In response to bacteria in lungs, leukocytes cluster and Clearing the lungs 2 with alginate lyasehttp://www.lsbu.ac.uk/water/hyalg.htmlAlginate produced by seaweeds, soil Cloning alginate lyaseFlavobacterium sp.Clone bank in E. coliScreen by plating onto Alginate lyase[s]ORF 69,000 DaPrecursor of three alginate lyases-> 3,000 Da + Optimization of activityIncrease expression of 40,000 Da proteinPCR amplify and insertion Phenylketonuria (PKU)Autosomal recessive genetic disorder in phenylalaniine hydroxylasePhe accumulation, decreases other Phenylketonuria treatment[s]Traditional treatment: diagnosis at birth or prenatalControlled semi-synthetic diet with Monoclonal antibodies (mAb) as therapeutic agentsMouse mAb OKT3 first to be Antibody molecular structureCDRs variable portions of the protein, both H and Polyclonal antibodies (Ab)www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf Monoclonal antibodies (mAb)www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf Monoclonal antibodies (theoretical)Monoclonal Antibodies: A Manual of Techniques. HZola Monoclonal antibodies (mAb) protocolwww.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdfMonoclonal Antibodies: A Manual of Techniques. HZola Herceptin®“Magic bullet”Genentech. FDA 9/98; Aullrich/Genentech and DSlamon/UCLA Jonsson Cancer CtrTrastuzumab (trade Magic bullet: delivery of drug to siteBinding of mAb requires second Magic bullet: delivery of active agent to siteBinding of mAb requires second stepvariations Priklad ANTISENSE delivery Human mAb problemDrawbacks to immunotherapeutic agents useChemical couplings problemYields low; coupling Hybrid human-mouse mAb: chimericGenetic engineering to convert mouse mAb into a Hybrid human-mouse mAb: chimericEx., chimera of mouse mAb against surface of Jak je to delano Hybrid human-mouse mAb: humanizedHumanized AbSubstitute CDRs into human Ab95 %human/5 % PCR amplification of CDRPrimers are hybrids, with12 bases at ends corresponding E. coli production of mAb: phage displayProtocol for creating phage combinatorial DNA constructs of Fv combinatorial gene libraryLambda phageClones each L and Combinatorial library in M13PCR amplify VH and VL separatelyAdd linkerLigate into M13 genomeDisplays on surface Phage DisplayDisplay peptide or protein on surface of bacterial virus (in principle http://www.biochem.unizh.ch/plueckthun/teaching/Teaching_slide_shows/filamentous_phages/index.htm5 copies of pIII and pVI 2800 copies pVIII - all can accommodatepeptides www.neb.com/nebecomm/products/productE8100.asp Combinatorial library in M13Assay expressed mAb byImmunological screeningELISA-like systemMultiwell plate coated Shuffling CDR sequencesVery large libraries yield wider range of AbsB cells Using PCR to Detect for HIVRT-PCR (reverse transcriptase PCR).HIV has a ssRNA RT-PCR Diagnosis of HIV Using PCR to Detect for HIVSpecific primers are used to amplify a Polymorphic refers to the existence of two or more forms of the SNPs are the 3.2 million single nucleotide changes that differ between genomesMost http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer13.htmSNPs How do we identify SNPs?DNA microarrays (DNA chips) make it possible to How Are Microarrays Made?Short fragments of DNA (oligonucleotides) corresponding to each version Whole Human Genome Microarray by Agilent Technologies1” x 3” glass slide with 44,000 genes dotted What Can SNPs Be Used to Predict? A person’s susceptibility to disease is linked to which alleles they carry http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer25.htm http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer38.htm Drug Dosing/Reaction Average patientThere is no simple way to determine how particular patient will http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer36.htm Testing for VariationCytochrome p450 (CYP450) involved in drug metabolism Four major types; CYP3A 			CYP2D6	Antihistamines			CodeineStatins				Beta-BlockersCa+ Channel Blockers		Tricyclic AntidepressantsBenzodiazepines		TamoxifenHIV protease inhibitorsCYP2C9			CYP2C19 (Missing in 30% of Asians) Herceptin targets HER2 & is effective in stopping breast cancer growthOnly 25 1733 Genes84 breast tumor samples http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=stryer.figgrp.832Red =gene inductionGreen = gene repressionTumors Are http://history.nih.gov/exhibits/genetics/sect3.htmRecombinant DNA Drugs http://dept.kent.edu/projects/cell/IMAGES3.HTMChinese Hamster Ovary CellsMost popular cells for producing proteins that are not http://www.nbsc.com/ferm_eq/bf6000.aspMammalian Cell Bioreactor Protein Drugs Made in CHO CellsAvonex (Interferon Beta-1a) Multiple Sclerosis - BiogenHerceptin GENE  THERAPY Gene TherapyCells are removed from a patient and modified either by having Jak je to delano,priklady, doplnit http://www.jeansforgenes.com/images/2070_illustration.gif Gene-Therapy and SCIDsSevere Combined Immune Defiency (SCID): no T cells Two types: Current State of Gene TherapyLittle progress has been made since the first In 2003, the FDA placed a temporary halt on all gene therapy Stem Cells Stem cells are unspecialized cells that renew themselves for long periods through Three Types of Stem CellsEmbryonicAdult/SomaticInduced Pluripotent In 1998, human embryonic stem cells (hES) were isolated and grown in http://www.csa.com/discoveryguides/stemcell/images/pluri.jpg Therapeutic CloningIsolation of cloned cells/tissue for curing disease or injuryThe nucleus from http://www.advancedcell.com/testimony-12-4-2001.html An adult or somatic stem cell is an undifferentiated cell found among 1960s, two stem cell populations identified in bone marrowOne population, called hematopoietic http://www4.od.nih.gov/stemcell/figure2cropbig.gifBone Marrow Stem CellsMesenchymal Tissue Engineering Tissue engineering or regenerative medicine is a multidisciplinary field combining biology, medicine, http://txtell.lib.utexas.edu/stories/media/t0003-2.htmlGeneration of Replacement Knee Cartilage http://navier.ugent.be/public/biomed/research/kris/res_kris.phpValvular heart disease is a major cause of mortalityCurrently available substitutes for http://www.swr.de/swr2/biotopien/expeditionen/tissue/tissue3.htmlhttp://www.medizin.fu-berlin.de/hno/arbeitsgruppen/haischgruppe.htmCartilage scaffold of a human ear implanted under the skin of a mouse
Слайды презентации

Слайд 2 Insulin - první gen biotech 1982

Insulin - první gen biotech 1982

Слайд 3
Recombinant proteins for human use
~2003
Approved in US

Recombinant proteins for human use~2003Approved in US or EU

or EU


Слайд 4 Recombinant interferon: isolation of cDNA
Strategies for isolating either

Recombinant interferon: isolation of cDNAStrategies for isolating either the genes or

the genes or cDNAs for human proteins
1) Isolate target

protein and determine partial AAc sequence
Synthesize oligo as probe to screen cDNA library
2) Generate Ab against purified proteins
Screen gene library
Interferon strategy above, pre-human genome sequence

6,000 clones


Слайд 5
Hybrid products: INF
Interferons assist the immune response

Hybrid products: INFInterferons assist the immune response by inhibiting viral

by inhibiting viral replication within host cells, activating natural


killer cells, increasing antigen presentation to lymphocytes, and inducing the resistance of host cells to
viral infection
IFN cDNA isolated early 80s
Now, three groups of IFN genes identified: α, β, γ
IFNα family of 13 genes; IFNβ family of 2 genes; IFNγ of 1 genes
IFN α1 and α2 have common RE sites
Hybrid INFs demonstrate potential therapeutics by combining functional domains
Some (2003)- successful clinical trials, approved for use as human therapeutic agents

Слайд 6
Site-specific directed mutagenesis: hGH
hGH: 191 AAc, 22,1

Site-specific directed mutagenesis: hGHhGH: 191 AAc, 22,1 kDaOne of first

kDa
One of first therapeutic proteins approved for human use
Recombinant

form produced in E. coli, identical to native pituitary-derived hGH
Native binds to growth hormone receptor and prolactin receptor
Side effects
Prolactin receptor binding function of Zn++ binding
Domain: His-18, His-21, Glu-174
2003, testing mutants

Слайд 7
Optimizing gene expression
Multistep process:
Design a protein, construct

Optimizing gene expressionMultistep process:Design a protein, construct a recombinant molecule,

a recombinant molecule, express and characterize
Need to optimize expression
First,

either prokaryote or eukaryote host
Comparative analysis of host and expression
ex., interleukin-3 expression
Best in Bacillus licheniformis
Balance with glycosylation in eukaryotic hosts
But, glycosylation is not essential for interleukin-3 activity

Слайд 8
Cystic fibrosis
Genetic disease affecting lungs and digestive

Cystic fibrosisGenetic disease affecting lungs and digestive systemAverage life span

system
Average life span 37 years, extended and extending
In US,

~1/3,900; 1/22 are carriers
Most common in Europeans and Ashkenazi Jews
Cystic fibrosis transmembrane conductance regulator (CFTR)
Chloride ion channel, sweat, digestive juices and mucus
thick, sticky mucus to build up in the lungs and digestive tract
7q31.2 -> 180,000 bp gene, 1,480 AAc
Most common mutation DF508; 1,400 other mutations
DF508: missense, not folded correctly
Lungs susceptible to bacterial infection
Antibiotics treatment results in resistance and
combination with DNA from bacteria and leukocytes causes pulmonary problems (mucus)

wikipedia


Слайд 9
Treatment
Genentech: hDNase I in CHO cells
Not a

TreatmentGenentech: hDNase I in CHO cellsNot a cure, but alleviates

cure, but alleviates symptoms
Purified protein delivered via aerosol mist

to lungs of CF-
Approved by FDA in 1994

Слайд 10
Optimizing treatment
Another symptom,
In response to bacteria in

Optimizing treatmentAnother symptom,In response to bacteria in lungs, leukocytes cluster

lungs,
leukocytes cluster and lyse bacteria (and leukocytes)
Lysed leukocytes

release actin
Monomeric actin binds DNase I very tightly and inhibits
Limits effectiveness
X-ray structure data suggested Ala-144 required for binding
or Tyr-65
Changing either to Arg decreases actin binding by 10,000x
Clinical efficacy of mutants to be determined (2003)

Слайд 11
Clearing the lungs 2 with alginate lyase
http://www.lsbu.ac.uk/water/hyalg.html
Alginate

Clearing the lungs 2 with alginate lyasehttp://www.lsbu.ac.uk/water/hyalg.htmlAlginate produced by seaweeds,

produced by seaweeds, soil and marine bacteria
P. aeruginosa excretion

in lungs contributes to viscosity of mucus
In addition to DNase I treatment, alginate lysate can be used as therapeutic agent

Слайд 12
Cloning alginate lyase
Flavobacterium sp.
Clone bank in E.

Cloning alginate lyaseFlavobacterium sp.Clone bank in E. coliScreen by plating

coli
Screen by plating onto medium plus alginate
+/- Ca++
Ca++ +

alginate = cross-linked opaque
Hydrolyzed alginate does not cross-link
Analysis and characterization of clones and alginate lyase

Слайд 13
Alginate lyase[s]
ORF 69,000 Da
Precursor of three alginate

Alginate lyase[s]ORF 69,000 DaPrecursor of three alginate lyases-> 3,000 Da

lyases
-> 3,000 Da + 63,000 Da
63,000 Da lyses both

bacterial and seaweed alginates
63,000 Da -> 23,000 Da seaweed effective+ 40,000 Da bacterial effective
Clone bacterial activity portion

Слайд 14
Optimization of activity
Increase expression of 40,000 Da

Optimization of activityIncrease expression of 40,000 Da proteinPCR amplify and

protein
PCR amplify and insertion behind strong promoter
B. subtilis plasmid,

fused to a B. subtilis a-amylase leader peptide, directs secretion and
penicillinase gene promoter
Expressed and assayed for halo phenotype
Liquifies alginates produced by P. aeruginosa isolated from lungs of CF patients
2003, additional trials to determine if effective therapeutic agent

Слайд 15
Phenylketonuria (PKU)
Autosomal recessive genetic disorder in phenylalaniine

Phenylketonuria (PKU)Autosomal recessive genetic disorder in phenylalaniine hydroxylasePhe accumulation, decreases

hydroxylase
Phe accumulation, decreases other ‘large, neutral AAc’ in brain,

needed for
protein and neurotransmitter synthesis
Brain development; progressive mental retardation and seizures
Incidence ~1/15,000; varies: 1/4,500 Ireland and 1/100,000 Finland
12q22-q24.1
Macaque genome: PAH gene sequence identical to a human PKU mutation

wikipedia


Слайд 16
Phenylketonuria treatment[s]
Traditional treatment: diagnosis at birth or

Phenylketonuria treatment[s]Traditional treatment: diagnosis at birth or prenatalControlled semi-synthetic diet

prenatal
Controlled semi-synthetic diet with low levels of Phe
Possible treatment:

metabolism of Phe
PAH multienzyme complex, requiring cofactor
Phe ammonia lyase (PAL) converts Phe as well
Stable and does not require cofactor
To test concept, yPAL cloned and overexpressed in E. coli
Preclinical studies (2003) with mice deficient in PAL
See lower plasma levels of Phe when PAL injected or
administered as oral encapsulated enzyme

Слайд 17
Monoclonal antibodies (mAb) as therapeutic agents
Mouse mAb

Monoclonal antibodies (mAb) as therapeutic agentsMouse mAb OKT3 first to

OKT3 first to be approved by FDA
Immunosuppressive agent after

organ transplant in humans

Слайд 18
Antibody molecular structure
CDRs variable portions of the

Antibody molecular structureCDRs variable portions of the protein, both H

protein, both H and L
Fc elicits immunological responses after

Ag-Ab
Complement cascade

Слайд 19
Polyclonal antibodies (Ab)
www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf

Polyclonal antibodies (Ab)www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf

Слайд 20
Monoclonal antibodies (mAb)
www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf

Monoclonal antibodies (mAb)www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf

Слайд 21
Monoclonal antibodies (theoretical)
Monoclonal Antibodies: A Manual of

Monoclonal antibodies (theoretical)Monoclonal Antibodies: A Manual of Techniques. HZola

Techniques. HZola


Слайд 22
Monoclonal antibodies (mAb) protocol
www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf
Monoclonal Antibodies: A Manual

Monoclonal antibodies (mAb) protocolwww.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdfMonoclonal Antibodies: A Manual of Techniques. HZola

of Techniques. HZola


Слайд 23
Herceptin®
“Magic bullet”
Genentech. FDA 9/98; Aullrich/Genentech and DSlamon/UCLA

Herceptin®“Magic bullet”Genentech. FDA 9/98; Aullrich/Genentech and DSlamon/UCLA Jonsson Cancer CtrTrastuzumab

Jonsson Cancer Ctr
Trastuzumab (trade name Herceptin)
Humanized monoclonal antibody
Target is

HER2/neu receptor (erbB2)
HER2-positive metastatic breast cancer
Anti-cancer therapy in breast cancer, over-expressing erbB2 receptor
ErbB2 receptor amplification occurs in 25-30% of early-stage breast cancers
Transmembrane Tyr kinase, activating PI3K/Akt pathway and MAP pathway
Overexpression promotes invasion, survival and angiogenesis of cells
Also confers therapeutic resistance to cancer therapies
Herceptin binds to extracellular domain of erbB2 receptor,
Arresting cell at G1 phase

wikipedia


Слайд 24
Magic bullet: delivery of drug to site
Binding

Magic bullet: delivery of drug to siteBinding of mAb requires

of mAb requires second step
1) delivery of drug
2) delivery

of enzyme to convert pro-drug

Слайд 25
Magic bullet: delivery of active agent to

Magic bullet: delivery of active agent to siteBinding of mAb requires second stepvariations

site
Binding of mAb requires second step
variations


Слайд 26
Priklad ANTISENSE delivery

Priklad ANTISENSE delivery

Слайд 27
Human mAb problem
Drawbacks to immunotherapeutic agents use
Chemical

Human mAb problemDrawbacks to immunotherapeutic agents useChemical couplings problemYields low;

couplings problem
Yields low; coupling at random sites; chemical portion

may inactive attached enzyme
Nonhuman mAb
If condition requires multiple treatments, nonhuman mAb causes immune response
Human mAb
Human chromosomes of fused human lymphocyte-mouse myeloma cells are unstable
No human myeloma cell line can replace mouse myeloma cell line
Ethics of injecting human subject to generate Ab-producing cells and doing partial splenectomy
to collect Ab-producing cell

www.abbottdiagnostics.com/Science/pdf/learning_immunoassay_01.pdf


Слайд 28
Hybrid human-mouse mAb: chimeric
Genetic engineering to convert

Hybrid human-mouse mAb: chimericGenetic engineering to convert mouse mAb into

mouse mAb into a hybrid
Exchange Fc portions
Using oligonucleotides and

in vitro DNA replication or cloned segments
Construct in expression vector; transfect into cultured B lymphocytes
Chimeric Abs are 70% human/30% mouse

Слайд 29
Hybrid human-mouse mAb: chimeric
Ex., chimera of mouse

Hybrid human-mouse mAb: chimericEx., chimera of mouse mAb against surface

mAb against surface of human colon cancer cells
Tested in

patients with colorectal cancer
Half-life in blood system 6x longer
1/10 patients developed mild response against chimera
But, no anti-tumor activity observed (2003)
Low dosage and/or advanced state of the cancer?

Слайд 30 Jak je to delano

Jak je to delano

Слайд 31
Hybrid human-mouse mAb: humanized
Humanized Ab
Substitute CDRs into

Hybrid human-mouse mAb: humanizedHumanized AbSubstitute CDRs into human Ab95 %human/5

human Ab
95 %human/5 % mouse
Construction by isolating cDNAs for

L and H chains
Amplify variable regions using PCR protocol
Primers are complementary to ends of variable regions, conserved
CDRs are highly variable sequences

Слайд 32
PCR amplification of CDR
Primers are hybrids, with
12

PCR amplification of CDRPrimers are hybrids, with12 bases at ends

bases at ends corresponding to human mAb L chain

cDNAs
Six pairs of primers: 3 for VL and 3 for VH
PCR protocol to splice these segments into human Ab, replacing CDRs
2003. 50 different mAbs have been humanized
Technology is effective and widely applicable
Time-consuming and expensive procedure

Слайд 33
E. coli production of mAb: phage display
Protocol

E. coli production of mAb: phage displayProtocol for creating phage

for creating phage combinatorial libraries
Hybridoma cells grow slowly, do

not reach high cell densities, expensive to maintain
Bioreactors: bacteria, plants and animals

Слайд 34
DNA constructs of Fv combinatorial gene library
Lambda

DNA constructs of Fv combinatorial gene libraryLambda phageClones each L

phage
Clones each L and H into two separate libraries
Cut

with common RE
Directionally clone into third library: H -> L
Combinations random
RBS= ribosome binding site

Слайд 35
Combinatorial library in M13
PCR amplify VH and

Combinatorial library in M13PCR amplify VH and VL separatelyAdd linkerLigate into M13 genomeDisplays on surface

VL separately
Add linker
Ligate into M13 genome
Displays on surface


Слайд 36 Phage Display

Display peptide or protein on surface of

Phage DisplayDisplay peptide or protein on surface of bacterial virus (in

bacterial virus
(in principle can use other viruses but

phage viruses easiest to prepare etc.)
Some proteins on viral coats can accommodate peptides or proteins and
will present them on the surface.

The phage genome (or alternatively phagemid) contains the sequence for the protein or peptide so isolation of the phage with desired phenotype will also provide the genotype.

Most popular is filamentous phage f1 or M13.
pIII on the end or pVIII along the length of the rod-like virion
for pVIII ~10% can be loaded with alternate peptide
Advantage of phage display: easy to screen over 109 sequences

Can either clone library directly into phage genome
or use a phagemid (plasmid that contains f1 ori) with replication
deficient helper phage

Слайд 37 http://www.biochem.unizh.ch/plueckthun/teaching/Teaching_slide_shows/filamentous_phages/index.htm
5 copies of pIII and pVI 2800 copies

http://www.biochem.unizh.ch/plueckthun/teaching/Teaching_slide_shows/filamentous_phages/index.htm5 copies of pIII and pVI 2800 copies pVIII - all can accommodatepeptides

pVIII - all can accommodate
peptides


Слайд 38 www.neb.com/nebecomm/products/productE8100.asp

www.neb.com/nebecomm/products/productE8100.asp

Слайд 39
Combinatorial library in M13
Assay expressed mAb by
Immunological

Combinatorial library in M13Assay expressed mAb byImmunological screeningELISA-like systemMultiwell plate

screening
ELISA-like system
Multiwell plate coated with target Ag
Bind, wash
Score with

chromogenic substrate cleaved by Ab-enzyme complex

Слайд 40
Shuffling CDR sequences
Very large libraries yield wider

Shuffling CDR sequencesVery large libraries yield wider range of AbsB

range of Abs
B cells from several non-immunized individuals collected

and pooled
mRNA isolated; cDNA synthesized
PCR amplify all six CDR regions separately
Pool with oligos encoding the framework regions and linker
Overlap extension PCR gives variable L and H domains
At 2x109 different single-chain Ab

Слайд 41 Using PCR to Detect for HIV
RT-PCR (reverse transcriptase

Using PCR to Detect for HIVRT-PCR (reverse transcriptase PCR).HIV has a

PCR).
HIV has a ssRNA genome.
Lyse plasma cells from the

potentially infected person to release HIV RNA genome.
The RNA is precipitated using isopropanol.
Reverse transciptase is used to make a cDNA copy of the RNA of the virus.
This cDNA is used as a template to make dsDNA.

Diagnostics


Слайд 42 RT-PCR Diagnosis of HIV

RT-PCR Diagnosis of HIV

Слайд 43 Using PCR to Detect for HIV
Specific primers are

Using PCR to Detect for HIVSpecific primers are used to amplify

used to amplify a 156 bp portion of the

HIV gag gene.
Using standards the amount of PCR product can be used to determine the viral load.
PCR can also be used as a prognostic tool to determine viral load.
This method can also be used to determine the effectiveness antiviral therapy.

Слайд 44 Polymorphic refers to the existence of two or

Polymorphic refers to the existence of two or more forms of

more forms of the same gene, or genetic marker
Each

form must be too common in a population to be merely attributable to a new mutation
One type of polymorphism, Single Nucleotide Polymorphisms (SNPs), can be used as a diagnostic tool

Gene polymorphism


Слайд 45 SNPs are the 3.2 million single nucleotide changes

SNPs are the 3.2 million single nucleotide changes that differ between

that differ between genomes
Most SNPs occur outside of genes,

but some occur in gene promoters & a few occur in genes themselves
For SNPs to be useful, a person's DNA must be examined for the presence of specific SNPs

Слайд 46 http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer13.htm
SNPs

http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer13.htmSNPs

Слайд 47 How do we identify SNPs?
DNA microarrays (DNA chips)

How do we identify SNPs?DNA microarrays (DNA chips) make it possible

make it possible to examine person for the presence

of specific SNPs quickly and affordably
A single microarray can now be used to screen 100,000 SNPs found in a patient's genome in a matter of hours

Слайд 48 How Are Microarrays Made?
Short fragments of DNA (oligonucleotides)

How Are Microarrays Made?Short fragments of DNA (oligonucleotides) corresponding to each

corresponding to each version of all known SNPs are

spotted onto a glass slide in a known order
A patients DNA is fragmented and each fragment is linked to a fluorescent dye
This pool of fragments is allowed to hybridize to its corresponding oligonucleotide on the chip
The pattern of fluorescence determines which SNPs are found in the patient

Слайд 50 Whole Human Genome Microarray by Agilent Technologies
1” x

Whole Human Genome Microarray by Agilent Technologies1” x 3” glass slide with 44,000 genes dotted

3” glass slide with 44,000 genes dotted


Слайд 51 What Can SNPs Be Used to Predict?

What Can SNPs Be Used to Predict?

Слайд 52 A person’s susceptibility to disease is linked to

A person’s susceptibility to disease is linked to which alleles they

which alleles they carry as well as how those

alleles interact with the environment
SNPs can be used to build a profile of a person’s susceptibility to various diseases
Example:

Craig Venter (Celera genomics) has an increased risk of heart attack based on a SNP in the promoter of the MMP-3 gene


Слайд 53 http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer25.htm

http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer25.htm

Слайд 54 http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer38.htm

http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer38.htm

Слайд 55 Drug Dosing/Reaction

Drug Dosing/Reaction

Слайд 56 Average patient
There is no simple way to determine

Average patientThere is no simple way to determine how particular patient

how particular patient will respond to a medication
Adverse

Drug Reactions (ADRs) one of the important causes of hospitalization and death in the United States
Medical drugs are developed using a ”average” patient
Pharmacogenomics examines the DNA variations that is correlated to drug response
Can be used to predict if a patient will have a good response to a drug, a bad response to a drug, or no response at all

1http://www.fda.gov/CDER/drug/drugReactions/default.htm


Слайд 58 http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer36.htm

http://press2.nci.nih.gov/sciencebehind/snps_cancer/snps_cancer/snps_cancer36.htm

Слайд 59 Testing for Variation
Cytochrome p450 (CYP450) involved in drug

Testing for VariationCytochrome p450 (CYP450) involved in drug metabolism Four major

metabolism Four major types; CYP3A, CYP2C9, CYP2D6 & CYP2C19


Variations in at least 3 genes regulate drug metabolism
By looking at the alleles a person has of these genes it is possible to predict how a patient will react to a drug
Dosing can be regulated so that a patient gets the maximum benefit without possible toxic side effects

Слайд 60 CYP3A CYP2D6
Antihistamines Codeine
Statins Beta-Blockers
Ca+ Channel Blockers Tricyclic Antidepressants
Benzodiazepines Tamoxifen
HIV protease inhibitors

CYP2C9 CYP2C19 (Missing

CYP3A 			CYP2D6	Antihistamines			CodeineStatins				Beta-BlockersCa+ Channel Blockers		Tricyclic AntidepressantsBenzodiazepines		TamoxifenHIV protease inhibitorsCYP2C9			CYP2C19 (Missing in 30% of

in 30% of Asians)
NSAIDs Proton pump inhibitors
Anti-epileptics

Valium
Warfarin

CYP Genes & Their Metabolites


Слайд 61 Herceptin targets HER2 & is effective in stopping

Herceptin targets HER2 & is effective in stopping breast cancer growthOnly

breast cancer growth
Only 25 to 30% of breast cancers

overexpress HER2
Erbitux effective in colorectal cancers by stopping signaling through EGFR
Not all colorectal cancers overepress EGFR
Diagnostic tests are used to detect which tumors will benefit from treatment allowing better use of treatment time & money

Слайд 62 1733 Genes
84 breast tumor samples
http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=stryer.figgrp.832
Red =gene induction
Green

1733 Genes84 breast tumor samples http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=stryer.figgrp.832Red =gene inductionGreen = gene repressionTumors

= gene repression
Tumors Are Not Identical So Why Should

Every Patient be Treated the Same?

Слайд 63 http://history.nih.gov/exhibits/genetics/sect3.htm
Recombinant DNA Drugs

http://history.nih.gov/exhibits/genetics/sect3.htmRecombinant DNA Drugs

Слайд 64 http://dept.kent.edu/projects/cell/IMAGES3.HTM
Chinese Hamster Ovary Cells
Most popular cells for producing

http://dept.kent.edu/projects/cell/IMAGES3.HTMChinese Hamster Ovary CellsMost popular cells for producing proteins that are

proteins that are not able to be produced in

E. coli
These are proteins that are difficult to fold, glycosylated, or even toxic to the bacteria

Слайд 65 http://www.nbsc.com/ferm_eq/bf6000.asp
Mammalian Cell Bioreactor

http://www.nbsc.com/ferm_eq/bf6000.aspMammalian Cell Bioreactor

Слайд 66 Protein Drugs Made in CHO Cells
Avonex (Interferon Beta-1a)

Protein Drugs Made in CHO CellsAvonex (Interferon Beta-1a) Multiple Sclerosis -

Multiple Sclerosis - Biogen
Herceptin (Trastuzumab) Breast Cancer - Genentech
Humira

(Adalimumab) Rheumatoid Arthritis - Abbott Labs
Remicade (Infliximab) Crohn’s Disease - Centocor
Embrel (Etanercept) Rheumatoid Arthritis - Amgen

Слайд 67 GENE THERAPY

GENE THERAPY

Слайд 68 Gene Therapy
Cells are removed from a patient and

Gene TherapyCells are removed from a patient and modified either by

modified either by having a working copy of a

defective gene inserted or a therapeutic gene added
Once the cells are expressing the new gene correctly, they are inserted back into the patient (ex vivo)
The gene is usually delivered using a defective virus
Sometimes the virus is delivered directly into the patient (in vivo)

Слайд 69 Jak je to delano,

priklady, doplnit

Jak je to delano,priklady, doplnit

Слайд 70 http://www.jeansforgenes.com/images/2070_illustration.gif

http://www.jeansforgenes.com/images/2070_illustration.gif

Слайд 71 Gene-Therapy and SCIDs
Severe Combined Immune Defiency (SCID): no

Gene-Therapy and SCIDsSevere Combined Immune Defiency (SCID): no T cells Two

T cells
Two types: ADA-SCID & SCID-X1
>20 SCID patients

have been successfully treated
The FDA has not approved any human gene therapy

Слайд 72 Current State of Gene Therapy
Little progress has been

Current State of Gene TherapyLittle progress has been made since the

made since the first gene therapy clinical trials begun

in 1990
In 1999, gene therapy suffered a major setback with the death of 18-year-old Jesse Gelsinger
Part of a gene therapy trial for ornithine transcarboxylase deficiency (OTCD)
Died from multiple organ failures 4 days post-treatment
Death was caused by a severe immune response

Слайд 73 In 2003, the FDA placed a temporary halt

In 2003, the FDA placed a temporary halt on all gene

on all gene therapy trials using retroviral vectors in

blood stem cells
FDA took this action after it learned that two childern treated in a French gene therapy trial had developed a leukemia-like condition
These children in August 2002 had been successfully treated by gene therapy (SCID-X1)

Слайд 74 Stem Cells

Stem Cells

Слайд 75 Stem cells are unspecialized cells that renew themselves

Stem cells are unspecialized cells that renew themselves for long periods

for long periods through cell division.
Under certain physiologic

or experimental conditions, they can be induced to become cells with special functions such as the beating cells of the heart muscle or the insulin-producing cells of the pancreas
These cells could then be used to repair or replace damaged organs or tissues

Слайд 76 Three Types of Stem Cells
Embryonic
Adult/Somatic
Induced Pluripotent

Three Types of Stem CellsEmbryonicAdult/SomaticInduced Pluripotent

Слайд 77 In 1998, human embryonic stem cells (hES) were

In 1998, human embryonic stem cells (hES) were isolated and grown

isolated and grown in the laboratory
hES cells are derived

from the ICM of human blastocysts
These cells are pluripotent just like mouse ES cells
The embryos used in these studies were created for infertility purposes through in vitro fertilization
They were donated for research with the informed consent of the donor

Human Embryonic Stem Cells


Слайд 78 http://www.csa.com/discoveryguides/stemcell/images/pluri.jpg

http://www.csa.com/discoveryguides/stemcell/images/pluri.jpg

Слайд 79 Therapeutic Cloning
Isolation of cloned cells/tissue for curing disease

Therapeutic CloningIsolation of cloned cells/tissue for curing disease or injuryThe nucleus

or injury
The nucleus from an adult cell is placed

in an enucleated egg
Instead of implanting the egg and letting it grow into a fetus, it is cultured until the blastocyst stage where ES cells are removed and cultured
These ES cells are coaxed down a specific developmental pathway such that they differentiate into a specific tissue
This allows for the creation of cells identical to the donor thus preventing rejection

Слайд 80 http://www.advancedcell.com/testimony-12-4-2001.html

http://www.advancedcell.com/testimony-12-4-2001.html

Слайд 81 An adult or somatic stem cell is an

An adult or somatic stem cell is an undifferentiated cell found

undifferentiated cell found among differentiated cells in a tissue

or organ
It can renew itself, and can differentiate to yield the major specialized cell types of the tissue or organ
The primary roles of adult stem cells are to maintain and repair the tissue in which they are found
These cells are more restricted as to what cell types they can become & are thus said to be multipotent

Adult Stem Cells


Слайд 82 1960s, two stem cell populations identified in bone

1960s, two stem cell populations identified in bone marrowOne population, called

marrow
One population, called hematopoietic stem cells, forms all the

types of blood cells in the body
The second, called mesenchymal stem cells generate bone, cartilage, fat, & connective tissue
Hematopoietic stem cells have also been isolated from umbilical cord blood
Mesenchymal stem cells have now been isolated from amniotic fluid, umbilical cord blood, and adipose tissue

Слайд 83 http://www4.od.nih.gov/stemcell/figure2cropbig.gif
Bone Marrow Stem Cells
Mesenchymal

http://www4.od.nih.gov/stemcell/figure2cropbig.gifBone Marrow Stem CellsMesenchymal

Слайд 84 Tissue Engineering

Tissue Engineering

Слайд 85 Tissue engineering or regenerative medicine is a multidisciplinary

Tissue engineering or regenerative medicine is a multidisciplinary field combining biology,

field combining biology, medicine, and engineering & involving the

restoration, maintenance, or enhancement tissue & organ function
Often involves the growth of new tissue or organs within a 3D matrix to mimic natural organ growth

http://www2.mahidol.ac.th/spectrum/pic3_vol10_no3.gif


Слайд 86 http://txtell.lib.utexas.edu/stories/media/t0003-2.html
Generation of Replacement Knee Cartilage

http://txtell.lib.utexas.edu/stories/media/t0003-2.htmlGeneration of Replacement Knee Cartilage

Слайд 87 http://navier.ugent.be/public/biomed/research/kris/res_kris.php
Valvular heart disease is a major cause of

http://navier.ugent.be/public/biomed/research/kris/res_kris.phpValvular heart disease is a major cause of mortalityCurrently available substitutes

mortality
Currently available substitutes for failing heart valves have serious

limitations
An alternative is to tissue engineer heart valves

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