Professional Documents
Culture Documents
Peta Genetic
pada kromosom
17
Transplantasi organ/jaringan
Transplantasi sumsum tulang pada
penderita Severe Combioned
Immunodeficiency disease (SCID)
TERAPI GEN
Sasaran : gen mutan
Strategi : mengambil gen mutan dan
menggantinya dengan gen normal
Gen replacement masih sulit
LanjutanTERAPI GEN
Gen corection memperbaiki gen mutan
tanpa menimbulkan perubahan genom
Gen augmentation menyisipkan,
penambahan gen yaitu
membangkitkan ekspresi gen mutan
dengan memasukan sequence gen
normal
Outline
Terapi gen pada penyakit keturunan
1. Gene Therapy of
Hereditary Diseases
Genetic medicines:
terapi dipusatkan pada transfer genetik untuk
mengoreksi bagian genotip
Monogenic disorders = mutasi gen tunggal
Genetic medicines in
hereditary disorders
1. Somatic stem cells (SSCs)
2. Gene transfer
3. RNA modification
4. Embryonic stem cells (ESCs)
Genetic medicines:
general considerations
to compensate for an autosomal recessive
disorder, 5-10% of normal gene expression
required to correct the phenotype
to compensate for autosomal dominant
disorders, the required levels are variable
Genetic medicines:
general considerations
genetic heterogeneity
stem cell therapy and gene transfer: specific
mutation is not as relevant
RNA-based strategies target specific
sequences and thus it is difficult to design
the therapy to fit all the mutations for some
disorders
HSC transplantation
Non-hematopoietic sources of SSCs
SSCs identified in brain, gut, heart, liver,
pancreas, skeletal muscle, and skin/hair
Approaches to Gene
Transfer
Two basic strategies of gene transfer for
an hereditary disorder:
Ex vivo gene transfer
In vivo gene transfer
Each have unique advantages and
disadvantages
Non-viral vectors
dsDNA combined with liposomes
Terapi genetika
TERAPI GENETIKA
Tahapan umum
1. Isolasi gen Mutan yang menimbulkan
penyakit
2. menentukan sel sasaran untuk dimasuki
gen
3. Menanamkan gen normal hasil rekayasa
ke dalam sel sasaran
4. Mengendalikan ekspresi gen yang berupa
produksi protein sesuai keperluan
Hingga saat ini terapi gen
masih dalam ranah gagasan teoritis,
perlu pengkajian lebih lanjut wallahualam