Transcript Liposomes

Defects in Ion Channels
as a Cause of Inherited
Disease
----Cystic Fibrosis
CCDDY!
Glossary
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Cystic fibrosis (CF) 囊
性纤维化
CFTR (cystic fibrosis
transmembrane
conductance regulator)
囊性纤维化跨膜电导调
节因子
ABC(ATP-binding
cassette) transporter
superfamily ABC转运蛋
白家族
cAMP-regulated
chloride channel 环
腺苷酸氯离子通道
 epithelial cell上皮细
胞
 Adenovirus (AD virus)
腺病毒
 Liposome 脂质体

Cystic Fibrosis

Background &
Mechanism
DDY press
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Genetic defects &
Therapy Perspective
CCY press
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Defects in ion channels caused by gene
mutations may lead to many diseases,
because these disorders affect the
movement of ions across the plasma
membrane of excitable cells, thus reduce
the ability of these cells to develop or
transmit impulses.
A brief introduction
Cystic fibrosis (CF) is the best-studied and
most common disease of this kind, which
occurs on the epithelial cells.
 CF affects various organs, including the
intestine, pancreas, sweat glands, and
reproductive tract, but it affects the
respiratory tract most severely.
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Symptom
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Victims of CF produce a thickened, sticky
mucus(粘液) that is very hard to propel(推)
out of the airways(呼吸道). The patients
often suffer from chronic(慢性的) lung
infections and inflammation, which
progressively destroy the lung’s function.
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On average ,1 out of 25
persons of Northern
European carry one
copy of the mutant gene.
So about 1 out of every
2500 of
them(1/25×1/25×1/4)
is homozygous(纯合的)
at this locus(位点) and
born with CF.
The gene
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Isolated by 徐立之(Lap-Chee Tsui) in 1989。
-----"Knowing science can enrich your
life. Basically, science is a foundation for
genuine common sense."
Once both of the sequences of the gene
and the amino acid was known, it turns
out that the polypeptide was a member
of the ABC transporter superfamily.
 The protein was named CFTR.
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ABC transporter
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They are ubiquitous(无处不在) in biology
and power the translocation of substrates
across the membrane, both in and out,
often against a concentration gradient, by
hydrolyzing(水解) ATP .
The protein was purified and incorporated
into artificial lipid bilayers, it acts as a
cAMP-regulated chloride (Clˉ) channel
rather than a transporter and also functions
in conductance of bicarbonate ions(HCO3ˉ).
 It has 12 transmembrane spanning
domains, two nucleotide binding domains,
and a regulatory domain in the center.
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Two explanations
1.
CFTR deficiency
Clˉ efflux
volume of fluid
viscosity(粘性) of the mucus
The function of the cilia to push bacteria out
2. p.aeruginosa(绿脓杆菌)belongs to
the pseudomonas(假单胞菌属). It can bind
to the extracellular end of the CFTR
protein, which leads to the ingestion and
destruction of the bacterium by the
epithelial cells. Patients who lack the
CFTR can’t clear the bacterium out.
 It is also speculated(推测) that the
decreased HCO3ˉsecretion could lower the
pH of the fluid in the airway and provide a
more hospitable environment for the
bacterium.
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The deficiency of the CFTR may also
leads to the sterility(不孕不育). Because
the decrease of the HCO3ˉsecretion
affects the vigor of the sperms.
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But why did the gene reach such a high
frequency in the population instead of
dying out?
So heterozygotes(杂合体) may possess
some selective advantages over those
lacking a copy of the defective gene.
 One proposal is that the heterozygotes is
protected from the effects of cholera(霍乱).
 And the other is from typhoid(伤寒).
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to be continued…
Genetic defects &
Therapy Perspective
Genetic defects of CF
 Gene Therapy researched at present
 Problems and perspective
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Genetic defects
By now ,over 800 differernt mutations
have been found connected with CF
 But almost 70% of the alterated alleles
(等位基因)contains the same kind of
genetic mutation--△F508
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So, what is the △F508 indeed?
!!!Figure 2
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The △F508 is a kind of deletion that
occurs in the 10th exon of CFTR gene
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The missing section are 3 base pairs
which encode a pennylalanine(苯丙氨酸)
at position 508
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With this defection ,the CFTR
polypeptide can’t move normally from the
endoplasmic reticulum to the surface of
epithelial cell(上皮细胞)
So the number of transponters
decreases ,which cause the problem
mentioned above
Gene Therapy researched at present
 The
major goal of gene therapy is to
replace the defective gene with a
normal version.And we can make it in
vitro(体外) or in vivo(体内).
The critical problem to solute is:
What type of delivery system we
choose to conduct the normal gene.
Two delivery systems we used today:
Adenovirus(腺病毒)
Liposomes(脂质体)
Adenovirus
a kind of
icosahedral
virus(二十
面体病毒)
Adenovirus
In 1994,American scientists used the
recombinant adenovirus to infect the cells of
the airway and deliver the normal CFTR
gene successfully.
Advantage:
High efficiency to aim at the target cells
Liposomes
Liposomes
If a small amount of phosphatidylcholine
(卵磷脂) is dispersed in an aqueous
solution,the phospholipid(磷脂)
molecules assemble to form the walls of
fluid-filled spherical vesicles.
 Functions:
It can be used as vehicles to deliver drugs
or DNA molecules.The drugs or DNA
molecules are linked to the lipid bilayer
wall or contained at high concentration
within its lumen(内腔).
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Liposomes
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We use the positively charged liposomes to
deliver the normal DNA into the cytoplasm.
Advantage:
Less likely to stimulate a destructive immune
response
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Problems and perspective
As to adenovirus:
The stability of DNA
The randomicity of the integration(整合)
Over transcription of the gene of virus
Distructive immune response
 As to liposomes:
Less effective in achieveing target cells
Easy to be phagocytized(吞噬)
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Perspective
To obey the rule of security and
efficiency ,we try to combine the virus and
liposome carriers:
e.g. The AD virus-liposome (its efficiency of
expression reach up to 30%~40% in the
epitheliums(上皮细胞)
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Other methods:
Gene suture(基因缝线)
 Gene needle
 Gene carrier combined with solubility
fibrinogen(可溶性纤维蛋白原)

To solve the problem of the intracellular
decrease of the normal DNA, we can first
wipe off the virose gene of AD virus and
then link it to the plasmids by covalent
bond(共价键).Thus we produce a new
kind of carrier.
 To improve the targeted transfer(定向转
运),we can combine certain antibodies
or peculiar components to the carrier.
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
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TO date,there is
no significant
clinical trials of
gene therapy on
such kind of
disease like CF.
Further research
are in urgent
need!
CCDDY.