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GENE THERAPY M YOUSRY ABDEL-MAWLA,MD ZAGAZIG FACULTY of MEDICINE,EGYPT
DNA replication ,[object Object],[object Object]
DNA repair system: ,[object Object],[object Object]
DNA replication ,[object Object],[object Object]
Gene therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Gene Delivery: ,[object Object],[object Object]
Ideal in vivo gene delivery system ,[object Object]
Ex vivo delivery   ,[object Object]
Gene delivery systems: ,[object Object],[object Object],[object Object]
Biologic viral vectors. -Short-term expression; spreading of the infection to surrounding cell populations; new engineered vectors are avirulent in surrounding terminally differentiated cells; immunogenic. - Transduction of neurons and glial cells, wide host range; large insert size up to 30 kb; efficient infection. No ,[object Object],-Limited transduction efficiency that depends on helper viral functions, although in newer systems helper virus not needed, low efficiency of integration to genome; small insert size~4-5 kb. -Transduction of dividing and non dividing cells, all viral coding sequences can be deleted except those required for transduction; non immunogenic and nonpathogenic; long-term expression of transgene; specific integration site (some forms). Yes ,[object Object],-Expression of viral proteins results in toxic reaction and inflammation; carcinogenic; low efficiency in dividing cells, short-term expression, insert size only 7-11 kb. -Transduction of non dividing cells with high efficiency; wide host rang; high viral titer and high expression levels; newly developed gutless vectors have insert size as large as 30 kb. No ,[object Object],-Wide host range; stable transduction of dividing and non dividing terminally differentiated cells with long term expression; nonpathogenic; lack of expression of viral proteins. Yes ,[object Object],-Does not infect non dividing terminally differentiated cells, may be oncogenic optimal insert size 5-7 kb. -Wide host range; high efficiency; transduction of dividing cells; efficient expression of foreign gene product; stable integration; infects only once and does not replicate in vivo. Yes ,[object Object],[object Object],Limitations Advantages Integration To gemone Type  of  vectors
Non viral vectors. - Still in developmental stages. - Stable, non-infectious, can carry large fragments of DNA, non immunogenic, no integration into the genome. 4-Biologic non viral vectors human artificial  chromosomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],- Easy to use, safe, many cell type and different applications. - Cell receptor independent, delivers genes to different tissues.  -  used in vaccine protocols, effective  in localized area, increase gene expression, painless, no bleeding. 3- Physical methods a- Electroporation b-Gene gun  approa-ch c-Microneedle injection - Random integration, inefficient DNA transfer. -- -- Unstable, remain episomal,  poor gene expression. -Unstable, remain episomal, poor  or  gene expression. - Easy to use. - Non infectious, non immunogenic, effective for in vivo gene transfer, can carry large DNA fragments. - Targeted delivery, can carry large fragments of DNA. 2- Chemical vectors a-Calcium phosphate  b-Cationic liposomes (lipoplex) c-Polylysine-DNA  complexes - Transient gene expression, DNA not integrated into the genome, remain episomal.  - simple, relatively efficient, non immunogenic, no mutagenesis. 1-Nacked plasmid DNA  Disadvantages Advantages Vector system
Applications of gene therapy ,[object Object],[object Object],[object Object]
Applications of gene therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Antisense Gene Therapy (AS-ODNs)
Antisense Gene Therapy (AS-ODNs)  ,[object Object]
Antisense therapy ,[object Object]
Antisense Therapy ,[object Object]
Small interfering RNA   ( siRNA)   ,[object Object]
Short   interfering  RNA( siRNA ) ,[object Object],[object Object],[object Object]
 
Antisense oligonucleotoids(AS-ODNs) ,[object Object],[object Object]
 
 
 
Methods for overcoming the skin barrier against gene delivery ,[object Object],[object Object]
MicroRNAs and the skin ,[object Object],[object Object],[object Object],[object Object]
Non-coding RNAs   (ncRNA) ,[object Object],[object Object],[object Object]
Micro RNAs( MiRNAs )vs  siRNAs  ,[object Object],[object Object],[object Object]
MicroRNAs  (miRNAs)  Functions ,[object Object],[object Object]
 
The Biogenesis of miRNAs ,[object Object],[object Object],[object Object]
 
Molecular biology ,[object Object],[object Object]
Molecular biology ,[object Object]
Molecular biology ,[object Object],[object Object],[object Object]
 
MicroRNAs  in Cutaneous Biology.
MicroRNAs (miRNAs) and short interfering RNAs (siRNAs)   ,[object Object],[object Object],[object Object]
 
miRNAs and psoriasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
SOCS-3  Vs  STAT3 ,[object Object],[object Object]
miR-146a  and psoriasis ,[object Object]
miRNAs  and wound healing ,[object Object],[object Object],[object Object],[object Object]
miRNAs  and wound healing ,[object Object],[object Object],[object Object]
miRNAs   and angiogenesis ,[object Object],[object Object]
miRNAs  and skin cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
miR  and Melanoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
miR-221 & miR-222  in Melanoma ,[object Object]
miR   &Kaposi’s sarcoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 

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Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
 

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