http://www.nytimes.com/2001/12/09/magazine/09GENES.html?ex=1009457784&ei=1&en=f5a806a21578fd95
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December 9, 2001 Attaching Good Genes to Bad Viruses
By STEPHEN MIHM
The reasoning behind this idea is not as loopy as it may initially seem.
What makes both Ebola and H.I.V. so lethal also happens to make them ideal
candidates for doing the dirty work of cutting-edge gene therapy. Say, for example, you suffer from a genetic disorder like cystic fibrosis
– meaning that you lack the ability to produce a certain crucial protein. It
may sound unimportant, but not having that one protein makes your lungs fill
up with mucus to the point where you may die of respiratory infections. Enter
gene therapy, which works by replacing flawed genes with fully functional
genes. In the case of cystic fibrosis, the gene that can’t produce the
protein is chopped out of each cell, and a working gene is put in its place.
The cells can now produce the needed proteins. There’s no more mucus, and the
lung problems disappear. Repairing millions of diseased cells is a lot of work, however, and so
scientists need an efficient corps of microscopic repairmen to cut and paste
the genetic material. Viruses, which have a noted propensity for invading our
cells and tinkering with our DNA, are perfect candidates for the job.
Scientists can snip out the portion of the virus that makes us sick and
replace it with healthy genetic code. In theory, this turns viruses – even
harmful ones – into efficient cellular mechanics. There’s only one problem: most garden-variety viruses are not especially
aggressive, and the genetic material they introduce into cells rarely sticks.
H.I.V., however, is notoriously invasive – and it has staying power inside
the body. In theory, provided the toxic parts of the H.I.V. virus were
stripped out and replaced with the healthy genes, the modified microbe could
be injected into patients, where it would hang around, perpetually delivering
and replacing genes to new generations of cells. How does Ebola fit in? Ebola, it turns out, is particularly expert at
invading the human respiratory system, where cystic fibrosis takes its toll.
In an experiment published earlier this year, institute scientists reported
how they extracted the lung-binding proteins from the Ebola virus, added a
benign ‘‘marker gene’’ – the equivalent of a dress rehearsal for a
therapeutic gene – and then slipped the whole package inside a hollowed-out
version of H.I.V. The hybrid virus was then sprayed into the respiratory
systems of mice, where it successfully delivered the marker gene. A human version of this experiment would, obviously, be a little bit more
complicated, not to mention dangerous. Purposely introducing viruses into
patients, even viruses that have been neutered, is a risky proposition.
Viruses can mutate or prompt deadly immune responses. Yet there’s something
undeniably appealing about the idea of taming two of the most feared
diseases; it’s a swords-into-plowshares feat of genetic engineering. And for
now, the institute’s approach to gene therapy may be one of the best bets for
curing debilitating genetic disorders like cystic fibrosis. Indeed, for
someone whose lungs are literally drowning in mucus, the gamble of ingesting
a kinder, gentler version of Ebola and H.I.V. may seem like a risk well worth
taking. |
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