Immune System Series
Genetic Engineering
Genetic engineering, more formally known as recombinant DNA technology,
allows scientists to pluck genes (segments of DNA) from one type
of organism and combine them with genes of a second organism. In
this way, relatively simple organisms such as bacteria or yeast,
or even mammalian cells in culture and mammals such as goats and
sheep, can be induced to make quantities of human proteins, including
hormones such as insulin as well as lymphokines and monokines. Microorganisms
can also be made to manufacture proteins from infectious agents
such as the hepatitis virus or the AIDS virus, for use in vaccines.
Another
facet of recombinant DNA technology involves gene therapy: replacing
defective or missing genes with normal genes. The first approved
gene therapy trials involved children with severe combined immunodeficiency
disease, or SCID (Immunodeficiency Diseases), which is caused by
lack of an enzyme due to a single abnormal gene. The missing gene
is introduced into a harmless virus, then mixed with progenitor
cells from the patient's bone marrow. When the virus splices its
genes into those of the bone marrow cells, it simultaneously inserts
the gene for the missing enzyme. Injected back into the patient,
the treated marrow cells produce the missing enzyme and revitalize
the immune defenses. Researchers are also investigating the use
of gene therapy for such diverse conditions as hemophilia, Parkinson's
disease, diabetes, a hereditary form of dangerously high cholesterol,
and AIDS.
An
increasingly important target for gene therapy is cancer. In pioneering
experiments, scientists are removing the immune cell known as the
tumor-infiltrating lymphocyte or TIL(Immunity
and Cancer), or tumor cells themselves, inserting a gene that boosts
the cells' ability to make quantities of a natural anticancer product
such as tumor necrosis factor (TNF) or interleukin-2, and then growing
the restructured cells in quantity in the laboratory. When the altered
cells are returned to the patient, they seek out the tumor and deliver
large doses of the anticancer chemical. They also appear to mobilize,
in some unknown way, additional antitumor defenses.
On
the horizon are anticancer vaccines made by manipulating genes.
Intended to protect cancer patients against a recurrence, these
vaccines can incorporate genes for immunogenic tumor antigens or
genes for histocompatibility antigens able to galvanize killer T
cells, as well as genes for substances such as TNF or interleukin-2.
Other anticancer strategies call for introducing genes that can
shut down cancer-promoting oncogenes or replace faulty cancer-restraining
suppressor genes.
Genes
can be packaged, for delivery, in a variety of ways: inserted into
the genetic material of such carriers as the familiar vaccinia virus
(Vaccines Through Biotechnology) or inactivated retroviruses, grafted
onto a protein carrier that magnifies the immune response (an adjuvant),
or tucked into fat globules known as liposomes.