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Ch. 20 - The Molecular Revolution: Biotechnology, Genomics, and New Frontiers
Chapter 19, Problem 2

Explain what qualifies the gene therapy method to cure sickle cell disease as an ex vivo approach.

Verified step by step guidance
1
Understand the term 'ex vivo gene therapy': Ex vivo gene therapy involves modifying the patient's cells outside of their body. In this method, cells are extracted from the patient, treated or genetically altered in a controlled laboratory environment, and then reintroduced into the patient's body.
Identify the cells targeted in sickle cell disease: For sickle cell disease, the target cells for gene therapy are the hematopoietic stem cells (HSCs), which are responsible for producing all types of blood cells, including red blood cells that are affected in sickle cell disease.
Recognize the process of cell extraction: In the treatment of sickle cell disease using ex vivo gene therapy, HSCs are extracted from the patient's bone marrow or blood.
Acknowledge the genetic modification step: Once the HSCs are extracted, they are genetically modified in the lab to correct the mutation in the HBB gene that causes the production of abnormal hemoglobin, leading to sickle cell disease.
Explain the reintroduction of modified cells: After the genetic modification, the corrected HSCs are infused back into the patient's body, where they can engraft in the bone marrow and start producing healthy red blood cells, thus treating the disease.

Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Gene Therapy

Gene therapy is a technique that modifies or replaces faulty genes to treat or prevent disease. In the context of sickle cell disease, it involves introducing a healthy copy of the gene responsible for producing hemoglobin, the protein that carries oxygen in the blood. This approach aims to correct the underlying genetic defect that causes the disease.
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Ex Vivo Approach

The ex vivo approach refers to a method where cells are removed from a living organism, modified outside the body, and then reintroduced. In sickle cell therapy, hematopoietic stem cells are extracted from the patient, genetically modified to correct the sickle cell mutation, and then transplanted back into the patient to produce healthy red blood cells.
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Sickle Cell Disease

Sickle cell disease is a genetic blood disorder characterized by the production of abnormal hemoglobin, leading to distorted, sickle-shaped red blood cells. These misshapen cells can cause blockages in blood vessels, leading to pain and organ damage. Understanding the genetic basis of this disease is crucial for developing effective gene therapy strategies.
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