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CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The Human Genome Project?
in your classroom
The Human Genome Project?
in your classroom
Fiona Cunningham
Education Officer
the gene CRC
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The Human Genome ProjectThe Human Genome Project
• Established 1988
• Initiated 1990
• Predicted to revolutionise human medicine:investigating molecular basis of
genetic disease
testing
prevention
new therapies
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
DNA DNA
• Twisted ladder or DOUBLE HELIX
• Rungs of ladder - bases A G C T
• Sequence of AT & GC pairs determines proteins structure and function
• Alter base sequence - MAY change proteinGOOD, BAD or INDIFFERENT
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
First Draft completed
June 2000
First Draft published
Feb 2001
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The Map…..The Map…..
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Francis Collins, NIH
The playersThe players
Craig Venter, Celera Genomics
?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Whose genome was sequenced?Whose genome was sequenced?
• How many individuals?
• Public effort (NIH, DOE etc)1 (15%) + 1 (70%) + some (the rest)
Could they miss any genes?
• Celera’s 5 individualsall sequenced, aligned
identified polymorphisms, SNPs, where differences occurred
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Sequencing every base…..Sequencing every base…..
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Why sequence every base pair?Why sequence every base pair?
• Maps of the genome are important
• Why?localisation of genes
homologies between species
why else?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Chicken Genome Project?Chicken Genome Project?
Baker’s Yeast
Drosophila
Arabidopsis
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Has every base pair been sequenced?Has every base pair been sequenced?
• No
• 3.2Gb estimated size
• 84% of the genome
• ~30,000 genes
• What does it mean?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
~30 000 genes ….~30 000 genes ….
• NIH - 31 000, 22 000 listed
• Celera - ~26 000
• ~740 non-protein coding RNAs - cell housekeeping (many more not IDd)
• Compared to:yeast 6 000, fly 13 000, worm 18 000, plant 26
000
• Only 30 000 genes: are humans really quite biologically simple?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Human complexity?Human complexity?
• Most genes from our evolutionary past
• Only ~94 of 1278 protein families specific to vertebrates
• Diff between us and worms is the complexity of our proteins:more domains per protein
greater regulation of transcription & translation
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The future…..The future…..
• First there was HUGO
• Now there is HUPO!
• Proteomics: the cash ‘crop’ of research in the future?
• Functions and expression patterns of proteins encoded by the genes
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Why genetics for my students?Why genetics for my students?
• Will it change anything?
• Knowledge of genes role in diseases
• Immediately ~ still woke up and had cornflakes the next day
• Short term
• Long term
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genes, disease & testingGenes, disease & testing
• Over 6000 single gene disorders identified
• Many diseases are multifactorialmany genes interact with each other
& with the environment
eg Alzheimer disease, diabetes, CHD, asthma
(many other common diseases may have a genetic component: inherit predisposition or increased risk to develop these)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genetics in the 21st century (1)Genetics in the 21st century (1)
• Genetic testing:• carrier, diagnostic, predictive, predisposition
• newborn
• prenatal
• Risk vs certainty
• Uses of this info?
• Non-disease traits? IQ, aggression, height?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Screening programs in VictoriaScreening programs in Victoria
• Newborn screeningPKU, Congenital Hypothyroidism, Cystic fibrosis, (other metabolic conditions?)
• Tay Sachs diseaseNeurodegenerative disorder, Jewish schools
• HAEMscreen (pilot study)Iron overload disorder - affects adults
Common and preventable
Pilot screening program in workplace
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genetics in the 21st century (2)Genetics in the 21st century (2)
• Gene & related therapiesbetter drug therapies
better environmental modification strategies
cell & cloning technologies
gene therapy
therapeutic
enhancement
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genetics in the 21st century (3)Genetics in the 21st century (3)
• pharmacogenomics
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genetics in the 21st century (4)Genetics in the 21st century (4)
• Forensic science: genetics is used in • identifying suspects in criminal cases
• food contamination testing
• paternity testing
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genetics in the 21st century (4)Genetics in the 21st century (4)
• Not just medical applications:
• GMO’sfood
agriculture
environment
industry
• Cloning nothing really to do with HGP
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Cloning in the 21st centuryCloning in the 21st century
• Reproductive vs therapeutic
• Sevorino Antinori et al.
• Raelian cult & ClonaidCan personality be cloned?
Can we live for ever?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Therapeutic cloningTherapeutic cloning
• Involves stem cell technology
• Stem cells are derived from the inner cell mass of a 1-week-old embryo (blastocyst)
• Unlimited, prolonged self-renewal
• Can divide and differentiate into any type of body cell (!!!!!)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Stem cell uses?Stem cell uses?
• Screening of drugs that may cause birth defects
• Discovery & study of rare human proteins
• Study of early human development
• Gene therapy vector
• For transplantation of tissuesstill problem with rejection from patient
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
ETHICAL?
Human cloning may be ethical?Human cloning may be ethical?
ES cell lines: tissue for
transplantationunethical
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Why the controversy?Why the controversy?
Deriving stem cells from embryos destroys them!
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
ELSI: Ethical, legal & social issuesELSI: Ethical, legal & social issues
• Privacy
• Confidentiality
• Discrimination
• Right to know
• Right not to know
• Family issues
• Social issues
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Insurance & PatentingInsurance & Patenting
• Health insurance in Aust
• Life insurance in Aust
• What can be patented?Gene
gene product
specific drugs which target the gene or gene product
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Gbenetics in your school?Gbenetics in your school?
•How can we ensure responsible & ethical use of genetic knowledge & technology? b
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Strategies for the classroomStrategies for the classroom
• Don’t start with peas, flies or worms
• Start with human stories
• Encourage students to express their views (try not to be directive)
• But also to give solid argument & reasons for these views
• Encourage them to think beyond their own personal field:legal, economic, social, religious views, family,
community
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Equipping your students:Equipping your students:
• An understanding of genetics
• Skills toethically analyse genetic technologies
critically read and evaluate media reports
actively seek out appropriate information -
www, institutes, medical & research institutes
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Biomedical ethics: a simple frameworkBiomedical ethics: a simple framework
• Maximising benefits (beneficence)
• Minimising harm (non-maleficence)
• Autonomyincludes individual rights and freedom of
choice
• Justicefairness, equality, non-discrimination
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Equipping you:Equipping you:
• Be informed
• Professional development
• Critically read newspaper articles
• Actively seek out appropriate news and documentaries
• Participate in debate
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Equipping you:Equipping you:
• Integration into other areas of the curriculumBiology/science
English, philosophy, religion & society, physical education, legal studies etc
• Resources: www, geneTHINK, geneTALK etc
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Figure 5. An example of a worksheet and teacher notes.
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
GENE Think 2000GENE Think 2000
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
GENETalk 1General Genetics
November 2000
GENETalk 1General Genetics
November 2000
MCRI Education UnitMaryAnne Aitken
Fiona Cunningham
Eilís Hughes
Sylvia Metcalfe
MCRI Education UnitMaryAnne Aitken
Fiona Cunningham
Eilís Hughes
Sylvia Metcalfe
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Every somatic cell in body has
the same 46 chromosomes
SPERM23 chromosomes
in nucleus
EGG23 chromosomes
in nucleus
fertilised egg (ZYGOTE) 46 chromosomes in nucleus
MITOSIS
MEIOSIShalves
chromosomenumber
Where do our chromosomes come from?Where do our chromosomes come from?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Autosomal recessive pedigree (cont.) Autosomal recessive pedigree (cont.)
Probability of CF = (Prob of c allele from mother) x (Prob of c allele from father)
C c
Mother’s Genotype
Cc
C C
C c
C c C c c c
Father’s GenotypeCc
Possible Offspring
Probability of CF = 1/2 x 1/2 = 1/4
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The Genethics ChallengeThe Genethics Challenge
“A controversial technology with enormous potential. And our challenge? To fulfil this potential without compromising
our ethical ideals.”
Ling San Lau, Genethics 2000 winner
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
The Eutopian TimesThe Eutopian TimesGENEdreams, a human biotechnology company in Eutopia, has captured the attention of parents-to-be with their offer of ‘Design your own healthy baby!’ after launching a proposal to conduct genetic screening of unborn babies to prospective mothers. This program uses their patented “BABY BODY microchip” that uses DNA microarray technology to screen foetuses between the 10th & 12th week of pregnancy for gene alterations that cause deafness, dwarfism & predisposition to breast & colon cancer. All for a mere cost of Eut$10 000!
Civil rights & right-to-life activist groups have been outraged by this proposal, along with disability groups such as the Eutopian Cultural Deaf Foundation & SSPE (Short Statured People of Eutopia).
A spokesman from the Eutopian Health Ministry ridiculed the proposal, stating that “all babies are offered newborn screening for treatable genetic conditions such as PKU & cystic fibrosis free of charge. The GENEdreams service preys on the fears of parents & and is unnecessary.”
GENEdreams commented “it is the right of every parent to choose whether or not to have a baby with or without a disability and to desire the best possible health outcomes for their children. If most parents decide against having a child with a disability, there will be more money available to help those who are born with a disability.”
Is the “GENEdreams” genetic screening proposal ethically acceptable?
Do you think this proposal is more or less acceptable if parents have to pay for it?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
DNA ChipsDNA Chips
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genethics 2001Genethics 2001
• Gene Dreams Baby Body Microchip:prenatal genetic testing for deafness, short stature,
predisposition to breast or colon cancer
• Gene Dreams Baby Body Fix:germline gene therapy for these????
• Prizes
• Chair of judging panel: Sir Gus Nossal AO
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Genethics 2001Genethics 2001
• GrandFinal:Melbourne Museum
Monday, 3 September, 10.30 to 11.45
Followed by Genetic Testing in Australia discussion featuring Bob Williamson, Tom Shakespeare
Contact Fiona Cunningham to reverse seats (limited, up to 10 per school):
03 8341 6319
APC protein
(protease - anticoagulant
function)
Blood clotting factors
VIII V
Clotting factors cleaved/inactivated
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Factor V Leiden screeningFactor V Leiden screening
• Mutation in Factor V gene prevents inactivation of the factor V clotting protein
• Predisposition to thrombosis (clots)heterozygotes 7x greater risk
homozygotes 80 x greater risk
• COC pill is also risk factor for thrombosis
• COC pill + Factor V Leiden even greater risk
Should all year 11 girls be screened for the Factor V Leiden mutation?
CRC for Discovery of Genes for Common Human Diseases (the gene CRC)
Some questions to ask:Some questions to ask:
• What would be the benefits of this screening program?
• Could anyone be harmed?
• What effects would this proposal have on the girls’ autonomy (ability to make choices about their lives)?
• What rules would you put in place about who gets access to the test results and under what conditions?