Exam 9: Genetic Approaches to Treating Disease

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With regard to treatment of inborn errors of metabolism (IEM), which of the following statements, if any, is false?

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Many of the genes that produce the enzymes and other proteins involved in handling drugs are polymorphic. Why should that be?

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Sometimes, a prescribed drug can be dangerous, and occasionally deadly, according to a patient's genotype. Give three examples of such.

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Which, if any, of the following statements is false?

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Fill in the missing blanks with single words. Genome _____1______ means artificially introducing a specific change in the DNA sequence at a unique, pre-determined location within the genome of an ____2____ cell. The method relies on some form of recognition of specific sequences on both DNA strands at a locus that then allows an artificially introduced _____3____-stranded DNA break at this location. In response to the _____3____-stranded DNA break, DNA repair is carried out by the cell but after using non_____4_____ end joining DNA repair, errors can be made in the repair that can occasionally result in a desired specific DNA change. In one system genetically engineered ______5_____ ______6_____ nucleases are used in which a DNA is constructed to code for a specific sequence of ______5______ _____6______ and is then ligated to a DNA sequence that will specify a DNA ______7______ domain. A plasmid containing the resulting DNA construct can encode a ______5______ _____6______ nuclease when transfected into a cell. Using this technology, a pair of ______5______ _____6______ nucleases can be designed to bind to specific sequences on the opposite DNA strands at a desired unique position in the genome and the adjoining DNA cleavage domains work to produce the required ____3_____-strand DNA break.

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Which, if any, of the following statements is false?

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In some cases, genetic variation at multiple loci is known to affect the response to a specific drug. What is known about genetic variation that affects our responses to the anticoagulant warfarin?

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How has exon skipping therapy been applied to treat Duchenne muscular dystrophy?

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Fill in the missing blanks with single words. In the recent past, virus vectors used in gene therapy trials were often based on a type of retrovirus called a ______1_______retrovirus. They had the advantage of allowing a _____2_____ DNA to be stably inserted into the _____3____ DNA of cells. For cells that are short-lived, such as blood cells, the hope was that a certain percentage of _____4_____ cells might be successfully transduced so that there was a self-renewing population of cells carrying the desired _____2_____ DNA. Unfortunately, vectors based on ______1_______retroviruses have a poor safety profile: there is little control over where they ______5_______ into the _____3____ DNA and sometimes when they _____5_____ they activate a neighboring _____6_____, causing _____7_____. As a result, in modern gene therapy trials it is now commonplace to use self-_____8______ strains of a class of retrovirus vectors known as _____9____ that are much safer to use.

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Concerning making animal models of human disease, which, if any, of the following statements is false?

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How might a form of germ-line gene therapy be used to treat severe mitochondrial diseases?

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Which of the following statements, if any, is false?

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Which, if any, of the following can be classified as a type of augmentation therapy?

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Describe the characteristics of two viral vectors based on RNA genomes and two viral vectors based on DNA genomes that are used in gene therapy.

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In mammals, pluripotent cells occur naturally in the early embryo but pluripotent cell lines can also be artificially created. The first approach was to make embryonic stem cell lines from cells isolated from early embryos. More recently, pluripotent cell lines have been made by artificially changing the epigenetic settings of differentiated cells. What is involved in the latter case?

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Which, if any, of the following statements is false?

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Which, if any, of the following descriptions is false?

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Four stages are often identified in drug development: a preclinical stage plus three clinical trial stages. What is involved in these?

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There are two broad principles regarding the technological aim of somatic gene therapy: (a) genetically modifying disease cells (without killing them), and (b) killing disease cells either directly or indirectly. Explain what is involved in the two strategies.

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Molecular therapeutic strategies sometimes target RNA instead of DNA. What is involved in RNA interference therapy, and how useful has it been?

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