MCQ
Correct chronological order of the steps occurring during gene therapy are

$I$. Lymphocytes are obtained from the patients

$II$. Lymphocytes are transferred to the culture dishes

$III$. Lymphocytes are transfected with the normal $ADA$ genes

$IV$. The transfected cell are returned to the patients

The chronological order should be

  • $I$, $II$, $III$ and $IV$
  • B
    $II$, $I$, $III$ and $IV$
  • C
    $I$, $III$, $II$ and $IV$
  • D
    $III$, $II$, $IV$ and $I$

Answer

Correct option: A.
$I$, $II$, $III$ and $IV$
a
$(i)$ $\rightarrow$ $(ii)$ $\rightarrow$ $(iii)$ $\rightarrow$ $(iv)$

Adenosine deaminase enzyme is very important for the immune system to function. In the absence of adenosine deaminase enzyme, purine metabolism is disturbed and $T-$lymphocytes fails to function. $ADA$ deficiency can lead to Severe combiuned Immune Deficiency $(SCID)$

$SCID$ is caused due to defect in the genes for the enzyme adenosine deaminase. The genetic diseases that are being investigated for gene therapy ranges from sickle-cell anaemia to Severe Combined Immuno Deficiency $(SCID)$. In some children, $ADA$ deficiency can be cured by bone marrow transplantation

However, in others it can be treated by the enzyme replacement therapy, in which functional $ADA$ is given to the patient by injection. But in both approaches, the patients are not completely cured. For permanent cure, gene isolated from the bone marrow cells producing $ADA$ at early embryonic stage can be a possible cure

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