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A-Textbook-of-Clinical-Pharmacology-and-Therapeutics-5th-edition

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96 CELL-BASED AND RECOMBINANT DNA THERAPIES<br />

potential than adult stem cells for research <strong>and</strong> possible<br />

therapy.<br />

The Gene Therapy Advisory Committee (GTAC) is the<br />

national research ethics committee for gene therapy clinical<br />

research. GTAC’s definition <strong>of</strong> gene therapy is as follows: ‘The<br />

deliberate introduction <strong>of</strong> genetic material into human<br />

somatic cells for therapeutic, prophylactic or diagnostic purposes.’<br />

This definition, <strong>and</strong> hence the remit <strong>of</strong> GTAC, encompasses<br />

techniques for delivering synthetic or recombinant<br />

nucleic acids into humans:<br />

• genetically modified biological vectors, such as viruses or<br />

plasmids;<br />

• genetically modified stem cells;<br />

• oncolytic viruses;<br />

• nucleic acids associated with delivery vehicles;<br />

• naked nucleic acids;<br />

• antisense techniques (for example, gene silencing, gene<br />

correction or gene modification);<br />

• genetic vaccines;<br />

• DNA or RNA technologies, such as RNA interference;<br />

• xenotransplantation <strong>of</strong> animal cells, but not solid organs.<br />

FURTHER READING<br />

Anon. Underst<strong>and</strong>ing monoclonal antibodies. Drugs <strong>and</strong> <strong>Therapeutics</strong><br />

Bulletin 2007; 45.<br />

Anson DS. The use <strong>of</strong> retroviral vectors for gene therapy – what are<br />

the risks A review <strong>of</strong> retroviral pathogenesis <strong>and</strong> its relevance to<br />

retroviral vector-mediated gene delivery. Genetic Vaccines <strong>and</strong><br />

Therapy 2004; 2: 9.<br />

Check E. A tragic setback. Nature 2002; 420: 116–18.<br />

Guttmacher AE, Collins FS. Genomic medicine a primer. New Engl<strong>and</strong><br />

Journal <strong>of</strong> Medicine 2002; 347: 1512–20.<br />

Marshall E. Gene therapy death prompts review <strong>of</strong> adenovirus vector.<br />

Science 1999; 286: 2244–5.<br />

Nathwani AC, David<strong>of</strong>f AM, Linch DC. A review <strong>of</strong> gene therapy for<br />

haematological disorders. British Journal <strong>of</strong> Haematology 2005; 128:<br />

3–17.<br />

Rang HP, Dale MM, Ritter JM, Flower RJ. Chapter 55<br />

Biopharmaceuticals <strong>and</strong> gene therapy. In: <strong>Pharmacology</strong>, 6th edn.<br />

Oxford: Elsevier, 2007.<br />

Safer medicines. A report from the Academy. London: The Academy <strong>of</strong><br />

Medical Sciences, 2005.<br />

Walsh G. Second-generation biopharmaceuticals. European Journal <strong>of</strong><br />

Pharmaceutics <strong>and</strong> Biopharmaceutics 2004; 58: 185–96.

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