Úvod do molekulárnej medicíny MUDr. Ing. Bc. Peter Celec, PhD.
2 Linus Carl Pauling (1901 – 1994) Nobel prize 1954 – Chemistry 1962 – Peace
3 „Life is a relationship between molecules, not a property of any one molecule. So is therefore disease, which endangers life. While there are molecular diseases, there are no diseased molecules.“ Linus C. Pauling, 1962
4 Basics
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Francis Crick –
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James Watson –
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11 Molecular Medicine Based on molecular knowledge Based on XNA Proteomics Genomics Molecular interactions Regulations Signalling pathways Gene therapy
12 What we will NOT talk about... XNA structure Monogenic disorders Immunology Carcinogenesis
13 Genome ( DNA ) Transcriptome ( RNA ) Proteome ( protein ) Metabolome ( pathways ) Genome
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15 Information processing Communication Intercellular Intracellular
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17 Signalling pathways
18 Ligands Hydrophilic Small molecules Larges proteins Hydrophobic Steroids Thyroxine Retinoids
19 Receptors G-protein coupled Tyrosine kinases Ion channels Intracellular
20 Signalling pathways
21 Phosphate
22 G-protein coupled
23 G-protein coupled Animation
24 Second messangers cAMP cGMP IP 3 DAG Ca ++
25 Gene „The gene is by far the most sophisticated program around.“ Bill Gates
26 Gene expression regulation
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28 Jak – Janus (Roman god of gates and doors) Kinase Jak – Just Another Kinase STAT – Signal Transducers and Activators of Transcription APS – Adaptor protein with Pleckstrin homology and Src homology 2 domains C-Cbl - Casitas B-lineage Lymphoma EPO – Erythropoietin
29 Tyk2 – Tyrosine kinase 2 mTOR – mammalian Target Of Rapamycin MAPK – MAP (Microtubule Associated Protein) Kinase MAPK – MAP (Mitogen Activated Protein) Kinase ISRE – Interferon-Stimulated Response Element GAS – IFN-Gamma-Activation Site
30 GR – Glucocorticoid Receptor FKBP – FK506 (tacrolimus)-Binding Protein HSP – Heat Shock Protein GRE – Glucocorticoid Response Element
31 c-Fos – FBJ (Finkel MP, Biskis BO, Jinkins PB) OsteoSarcoma virus AP-1 – Activator Protein 1 TGACTCA
32 FAP FAP – c-Fos AP-1 binding site IP-1 – Inhibitory Protein 1
33 NFκB
34 FasL – Fas Ligand TRAF – TNFα Receptor Associated Factor NIK – NFκB Inducing Kinase CBP – CREB Binding Protein NFkB
35 MAP kinases GEF – Guanine Nucleotide Exchange Factor
36 MAP kinases Animation
37...but...
38 Signalling pathways
39 Responses???
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42 Apoptosis
43 Apoptosis Videos
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46 Autophagy MacroautophagyMicroautophagy
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49 Oxygen sensing
50 HIF – Hypoxia Inducible Factor IGFR – Insulin like Growth Factor Receptor EGFR – Epidermal Growth Factor Receptor HER2 – Human Epidermal growth factor Receptor 2 PI3K – PhosphatidylInositol-3-Kinase AKT – serine/threonine protein kinase B FRAP – FKBP rapamycin associated protein PH – Prolin Hydroxylases HDAC – histone deacetylase VHL – von Hippel-Lindau tumour suppressor protein FIH – factor inhibiting HIF-1α B – elongin B C – elongin C C2 – cullin 2 HRE – hypoxia response element GLUT – glucose transporter ARNT – Aryl hydrocarbon Receptor Nuclear Translocator
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52 Angiogenesis
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55 Aaron Ciechanover Avram Hershko Irwin Rose 1/3 of the prize Israel 1/3 of the prize Israel 1/3 of the prize USA Technion – Israel Instutute of Technology Haifa, Israel Technion – Israel Institute of Technology Haifa, Israel University of California Irvine, CA, USA b. 1947b (Karcag, Hungary) b The Nobel Prize in Chemistry 2004 "for the discovery of ubiquitin-mediated protein degradation"
56 Ubiquitin
57 Ub E1 Ub E2 Ub E3 Ub 26S proteasome degradation Target Ub Ub Ub Ubiquitin pathway Ubi-activating EUbi-conjugating EUbi-ligase
58 Ub ATP AMP + PPi E1 Ub E1 C E2 C Ub E3 C Ub Protein K Ub E3 Protein K K E2 Ub E3 Ub Protein K E3 E2 C Ub Protein Ub AMP + PPi Protein K K K K K K K K Proteosynthesis Antigen presentation H A B C1 C2 D E Ub Protein Ub ATP Protein Ub Protein Ub I F G J
59 Molecular diagnostics
60 Kary Banks Mullis (1944 – ) Nobel prize 1993 – Chemistry
61 PCR
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63 PCR Expensive?
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65 PCR Analyzed by Electrophoresis
66 Real-time PCR Quantitative PCR Fluorescent detection of PCR products in real time
67 RFLP
68 RFLP & VNTR Animation
69 Blotting Western Southern Northern
70 Western Blot
71 Western Blot Animation
72 Southern Blot
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74 Southern Blot Animation
75 RT PCR Animation
76 FISH Procedure
77 FISH
78 Frederick Sanger (1918 –) Nobel prize 1958 – Chemistry 1980 – Chemistry
79 Sequencing Animation
80 Microarray
2006 Ústav patologickej fyziológie MUDr. Ing. Peter Celec, PhD. Génová terapia
DefiníciaPrincípyRozdeleniaVektoryKlinikaProblémy
Definícia Všetky prístupy na liečenie chorôb, ktoré využívajú nukleové kyseliny a génové inžinierstvo
Princípy génovej terapie Náhrada génu Zabitie cieľovej bunky Oprava mutácie Cielená inhibícia génovej expresie
Princípy génovej terapie Náhrada génu
Princípy génovej terapie Zabitie cieľovej bunky
Princípy génovej terapie Zabitie cieľovej bunky
Princípy génovej terapie Zabitie cieľovej bunky indukciou imunitného systému
Princípy génovej terapie Oprava mutácie
Princípy génovej terapie Cielená inhibícia génovej expresie
Princípy génovej terapie RNA interferencia
Rôzne delenia génovej terapie Podľa funkčnej nukleovej kyseliny – DNA based – RNA based
Rôzne delenia génovej terapie Podľa typu ovplyvnených buniek – Somatická – Zárodočná
Rôzne delenia génovej terapie
Podľa prístupu – In vivo – Ex vivo
Rôzne delenia génovej terapie Podľa prístupu
Vektory VírusovéNevírusovéBakteriálne
Vírusové vektory RetrovírusAdenovírus Adeno-associovaný vírus HerpesvírusAlfavírus...
Nevírusové vektory Nahá alebo obalená DNA Rôzne fyzikochemické transportné systémy
Nevírusové vektory PlazmidyPCR produkty Injekcia nahej DNA Elektroporácia Gene gun Lipoplexy Polyplexy Oligodeoxynukleotidy
Bakteriálne vektory Baktofekcia – Listeria – Escherichia – Salmonella Alternatívna génová terapia
Baktofekcia
Alternatívna génová terapia
Klinika 1990 – prvá klinická štúdia Severe combined immunodeficiency (SCID) Retrovírusový vektor Integrácia do chromozómu Ex vivo
Klinika
Problémy GT Etické Prenos génu – Účinnosť – Špecificita – Bezpečnosť – Regulácia expresie
September 11, 2001 February 15-16, 2001