Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.
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Reuters NewMedia, Inc. - 19 Oct 1995
Deborah Zabarenko
The success of the experimental therapy on the children with ADA deficiency could pave the way for treatment of other immune system ailments, according to Dr. R. Michael Blaese.
"The ADA treatment will teach us something about how we might go after AIDS or sickle cell," Blaese said in a telephone interview, commenting on an article he co-wrote that appears in Friday's edition of the journal Science.
The article detailed four years of research into the cases of two girls born with faulty ADA genes, which set off a chain reaction that ultimately killed off most of the T-cells that mobilize the body's defense against disease.
With their immune systems severely weakened, babies born with ADA deficiency are prone to chronic and repeated infections and generally die during childhood.
To combat ADA deficiency, researchers extracted some of the sick girls' blood, which included weakened T-cells. These cells were infused with a genetically engineered virus carrying a copy of the normal ADA gene, and after 12 days the infused blood was re-injected back into the girls.
The girls, aged 4 and 9 when the research began, both had repeated ADA infusions and showed marked immune system improvement, even two years after the infusions had ended, the study reported.
"These kids are sort of leading the way in gene therapy," said Blaese, of the National Center for Human Genome Research at the National Institutes of Health. But he cautioned that any progress in gene therapy would be slow.
"Most of us believe that this is going to be a revolution in medicine but it's not going to be an overnight coup ... It's a tiny first step," Blaese said.
He added that such gene therapy would likely have applications for disorders where faulty biological material could be extracted from the body, repaired and re-injected. Both AIDS and sickle cell anemia fit this model, he said.
For this reason, gene therapy is unlikely to target other genetically linked disorders such as cystic fibrosis, which attacks the lungs, or multiple sclerosis, which affects the nervous system, Blaese said, because the out-of-body work required would be impossible with current technology.
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