Running head: HELPING THE WORLD THROUGH GENETICS Helping the World through Modern Genetic Technology Andru Smith Bayside High School 1 HELPING THE WORLD THROUGH GENETICS 2 Abstract In this paper, an explanation how molecular medicine is being used to help many people with different genetic diseases will be clarified. To start off, the history of molecular medicine and genetics, such as how they discovered molecular medicine (what they were doing to have discovered molecular medicine) will be presented in this paper. Certain medical diseases, including cancer, color blindness, sickle cell anemia, and more (which will be explained in more detail in the paper) (Genetic Diseases and Disorders 2012), were witnessed by these discoverers of genetic diseases which ultimately led to the practice of molecular and genetic medicine. However, to fully understand these diseases, these scientists needed to understand what these diseases specifically affected, which were the persons genes, hence “genetic medicine”. During their research, scientists also came up with specific statistics on which certain genetic diseases were more common in specific peoples (race and gender) (How Genetic Mutations Affect Health and Development 2012). Also, explanation of how hereditary specialists diagnose these disorders and diseases will become apparent. Finally, molecular and genetic specialist’s work on the improvement of hereditary medicine to patients suffering from genetic disease shall be revealed. To briefly explain their intentions, they are trying to create and make better medicine that is specific for each person, because each person’s genes are unique and are affected in different ways by different factors. HELPING THE WORLD THROUGH GENETICS 3 Helping the World through Modern Genetic Technology Genetic disorders, they hurt people in many ways not allowing them to live normal lives as the rest of us. However, with the introduction of molecular medicine, doctors and scientists have hope of helping those people get their lives to be as normal as patients without a disease. Discussions of questions such as: what molecular medicine actually is and the history behind this science, specific molecular and genetic diseases including sickle-cell anemia, and the specific history behind sickle-cell as well as its causes will become clear in the paper. This paper will also discuss the structure of genes and how it will pertain to genetic disorders and how these genetic disorders occur within the genes. In addition, clarification of how the genes can affect a person’s health, including trends that people have with certain diseases, will be present. In conclusion, this paper will state what genetic specialists are doing to further excel and progress in their studies and what methods they use to get the best possible results for a specific person. Molecular medicine is an important study that can save many lives in many ways by identifying specific causes of diseases and how to treat them. What is Molecular Medicine Molecular medicine is the study of any genetic diseases at the cellular and molecular level. These diseases that are can be anything from asthma to obesity and affect people of all types. These scientists specifically investigate the areas of what causes a certain genetic disease in a person, potential treatment for that patient, therapy (which can be considered a potential treatment or support to the family that is going through the disease), and different ways of preventing the diseases affects on the patient(D.J. Weatherall 2010). HELPING THE WORLD THROUGH GENETICS 4 To add on, genetic specialists are conducting tests so that these diseases can be treated in the best possible way, specific to the patient’s needs (D.J. Weatherall 2010). Genetics and Radiation Molecular medicine deals with any of the various genetic diseases that a person may be affected by. These diseases not only occur in an organism through inheritance, but the genetic and molecular health of a person can also be affected by outside factors. One of the factors that can affect gene health is radiation. Radiation can be classified as small particles of high-powered energy. These high-powered energy particles affect your DNA by damaging it (Denofrio 2012). DNA consists of all of the genetic information that the body needs to function properly. These genetic holding strands of genes consists of nucleic acids that form together to make nucleotides. When the nucleotides link together end to end, they form long molecules made of sugars, phosphates, and bases (Encyclopedia of Genetics pg. 406-407). The genes within the DNA hold the genetic information for your phenotype. Radiation can damage these genes causing them to be severely damaged to the point where they cease to function. Along with the dysfunctional genes come the genetic disorders. Luckily in most cases, the cells do their jobs to repair the damaged areas. Therefore, it takes high amounts of radiation to do permanent damage (Denofrio 2012). However, in the high radiation situations, the damage can cause diseases such as cancer (excessive cell production). The specific way radiation may cause cancer is by changing the structure of the bases in genes. These bases are adenine, cytosine, thymine, and guanine. For example, the radiation can manipulate a thymine base to look like a guanine base. Because guanine can only pair with cytosine and adenine can only pair with thymine, this change could cause a drastic change in a person’s genetic makeup (Denofrio 2012). Cells divide constantly bringing their genetic information to each of its duplicated cells in a constant cycle. This explains HELPING THE WORLD THROUGH GENETICS 5 why one small change to a base can cause a system malfunction in the body which results in various diseases such as cancer (Denofrio 2012). Genetics and Inheritance As stated before, genetic diseases can occur in two ways, inheritance and outside factors. Genetic diseases that are passed though inheritance can occur in anyone. However, people with past family history of a specific disorder have a greater chance of inheriting the disease than people that have no past history. These diseases include cancer, color blindness, cystic fibrosis, hemophilia, muscular dystrophy, and sickle cell anemia (Genetic Diseases and Disorders 2012). There are many more genetically inherited diseases, but these are just some of the commonly heard ones. Cancer, again, is a cellular disease that causes an overproduction of cells to a certain area in the body. Color blindness (which is a genetically inherited disease that causes people to see certain colors differently than what they actually are. Also, in some rare cases, people may be completely blind to all colors, only being able to see in black and white) (Genetic Diseases and Disorders 2012), cystic fibrosis (an inherited disease that cause thick and sticky mucus to build up in a mucus present area cause damage to organs [Cystic Fibrosis 2013]), hemophilia (a disease causing a slowing of blood clotting to certain areas, resulting in prolonged periods of bleeding to an injured area), muscular dystrophy (grouping of genetic diseases resulting in the decay and degeneration of skeletal muscles[Muscular Dystrophy 2013]), and sickle cell anemia (which is a genetically inherited ailment that causes the red blood cells, that carry oxygen around the body, to become thinner and form into a “sickle”, or crescent, shape which in turn allows less oxygen to be carried around the body causing shortness of breath and becoming easily tired due to the smaller amount of oxygen). As stated previously, all of these diseases are genetically inherited and can be inherited by anyone. However, a person’s ethnic background can also be a HELPING THE WORLD THROUGH GENETICS 6 factor in gaining a hereditary disease because some ethnic groups are more likely to attain a certain disease or disorder more likely than another group (How Genetic Mutations Affect Health and Development 2012). Genetic Inheritance and Ethnicity In the case of racial and ethnic upbringing, some molecular diseases are more common to occur in one group than another. People that belong to a certain ethnic group may carry the same or similar versions of the same gene. As that gene is passed down the generations, if it carries a disorder or disease, it could affect the later generations consisting of the same group that originally had the disease (How Genetic Mutations Affect Health and Development 2012). For example, sickle cell anemia has been found to be more common in people descending from African or Mediterranean descent. To add on, Tay-Sachs disease (disease causing progressive deterioration of nerve cells in the brain and spinal cord) is more commonly linked to eastern and central Europeans and their offspring (--- 2012). For Africans and Mediterranean natives, the gene responsible for causing sickle cell anemia is more common in their DNA strands then that of other races. As for eastern and central Europeans, they tend to more commonly carry the gene that causes Tay-Sachs than most other ethnicities. Even though the genes carrying the instructions to produce a certain genetic mutation may be more common in certain ethnicities and races, they can occur in anyone (As I have proclaimed many times in this paper) (--- 2012). Diagnoses of Genetic Diseases Genetic specialists can diagnose a specific hereditary disorder or disease in four ways: physical examination, personal health history, family health history, and laboratory tests (How are Genetic Conditions Diagnosed 2013). Each of these test are used by the specialists to conjure up a final diagnosis, or what disease or disorder they suspect you of having. Physical diagnoses HELPING THE WORLD THROUGH GENETICS 7 include the examination of certain facial features that characterize a disorder such as head circumference, eye distance, and limb length. Certain exams may be used as well to better determine what the patient might have. For instance, neurological and eye exams may be used to test the efficiency of those systems or areas (How are Genetic Conditions Diagnosed 2013). The patient’s personal health history is also important in finding out what may have led to the disease. Doctors will usually start with birth and continue up the ladder of history the patient has, whether it is surgeries, allergies, past medications, and past or current health issues (How are Genetic Conditions Diagnosed 2013). Family history of disease is important because many genetic conditions run in families, so it is important to know if the patient’s family has any history of hereditary disease because it may provide helpful information into the diagnosis of a disease (How are Genetic Conditions Diagnosed 2013). Finally, laboratory tests can be used as a good resource to achieve a very accurate record of the contents of the patient’s body to provide the specialists with a helpful clue in the diagnosis of the disease or disorder. These test include molecular, chromosomal, and biochemical genetic testing (How are Genetic Conditions Diagnosed 2013). Current Work in Genetics The current work being done in genetics is very fascinating. Every person’s DNA is different, therefore their genome is different. Current genetic and hereditary scientists are entertaining the thought of creating molecular medicine that is specific to a patient’s specific genotype. The study of pharmacogenomics, which is the study of how an individual’s genes are affected and how they respond to drugs, gives hope to the scientific world, which later in the future, drugs can be specially designed for an individual (Pharmacogenomics 2011). The hope is that it will adapt to the persons genome that will treat, or maybe later on even cure, genetically inherited diseases. HELPING THE WORLD THROUGH GENETICS 8 The benefit in pharmacogenomics is the creation of medicines that are more effective, more accurate, less dangerous, and many others. The field of pharmacogenomics is a great starter on the road to finding cures for currently incurable diseases (Pharmacogenomics 2011). Conclusion To sum up, all of the advances in molecular medicine have led to the future in the hope to help treat and eventually cure many of the now incurable genetic diseases and disorders. With the help of pharmacogenomics, hereditary and genetic specialists and doctors have a better grasp of what is needed to help the immense number of people affected by these types of ailments. This can lead to better overall health of the planet’s population and less worry over what people inherit genetically. HELPING THE WORLD THROUGH GENETICS 9 References Cystic fibrosis - Genetics Home Reference. (2013, January 1). Genetics Home Reference - Your guide to understanding genetic conditions. Retrieved January 3, 2013, from http://ghr.nlm.nih.gov/condition/cystic-fibrosis Denofrio, J. (2011, March 30). Environmental Influence. Understanding Genetics. Retrieved January 10, 2013, from http://genetics.thetech.org/ask/ask402 Duchenne and Becker muscular dystrophy - Genetics Home Reference. (2013, January 1). Genetics Home Reference - Your guide to understanding genetic conditions. Retrieved January 3, 2013, from http://ghr.nlm.nih.gov/condition/duchenne-and-becker-musculardystrophy Genetic Diseases and Disorders. (n.d.). HealthInsite - Quality Health Information for Australians. Retrieved January 10, 2013, from http://www.healthinsite.gov.au/topics/Genetic Diseases and Disorders. (n.d.). HealthInsite - Quality Health Information for Australians. Retrieved January 9, 2013, from http://www.healthinsite.gov.au/topics/Genetic How are genetic conditions diagnosed? - Genetics Home Reference. (2013, January 1). Genetics Home Reference - Your guide to understanding genetic conditions. Retrieved January 10, 2013, from http://ghr.nlm.nih.gov/handbook/consult/diagnosis HELPING THE WORLD THROUGH GENETICS How can gene mutations affect health and development? - Genetics Home Reference. (2012, December 11). Genetics Home Reference - Your guide to understanding genetic conditions. Retrieved December 11, 2012, from http://ghr.nlm.nih.gov/handbook/mutationsanddisorders/mutationscausedisease Knight, J. A., & McClenaghan, R. (1999). Molecular Genetics. Encyclopedia of genetics (pp. 406-412). Pasadena, Calif.: Salem Press. Pharmacogenomics: Medicine and the New Genetics. (2011, September 19). Oak Ridge National Laboratory. Retrieved January 10, 2013, from http://www.ornl.gov/sci/techresources Weatherall, D. (2010, July 14). Molecular medicine; the road to the better integration of the medical sciences in the twenty-first century . Notes and Records of the Royal Society . Retrieved December 10, 2012, from http://rsnr.royalsocietypublishing.org/ What is molecular medicine? — Huck Institutes of the Life Sciences. (n.d.). Huck Institutes of the Life Sciences. Retrieved December 10, 2012, from http://www.huck.psu.edu/education/molecular-medicine/what-is-molecular-medicine 10 HELPING THE WORLD THROUGH GENETICS 11