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13 years ago
It is 2011, and you are doing your internship in the Gene Therapy Department of a well known medical school.  Techniques for gene therapy are now well established.  Hilary Clinton, midway through her first term as president, and her administration have legalized therapeutic cloning.  One of your patients is a child homozygous for a rare genetic defect in the rag2 gene, which is required in lymphocytes for production of functional antibodies.  After considering your options, what would you choose as the best way to go about trying to cure the child’s condition and allow her to produce antibodies normally?  Briefly outline the steps in your procedure.
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Educator
13 years ago
You could proceed in either of two ways.  1) Simplest: isolate hematopoietic stem cells using a fluorescence-activated cell sorter, culture them, knock in a functional rag2 gene using an appropriate construct engineered for drug selection and counter selection, and reinject the transformed cells into her bone marrow.  2) More complicated: if she does not have culturable HSCs, you could culture somatic cells from one of her tissues, remove nuclei with a micropipette and inject them into previously enucleated human oocytes, culture the resulting embryos to the blastocyst stage, culture ES cells from these blastocysts, knock in a functional rag2 gene as in (1), treat the transformed ES cells with appropriate growth factors to produce HSCs, and inject these back into her bone marrow. 
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