Savill J
Department of Medicine, University Hospital, Nottingham.
BMJ. 1997 Jan 11;314(7074):126-9. doi: 10.1136/bmj.314.7074.126.
Molecular genetics has greatly increased the understanding of diseases in which there is a single gene defect such as cystic fibrosis. Discovering the gene responsible and its function not only helps determine the pathogenesis of the disease but also offers a possible treatment-gene therapy. Polygenic disorders such as diabetes may soon yield their secrets to the same approach. Animal models of genetic diseases are proving useful research tools, and transgenesis has made xenografting possible. Furthermore, antisense technology allows specific inhibition of undesirably overexpressed genes such as those driving unwanted vascular cell proliferation and restenosis after angioplasty. The completion of the human genome project should make the search for "disease" gene much quicker and will increase still further the importance of these gene based approaches toward diseases.
分子遗传学极大地增进了人们对诸如囊性纤维化这类由单基因缺陷引起的疾病的理解。找出致病基因及其功能不仅有助于确定疾病的发病机制,还为基因治疗这种可能的治疗方法提供了依据。诸如糖尿病这类多基因疾病可能很快也会通过同样的方法揭开其奥秘。遗传疾病的动物模型已被证明是有用的研究工具,转基因技术使得异种移植成为可能。此外,反义技术能特异性抑制那些过度表达的有害基因,比如在血管成形术后驱动不必要的血管细胞增殖和再狭窄的基因。人类基因组计划的完成将使寻找“疾病”基因的速度大大加快,并将进一步提升这些基于基因的疾病研究方法的重要性。