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The source of the article is the University of Wisconsin:
http://tinyurl.com/7eayk

Gene targeting technique extended to stem cells
Feb 10, 2003

Terry Devitt

The technique that helped revolutionize modern biology by making the mouse
a crucible of genetic manipulation and a window to human disease has been
extended to human embryonic stem (ES) cells.
In a study published today (Feb. 10) in the online editions of the journal
Nature Biotechnology, a team of scientists from UW-Madison reports that it
has developed methods for recombining segments of DNA within stem cells.

By bringing to bear the technique, known in scientific parlance as
homologous recombination, on DNA in human embryonic stem cells, it is now
possible to manipulate any part of the human genome to study gene function
and mimic human disease in the laboratory dish.

"Indeed, homologous recombination is one of the essential techniques
necessary for human ES cells to fulfill their promise as a basic research
tool and has important implications for ES cell-based transplantation and
gene therapies," write Wisconsin researchers Thomas P. Zwaka and James A,
Thomson, the authors of the new study.

The technique has long been used in the mouse and is best known in recent
years for its use to generate mice whose genomes have been modified by
eliminating one or more genes. Known as 'knockouts,' genetically altered
mice have become tremendously important for the study of gene function in
mammals, and have been used to explore everything from the underlying
mechanisms of obesity and other conditions to the pinpointing of genes that
underpin many different diseases.

Significant differences between mouse and human embryonic stem cells have,
until now, hampered the application of the technique to human ES cells,
according to Zwaka, the lead author of the Nature Biotechnology report and
a research scientist working in the laboratory of James Thomson. Thomson
was the first to isolate and culture human embryonic stem cells nearly five
years ago.

"This is a big benefit for the human ES cell field," Zwaka said. "It means
we can simulate all kinds of gene-based diseases in the lab - almost all of
them."

To demonstrate, the team led by Zwaka and Thomson were able to remove from
the human genome the single gene that causes a rare genetic syndrome known
as Lesch-Nyhan, a condition that causes an enzyme deficiency and manifests
itself in its victims through self-mutilating behavior such as lip and
finger biting and head banging.

The study of genes derived from human ES cells, as opposed to those found
in mice, is important because, while there are many genetic similarities
between mice and humans, they are not identical. There are human genes that
differ in clinically significant ways from the corresponding mouse genes,
said Zwaka. The gene that codes for Lesch-Nyhan is such a gene, as mice
that do not have the enzyme do not exhibit the dramatic symptoms of the
disease found in humans whose genes do not make the enzyme.

Another key aspect of the new work is that it may speed the effort to
produce cells that can be used therapeutically. Much of the hype and
promise of stem cells has centered on their potential to differentiate into
all of the 220 kinds of cells found in the human body. If scientists can
guide stem cells - which begin life as blank slates - down developmental
pathways to become neurons, heart cells, blood cells or any other kind of
cell, medicine may have access to an unlimited supply of tissues and cells
that can be used to treat cell-based diseases like Parkinson's, diabetes,
or heart disease. Through genetic manipulation, 'marker' genes can now be
inserted into the DNA of stem cells destined for a particular developmental
fate. The presence or absence of the gene would help clinicians sort cells
for therapy.

"Such 'knock-ins' will be useful to purify a specific ES-cell derived cell
type from a mixed population," Zwaka said. "It's all about cell lineages.
You'll want dopamine neurons. You'll want heart cells. We think this
technique will be important for getting us to that point."

Genetic manipulation of stem cells destined for therapeutic use may also be
a route to avoiding transplant medicine's biggest pitfall: overcoming the
immune system's reaction to foreign cells or tissues. When tissues or
organs are transplanted into humans now, drugs are administered to suppress
the immune system and patients often need lifelong treatment to prevent the
tissue from being rejected.

Through genetic manipulation, it may be possible to mask cells in such a
way that the immune system does not recognize them as foreign tissue.

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