Bt toxin mechanism and Bt crops
Bacillus thuringiensis is a soil bacterium that naturally produces proteins called Cry toxins (also called delta-endotoxins or Bt toxins). These are named after the cry (crystal) genes that encode them, because the proteins form crystalline inclusions in sporulating bacteria. Different cry genes produce proteins active against different insect orders.
Why Bt toxin is produced as a protoxin
Bt toxin is produced as an inactive protoxin (a harmless precursor). The protoxin is activated only under specific conditions: a highly alkaline environment (pH 9 to 10) and the presence of specific protease enzymes. This is exactly the environment in the midgut of certain insect larvae. In mammals, the stomach is acidic (pH 1 to 2), so the protoxin remains inactive and is safely digested.
Step-by-step mechanism in the insect gut
Ingestion
Insect larva (e.g., cotton bollworm, Helicoverpa armigera) feeds on the transgenic plant tissue that expresses the cry gene. The Bt protoxin enters the larval gut.
Alkaline solubilisation
The highly alkaline pH of the insect midgut (pH 9 to 10) dissolves the crystalline protoxin.
Protease activation
Midgut proteases cleave the protoxin to the smaller, active Cry toxin fragment.
Receptor binding
The active Cry toxin binds to specific glycoprotein receptor proteins on the brush-border membrane of midgut epithelial cells. These receptors are order-specific (Lepidoptera, Coleoptera, or Diptera).
Pore formation
The bound toxin oligomerises and inserts into the lipid bilayer, forming an ion channel (pore). Ions and water flood into the cell.
Cell lysis and death
Epithelial cells swell and lyse. The gut becomes permeable. The larva stops feeding and dies within 48 to 72 hours.
Why Bt toxin is safe for humans and other mammals
- Human stomach is acidic (pH 1 to 2); the alkaline environment needed to activate the protoxin is absent.
- Human gut epithelial cells do not express the specific Cry toxin receptor proteins (these are order-specific insect proteins).
- Without both conditions (alkaline activation AND specific receptor), the toxin cannot cause harm.
Bt crops and their target pests
| Bt crop | cry gene(s) | Target pest | Target order |
|---|---|---|---|
| Bt cotton (Bollgard I) | cry1Ac | American bollworm (Helicoverpa armigera) | Lepidoptera |
| Bt cotton (Bollgard II) | cry1Ac + cry2Ab | American bollworm + pink bollworm | Lepidoptera |
| Bt corn (MON810) | cry1Ab | European corn borer (Ostrinia nubilalis) | Lepidoptera |
| Bt potato (NewLeaf) | cry3A | Colorado potato beetle | Coleoptera |
Try this
- Click each step of the Bt toxin mechanism below to see the detailed explanation. Then switch between Bt cotton, Bt corn, golden rice, and herbicide-tolerant soy in the GM crops comparison.
Bt toxin mechanism and GM crops explorer
Step through the Bt toxin mechanism and compare GM crop types. Click each step to see what happens inside the insect gut.
How Bt toxin kills insect pests
Click any step to expand the explanation:
Why is Bt toxin safe for humans?
- Human stomach is acidic (pH 1 to 2); Bt protoxin requires alkaline environment (pH 9 to 10) to be activated.
- Human gut epithelial cells do not have the specific Cry toxin receptor proteins.
- Without activation AND without receptor binding, no pore formation occurs.
GM crop comparison
Bt cotton
| Transgene(s) | cry1Ac, cry2Ab |
| Target pest/purpose | American bollworm (Helicoverpa armigera) |
| Target insect order | Lepidoptera |
| Commercial brand | Bollgard II (Monsanto) |
Reduces pesticide sprays by 40 to 80%; protects yield
Secondary pests (sucking insects) not controlled; resistance management needed
GM crops quick reference
| Crop | Key gene | Purpose | Pest/target order |
|---|---|---|---|
| Bt cotton | cry1Ac | Pest resistance | Lepidoptera |
| Bt corn | cry1Ab | Pest resistance | Lepidoptera |
| Herbicide-tolerant soy | aroA (mutant EPSP synthase) | herbicide tolerance, not pest resistance | N/A |
| Golden rice | Psy (phytoene synthase) | nutritional enrichment, not pest resistance | N/A |
GM crops: herbicide tolerance, virus resistance, golden rice
Herbicide-tolerant crops
The herbicide glyphosate (Roundup) inhibits EPSP synthase (5-enolpyruvylshikimate-3-phosphate synthase) — an enzyme in the shikimate pathway needed to synthesise aromatic amino acids. Without aromatic amino acids, plants die.
Roundup Ready soybean contains a mutant aroA gene from Agrobacterium tumefaciens, encoding an EPSP synthase that is insensitive to glyphosate. The transgenic crop makes aromatic amino acids normally and survives herbicide spraying; weeds (with wild-type EPSP synthase) are killed.
Virus-resistant transgenic plants
Transgenic tobacco was made resistant to Tobacco Mosaic Virus (TMV) by introducing the TMV coat protein gene into the tobacco plant. The plant produces viral coat protein, which interferes with viral replication (cross-protection). Similarly, papaya was made resistant to papaya ringspot virus using the viral coat protein gene approach.
Golden rice
Vitamin A deficiency causes preventable blindness (especially in children) in many developing countries. Rice endosperm lacks carotenoids (including beta-carotene, the precursor to Vitamin A). Golden rice was engineered by introducing two genes:
- Phytoene synthase (Psy) — from daffodil (original) or maize (GR2E): converts geranylgeranyl pyrophosphate (GGPP) to phytoene.
- Phytoene desaturase (CrtI) — from Erwinia uredovora: converts phytoene through lycopene to beta-carotene.
Beta-carotene (pro-vitamin A) accumulates in the endosperm, giving the rice a golden/yellow colour. When consumed, it is converted to Vitamin A in the body.
NEET-style problem · GM crops
Question
A farmer plants Bt cotton (Bollgard II) in a field also growing non-Bt cotton nearby. After 3 seasons, some bollworms are found to be resistant to Bt toxin on the non-Bt cotton. Explain what has happened and suggest a resistance management strategy.
Solution
What happened: Resistant bollworm populations evolved because the Bt toxin exerted strong selection pressure. Bollworms with mutations affecting the Cry toxin receptor (so the toxin cannot bind and form pores) survive on Bt cotton and reproduce, passing the resistance gene to offspring. Over 3 seasons, resistant genotypes became frequent enough to be detected on nearby non-Bt cotton (gene flow from resistant populations).
Resistance management strategy (Refuge strategy): Plant 20 to 30% of the field with non-Bt cotton (the refuge). Susceptible bollworms from the refuge mate with any resistant individuals, diluting the resistance gene in the population (because resistance is typically recessive). This slows the evolution of resistance. Bollgard II (cry1Ac + cry2Ab) also helps because developing resistance to two toxins simultaneously is much harder than to one.
RNA interference (RNAi)
RNA interference is a natural cellular mechanism for silencing genes at the post-transcriptional level. It was discovered in 1998 by Andrew Fire and Craig Mello (Nobel Prize in Physiology or Medicine, 2006).
Mechanism of RNAi
- Double-stranded RNA (dsRNA) is introduced into the cell (or produced by transgene expression).
- The enzyme Dicer cleaves the dsRNA into short 21 to 23 nucleotide siRNA (short interfering RNA) duplexes.
- The siRNA duplex is incorporated into the RISC (RNA-Induced Silencing Complex) along with Argonaute protein.
- The sense strand of the siRNA is discarded; the antisense (guide) strand guides RISC to the complementary mRNA sequence.
- RISC cleaves the target mRNA, leading to its degradation. The target gene is silenced at the post-transcriptional level.
Application: nematode control in tobacco
The nematode Meloidogyne incognita (root-knot nematode) is a major pest of tobacco. Transgenic tobacco was created that produces dsRNA specific to a gene essential for nematode survival (e.g., a gene expressed in the nematode pharynx). When nematodes feed on the transgenic root cells:
- The dsRNA from the plant enters the nematode's cells through the gut.
- RNAi is triggered inside the nematode.
- The essential nematode gene is silenced.
- The nematode cannot complete its life cycle in the plant root.
- The plant is protected from nematode damage.
Recombinant insulin (humulin)
Before 1982, diabetic patients used insulin extracted from pig or cattle pancreas. Porcine insulin differs from human insulin by 1 amino acid; bovine insulin by 3 amino acids. These differences caused allergic reactions in some patients.
Production of recombinant human insulin (humulin)
Human insulin consists of two polypeptide chains: A chain (21 amino acids) and B chain (30 amino acids), linked by two disulfide bonds. It is produced by:
- The human insulin A chain gene was synthesised chemically and cloned into an E. coli plasmid under the control of a lac promoter.
- The human insulin B chain gene was similarly synthesised and cloned into a separate E. coli plasmid.
- Each E. coli strain was grown separately; each produced the respective polypeptide chain as a fusion protein with beta-galactosidase.
- The A and B chains were extracted, purified, and treated with cyanogen bromide to remove the beta-galactosidase fusion.
- The purified A and B chains were mixed and incubated under conditions that allow the correct disulfide bonds (A6-A11, A7-B7, A20-B19) to form.
- The resulting functional insulin was purified and formulated for injection.
Eli Lilly commercially launched humulin in 1982 — the first recombinant DNA pharmaceutical product approved for human use. Today, most recombinant insulin is produced in yeast (Saccharomyces cerevisiae) as a single proinsulin chain that is then processed to remove the connecting C-peptide, giving the A-B chain structure.
Animal insulin
- Source: pig or cattle pancreas
- Porcine: 1 amino acid difference
- Bovine: 3 amino acid differences
- Can cause allergic reactions
- Supply limited by animal slaughter
Recombinant humulin
- Source: E. coli or yeast with human insulin gene
- Identical to human insulin
- No allergic reactions
- Unlimited supply
- Predictable quality and purity
Gene therapy and ADA deficiency
Gene therapy is the introduction of a normal, functional allele into cells that carry a defective allele, to treat a genetic disease. It is applicable only when the disease is due to a loss-of-function mutation in a single gene.
ADA (adenosine deaminase) deficiency
ADA deficiency is caused by deletion or mutation in the ADA gene. ADA converts adenosine to inosine in the purine salvage pathway. Without ADA, toxic deoxyadenosine accumulates in T lymphocytes, causing their death and resulting in Severe Combined Immunodeficiency (SCID) — the patient has essentially no immune system.
ADA gene therapy protocol (1990)
- Blood is drawn from the patient. T lymphocytes are isolated.
- A functional ADA gene is inserted into a retroviral vector (replication-defective retrovirus).
- The patient's lymphocytes are infected with the retroviral vector in cell culture.
- The retrovirus integrates the ADA gene stably into the lymphocyte genome.
- The genetically corrected lymphocytes are expanded in culture and then reinfused into the patient.
- The corrected lymphocytes can now produce ADA enzyme and survive. Immune function is partially restored.
Why this is not a permanent cure
Lymphocytes are not stem cells. They are differentiated, short-lived T cells that do not self-renew. When the corrected lymphocytes die, new lymphocytes arise from bone marrow haematopoietic stem cells — which do NOT carry the introduced ADA gene (unless stem cells were also corrected). The patient therefore needs periodic infusions of freshly corrected lymphocytes. A permanent cure requires introducing the functional ADA gene into bone marrow stem cells.
Other biotechnology-derived medicines
| Product | Disease treated | Source organism |
|---|---|---|
| Recombinant insulin (humulin) | Type 1 diabetes mellitus | E. coli / Saccharomyces cerevisiae |
| Recombinant human growth hormone | Growth hormone deficiency / dwarfism | E. coli |
| Recombinant tissue plasminogen activator (tPA) | Thrombosis, heart attack | CHO (Chinese hamster ovary) cells |
| Recombinant erythropoietin (EPO) | Anaemia from kidney disease | CHO cells |
| Recombinant Factor VIII | Haemophilia A | CHO cells / BHK cells |
| Recombinant hepatitis B vaccine (HBsAg) | Hepatitis B prevention | Saccharomyces cerevisiae |
Molecular diagnostics: PCR and ELISA
Traditional diagnostic methods (culturing bacteria, microscopy) often require large amounts of pathogen material. Molecular diagnostic tools can detect pathogens at much lower concentrations, often before symptoms appear.
PCR-based diagnosis
PCR (Polymerase Chain Reaction) can amplify a single copy of pathogen DNA or RNA to detectable levels. Applications:
- HIV diagnosis: PCR detects HIV proviral DNA in lymphocytes or viral RNA (after reverse transcription) during the window period (2 to 6 weeks post-infection), before antibodies reach detectable levels.
- Cancer diagnosis: PCR can detect mutated oncogene sequences (e.g., KRAS, TP53, BCR-ABL fusion gene in CML) even when very few cancer cells are present.
- Bacterial infections: PCR detects pathogen DNA (e.g., Mycobacterium tuberculosis, Chlamydia trachomatis) in clinical samples faster than culture.
- Prenatal diagnosis: PCR on fetal DNA from chorionic villus sampling (CVS) or amniocentesis can detect genetic disorders.
ELISA (Enzyme Linked Immunosorbent Assay)
ELISA detects antigen-antibody interactions and converts them to a quantifiable colour signal. It is highly sensitive and specific. The basic principle:
- A capture antibody (or antigen) is coated onto the surface of a microwell plate.
- The patient's sample is added; the target antigen (or antibody) binds to the coated antibody.
- An enzyme-conjugated secondary antibody (which binds to the primary antibody) is added.
- After washing away unbound antibody, the enzyme substrate is added.
- The enzyme converts the colourless substrate to a coloured product. Colour intensity is proportional to the amount of antigen/antibody in the sample.
- Absorbance is measured by a spectrophotometer. Results compared to a standard curve.
ELISA applications: HIV antibody detection, hepatitis B surface antigen (HBsAg) detection, food allergen testing, pregnancy tests (HCG hormone), hormone assays (TSH, LH, FSH), drug monitoring.
NEET-style problem · Molecular diagnostics
Question
A patient donates blood 3 weeks after suspected HIV exposure. The blood bank tests the sample using ELISA. The result is negative. Can you conclude the person is HIV-free? What additional test should be performed?
Solution
No, a negative ELISA at 3 weeks does NOT confirm HIV-free status. The ELISA tests for anti-HIV antibodies. After infection, there is a window period of 2 to 6 weeks (sometimes up to 12 weeks) during which the virus is replicating but antibody levels have not yet risen to detectable levels. An ELISA at 3 weeks may give a false-negative. The recommended additional test is PCR (specifically, HIV RNA viral load test or HIV proviral DNA PCR). PCR can detect HIV genetic material even when viral load is very low and before antibodies appear. Many blood banks now use 4th generation combined antigen/antibody tests (p24 antigen + antibodies) which reduce the window period to approximately 18 days.
Bioethics and biopiracy
The power of modern biotechnology to alter living organisms raises profound ethical questions. Two major issues frequently tested in NEET are biopiracy and the regulation of GM organisms.
Biopiracy
Biopiracy is the unauthorised appropriation of biological resources (plants, animals, microorganisms) or traditional knowledge about them (typically held by indigenous communities in developing countries) by companies or researchers, without prior informed consent of the originating community and without equitable sharing of benefits.
- Turmeric (Curcuma longa): The US Patent Office granted a patent for using turmeric to heal wounds. Indian scientists showed this was traditional Indian knowledge documented in Sanskrit texts. The patent was revoked in 1997.
- Basmati rice: A US company obtained a patent for a hybrid rice variety resembling basmati. India successfully challenged this, arguing basmati is a traditional Indian product with centuries of documented history.
- Neem (Azadirachta indica): European and US patents on neem-based pesticides and antifungals were challenged by India and other countries; several were revoked because traditional uses were already documented.
Convention on Biological Diversity (CBD) and the Nagoya Protocol
The CBD (1992, Rio Earth Summit) established three principles: (1) conservation of biodiversity, (2) sustainable use of its components, and (3) fair and equitable sharing of benefits arising from genetic resources. The Nagoya Protocol (2010, in force 2014) added detailed Access and Benefit-Sharing (ABS) requirements — countries providing genetic resources must give prior informed consent (PIC) and negotiate benefit-sharing agreements before those resources are used commercially.
Regulation of GM organisms in India
Genetic Engineering Appraisal Committee
Approves large-scale use and environmental release of GM organisms. Mandatory approval before any GM crop can be commercially cultivated in India.
Ministry of Environment, Forest and Climate ChangeReview Committee on Genetic Manipulation
Reviews proposals for contained use of recombinant DNA organisms and grants clearance for R&D activities.
Ministry of Science and TechnologyOther bioethics concerns in biotechnology
- Allergenicity of GM foods: A gene from one organism may encode a protein that is allergenic in humans, even if the original organism was safe (e.g., Brazil nut 2S albumin in soybean).
- Gene flow: Pollen from GM crops can fertilise wild relatives, introducing transgenes into natural populations (gene escape).
- Biodiversity loss: Large-scale cultivation of one GM variety can displace traditional diverse cultivars.
- Gene therapy ethics: Germ-line gene therapy (modifying embryo or gamete DNA) would affect future generations who cannot consent. Somatic gene therapy affects only the individual patient.
- Human cloning and designer babies: Use of reproductive technologies to select traits raises concerns about eugenics.
Worked problems
NEET-style problem · Bt crops
Question
A soil sample from an agricultural field is found to contain spores of Bacillus thuringiensis expressing the cry3A gene. A farmer wants to use this strain to protect potato crops from Colorado potato beetle. Explain whether this is appropriate and what the mechanism of action would be.
Solution
This is appropriate. The cry3A gene encodes a Cry3A protein (delta-endotoxin) effective against Coleoptera (beetles). The Colorado potato beetle (Leptinotarsa decemlineata) is a Coleoptera pest. Mechanism: When beetle larvae ingest plant tissue or Bt spores containing cry3A, the protoxin enters the alkaline larval gut (Coleoptera larvae also have alkaline midgut pH). Midgut proteases activate the protoxin to the active Cry3A toxin. The toxin binds to specific Coleoptera midgut receptors, forms pores, lyses epithelial cells, and kills the larva. This Bt strain would NOT be effective against Lepidoptera pests (which require cry1 or cry2 toxins).
NEET-style problem · ELISA and PCR
Question
Compare the sensitivity, specificity, and appropriate clinical use of ELISA and PCR in the diagnosis of infectious diseases. When would you choose PCR over ELISA?
Solution
ELISA: High sensitivity and specificity for antibody/antigen detection. Requires the patient to have produced a detectable immune response (antibodies). Appropriate for: confirmed infection status, population screening, food safety testing, hormone assays. Cheaper and faster per sample; can process thousands simultaneously.
PCR: Extremely high sensitivity (can detect a single copy of DNA/RNA). Does not depend on immune response. Appropriate for: early infection before antibodies appear (window period HIV, acute hepatitis B), detecting pathogens in immunocompromised patients (who may not mount antibody responses), diagnosing specific mutations (cancer diagnostics), forensic identification. More expensive and requires trained staff and specialised equipment. Choose PCR over ELISA when: (1) patient may be in the window period; (2) patient is immunocompromised; (3) specific gene mutation (not just infection) must be detected; (4) identifying pathogen species or strain.
Quick-recall cheat sheet
| Concept | Key fact |
|---|---|
| Bt toxin structure | Produced as inactive protoxin; activated in alkaline insect gut (pH 9 to 10) by protease |
| Bt toxin action | Binds order-specific gut receptor; forms pore in membrane; lyses epithelial cells; larva dies |
| Bt toxin safety | Human stomach is acidic; no activation; no receptor on human gut cells |
| Bt cotton genes | cry1Ac (Bollgard I); cry1Ac + cry2Ab (Bollgard II) — targets Lepidoptera |
| Bt corn gene | cry1Ab — targets European corn borer (Lepidoptera) |
| Herbicide-tolerant soy | Mutant aroA (EPSP synthase) gene; insensitive to glyphosate; Roundup Ready |
| Golden rice transgenes | Psy (phytoene synthase) + CrtI (phytoene desaturase) — beta-carotene in endosperm |
| RNAi mechanism | dsRNA → Dicer → siRNA → RISC → mRNA degradation (post-transcriptional silencing) |
| RNAi application | Transgenic tobacco resistant to Meloidogyne incognita (root-knot nematode) |
| Recombinant insulin | A and B chains produced separately in E. coli; combined in vitro; Eli Lilly 1982 (humulin) |
| ADA deficiency | Adenosine deaminase loss causes SCID; toxic deoxyadenosine kills T lymphocytes |
| ADA gene therapy (1990) | First clinical trial; patient: Ashanthi De Silva; vector: retrovirus; cells: lymphocytes |
| Why ADA therapy is not permanent | Lymphocytes are not stem cells; die and are replaced by uncorrected cells from bone marrow |
| ELISA principle | Primary antibody + antigen → enzyme-conjugated secondary antibody → substrate → colour |
| ELISA use | HIV antibodies, HBsAg, pregnancy (HCG), hormone assays, allergen testing |
| PCR diagnosis | Detects pathogen DNA/RNA even at very low copy number; useful in window period (HIV) |
| Biopiracy examples | Turmeric wound-healing patent (revoked 1997); basmati rice patent; neem pesticide patents |
| GEAC | Genetic Engineering Appraisal Committee; approves GM organism release in India |
| CBD + Nagoya Protocol | Convention on Biological Diversity (1992) + Nagoya Protocol (2014); ABS framework, anti-biopiracy |
Test yourself
Biotechnology Applications quiz
12 NEET-style questions on Bt crops, RNAi, gene therapy, ELISA, and bioethics.
Bt toxin is produced as an inactive protoxin in Bacillus thuringiensis. It becomes active when:
Frequently asked questions
How often does Biotechnology and Its Applications appear in NEET?
Biotechnology and Its Applications contributes 3 to 4 questions per NEET paper. High-yield topics include: Bt toxin mechanism (cry genes, protoxin to toxin in alkaline gut, pore formation in bollworm), Bt cotton (cry1Ac, cry2Ab), RNA interference with Meloidogyne incognita and tobacco, recombinant insulin (humulin, Eli Lilly 1982, A and B chains in E. coli), ADA gene therapy (Ashanthi De Silva, 1990, retroviral vector), ELISA principle (antigen-antibody, enzyme-conjugated secondary antibody, colour substrate), and biopiracy examples.
What is Bt toxin and how does it kill insect pests?
Bt toxin refers to Cry proteins (Cry toxins) produced by the soil bacterium Bacillus thuringiensis. The toxin is produced as an inactive protoxin (proform) stored in bacterial spores. In the highly alkaline gut of insect larvae (e.g., cotton bollworm), the protoxin is activated (converted to active toxin). The active toxin binds specifically to receptor proteins on the epithelial cells lining the larval gut. This binding creates pores (holes) in the cell membrane, causing the cells to swell and lyse (burst). The gut becomes leaky, the larva stops feeding and dies. Bt toxin is safe for mammals: in humans and animals, the stomach is acidic, so the protoxin is not activated, and mammals lack the specific gut receptor proteins.
Which cry genes are expressed in Bt cotton and what pests do they control?
Bt cotton expresses two cry genes: (1) cry1Ac — controls American bollworm (Helicoverpa armigera), a Lepidoptera pest. (2) cry2Ab — additional Lepidoptera coverage. Bt corn expresses cry1Ab (controls corn borer, Lepidoptera). The choice of cry gene depends on the target pest order: cry1 and cry2 genes are effective against Lepidoptera; cry3 genes are effective against Coleoptera (beetles).
What is RNA interference (RNAi) and how is it used to protect plants?
RNA interference (RNAi) is a cellular mechanism for post-transcriptional gene silencing. When double-stranded RNA (dsRNA) complementary to a specific mRNA is present in a cell, the RISC (RNA-induced silencing complex) is activated. RISC unwinds the dsRNA, uses one strand as a guide, and degrades the complementary mRNA, silencing the gene. Application: Transgenic tobacco was developed to resist the nematode Meloidogyne incognita (root-knot nematode). The transgenic plant produces dsRNA specific to a gene essential for nematode survival. When nematodes feed on the transgenic roots, the dsRNA enters nematode cells, triggers RNAi, silences the target nematode gene, and prevents the parasite from completing its life cycle in the plant root.
How is recombinant human insulin produced and why is it better than animal insulin?
Before recombinant DNA technology: insulin was extracted from pig and cattle pancreas. Animal insulin differs from human insulin in a few amino acids and caused allergic reactions in some patients. Recombinant human insulin (brand name humulin, developed by Eli Lilly in 1982): (1) The gene for human insulin A chain was synthesised and cloned into E. coli. (2) The gene for insulin B chain was similarly cloned into E. coli. (3) Each chain is produced separately in E. coli under the control of a promoter. (4) The chains are extracted, purified, and combined. Disulfide (S-S) bonds form between the chains to produce functional insulin identical to human pancreatic insulin. It causes no allergic reactions and is available in unlimited quantities.
What is ADA deficiency and how does gene therapy treat it?
Adenosine deaminase (ADA) deficiency is a genetic disorder caused by deletion or mutation in the ADA gene. ADA is required to convert adenosine to inosine in the purine salvage pathway. Without ADA, toxic deoxyadenosine accumulates in T lymphocytes, destroying them and causing severe combined immunodeficiency (SCID). Treatment by gene therapy: (1) Lymphocytes are isolated from the patient's blood. (2) A functional ADA gene is inserted into a retroviral vector. (3) The retroviral vector infects the lymphocytes, integrating the ADA gene into the lymphocyte genome. (4) The genetically corrected lymphocytes are returned to the patient. The lymphocytes can now produce ADA and survive. The first clinical trial was performed on Ashanthi De Silva in 1990. This is not a permanent cure — the patient needs periodic infusions of corrected lymphocytes because lymphocytes are not stem cells and are not self-renewing. A permanent cure would require introduction of ADA gene into bone marrow stem cells.
What is ELISA and what is it used to detect?
ELISA (Enzyme Linked Immunosorbent Assay) is a diagnostic technique that detects antigens or antibodies in a sample using enzyme-labelled antibodies. Basic principle: (1) The sample (containing antigen) is added to a plate coated with a primary antibody (or antigen). (2) The primary antibody binds the specific antigen. (3) An enzyme-conjugated secondary antibody (anti-antibody) is added — it binds to the primary antibody. (4) A substrate for the enzyme is added. The enzyme converts the colourless substrate to a coloured product. The colour intensity is proportional to the amount of antigen present. Uses: HIV diagnosis (detects anti-HIV antibodies or HIV proteins), pregnancy tests (detects HCG hormone), hepatitis B detection, allergen testing, drug monitoring.
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