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16    Part I  Molecular and Cellular Basis of Hematology


        known to be abnormal, such as the globin genes in the thalassemia   The most important impact of the genetic approach to the analysis
        or sickle cell syndromes, the normal and pathologic anatomy of genes   of biologic phenomena is the most indirect. Diligent and repeated
        critical  to  major  hematologic  diseases  can  be  established.  In  this   application of the methods outlined in this chapter to the study of
        manner, it has been possible to identify many mutations responsible   many genes from diverse groups of organisms is beginning to reveal
        for  various  forms  of  thalassemia,  hemophilia,  thrombasthenia,  red   the basic strategies used by nature for the regulation of cell and tissue
        blood cell enzymopathies, porphyrias, and so forth. Similarly, single   behavior. As our knowledge of these rules of regulation grows, our
        base changes have been shown to be the difference between many   ability to understand, detect, and correct pathologic phenomena will
        normally functioning proto-oncogenes and their cancer-promoting   increase substantially.
        oncogene derivatives.
           Third, cloned genes can be manipulated for studies of gene expres-
        sion. Many vectors allowing efficient transfer of genes into eukaryotic   SUGGESTED READINGS
        cells have been perfected. Gene transfer technologies allow the gene
        to be placed into the desired cellular environment and the expression   Bentley D: The mRNA assembly line: Transcription and processing machines
        of that gene or the behavior of its products to be analyzed. These   in the same factory. Curr Opin Cell Biol 14:336, 2002.
        surrogate  or  reverse  genetics  systems  allow  analysis  of  the  normal   Dykxhoorn DM, Novina CD, Sharp PA: Killing the messenger: Short RNAs
        physiology of expression of a particular gene, as well as the patho-  that silence gene expression. Nat Rev Mol Cell Biol 4:457, 2003.
        physiology of abnormal gene expression resulting from mutations.  Fischle W, Wang Y, Allis CD: Histone and chromatin cross-talk. Curr Opin
           Fourth, cloned genes enhance study of their protein products. By   Cell Biol 15:172, 2003.
        expressing  fragments  of  the  gene  in  microorganisms  or  eukaryotic   Grewal  SI,  Moazed  D:  Heterochromatin  and  epigenetic  control  of  gene
        cells,  customized  regions  of  a  protein  can  be  produced  for  use  as   expression. Science 301:798, 2003.
        an immunogen, thereby allowing preparation of a variety of useful   Jones B: Layers of gene regulation. Nat Rev Genet 16:128–129, 2015.
        and  powerful  antibody  probes.  Alternatively,  synthetic  peptides   Kloosterman  WP,  Plasterk  RHA: The  diverse  functions  of  microRNAs  in
        deduced  from  the  DNA  sequence  can  be  prepared  as  the  immu-  animal development and disease. Dev Cell 11:441, 2006.
        nogen. Controlled production of large amounts of the protein also   Klose RJ, Bird AP: Genomic DNA methylation: The mark and its mediators.
        allows direct analysis of specific functions attributable to regions in     Trends Biochem Sci 31:89, 2006.
        that protein.                                         Kumar A, Garg S, Garg N: Regulation of gene expression: RNA regulation.
           Finally, all of the aforementioned techniques can be extended by   Rev Cell and Mol Med 1–59, 2014.
        mutating the gene and examining the effects of those mutations on   Lee TI, Young RA: Transcription of eukaryotic protein-coding genes. Annu
        the  expression  of  or  the  properties  of  the  encoded  mRNAs  and   Rev Genet 34:77, 2000.
        proteins. By combining portions of one gene with another (chimeric   Tefferi A, Wieben ED, Dewald GW, et al: Primer on medical genomics, part
        genes)  or  abutting  structural  regions  of  one  gene  with  regulatory   II: Background principles and methods in molecular genetics. Mayo Clin
        sequences  of  another,  the  researcher  can  investigate  in  previously   Proc 77:785, 2002.
        inconceivable ways the complexities of gene regulation. These activist   Waddington S, Privolizzi R, Karda R, et al: A broad overview and review of
        approaches  to  modifying  gene  structure  or  expression  create  the   Crispr-CAS technology and stem cells. Curr Stem Cell Rep 2:9–20, 2016.
        opportunity  to  generate  new  RNA  and  protein  products  whose   Wilusz  CJ,  Wormington  M,  Peltz  SW:  The  cap-to-tail  guide  to  mRNA
        applications  are  limited  only  by  the  collective  imagination  of  the   turnover. Nat Rev Mol Cell Biol 2:237, 2001.
        investigators.
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