Difference between revisions of "Team:CSU CHINA/Human Practices"

 
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                         <h2 class="display-4" id="PoorTreatment">POOR TREATMENT</h2>
 
                         <h2 class="display-4" id="PoorTreatment">POOR TREATMENT</h2>
 
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                             First of all, we went to the inpatient building of Xiangya Third Hospital to interview breast cancer patients here. We learned about the situation of their own diseases, the treatment methods available to them, the treatment methods they finally chose and their related prognosis. We also learnt about some of their concerns about treatment choices and the improvements they would like to make. According to this investigation, we had inquired relevant information, and learned that the targeted therapy drugs in clinical practice currently commonly used were monoclonal antibodies designed according to HER2 positive, which had certain effects on breast cancer patients with HER2 positive<a href="#inter1" style="color: grey;"><sup>[1]</sup></a></p>.
 
                             First of all, we went to the inpatient building of Xiangya Third Hospital to interview breast cancer patients here. We learned about the situation of their own diseases, the treatment methods available to them, the treatment methods they finally chose and their related prognosis. We also learnt about some of their concerns about treatment choices and the improvements they would like to make. According to this investigation, we had inquired relevant information, and learned that the targeted therapy drugs in clinical practice currently commonly used were monoclonal antibodies designed according to HER2 positive, which had certain effects on breast cancer patients with HER2 positive<a href="#inter1" style="color: grey;"><sup>[1]</sup></a></p>.
 
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                         <img src="https://static.igem.org/mediawiki/2019/a/a6/T--CSU_CHINA--Presearch.JPG" class="pre" style="width: 80%;">
 
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                         <p class="px-4 text-justify" style="border-color: #627760; border-left-style: solid; border-left-width: 10px;">For TNBC, the first thing we need to solve is the problem of identification and initiation, so we designed a gene loop. Currently, targeted therapy drugs for breast cancer are greatly affected by other factors such as environment and tumor status, which may have unstable recognition and reduce its effect. Therefore, we changed the design of targeting from the receptor binding on the cell surface to the specific initiation of the treatment loop inside the cell, that is, a triple-negative breast-cancer-specific promoter was designed in the loop to drive the specific expression of the edited anti-tumor effector in the triple-negative breast cancer cells. However, according to the similarity of the cancer cells and normal tissue or other complex reasons, the promoter specificity is very difficult to reach a higher level, (the experimental data show that the highest can reach 60%, targeted therapy drugs in clinical practice not considering the body complex situations), so we consider to choose a significant differences in tumor tissues and normal tissues of indicators as the premise of loop start, to increase the specificity of the loop. Our team found that three negative breast cancer cells exist in some specific lower expression of microRNAs<a href="#inter3-8" style="color: grey;"><sup>[3-8]</sup></a>, so we will use these microRNAs as indicators of loop start, i.e. adding the miRNA switch in the loop, to control genes in the loop through differences between normal cells and three negative significant as the amount of the miRNA expression in breast cancer cells, so as to add a bumper to the overall loop.</p>
 
                         <p class="px-4 text-justify" style="border-color: #627760; border-left-style: solid; border-left-width: 10px;">For TNBC, the first thing we need to solve is the problem of identification and initiation, so we designed a gene loop. Currently, targeted therapy drugs for breast cancer are greatly affected by other factors such as environment and tumor status, which may have unstable recognition and reduce its effect. Therefore, we changed the design of targeting from the receptor binding on the cell surface to the specific initiation of the treatment loop inside the cell, that is, a triple-negative breast-cancer-specific promoter was designed in the loop to drive the specific expression of the edited anti-tumor effector in the triple-negative breast cancer cells. However, according to the similarity of the cancer cells and normal tissue or other complex reasons, the promoter specificity is very difficult to reach a higher level, (the experimental data show that the highest can reach 60%, targeted therapy drugs in clinical practice not considering the body complex situations), so we consider to choose a significant differences in tumor tissues and normal tissues of indicators as the premise of loop start, to increase the specificity of the loop. Our team found that three negative breast cancer cells exist in some specific lower expression of microRNAs<a href="#inter3-8" style="color: grey;"><sup>[3-8]</sup></a>, so we will use these microRNAs as indicators of loop start, i.e. adding the miRNA switch in the loop, to control genes in the loop through differences between normal cells and three negative significant as the amount of the miRNA expression in breast cancer cells, so as to add a bumper to the overall loop.</p>
 
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                         <img src="https://static.igem.org/mediawiki/2019/8/88/T--CSU_CHINA--HPDesign.jpg" style="width: 80%;">
 
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                         <p class="px-4 text-justify" style="border-color: #dcc399; border-left-style: solid; border-left-width: 10px;">In order to have a deeper understanding of the treatment status of triple-negative breast cancer and the prospect of our project, we went to Xiangya No. 3 hospital to conduct a survey and interview with professor Yanguang Wen from the department of mammary gland surgery. Through consulting professor Wen on the current treatment status of triple-negative breast cancer, we know that there is still a need to find new treatments for triple-negative breast cancer, and our project has certain prospects. We understand that the current problem of gene therapy killing through the loop faced is how to capture escaped cells<a href="#inter9" style="color: grey;"><sup>[9]</sup></a>, so we improved the loop by using the superposition of Module1 and Module3, which can express anti-tumor effector jointly, to guarantee the killing effect. In terms of the safety of gene therapy, we do not intend to use viral or bacterial vectors, but use safer transferrin combined with liposomes to directly target tumor cells, so that the transduction efficiency is higher and the risk is lower. At the same time, professor Yanguang Wen suggested we pay attention to the advantages and disadvantages of traditional therapy represented by radiotherapy and chemotherapy and our gene therapy, which may provide new ideas for our experiments.</p>                                 
 
                         <p class="px-4 text-justify" style="border-color: #dcc399; border-left-style: solid; border-left-width: 10px;">In order to have a deeper understanding of the treatment status of triple-negative breast cancer and the prospect of our project, we went to Xiangya No. 3 hospital to conduct a survey and interview with professor Yanguang Wen from the department of mammary gland surgery. Through consulting professor Wen on the current treatment status of triple-negative breast cancer, we know that there is still a need to find new treatments for triple-negative breast cancer, and our project has certain prospects. We understand that the current problem of gene therapy killing through the loop faced is how to capture escaped cells<a href="#inter9" style="color: grey;"><sup>[9]</sup></a>, so we improved the loop by using the superposition of Module1 and Module3, which can express anti-tumor effector jointly, to guarantee the killing effect. In terms of the safety of gene therapy, we do not intend to use viral or bacterial vectors, but use safer transferrin combined with liposomes to directly target tumor cells, so that the transduction efficiency is higher and the risk is lower. At the same time, professor Yanguang Wen suggested we pay attention to the advantages and disadvantages of traditional therapy represented by radiotherapy and chemotherapy and our gene therapy, which may provide new ideas for our experiments.</p>                                 
 
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                         <img src="https://static.igem.org/mediawiki/2019/9/91/T--CSU_CHINA--zaiti.png" style="width: 70%">  
 
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