Guest guest Posted August 11, 2002 Report Share Posted August 11, 2002 World's worst diseases face new foe: biotechnology By Jeremy Smith LONDON (Reuters) - Genetic engineering, often slammed by environmental and consumer groups for its role in altering staple foods, may have found a niche where it can help save the lives of millions from the world's most endemic diseases. By using biotechnology to incorporate useful genes into an almost limitless variety of common plants, from rapeseed and tobacco to potato, tomato and banana, scientists aim to produce cheap and stable vaccines in an edible form -- and beat disease. Scourges such as cholera, tuberculosis and hepatitis, all responsible for the deaths of millions every year including many children in developing countries, have been targeted as candidates for vaccines which can be engineered from plants. And in another use of biotechnology, there is now some realistic hope that mankind's centuries-old battle against malaria may soon be nearing its end due to a breakthrough last year in producing the world's first transgenic mosquito. So far, there seems to be no obvious end to the sheer variety of biotechnology's potential applications in the fight against disease. Even the roots of the humble tobacco plant are being used to mass-produce a vaccine against scorpion stings in Brazil, which may eventually be incorporated into fruit. " It's a relatively recent technology and I don't know when we would ever see commercially available vaccines. But it's quite exciting, " said Mike Steward, immunologist at the London School of Hygiene and Tropical Medicine (LSHTM). " It doesn't matter in what plant you insert them (genes) as the molecular biology principles are identical. The versatility is amazing, " he said. Genetic modification (GM) involves exchanging or splicing genes of unrelated species that cannot naturally swap with each other, and the species can be as different as chalk and cheese. Scientists have spliced spider venom genes into maize and other food crops as a 'natural pesticide' to deter insects and birds from feeding on the plants, and inserted fish antifreeze genes into tomatoes to extend their growing season into winter. VACCINES FIND NEW HOME IN VARIETY OF COMMON FOODS The first human clinical trial of an edible vaccine took place in 1997 when volunteers ate raw potatoes which were genetically engineered against the common E. coli bacteria. Since then a whole range of plants, most often vegetables, has come under the bioscientist's knife for adaptation as a possible host for vaccines. Foods under study include bananas, potatoes, tomatoes, lettuce, rice, wheat, soybeans and corn. " One day children may get immunized by munching on foods instead of enduring shots. More important, food vaccines might save millions who now die for lack of access to traditional innoculants, " said leading journal Scientific American in an article last year on edible vaccines. " The advantages would be enormous, " the article said. " Nothing would be more satisfying than to protect the health of many millions of now defenseless children around the globe. " Last year, the spotlight fell on hepatitis B, a virus which can cause high fever, lifelong infection, cirrhosis of the liver and liver cancer. More than 60 percent of liver cancers worldwide have been linked to hepatitis B. Mice were fed with modified potato, containing an oral vaccine for hepatitis B which passed through the animals' stomachs without being broken down and stimulated the production of antibodies against the disease. Scientists now say tomatoes and bananas genetically modified to contain such a vaccine may be able to eradicate the virus. Clinical trials have been conducted on pigs using an edible vaccine for transmissible gastroenteritis in corn, while work is continuing on a vaccine using tomatoes for RSV, a respiratory virus which can be fatal for infants less than six months old. One recent offbeat development was the isolation in a British laboratory of a non-toxic protein within the venom of a tiny yellow scorpion which is common in parts of Brazil. When injected into animals, the protein proved to be a good potential vaccine as it set up a strong immunity to the venom. But the problem was that only very limited amounts of the protein could be obtained, just enough for a handful of people. Scientists managed to crack the protein's genetic code -- and used the roots of the tobacco plant to purify the home-grown gene into larger amounts of protein vaccine, with no risk of the scorpion gene getting out into plant species. Stings from scorpions, which tend to live in shoes, clothing or bed-linen, or under surface debris such as leaves, represent a significant medical problem in many of the world's tropical areas. Mortality rates can be high and thousands die every year. LIGHT AT END OF TUNNEL IN FIGHT AGAINST MALARIA? So far, the most trumpeted success story of biotechnology's use in medicine probably came last year when an Anglo-German team of scientists inserted a foreign marker gene into the mosquito genome, allowing the possibility of genetic alteration. While recognizing that the breakthrough was not yet a cure for malaria, the team hailed the achievement as their " holy grail " and a major advance in malaria control -- after 15 years of efforts to create the world's first transgenic mosquito. At the time, the team said it might now be possible to create a mosquito that was stable, safe and physically unable to transmit the malaria-causing parasite, maybe within six years. Now, according to one of the team's leaders, there may be reason to rejoice sooner as the battle nears its end against malaria, a tropical disease responsible for more than a million deaths every year, mainly among young children in Africa. " Progress has been incredible in this field and probably it may take less time, " said Andrea Crisanti at the Department of Biology at London's Imperial College. " Progress has been very fast during the last year, faster than anticipated. " More release trials will be carried out on islands where malaria is endemic. If this proves successful, then a different and more sophisticated approach will be undertaken, " he said. " The idea is to introduce a mosquito which is then able to breed with indigenous mosquitoes and so spread the resistance gene. " GM'S USE IN MEDICINE STILL HAMPERED BY POLITICS, CRITICS The world biotech industry is no stranger to controversy and comes under regular attack from environmentalists and concerned consumers, mainly on account of its work in modifying food crops for what its critics see as purely commercial motives. Although still in their infancy, edible vaccines which are man-made using bioengineering are unlikely to avoid this debate and will in any case be subjected to years of rigorous testing before commercial licensing can be granted, experts say. " Even if we all got all the science right and produced an edible vaccine...I can't imagine it would be less than five or 10 years before it got through all the hoops, " said LSHTM's Steward. " Those are the scientific and clinical hoops. Then there are the political ones. " It's pretty low key at the moment. When it was first discussed at an immunology congress, people were rather amused by the whole thing. It's still pretty much in its infancy. 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