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Lentivirus
RNA viral method for gene delivery by ssRNA derived from HIV but replication incompetent
Genome integration & stable expression for proliferating cells
+Long term, stable, largeish (8-9kB), dividing and nondividing cells
-Insertional mutagenesis, complex production
Adenovirus
DNA virus discovered from human adenoid tissue that naturally infects respiratory cells, using dsDNA as a gene delivery vector
No genome integration
+Easy production, high transduction efficiency, all cell types, up to 35kB insertional capacity
-Can trigger strong immune response at high dosage(inflammation, organ toxicity, death), transient gene expression (several weeks, not ideal for long-term correction)
Adeno-Associated Virus (AAV)
ssDNA method that uses a helper virus (adenovirus), or helper plasmids
Sometimes integrates into genome
+Safe, stable long-term (years), nonpathogenic, transduces dividing and nondividing cells efficiently, low immunogenicity compared to adenovirus
-Small insertional capacity (5kB), complex production, low yield & expensive scaling up
Transduction
A viral-mediated gene delivery process where a virus introduces genetic material into host cells
Transfection
The general process of introducing nucleic acid plasmids to mammalian cells, often using nonviral methods, to produce viral particles/proteins
In silico
virtual, computer setting, simulation
In vitro
in a lab dish or test tube outside of the body
In vivo
In a living organism, inside the body
In situ
in the original tissue without removal
Ex vivo
cells are removed, edited, put back
Viral gene delivery methods
Cell reprogramming approach using viral factors delivered as single or double stranded DNA or RNA
-Lentivirus
-Adenovirus
-AAV
Non-viral systems
Gene delivery methods that deliver reprogramming factors without a virus
-Lipid nanoparticles (LNPs)
-Electroporation
Virus production process
Transformation, Transfection, Tranduction
Transformation
The process of introducing plasmid DNA into bacterial cells so that they can replicate and produce large quantities of the plasmid
-used during cloning and amplification steps
Transformation
The process of introducing plasmid DNA into bacterial cells so that they can replicate and produce large quantities of the plasmid
-used during cloning and amplification steps
Lipid Nanoparticle (LNP)
Self-assembled spheres made up of: ionizable lipids, phospholiipids, cholesterol, and a PEG-lipid coating
-different component roles that form a stable sphere that carries our cargo: mRNA or CRISPR
Ionizable lipid LNP
positive charge at low pH that binds to negative RNA and neutral at physiological 7.4 pH that reduces toxicity and won’t disrupt cell membranes or cause immune activation
PEGylated lipid LNP
hydrophilic coating, evades immune detection and body clearance, increases circulation time, allowing more particles to reach target cells
Cholesterol
fills gaps between other lipids and controls flexibility, stabilizes particle, improves mRNA delivery
Phospholipid
stabilizes lipid bilayer and aids in membrane fusion during endosomal escape
LNP Mechanism
1) Cellular uptake (endocytosis): LNP binds to membrane and gets engulfed into endosome
2) Endosomal escape: acidic environment activates ionizable lipids in LNP, disrupts endosome, cargo releases and destabilizes membrane
3)Cargo release: once free, LNP releases mRNA or CRISPR, able to be translated or perform editing
Systemic Delivery
delivery to blood to circulate the bloodstream and reach many tissues and organs
EX: LNPs interact with macrophages, endothelial cells, and enzymes that degrade RNA
-can be delivered through intravenous injection (IV) to blood or orally administered
-common for gene therapy or LNP delivery
Local Delivery
Delivery directly to a specific site, primarily targeting a specific tissue
EX: LNPs stay near injection site and are taken up by dendritic cells or muscle cells
-commonly delivered through intramuscular or intradermal injection

A. Endocytosis→Endosomal escape→Cargo release

B. Because transduction requires a virus to deliver genetic material

Virus needed (uL)= 7uL x (200,000 cells/15,000 cells) = 93uL virus
You need long-term gene expression in non-dividing neurons in the retina.
The gene is small (~3 kb), and safety is critical.
Which viral vector would you choose?
Because safety is critical, AAV’s are the best option, and they have smart insertional capacity on top of stable long-term gene expression in dividing and nondividing cells
You’re testing a new gene that might promote cell differentiation.
You don’t need to inject into animals yet, just show stable integration in dividing cells. What vector would you use?
Because you need stable gene integration that promotes cell differentiation, lentivirus is the best option
You want strong, short-term expression of a viral antigen to trigger an immune response. What vector would you use?
Adenovirus since it has high transduction efficiency with short-term transient gene expression that only lasts a few weeks and triggers a strong immune response
Electroporation
the use of electricity to open cell membranes temporarily allowing negatively charged DNA to move toward positive cell and enter through pores
done by combining host cells with nucleic acids needed for insertion within conductive solution-electroporation buffer that lets electric current pass evenly through sample without frying cells
electric field disturbs the phospholipid bilayer, temporarily forming pores in cell membrane, then it is allowed to recover
+easy, rapid, stable, transfect large number of cells in short time, all cell types
-high cell death/mortality as a result of high voltage pulse leaving cells unable to recover membrane

C. It uses a short electrical pulse to form temporary pores in the membrane
Engineered Nucleases
2 types:
Zinc Finger Nucleases (ZFNs)
Transcription Activator Like Effector Nucleases (TALENS)
2 parts:
1) Binds the DNA
2) Nuclease- like scissors that cut DNA and make double stranded break
ZFNs
DNA recognition: each zinc finger protein binds to 3 DNA bases-one amino acid-several fingers linked together to target a unique DNA sequence
fokl enzyme as scissors, DNA cleavage domain
zinc finger: DNA binding domain, work in pairs, each binding one site of target DNA, fokl dimerizes and cuts DNA between them, double stranded break created repaired by cell, allowimg gene knockout or insertion
TALENS
DNA recognition: TALE binds 1 specific DNA base for precise targeting of any sequence
fokl scissors cleavage domain: TALENS work in pairs binding opp sides of target DNA, dimerizing and cutting DNA between them
double stranded break created and repaired by cell, allowing gene knockout or gene insertion
CRISPR-Cas9
specificity of gene editing with guide RNA that recognizes DNA by complementary base pairing, allowing programmability and precision
w Cas9, gRNA, PAM
Cas9
scissors for dsDNA
gRNA
GPS address that brings Cas9 to exact DNA sequence needed to be edited, new gRNA design for each new target
PAM
short DNA sequence for Cas9 binding

D. AAV, HDR
HDR
homology directed repair that uses a donor DNA template to insert or correct sequences by gene knockout in
NHEJ
non homologous end joining: a quick fix that introduces small insertions or deletions for a gene knockout, default when no donor
Insulin vs CRISPR
CD47 overexpression to help cells avoid immune detection, don’t eat me signal to block innate immune system
Knockout of MHCI,II to block adaptive immune system attack

C
Biomaterial
all substances other than food and drugs that are utilized for biomedical purposes:
1) to treat or diagnose illnesses
2) to repair, enhance, or replace tissues, organs, or physiological functions
Biomaterial Requirements
Biocompatibility & Bioactivity: how well material interface or integrates w live tissue
Biodegradability & Corrosion: natural removal and rate, toxicity, byproducts, body elimination
Mechanical Properties: integrity throughout use and strength
Microscopic & Macroscopic Architecture: shape and size of bulk structure and porosity, fiber diameter and length
Fabrication & Cost: complexity and expensiveness
Biocompatibility and Bioactivity
cells need to adhere and migrate, proliferate, produce ECM, normal function
pores allow for binding sites on surface as they mimic ECM scaffolds, where adhesion proteins can be absorbed
synthetic scaffolds may require protein absorption
Biodegradability
may need to be degradable or not depending on time needed in body
scaffold degradation rate must match natural regeneration (healing) as closely
allows controlled release of drugs
must exit body safely
Mechanical Properties
strength persistent indefinitely until degradation or replacement
surgically resistant
compliance or brittle character match implant site
porosity and fibrosity for adhesion and integration
Young’s Modulus (E) / Elastic Modulus
slope of curve at elastic region resembling stiffness
stress/strain
Yield stress/strength
point where material will experience plastic deformation or permanent deformation afterwards w more strain
upper: higher stress point separating elastic and plastic regions
lower: lower stress in plastic region before extra stress leads to max strength
Ultimate Strength/ tensile/ max
capacity of material to withstand loads to elongate at peak stress point in plastic region
Rupture strength/fracture point
max stress a material can withstand before breaking at end of line
Toughness
ability of a material to absorb energy and plastically deform without fracturing -area under curve, integrate
Brittle material
strong w little strain for high stress
sudden fracture w little or no plastic deformation
ex: glass
Strong but not ductile
Ex: steel wires
Stretch very little and break suddenly
Ductile material
Past elastic region, strange section where necking happens -a permanent deformation in plastic region
Plastic material
Very small elastic region, no steepness, straight across strain with small stress
Measuring mechanical properties
Brittle, strong but not ductile, ductile, plastic

Extracellular matrix (ECM)
Heterogenous structure w functional proteins like collagen, fibronectin, laminin, plus grown factors, proceoglycams, and polysaccharides
- porous and fibrous
- wide stiffness range depending on tissue type
Why make scaffolds porous and fibrous
Mimic natural ECM
Integrate with cells for growth and regeneration, providing space for cells to maneuver and high surface area for adhesion
Composed of synthetic and natural polymers
Can be used to grow tissue in vitro or as catalyst for regeneration in vivo
Micro and macroscopic architecture
Pore sizes and interconnected structures, distribution, shape, roughness, porosity affect:
migration and penetration
adhesion
proliferation
diffusion of nutrients and waste
uniform distribution
vascularization
Porisometry
Measured by:
SEM (surface spread w electrons cross sectioned)
liquid displacement
CT
Fluid Flow Modeling
Organic Biomaterials
Natural polymers
Synthetic polymers
Inorganic Biomaterials
Metals
Ceramics
Metal Alloys examples
Ex: Stent, a metal mesh or fiber in place for blockages
Ex2: artificial joints
Titanium alloy
Vascular stent, fibrous mesh, combination of two or more elements, at least one being a metal
Properties:
Mech-strong nd stiff
Biocom-little interactions with body
Degra-none
Fabrication-by laser machining
Chromium
Solution to metal corrosion that serves as a protective layer, nanodiamond does the same and both prevent metallosis buildup of toxic metal ion debris in soft tissue resulting from body environment corrosive to metals
Metal Alloy Fabrication Methods
Thermo-mechanical: heating and shaping
Powder Metallurgy: metal powder compacted into porous material EX: titanium scaffold for bone regeneration
Laser machining: metal carved with lasers EX: laser machined nitinol vascular stent of nickel and titanium
Metal Alloys
+ good mechanics (strength, compression, fatigue and wear resistance)
+corrosion resistant
+nonreactive in body
-unnatural Elastic modulus (stiffness-extremely, much greater than bone)-causes breakdown resorption and necrosis at bone-metal interface
-not biodegradable or slow
-no well integration with body

-Titanium: pure metal itself
-other options are combinations
-but can be used in alloys
Bioceramics
ceramic material engineered to interface with biological systems:
bioinert
bioactive
bioresorbable
EX: HA-bone component naturally occurring with high bioactivity
TCP-natural, high bioactivity
Bioactive glass-silicate w metals and minerals
Applications: dental and bone fillings, coatings for implant-bone interfaces, musculoskeletal supports
Hydroxyapatite (HA)
Porous bioceramic material crystals can be implanted to bone cavity for regeneration facilitation
Bioceramic Properties
+bone compatibility because similar elastic moduus, chemically and structurally similar, natural ceramics that enhance osteoblast differentiation and proliferation in vitro
+corrosion resistant
+compression resistant
-brittle, limited or no plastic deformation
-difficult to shape

Chemically and structurally similar to bone
Corrosion resistant
Compression resistant
Biodegradable Polymers
Natural-completely degradable, 3 natural proteins for natural-based and san, ose,tran polysaccharides
Synthetic-partially degradable-polys and phos
Hydrogels
Hydrophilic polymers that form bonds with surrounding liquid and crosslink with each other
-like ECM and soft tissue mech and structure
-biodegradable
-applications to cell culture, scaffolds, building blocks
Ex: collagen, gelatin, alginate, Poly lactic acid (PLA)
Natural Polymers
+biocativity due to many proteins of natural ECM, promotes cell adhesion and proliferation
+can be remodeled by body
+biodegradable
-batch vaariability
-poor mechanics
-expensive synthesis
Poly-L-Lactic Acid Vascular Stent (Synthetic Polymer)
Mechanics: low stiffness and strength than metal
Biocompatibility: not as much as naturally derived polymers, some interaction
Degradability: hydrolytic
Synthetic Polymers Properties
+cheaper fabrication, no variability, long shelf life, more than natural
+wide tunability of mechanics
+biodegradable
-less bioactivity than natural polymers

Bioactivity
Composite Materials
combined materials
ex: tunable mechanics of synthetic polymers combined with bioactivity of natural polymers
ex: polymer and ceramic brittleness with elasticity
ex: ti dental implant with bioactive glass mechanics of titanium with ceramics bioactivity
Solvent Casting & Porogen Leaching
creates porous scaffolds
1) Porogens like salt crystals fat or sugar placed in mold with soluble solvent
2) Porogen Leaching: embedded porogens dissolved out with solvent like water or alcohol
-size and architecture of pores controlled by porogen size and shape
-difficult to control consistency and interconnectivity of pores
Electrospinning/Electrospraying
1) Voltage applied to capillary tube ejector
2) Soluble polymer ejected to collector and drawn to fiber or sprayed (viscosity and voltage-dependent)
3) Solvent evaporation with thin fiber of polymer left behind
CONS
-time consuming
-