Should we treat, avoid or prevent hereditary ...February 10, 2012
Genomic DNA is constantly mutating as the result of constant flow of DNA damaging agents that are produced in our bodies as well as in the environment. These agents include free radicals, mutagenic chemicals, ionizing radiation, microwaves and UV light. DNA mutations that occur in the reproductive cells of parents may be transmitted to their children and future generations and become a permanent (hereditary) mutation. Hereditary mutations are the main source of genetic diversity, and evolution. There is no a single person in the world that has no genetic mutations. Most of the mutations are silent as they do not affect the function of corresponding proteins. Some mutations cause production of proteins that do not function properly. In that case, the mutation may cause a disease. Currently there is no cure for the hereditary diseases, but it is now possible to identify them and in some cases treat symptoms.
It would seem that all of us should suffer from numerous hereditary diseases, however the vast majority of the world population does not have these diseases because each cell has powerful machinery specialized in finding and repairing the mutations. There are additional lines of defense against harmful mutations. For example, every human gene in the genome is represented by two copies of the so-called alleles, one from the father, the other from the mother. Usually defective alleles are recessive that means they do not manifest themselves as they are dominated and neutralized by healthy alleles. The disease manifests itself only if the child inherits both alleles with the same defect. There are more than a thousand of such systemic diseases with autosomal recessive type of inheritance found so far. The most famous of them is cystic fibricationosis and amaurotic idiocy.
Technological progress dramatically reduced natural selection in the developed countries and causes rapid accumulation of harmful disease-related mutations in the population. A new rapid DNA test that is able to identify dangerous mutations is now at the stage of clinical trials. DNA tests of parents-to-be allow them to make educated decisions as far as continuing or terminating pregnancy, having their own children or adopting. Biotechnology methods of the future will allow modification and improvement of human genome through in vitro manipulation of human embryonic stem cells that will hopefully improve health of rapidly degrading human population.