Difference between revisions of "Team:UCSC/HP/Silver"

 
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<p>On this page, we’ll discuss the questions we asked ourselves and others, and how we decided to pursue our project.</p>
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<p>On this page, we’ll discuss the questions we asked to determine if our project would be safe, useful, and an overall benefit to the world.</p>
  
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<h2 style="text-align: left; font-weight: 500;">Why Bugs Without Borders?</h2>
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<h2 style="text-align: left; font-weight: 500;">Why a GMO?</h2>
<h3 style="text-align: left; font-weight: 400; font-size: 140%;">Or more specifically, why localized medicine production?</h3>
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<p>Bioengineering an organism introduces the risks associated with a genetically modified organism, but relieves the risk of simply not having the medicine at all and reduces dependency on shipments. The biosynthetic process eliminates the risk of adding toxic ingredients, a situation that has happened in poorly regulated conventional production factories<sup>[2]</sup>. Chemically synthesizing these products requires harsh chemicals and requires removing those chemicals before human consumption, which is not a perfect process. The genetic changes to these organisms won’t be transferred to humans upon consumption, and fewer purification steps are required to prepare our products for human consumption than chemically synthesized alternatives.</p>
<p>First and foremost: medicine is hard to ship. Current efforts to ship medicine are unsustainable and unreliable, and rarely do the shipments make it to the intended destination. So why keep trying to ship the medicine synthesized in centralized large pharmaceutical companies? Instead, let’s <b><i>ship the factory</i></b>, once, and make the medicines locally in the regions that need them the most.</p>
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<div class="diagram-image-right-1">
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<p>To learn more about our organism of interest, check out our page on our <a href="https://2017.igem.org/Team:UCSC/Target-Organism">target organism!</a></p>
<img src="https://static.igem.org/mediawiki/2017/2/22/Headlines_silver_requirement.png" style="width: 100%;">
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<i>News headlines from various reports of either stolen, blocked, or seized medical aid.</i>
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<div class="diagram-image-left-1">
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<img src="https://static.igem.org/mediawiki/2017/7/7a/WHOlist.png" style="width: 100%;">
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<i>Section of the World Health Organization (WHO) list of essential medicines. Paracetamol is used an another name for acetaminophen.
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<p>We hope to accelerate a growing movement to shift production of medicine delivery to the regions that need them. While it is important for us to develop the technology, essentially a living factory synthesizing essential vitamins and medicines, it is also important for us to address aspects of the problem unsolvable with science alone. We hope to analyze and understand how our project fits into existing policies and attitudes surrounding poverty and malnutrition.</p>
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<h2 style="text-align: left; font-weight: 500;">Why Acetaminophen?</h2>
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<p>The choice of host is intimately tied to the medicines that we could produce. We aim to biosynthetically produce acetaminophen, a common mild anesthetic and antipyretic recognized by the WHO as an essential medicine<sup>[1]</sup> due to the feasibility of recreating the metabolic pathway in a cyanobacteria. However, in many countries with lower regulations and faulty policies regarding drug manufacturing, acetaminophen can be synthesized with lethal toxins that result in hundreds of deaths worldwide<sup>[2]</sup>. Acetaminophen is often used in conjunction with opioid pain medications postoperatively to enhance pain relief, thus reducing reliance upon opioid pharmaceuticals<sup>[6]</sup>.</p>
  
 
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<h2 style="text-align: left; font-weight: 500;">How do you know this is actually a real problem?</h2>
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<p>To learn more, take a look at our page on <a href="https://2017.igem.org/Team:UCSC/Acetaminophen">acetaminophen metabolics.</a></p>
<p>We began our research by contacting health care practitioners around the world, including professionals in Brazil, Palau, Bolivia, Venezuela, Perú, Haití, Nicaragua, and The Dominican Republic. We asked these doctors what ailments are most common and what medicines are most needed. Nearly all the practitioners mentioned lack of adequate access to vitamins, pain relievers, and other pharmaceuticals due to insufficient supply, high cost, and high demand. By analyzing World Health Organization data, we noticed that malnutrition and pain are consistent global problems, especially in remote regions where medicine is generally less accessible Therefore, we chose to focus on the topics of vitamin deficiency and pharmaceutical shortages.</p>
+
  
<h2 style="text-align: left; font-weight: 500;">Why a GMO?</h2>
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<br>
<p>Bioengineering an organism introduces the risks associated with a genetically modified organism, but relieves the risk of simply not having the medicine at all, and reduces dependency on shipments. The biosynthetic process eliminates the risk of adding toxic ingredients, a situation that has happened in poorly regulated conventional production factories<sup>[2]</sup>.</p>
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<h2 style="text-align: left; font-weight: 500;">Why Vitamin B<sub>12</sub>?</h2>
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<p>We aim to produce human usable vitamin B<sub>12</sub> because it is one of the few vitamins that <i>Arthrospira platensis</i> does not adequately produce. Vitamin B<sub>12</sub> proves to be a leading global vitamin deficiency and one of the most difficult vitamins to naturally consume, especially for vegetarians<sup>[7]</sup>. Vitamin B<sub>12</sub> deficiency can lead to megaloblastic anemia and demyelinating nervous system disease<sup>[8]</sup>. Additionally, both vitamins B<sub>12</sub> and B<sub>9</sub> are considered important prenatal vitamins for nervous system development<sup>[9]</sup>.</p>
  
 
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<p>Additionally, health care is outrageously expensive and often culturally invasive when forced upon people. For example, the Marshallese people who were eradicated from their homeland due to the extensive nuclear testing conducted by the U.S. Government in the 1940s and 50s have faced insurmountable difficulty coping with and affording traditional health care<sup[5]</sup>.</p>
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<p>To learn more, take a look at our page on <a href="https://2017.igem.org/Team:UCSC/B-12">vitamin B<sub>12</sub> metabolics.</a></p>
  
<div class="diagram-image-left-1">
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<h2 style="text-align: left; font-weight: 500;">Is all of this safe?</h2>
<img src="https://static.igem.org/mediawiki/2017/0/01/Marshall_people.jpg" style="width: 100%;">
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<p>It is important to consider that we are creating a proof-of-concept rather than an immediately implementable product. The safety concerns involved at the proof-of-concept stage are less complex than those of the implementation stage, and the safety concerns must be addressed at both stages to have a clear direction moving forward.</p>
<i>Image sourced from NY Times, "For Pacific Islanders, Hopes and Troubles in Arkansas"
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<img src="https://static.igem.org/mediawiki/2017/8/86/7942-inIncubator.JPG" style="width: 100%;">
Worshipers gathered on a Sunday at Faith Full Gospel Marshallese Church.
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<i>Incubator with growing cultures of S. elongatus in various media.</i>
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<p>Part of the goal was to provide a new medicine delivery approach that could be integrated more easily into already accepted diets or customs. The cultural barriers to adequate medical treatment by western standards were expanded upon in our discussion about the Marshallese who are granted residency in the United States, who pay taxes, but are not allowed to vote or hold office, or citizenship. By using an edible, nutrient dense microorganism, we hope to ease the process of cultural acceptance and integration.</p>
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<p>For example, one concern is that the project currently uses antibiotic resistance as the selectable marker for transformants. However, a future application of this in a clinical medical setting outside the laboratory would need to use a different selectable marker strategy in order to avoid the possible release of antibiotic resistance genes to the environment. This consideration brings us back to the research, outreach, design, and implementation questions that are a critical part of our human practices approach.</p>
  
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<p>Another safety consideration is the dosage of the product, and the reliable determination of dosage. How will those using our product be able to know the dosage? What in our preliminary proof-of-concept and modeling provides insight on finding correct dosages? To determine product yield, we dove deeply into modeling the metabolics of our organism. Click here to learn more about how <a href="https://2017.igem.org/Team:UCSC/Model">we modeled yield!</a></p>
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<p>The edibility of the future host organism was a key safety consideration. We considered the implications of using a non-toxic, non-pathogenic organism as a model for a GRAS organism, which could be taken as a supplement rather than a prescribed medicine.</p>
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<h3 style=""><b>Click here to learn about how we prioritized integrating human practices into our project!</b></h3>
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<a href="https://2017.igem.org/Team:UCSC/HP/Gold_Integrated" class="proj-button">
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<img src="https://static.igem.org/mediawiki/2017/a/a1/Gold-medal.png" class="proj-button-image-solo">
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<div class="overlap-button-text">HP GOLD</div>
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          <li>[1] World Health Organization, ed., <i>The Selection and Use of Essential Medicines: report of the WHO Expert Committee, 2007; (including the 15th model list of essential medicines)</i>. No. 946 in WHO Technical Report Series, Geneva: World Health Organization, 2007. OCLC: 254437808.</li>
 +
          <li>[2] P. N. Newton, M. D. Green, and F. M. Fernandez, “Impact of poor-quality medicines in the ‘developing' world," <i>Trends in Pharmacological Sciences</i>, vol. 31, pp. 99-101, Mar. 2010.</li>
 +
          <li>[6] S. A. Schug, D. A. Sidebotham, M. McGuinnety, J. Thomas, and L. Fox, “Acetaminophen as an adjunct to morphine by patient-controlled analgesia in the management of acute postoperative pain," <i>Anesthesia and Analgesia</i>, vol. 87, pp. 368-372, Aug. 1998.</li>
 +
          <li>[7] B. Hemmer, F. X. Glocker, M. Schumacher, G. Deuschl, and C. H. Lucking, “Subacute combined degeneration: clinical, electrophysiological, and magnetic resonance imaging findings," <i>Journal of Neurology, Neurosurgery, and Psychiatry</i>, vol. 65, pp. 822-827, Dec. 1998.</li>
 +
          <li>[8] S. P. Stabler, “Vitamin B12 Deficiency," <i>New England Journal of Medicine</i>, vol. 368, pp. 149-160, Jan. 2013.</li>
 +
          <li>[9] M. T. Steen, A. M. Boddie, A. J. Fisher, W. Macmahon, D. Saxe, K. M. Sullivan, P. P. Dembure, and L. J. Elsas, “Neural-tube defects are associated with low concentrations of cobalamin (vitamin B12) in amniotic fluid," <i>Prenatal Diagnosis</i>, vol. 18, pp. 545-555, June 1998.</li>
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Latest revision as of 10:15, 1 November 2017



HUMAN PRACTICES SILVER




Our preliminary research sought to answer the question, "What major environmental and health problems affect people today?" An important aspect of a biological engineering project is to first start with a problem that people want to have solved. Upon discussing this, we came up with more poignant and open-ended questions: "What problem are we trying to solve? What current methods exist in addressing the problem, and what new approaches might be tried? How does engineering biology provide a tool, or act as a component in a larger plan of action to solve the problem? Is engineering biology a necessary or desirable approach in this solution?"


Before attempting any wet-lab work, or making any major design considerations, we considered these questions carefully. Our process of asking these questions, reaching out to doctors, and looking at current synthetic biology solutions were crucial in helping us determine the direction of our project.


On this page, we’ll discuss the questions we asked to determine if our project would be safe, useful, and an overall benefit to the world.


Why a GMO?

Bioengineering an organism introduces the risks associated with a genetically modified organism, but relieves the risk of simply not having the medicine at all and reduces dependency on shipments. The biosynthetic process eliminates the risk of adding toxic ingredients, a situation that has happened in poorly regulated conventional production factories[2]. Chemically synthesizing these products requires harsh chemicals and requires removing those chemicals before human consumption, which is not a perfect process. The genetic changes to these organisms won’t be transferred to humans upon consumption, and fewer purification steps are required to prepare our products for human consumption than chemically synthesized alternatives.


To learn more about our organism of interest, check out our page on our target organism!

Section of the World Health Organization (WHO) list of essential medicines. Paracetamol is used an another name for acetaminophen.

Why Acetaminophen?

The choice of host is intimately tied to the medicines that we could produce. We aim to biosynthetically produce acetaminophen, a common mild anesthetic and antipyretic recognized by the WHO as an essential medicine[1] due to the feasibility of recreating the metabolic pathway in a cyanobacteria. However, in many countries with lower regulations and faulty policies regarding drug manufacturing, acetaminophen can be synthesized with lethal toxins that result in hundreds of deaths worldwide[2]. Acetaminophen is often used in conjunction with opioid pain medications postoperatively to enhance pain relief, thus reducing reliance upon opioid pharmaceuticals[6].


To learn more, take a look at our page on acetaminophen metabolics.


Why Vitamin B12?

We aim to produce human usable vitamin B12 because it is one of the few vitamins that Arthrospira platensis does not adequately produce. Vitamin B12 proves to be a leading global vitamin deficiency and one of the most difficult vitamins to naturally consume, especially for vegetarians[7]. Vitamin B12 deficiency can lead to megaloblastic anemia and demyelinating nervous system disease[8]. Additionally, both vitamins B12 and B9 are considered important prenatal vitamins for nervous system development[9].


To learn more, take a look at our page on vitamin B12 metabolics.

Is all of this safe?

It is important to consider that we are creating a proof-of-concept rather than an immediately implementable product. The safety concerns involved at the proof-of-concept stage are less complex than those of the implementation stage, and the safety concerns must be addressed at both stages to have a clear direction moving forward.

Incubator with growing cultures of S. elongatus in various media.

For example, one concern is that the project currently uses antibiotic resistance as the selectable marker for transformants. However, a future application of this in a clinical medical setting outside the laboratory would need to use a different selectable marker strategy in order to avoid the possible release of antibiotic resistance genes to the environment. This consideration brings us back to the research, outreach, design, and implementation questions that are a critical part of our human practices approach.


Another safety consideration is the dosage of the product, and the reliable determination of dosage. How will those using our product be able to know the dosage? What in our preliminary proof-of-concept and modeling provides insight on finding correct dosages? To determine product yield, we dove deeply into modeling the metabolics of our organism. Click here to learn more about how we modeled yield!


The edibility of the future host organism was a key safety consideration. We considered the implications of using a non-toxic, non-pathogenic organism as a model for a GRAS organism, which could be taken as a supplement rather than a prescribed medicine.

Click here to learn about how we prioritized integrating human practices into our project!


HP GOLD



  • [1] World Health Organization, ed., The Selection and Use of Essential Medicines: report of the WHO Expert Committee, 2007; (including the 15th model list of essential medicines). No. 946 in WHO Technical Report Series, Geneva: World Health Organization, 2007. OCLC: 254437808.
  • [2] P. N. Newton, M. D. Green, and F. M. Fernandez, “Impact of poor-quality medicines in the ‘developing' world," Trends in Pharmacological Sciences, vol. 31, pp. 99-101, Mar. 2010.
  • [6] S. A. Schug, D. A. Sidebotham, M. McGuinnety, J. Thomas, and L. Fox, “Acetaminophen as an adjunct to morphine by patient-controlled analgesia in the management of acute postoperative pain," Anesthesia and Analgesia, vol. 87, pp. 368-372, Aug. 1998.
  • [7] B. Hemmer, F. X. Glocker, M. Schumacher, G. Deuschl, and C. H. Lucking, “Subacute combined degeneration: clinical, electrophysiological, and magnetic resonance imaging findings," Journal of Neurology, Neurosurgery, and Psychiatry, vol. 65, pp. 822-827, Dec. 1998.
  • [8] S. P. Stabler, “Vitamin B12 Deficiency," New England Journal of Medicine, vol. 368, pp. 149-160, Jan. 2013.
  • [9] M. T. Steen, A. M. Boddie, A. J. Fisher, W. Macmahon, D. Saxe, K. M. Sullivan, P. P. Dembure, and L. J. Elsas, “Neural-tube defects are associated with low concentrations of cobalamin (vitamin B12) in amniotic fluid," Prenatal Diagnosis, vol. 18, pp. 545-555, June 1998.