Insulin is a simple protein normally produced by the pancreas. In people with diabetes, the pancreas is damaged and cannot produce insulin. Since insulin is vital to the body's processing of glucose, this is a serious problem. Many diabetics, therefore, must inject insulin into their bodies daily. Prior to the 1980s, insulin for diabetics came from pigs and was very expensive.
To create insulin inexpensively, the gene that produces human insulin was added to the genes in a normal E. coli bacteria. Once the gene was in place, the normal cellular machinery produced it just like any other enzyme. By culturing large quantities of the modified bacteria and then killing and opening them, the insulin could be extracted, purified and used very inexpensively.
The trick, then, is in getting the new gene into the bacteria. The easiest way is to splice the gene into a plasmid -- a small ring of DNA that bacteria often pass to one another in a primitive form of sex. Scientists have developed very precise tools for cutting standard plasmids and splicing new genes into them. A sample of bacteria is then "infected" with the plasmid, and some of them take up the plasmid and incorporate the new gene into their DNA. To separate the infected from the uninfected, the plasmid also contains a gene giving the bacteria immunity to a certain antibiotic. By treating the sample with the antibiotic, all of the cells that did not take up the plasmid are killed. Now a new strain of insulin-producing E. coli bacteria can be cultured in bulk to create insulin.
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