In October to November 1991, I attended the Fifth
Asian Course in Tropical Epidemiology under the Southeast Asian Ministers of Education Organization (SEMEO)Technical
Cooperation jointly held among the National Centre for Malaysia SEAMO
Topical Medicine and Public Health Project and the Institute for Medical Research in Kuala Lumpur in collaboration with the German
Agency for Technical Cooperation. It was held at the Institute for Medical
Research where I worked. Prior to that I also attended another postgraduate
in-service course in biotechnology and molecular biology.
These
postgraduate courses were meant for senior medical officers and senior medical
researchers. They were in-service courses meant for them
In those days, knowledge in these areas, especially in
molecular biology and molecular medicine, wasn’t very advanced yet with few
discoveries and their applications.
Years on I picked up on where I left to gain more
knowledge on molecular biology and its applications in molecular medicine.
Clinical medicine as practiced in hospitals as a standard routine is very
boring to us with very slow advancement
So today, based on what I have gained in my previous
training, let me write a brief essay on molecular biology first, and separately
in another essay, I shall write on how molecular biology is used and applied
for the advancement of medicine in several areas, from diagnostics, development
of new drugs to new treatment of diseases.
But first, let me deal with molecular biology as a
springboard before we go into its application in medicine.
Molecular
biology is a branch of biology that focuses on the molecular underpinnings of
biological activity. It involves the study of the structure, function, and
interactions of biomolecules, such as DNA, RNA, proteins, and other
macromolecules, which are essential for life processes. The field intersects
with genetics, biochemistry, and cell biology, and has vast applications in
medicine, biotechnology, and environmental science.
What
then are the key areas in the study of molecular biology? The first
fundamental area is on DNA and RNA structure and function. We can broadly
divide this into 3 areas, namely, DNA replication and repair based on studies
of how DNA is copied and repaired in cells. For example, research into DNA
polymerase enzymes that are responsible for DNA replication has provided
insights into the accuracy of genetic information transfer.
The
second area we go into is transcription and translation. This focuses on how
genetic information is transcribed from DNA to RNA and then translated into
proteins. The central dogma of molecular biology, which describes this process,
is a fundamental concept.
Then
thirdly we go into gene regulation that involves our understanding how genes
are turned on or off in response to different stimuli. The discovery of
regulatory elements like promoters, enhancers, and silencers has deepened our
understanding of gene expression.
Having understood
these 3 basics, we can then go into protein structure and function. Again,
there will be 3 basic ideas. The first will be on enzyme kinetics. These are
studies on how enzymes catalyse biochemical reactions. The Michaelis-Menten
equation is a key model used to describe enzyme kinetics. Having understood its
mechanism, we can now proceed to protein folding where studies show us how
proteins fold into their functional three-dimensional shapes. Misfolded
proteins are linked to diseases such as Alzheimer's and Parkinson's.
Next in
line is our understanding of post-translational modifications. This area
examines how proteins are chemically modified after synthesis, affecting their
function, localization, and interactions.
Having
understood these, we proceed into genomics and proteomics. This involves genome
sequencing in sequencing entire genomes to understand the genetic blueprint of
organisms. The Human Genome Project was a landmark study that mapped all the
genes in human DNA. Having understood this, we proceed to the study on
proteomics. This study means, we focus on the large-scale study of proteins,
particularly their structures and functions. Techniques like mass spectrometry
are used to analyse protein composition and interactions in cells.
Having
done that, we can then proceed to understand molecular genetics. In this area
we study gene editing and CRISPR. (CRISPR
means “clustered regularly interspaced short palindromic repeats”). This is a technology that research
scientists use to selectively modify the DNA of living organisms. CRISPR was
adapted for use in the laboratory from naturally occurring genome editing systems
found in bacteria.
They
explore technologies like CRISPR-Cas9 that allow precise editing of DNA
sequences. This has applications in gene therapy, agriculture, and synthetic
biology.
We can
then begin our study on epigenetics having finished studying the above. By this
I mean studies on heritable changes in gene expression that do not involve
changes to the DNA sequence. DNA methylation and histone modification are key
mechanisms in epigenetics.
In
medicine, an area I shall write separately later, molecular biology study cell
that deals with signalling pathways, signal transduction and how they
automatically commit suicide or apoptosis. Signal transduction investigates how
cells respond to external signals through pathways involving receptors, second
messengers, and kinases. Understanding these pathways is crucial for drug
development, particularly in cancer therapy. The study of programmed cell death
called apoptosis is a vital process in development and disease. Dysregulation
of apoptosis is linked to cancer and neurodegenerative disorders.
Let us
now list the biotechnology applications when we start learning molecular
biology.
First,
we learn about recombinant DNA technology like I also learn when I did my
postgraduate in-service course. This involves manipulating DNA to produce
genetically modified organisms (GMOs), therapeutic proteins, and vaccines.
Insulin production through recombinant DNA technology is a notable example.
In
their application in medicine, I shall write on this separately later, but
briefly mention here, we apply molecular biology in molecular
diagnostics. The use of molecular techniques like PCR and next-generation
sequencing (NGS) to diagnose diseases, including genetic disorders and
infectious diseases is one of them. We also have gene therapy. In this area of
medical specialty, we aim to treat or prevent diseases by correcting defective
genes. Recent advancements in viral vectors and CRISPR have shown promise in
treating genetic diseases like muscular dystrophy and sickle cell anaemia.
What
about Recent Studies and Applications in Molecular Biology?
One of
them among others is the CRISPR-Cas9 Advancements. A 2020 study demonstrated
the potential of CRISPR-Cas9 for correcting mutations in the DMD gene,
responsible for Duchenne muscular dystrophy. This research represents a
significant step toward treating genetic disorders at the molecular level.
Then we
also use our knowledge for the development of COVID-19 mRNA vaccines:
The
development of mRNA vaccines, such as the Pfizer-BioNTech and Moderna vaccines,
is a groundbreaking application of molecular biology, but has caused a global
uproar about the use of these “suicidal vaccines.” I have received far too many
adverse reports about mRNA vaccines from all kinds of people including from
“famous” doctors, and of course from lay people.
But unfortunately, almost none of the untold
tens of hundreds of meetings and lectures on the Covid-19 given by international experts in various
fields held at the prestigious Royal Society of Medicine in London where I was
admitted as a Fellow in 1993, mentioned anything about the adverse effects of
these mRNA vaccines.
These
vaccines use synthetic mRNA to instruct cells to produce the spike protein of
the SARS-CoV-2 virus, eliciting an immune response.
Our
understanding of molecular biology also brings us into cancer immunotherapy.
Recent advances in CAR-T cell therapy, a form of immunotherapy, have shown
promising results in treating certain types of cancer. This approach involves
genetically modifying a patient's T cells to target cancer cells more
effectively.
Molecular
biology is an incredibly dynamic and rapidly evolving field, with new
discoveries continuously pushing the boundaries of what we know about life at
the molecular level.
I have
only briefly outlined molecular biology above. I shall write more later
how we apply our knowledge on this in medicine.
But if
my readers want more information in this area, below are some of the references
they may read for themselves.
References
for Further Reading
- Alberts, B., Johnson, A., Lewis, J., et al. (2014).
Molecular Biology of the Cell (6th ed.). Garland Science.
- A comprehensive textbook covering all aspects of
molecular biology, from basic concepts to advanced topics.
- Lodish, H., Berk, A., Kaiser, C. A., et al. (2016).
Molecular Cell Biology (8th ed.). W.H. Freeman and Company.
- This textbook provides a detailed exploration of
cellular processes and molecular biology techniques.
- Doudna, J. A., & Sternberg, S. H. (2017). A
Crack in Creation: Gene Editing and the Unthinkable Power to Control
Evolution. Houghton Mifflin Harcourt.
- A book that discusses the discovery and
implications of CRISPR technology.
- Recent Studies:
For
up-to-date research articles, consider accessing journals like Nature
Molecular Biology, Cell, and The Journal of Molecular Biology
through databases like PubMed or ScienceDirect.
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