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DNA: structure, functions and impact on the human health

DNA: from story to functions

DNA, or deoxyribonucleic acid, is the fundamental molecule that contains all the genetic information necessary for the development, functioning, and reproduction of living organisms. First discovered in the mid-20th century, DNA has revolutionized our understanding of biology, opening up new perspectives in fields such as genetics, biotechnology, medicine, and cancer research. The ability of DNA to replicate and transmit genetic information from one generation to the next makes it essential for the continuity of life.

DNA is a macromolecule composed of two polynucleotide chains that wrap around each other to form a double helix. Each chain is made up of nucleotides, which are the monomers of DNA. Each nucleotide is composed of three fundamental components: a phosphate group, a five-carbon sugar (deoxyribose), and a nitrogenous base. There are four types of nitrogenous bases in DNA: adenine (A), thymine (T), cytosine (C), and guanine (G). The bases pair specifically (A with T and C with G) through hydrogen bonds, stabilizing the double helix structure.

The structure of the DNA double helix, discovered by James Watson and Francis Crick in 1953, is the key to understanding how DNA performs its biological functions. The two chains of nucleotides are oriented in opposite directions (antiparallel), and the nitrogenous bases are arranged towards the inside of the helix, where they form complementary pairs. This structure allows DNA to be extremely stable, but at the same time flexible, allowing the replication and transcription of genetic information.

DNA replication is a fundamental process that occurs during cell division, allowing genetic information to be passed on to daughter cells. During replication, the DNA helix unwinds, with each strand serving as a template for the synthesis of a new complementary strand. This process is semi-conservative, meaning that each new DNA molecule contains one original strand and one new strand. The main enzymes involved in DNA replication are DNA polymerase, which catalyzes the synthesis of new strands, and helicase, which unwinds the double helix.

DNA Functions

Protein Coding

The main role of DNA is to encode the information needed for the synthesis of proteins, which are the main effectors of cellular functions. Each gene, which is a specific segment of DNA, contains the sequence of nucleotides that codes for a protein or polypeptide. The sequence of nucleotides is transcribed into messenger RNA (mRNA) through the process of transcription. The mRNA is then translated into a sequence of amino acids, which folds into a three-dimensional structure to form a functional protein.

Gene Regulation

In addition to encoding proteins, DNA contains non-coding regions that play a crucial role in regulating gene expression. These regions include promoters, enhancers, silencers, and other regulatory sequences that interact with transcription factors and other proteins to modulate when and where a gene is expressed. Gene regulation is essential for the proper development and function of organisms, allowing cells to respond to environmental signals and maintain homeostasis.

DNA repair

DNA is subject to damage from a variety of sources, including chemicals, ionizing (X-rays, neutrons) or non-ionizing (e.g. UVR) radiation and replication errors. However, cells have developed sophisticated mechanisms to repair this damage and maintain the integrity of the genome. There are several DNA repair systems, including base excision repair, nucleotide excision repair, and homologous recombination. The ability to repair DNA is essential to prevent mutations that could lead to diseases such as cancer.

Impact of DNA on human health

Genetic Diseases

Mutations in DNA can lead to a wide range of genetic diseases. These mutations can be inherited or acquired and can affect single genes (monogenic diseases) or involve entire chromosomes (chromosomal diseases). For example, cystic fibrosis is caused by a mutation in the CFTR gene, while Down syndrome is due to the presence of an extra copy of chromosome 21. Genetic diseases can have profound effects on health and can vary greatly in severity and treatment.

Human tumors

Cancer is a complex disease that often results from somatic mutations in DNA. These mutations can activate oncogenes (genes that promote cell growth) or deactivate tumor suppressor genes (genes that inhibit cell growth), leading to uncontrolled cell proliferation. Understanding the role of DNA in cancer has led to the development of targeted therapies, such as drugs that inhibit specific molecular signals in tumor cells, and personalized medicine, which uses a tumor’s genetic profile to guide treatment decisions.

Genomic medicine

Genomic medicine is revolutionizing the way we understand and treat disease. With the advent of genome sequencing, an individual’s entire DNA can be analyzed to identify genetic variants that may predispose to disease, influence drug response, or determine the risk of adverse effects. This knowledge is leading to increasingly personalized medicine, where treatments are tailored to each patient’s unique genetic profile, improving efficacy and reducing risks.

Gene Therapy

Gene therapy is an emerging area of ​​medicine that aims to correct the genetic defects that underlie certain diseases. This technique involves introducing corrected copies of defective genes into the patient’s cells, with the aim of restoring normal function. Gene therapy has shown promise in treating inherited diseases, such as ADA-SCID (a form of severe immunodeficiency) and Duchenne muscular dystrophy, and could revolutionize the treatment of many other diseases in the future.

Ethical and Social Implications of DNA

Genetic Testing and Privacy

As access to genetic testing increases, important ethical questions arise regarding the privacy and use of genetic information. Genetic test results can reveal predispositions to diseases that have not yet manifested themselves, raising questions about who should have access to this information. Additionally, there is a risk that genetic data could be misused by employers or insurance companies, leading to genetic discrimination.

Gene Editing

Gene editing technologies, such as CRISPR-Cas9, have made it possible to precisely and relatively easily modify DNA. However, these technologies raise significant ethical questions, especially when it comes to editing the DNA of human embryos. While gene editing could potentially eliminate genetic diseases, there is a risk of unintended consequences and creating social disparities between those who have access to these technologies and those who do not.

Future of DNA research

Genomics perspectives

Genomics is a rapidly evolving field that promises to unravel ever more details about the complex mechanisms of life. Future research could lead to a deeper understanding of how interactions between genes and the environment influence the development of diseases, and could improve our ability to intervene before they manifest. Furthermore, the development of increasingly sophisticated technologies for DNA manipulation could open new frontiers in medicine, biotechnology and agriculture.

Interdisciplinarity and collaboration

Advancement in DNA research requires an interdisciplinary approach involving biologists, chemists, computer scientists, physicians and bioethicists. Collaboration between these fields is essential to translate scientific discoveries into practical applications that can improve human health and address global challenges. In this context, training and educating new generations of scientists with transversal skills will be crucial for the future of research. DNA has a profound impact on human health, being at the basis of numerous genetic diseases and playing a crucial role in cancer. Understanding DNA has led to significant medical breakthroughs, such as gene therapy and genomic medicine, and has raised important ethical questions. As research continues to advance, DNA will continue to be a central field of study, with potential applications that could further revolutionize our approach to health and disease.

  • Edited by Dr. Gianfrancesco Cormaci, PhD, specialist in Clinical Biochemistry.

Scientific references

Watson JD, Crick FH. (1953). Molecular structure of nucleic acids: a structure for deoxyribose nucleic acid. Nature, 171(4356), 737-738.

Strachan T, Rea AP. (2010). Human molecular genetics. Garland Science.

Collins FS, Varmus H. (2015). A new initiative on precision medicine. New England Journal of Medicine, 372(9), 793-795.

Doudna JA, Charpentier E. (2014). The new frontier of genome engineering with CRISPR-Cas9. Science, 346(6213).

Lander ES. (2011). Initial impact of the sequencing of the human genome. Nature, 470(7333), 187-197.

Venter JC, Adams MD, (2001). The sequence of the human genome. Science, 291(5507), 1304-1351.

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Dott. Gianfrancesco Cormaci
Dott. Gianfrancesco Cormaci
Laurea in Medicina e Chirurgia nel 1998; specialista in Biochimica Clinica dal 2002; dottorato in Neurobiologia nel 2006; Ex-ricercatore, ha trascorso 5 anni negli USA (2004-2008) alle dipendenze dell' NIH/NIDA e poi della Johns Hopkins University. Guardia medica presso la casa di Cura Sant'Agata a Catania. Medico penitenziario presso CC.SR. Cavadonna (SR) Si occupa di Medicina Preventiva personalizzata e intolleranze alimentari. Detentore di un brevetto per la fabbricazione di sfarinati gluten-free a partire da regolare farina di grano. Responsabile della sezione R&D della CoFood s.r.l. per la ricerca e sviluppo di nuovi prodotti alimentari, inclusi quelli a fini medici speciali.

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