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THE NATION’S NEWSPAPER Collegiate Case Study Human Genome makes mind-boggling reading education.usatoday.com Case Study Summary Biotech and genetic research promises to yield huge benefits to society in the Genetic researchers are looking future while becoming a multimillion-dollar industry. The three USA TODAY forward to medical miracles — and articles in this case study present recent scientific progress and the challenging backward into evolutionary history questions it is generating. Technology has the potential to redefine the moral landscape. Will it? This is an important topic of discussion for current and future members of business, political, medical, legal and scientific communities. By Steve Sternberg DNA-rights defenders: Get off my genetic property Money creates conflict of research vs. privacy By Elizabeth Neus Thinkers: ‘Genes cannot explain’ ‘No evidence of 30,000 genes evolving over. . .tens of millions of years can tell the whole story.’ By Greg Barrett Case Study Expert: Janis Smith Adjunct Professor, Brown University USA TODAY Snapshots® Genetically altered food: Women more skeptical Women 71% 59% 50% 47% 37% Would eat such food Source: www.pulse.org Men 35% Would give Willing to it to their pay more for children non-altered food By Lori Joseph, and Sam Ward, USA TODAY Cover story Human genome makes mind-boggling reading Genetic researchers are looking forward to medical miracles — and backward into evolutionary history By Steve Sternberg USA TODAY The first close reading of the “The Book of Life” — the 3 billion letters that make up the human genetic code — reveals that it’s packed with more mysteries and surprises than a pulp thriller. Perhaps the biggest surprise since the code was deciphered in June is that it takes just 30,000 to 40,000 genes to make, maintain and repair a human. That’s far fewer than the 140,000 genes that some had predicted and not many more than a worm or a common weed. “If you’re judging the complexity of an organism by the number of genes it has, we’ve just taken a big hit in the pride department,” says the National Genome Research Institute’s director, Francis Collins, who also heads the U.S. arm of the international Human Genome Project (HGP). Twin analyses of the genome were released today by two leading journals, Nature and Science. Both issues also are packed with reports looking at what the genome tells us about ourselves and how we differ from other organisms on Earth. And the genome is the perfect place to look. If ancient Greeks talked of the “Great Chain of Being,” the genome is it, and in a form that the ancients could hardly have imagined — a spiraling chain of chemicals running through every living being. In humans, the chain is vast, “25 times larger than any previously studied genome and eight times larger than the sum of all such genomes,” Collins reports. Among the findings: uMen, whose sperm cells divide almost endlessly to boost opportunities for fertilization, are twice as likely as women to generate abrupt genetic mutations. These altered sequences may mingle with those of the mother’s genes after fertilization, shuffling wild cards into their child’s genetic inheritance. Some errors may make no difference to the developing fetus, some might be beneficial, and some might be harmful. What this means to human development is poorly understood. uProteins, the most complex large molecules in nature, are much more complicated in humans than in animals or plants. Reprinted with permission. All rights reserved. AS SEEN IN USA TODAY LIFE SECTION, MONDAY, FEBRUARY 12, 2001 USA TODAY photo illustration: source/PhotoDisc Reprinted with permission. All rights reserved. uHundreds of human genes appear to have come from bacteria millions of years ago. Whether the bacteria infected humans or they were carried by a virus is still unknown. uEvery human’s genome carries the residues of evolution, a history stretching back millions of years. The journals discuss these things and many more. Nature begins with a 68-page report by the genome project, a publicly funded consortium of 20 groups in the USA, United Kingdom, Japan, France, Germany and China. Science offers a 48-page analysis by J. Craig Venter, CEO of Celera Genomics in Rockville, Md., and an equally impressive who’s who of collaborators worldwide. Celera is the private company that spurred the public-private race to solve the genome to its photo finish in June. Both groups have produced detailed sequences covering over 90% of the genome. And both versions agree on the rough number of genes in the genome, the genome’s organization and other key features. Multi-tasking genes Probably the most intriguing question to emerge from these analyses is this: How do relatively few genes build and maintain an organism as complex as a human, with 90,000 to 300,000 proteins and 100 trillion highly specialized cells? Venter, whose firm challenged the publicly funded international sequencing project by exploiting a clever, automated technique called “whole genome shotgun sequencing,” says the answer promises to topple a hallowed principle of the gene world: “one gene (makes) one protein.” The new analyses indicate that each gene makes on average two proteins. Somehow — the how is still being explored — the cell’s machinery can order up the protein it needs at any given instant, researchers say. When that occurs, enzymes within the cell swing into action. They splice together the genetic sequences that make the needed protein, even when the sequences are in pieces, spread out along the chromosome. This means that the human genome is anything but a static alphabet. It’s a living text that continually edits and rewrites itself, spelling out biological messages necessary for survival. “It’s a manuscript in flux,” says Eric Lander of the Whitehead Institute Center for Genomic Research in Cambridge, Mass., a lead researcher in the HGP. “It’s a neverending, constantly changing story.” The substance of the manuscript is more astonishing yet, says Venter. “It is a guidebook to the formation of our species.” The genome also will serve as a guide for researchers who are trying to develop new ways of treating cancer and other ailments that have plagued humans. Knowing the identity and location of genes, for instance, enables researchers to study their patterns of expression — when they turn on and off. These clues have already yielded useful information. One report in Science, for instance, compares gene expression in normal vs. cancerous tissue. Researchers found several genes that were either “silenced” or over-active in breast and colon cancer. If doctors can figure out what triggers these abnormal genetic patterns, researchers say, they may be that much closer to learning how to block them. Putting the genome in order Sequencing the genome involved placing in their precise order the seemingly endless strings of nucleic acids that make up therungs of the twisted, 6-foot ladder of DNA inside every living cell. The nucleic acids are adenine, thymine, cytosine and guanine. They are represented in the genome sequence by the letters A, T, C and G. Over half of the genome is rich in segments called repeats, bits of sequence that appear over and over again, which offer a remarkable window into evolutionary history. “We can look at your DNA or mine,” says Kathy Hudson, assistant director of the National Genome Research Institute, “and see a history going back 800 million years.” In the genome, says Douglas Wallace, director of molecular medicine at Emory University in Atlanta, evolution is plain to see. Wallace says two lines of evolution converged in humans. One is a set of genes from the first bacteria capable of living in an oxygen-rich atmosphere, he says. The second set comes from the single-celled organisms that gobbled up the bacteria and co-opted their ability to turn oxygen into energy. Genes from those bacteria still reside in the human genome, the new analysis shows. Says Wallace: “We have the fusion of two different lines of evolution into the same genome.” When researchers speak of the genome, they’re really talking about the sum of genetic sequences that make up the 23 pairs of chromosomes in each human cell, half of each pair donated by a parent. But the new research indicates that this genetic information isn’t evenly divided on the chromosomes. Lander describes the genome as a Book of life: A detail from a diagram of Chromosome 19 shows the complexity of the human genome. “remarkably uneven landscape.” “Some chromosomes are chockablock with genes, (and) others are virtually devoid of genes,” Lander says. “The weirdest chromosome in the genome is (number) 19. It’s chockablock full of genes and other functional elements, far beyond what you’d expect, given its measly size. It’s a mighty little chromosome there. Given its size, it has grand aspirations.” In contrast, he says, “chromosomes 4 and 8 barely pull their weight.” What genes lurk on chromosome 19? Among others: the Apo-E gene, linked to Alzheimer’s disease; the LDL receptor gene, linked to bad cholesterol and heart disease; and the EpO gene, needed to form oxygen-carrying red blood cells. There’s even a gene that has been linked to a sometimes fatal, inherited reaction to anesthesia. No one fully understands the laws that govern genome function or how to manipulate the genes to treat human disease. But genomics and biotech firms, often partnered with major pharmaceutical firms, are determined to change that. A biotech boom Such research promises to yield huge benefits to patients of the future — and possibly Nobel prizes to scientists who developnew treatments or even cures. They’ll have plenty to work with. Researchers have already identified 1,100 genes with at least one mutation that has been linked to disease. Biotech firms are uniquely positioned to plunge into such research. A biotech industry analysis, released late last month by Lehman Brothers, asserts that the genomics revolution will double biotech revenues to $4 billion annually by 2005. The best investments, it says, will be in newly developing technologies. One of those is the new multimillion-dollar industry that has sprung up to catalogue what some call the human “proteome,” the complete roster of proteins in the human body. Proteins by the tens of thousands serve as workhorses in every cell, performing functions necessary for life. Not surprisingly, plenty of scientists and businessmen want to get in on the action, despite market ambivalence about many other high-tech enterprises. “You only have to whisper the word proteomics,” says Josh LaBaer of Harvard University’s Institute for Proteomics, “and venture capitalists come knocking at your door.” Other firms have begun collecting genetic information from human volunteers — twins, if possible — so that researchers can study how genes and proteins function in both healthy people and those with deadly diseases. This holds great promise. “What will come out of this is a complete redefinition of human biology,” says Paul Kelly, CEO of Gemini Genetics in Cambridge, England. Kelly’s firm has forged an agreement with Celera to help the genomics firm look for common disease genes, such as those for osteoporosis and diabetes. Where? In Gemini’s populations of twins and other research cohorts in Canada, the United Kingdom, New Zealand and Australia. Celera also has begun moving into proteomics. Celera’s sister company, Applied Biosystems (both are divisions of Applera Corp.) has matched its breakthrough gene-sequencing device with one that can speedily sequence proteins. “Celera is making the biggest play in proteomics of anybody,” says Venter. “We have $1.1 billion in cash in the bank, and we’re building a facility where we can sequence a million proteins a day. “That’s driving our program for the discovery of new diagnostics and therapeutics — particularly in cancer. We’re betting that we can actually do something about cancer.” “We are made of and by protein,” says Harvard’s LaBaer, whose institute plans to obtain physical copies of every human gene and to use those genes to create the hundreds of thousands of proteins. “Virtually every pharmaceutical today, from aspirin to chemotherapy, works by affecting protein function,” LaBaer says. “This is where the future of biology, and medicine, resides.” AS SEEN IN USA TODAY LIFE SECTION, MONDAY, SEPTEMBER 25, 2000 Health and Science DNA-rights defenders: Get off my genetic property Money creates conflict of research vs. privacy By Elizabeth Neus Gannett News Service WASHINGTON — Who owns your DNA? The answer might not be you. In an era when the map of the human genome can be accessed by any professor with an Internet connection, the question becomes more crucial every day. Courts and lawyers and legislatures wrestle with it; people who joined medical studies wonder just what their participation means. Courts have ruled that people who donate actual tissue — pieces of organs, tumors or blood, for example — have no right to financial compensation if a drug or treatment is developed from research done on that tissue. But DNA, which contains the genetic blueprint from which you were built, seems more personal, something whose fate you and you alone should have the right to control. Oregon is the site of the most recent battle over the rights to DNA. The state’s 1995 genetic privacy law, one of the first in the nation, gives a person property rights to his or her own DNA. A proposed change to the law last year would have taken those rights away. An advisory committee is expected to offer recommendations to the Legislature and the governor next month on how to proceed. includes health histories, blood, tissue samples and DNA — “There are many competing agendas here,” says Gregory will be used. Fowler, executive director of Geneforum.org, an “A lot of time and commitment and love have been organization founded to educate people about gene-related poured into this (by the volunteers), and they’re concerned issues. He also is a member of Oregon’s advisory committee. that the data isn’t exploited,” Paris says. “But we have to get Experts have tried to sort out those agendas for years. over the fact that companies may make money (from the This year the federal government strengthened its data). How do you do (research) without money?” regulations protecting human research subjects, hoping to John Kilyk Jr., managing partner with a Chicago law firm make more explicit the process by which patients are told specializing in intellectual property, says that those who what a study will entail. believe volunteers should get a cut of any proceeds fail to The National Bioethics Advisory Commission report on understand how much money goes into the research which some of those recommendations were based noted upfront, compared with what’s earned at the other end. the difficulty in protecting subjects no longer physically “There is a lot of money at stake, or at least there’s perceived involved in a study. to be a lot more money at stake,” he says. “But there’s no “Researchers are often unclear whether research on guarantee that (researchers are) going to find something … human tissue makes the people from whom it came ‘human What (laypeople) don’t appreciate is the time and money subjects,’ ” the commission involved in getting to that wrote President Clinton. point, and the number of In some cases, those who winners and losers.” donated the original tissue or Andrews rejects that DNA are dead, leaving wide argument. open the question of whether “It’s an unnecessary windfall,” new research can be done she says. “They’re being uwww.geneforum.org — with that material — and who rewarded disproportionately to Geneforum has rights to it. what they do. It’s a trick on the For example, 4,000 of the public. It’s like patenting the 10,000 people who have alphabet and charging people uwww.framingham.com/heart — taken part in the 52-year-old every time they speak.” Framingham Heart Study Framingham Heart Study Some companies have found have died, and coordinators a way to compensate those uwww.bioethics.gov — National of that study don’t know who who volunteer DNA without can give consent to use the going into dollars and cents. A Bioethics Advisory Commission. information from the dead company called DNA Sciences, Click on “Reports” to find “Research volunteers if the study which wants to find geneInvolving Human Biological becomes a commercial based tests and treatments for Materials: Ethical Issues and Policy.” venture, as planned. They are common illnesses, is building a trying to work that out. large database of DNA from “We certainly feel we’re scratch by asking volunteers to uwww.dna.com — Gene Trust blazing a trail here,” says donate. If a relevant test or Susan Paris, vice president for treatment is found, any university relations at Boston volunteer who participated in University, which runs the Framingham study. that study will be offered the test or treatment free, says The usual concerns also come into play when the issue is chief business officer Steven Lehrer. “The whole concept of genetics. Researchers make every effort to disconnect the paying people for (taking part in) research is very negative,” DNA samples from the identities of their donors, but he says. “It looks like you coerced them.” experts still worry. With the trend toward the creation and use of extremely “No genetic sample can be totally anonymous,” says Lori large databases such as Framingham and DNA Sciences’ Andrews of the Institute for Science, Law and Technology at Gene Trust, “the property value of any individual genome the Illinois Institute of Technology. “We use DNA in forensics gets smaller,” says Gillian Woollett, associate vice president to identify people. I could always figure out who it is.” for biologics and biotechnology at the Pharmaceutical Complicating the issue further is money — lots of it. Research and Manufacturers of America, a drug industry Biotech and genomics companies have been hot in recent trade group. years in the stock market, and even academic researchers, once Besides, she says, what portion of your DNA is yours? The seen as above the financial fray, often have start-up companies. large part of the genome we share with chimpanzees? The The federal government is balking at Framingham’s plans part you share with an identical twin? to go commercial; Washington underwrites the famous “Do you own what is unique to you,” she asks, “even if study, which provided the base line for nearly everything you don’t know what’s unique to you?” we know about heart disease. Some of the 6,000 living participants are nervous about how their data — which Click here AS SEEN IN USA TODAY LIFE SECTION, MONDAY, FEBRUARY 12, 2001 Thinkers: ‘Genes cannot explain’ By Greg Barrett Gannett News Service The philosopher, the theologian, the biologist and the author of spirituality are in basic agreement on this: Revelations released today about the human genome are about as significant to our understanding of metaphysics as walking on the moon is to our understanding of the universe. A boundary we still cannot fathom. That is to say, this evolving map of our genes is not likely to sway matters of the spirit. Never mind the project’s findings that seem to support Darwinism and free will over creationism and determinism. No evidence of 30,000 genes evolving over the course of tens of millions of years can tell the whole story. Science can claim to connect the dots of biology, not sketch the soul. Philosopher: “If there were an omnipotent, omniscient and perfectly benevolent god, then I think his or her purposes are actually incomprehensible,” says Columbia University professor Philip Kitcher. “The idea that 30,000 genes can explain or not explain anything is kind of absurd.” Theologian: “Genes cannot explain the entire human phenomenon,” says William May of Washington’s John Paul II Institute. “Is thinking a function of genes? I think not.” Biologist: “I don’t need to provide for you how many ounces a soul weighs or how many base pairs it is coded by in the DNA . . . to know that hope is worthwhile and hope is real,” says scientist Robert Pollack, director of Columbia’s Center for the Study of Science and Religion. “It is the reality of hope that matters, not the physicality of the soul.” Author: “It is not possible to step on God’s toes,” says Neale Donald Walsch, whose four Conversations With God books have been best sellers. “I think God chuckles at our astonishment at these rather primitive revelations, very much as we smile at a child’s first mastery of multiplication tables.” Proof of whether mankind was slow in the making or was created in an instant is not likely to dissuade belief one way or the other. Either version can be supported by the Old Testament, embraced as sacred text by Christianity, Judaism and Islam. And there are perhaps as many interpretations of religious doctrine as there are mutations of a cell. Both are uncountable. Similarly, there will be any number of ways believers and non-believers will read the discoveries of the human genome. “The more we learn and the more we know,” Pollack says, “the more we are aware of the boundaries set upon us by the two facts of our lives: our free will on the one hand, our mortality on the other.” Two themes constant in religion and science. Behind the Story: A Reporter’s Notebook Ever since the world discovered Gregor Mendel's research into plant hybridization (first published in 1865 but apparently overlooked until 1900) scientists have been fascinated with the biological mechanisms that underlie inheritance. But the world would have to wait until February 12, 2001 for scientists at Celera Genomics and the Human Genome project to decode the human genome and begin their exploration of how humans function on a genetic level. Needless to say, anticipation of theit findings was intense. For two weeks before the announcement, I privately interviewed the leaders of that research effort, gathering the information I would need to explain their incredibly complex research to our readers. I felt priviledged to be granted advance access -- and broke out in goose bumps when Frances Collins, of the Human Genome Research Project, showed me the first complete map of the human genetSteve Sternberg, ic inheritance. I faced two challenges in describing this work: finding analogies that would allow me to Medical reporter, Life explain in simple terms one of the most complex systems in biology and predicting where this work would lead. The overwhelmingly positive response from readers suggested the effort wasn't wasted. Steve Sternberg has covered science and medicine for two decades for The Miami Herald, The Atlanta-Journal Constitution and now for USA TODAY. He has won many national awards, including a prestigious John S. Knight Fellowship for Professional Journalists at Stanford University, where he studied genetics in the laboratory of David Botstein. Last year, he was awarded a master's degree in Science Writing from the Writing Seminar's program at Johns Hopkins University. Additional resources For discussion 1. 2. text here 3. 4. 5. 6. 7. 8. 9. 10. Future Implications: About Professor Smith Professor Jan Smith has taught at the University level for over 20 years. She began her career as . . . For more information, log on to http://education.usatoday.com