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- <text id=89TT0737>
- <title>
- Mar. 20, 1989: The Gene Hunt
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1989
- Mar. 20, 1989 Solving The Mysteries Of Heredity
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- SCIENCE, Page 62
- COVER STORIES
- The Gene Hunt
- </hdr><body>
- <p>Scientists launch a $3 billion project to map the chromosomes
- and decipher the complete instructions for making a human being
- </p>
- <p>By Leon Jaroff
- </p>
- <p> Know then thyself...the glory, jest, and riddle of the
- world.
- --Alexander Pope
- </p>
- <p> In an obscure corner of the National Institutes of Health
- (NIH), molecular biologist Norton Zinder strode to a 30-ft.-long
- oval conference table, sat down and rapped his gavel for order.
- A hush settled over the Human Genome Advisory Committee, an
- unlikely assemblage of computer experts, biologists, ethicists,
- industry scientists and engineers. "Today we begin," chairman
- Zinder declared. "We are initiating an unending study of human
- biology. Whatever it's going to be, it will be an adventure, a
- priceless endeavor. And when it's done, someone else will sit
- down and say, `It's time to begin.' "
- </p>
- <p> With these words, spoken in January, Zinder formally
- launched a monumental effort that could rival in scope both the
- Manhattan Project, which created the A-bomb, and the Apollo
- moon-landing program -- and may exceed them in importance. The
- goal: to map the human genome and spell out for the world the
- entire message hidden in its chemical code.
- </p>
- <p> Genome? The word evokes a blank stare from most Americans,
- whose taxes will largely support the project's estimated $3
- billion cost. Explains biochemist Robert Sinsheimer of the
- University of California at Santa Barbara: "The human genome is
- the complete set of instructions for making a human being."
- Those instructions are tucked into the nucleus of each of the
- human body's 100 trillion cells (except red blood cells, which
- have no nucleus.) and written in the language of
- deoxyribonucleic acid, the fabled DNA molecule.
- </p>
- <p> In the 35 years since James Watson and Francis Crick first
- discerned the complex structure of DNA, scientists have managed
- to decipher only a tiny fraction of the human genome. But they
- have high hopes that with new, automated techniques and a huge
- coordinated effort, the genome project can reach its goal in 15
- years.
- </p>
- <p> The achievement of that goal would launch a new era in
- medicine. James Wyngaarden, director of the NIH, which will
- oversee the project, predicts that it will make "major
- contributions to understanding growth, development and human
- health, and open new avenues for therapy." Full translation of
- the genetic message would enable medical researchers to identify
- the causes of thousands of still mysterious inherited disorders,
- both physical and behavioral.
- </p>
- <p> With this insight, scientists could more accurately predict
- an individual's vulnerability to such obviously genetic diseases
- as cystic fibrosis and could eventually develop new drugs to
- treat or even prevent them. The same would be true for more
- common disorders like heart disease and cancer, which at the
- very least have large genetic components. Better knowledge of
- the genome could speed development of gene therapy -- the actual
- alteration of instructions in the human genome to eliminate
- genetic defects.
- </p>
- <p> The NIH and the Food and Drug Administration have already
- taken a dramatic step toward gene therapy. In January they gave
- approval to Dr. W. French Anderson and Dr. Steven Rosenberg,
- both at the NIH, to transplant a bacterial gene into cancer
- patients. While this gene is intended only to make it easier for
- doctors to monitor an experimental cancer treatment and will not
- benefit the patients, its successful implantation should help
- pave the way for actual gene therapy.
- </p>
- <p> The very thought of being able to read the entire genetic
- message, and perhaps alter it, is alarming to those who fear
- the knowledge could create many moral and ethical problems.
- Does genetic testing constitute an invasion of privacy, for
- example, and could it lead to more abortions and to
- discrimination against the "genetically unfit"? Should someone
- destined to be stricken with a deadly genetic disease be told
- about his fate, especially if no cure is yet available? Does it
- demean humans to have the very essence of their lives reduced
- to strings of letters in a computer data bank? Should gene
- therapy be used only for treating disease, or also for
- "improving" a person's genetic legacy?
- </p>
- <p> Although scientists share many of these concerns, the
- concept of deciphering the human genome sends most of them into
- paroxysms of rapture. "It's the Holy Grail of biology," says
- Harvard biologist and Nobel laureate Walter Gilbert. "This
- information will usher in the Golden Age of molecular medicine,"
- says Mark Pearson, Du Pont's director of molecular biology.
- Predicts George Cahill, a vice president at the Howard Hughes
- Medical Institute: "It's going to tell us everything. Evolution,
- disease, everything will be based on what's in that magnificent
- tape called DNA."
- </p>
- <p> That kind of enthusiasm is infectious. In an era of
- budgetary restraint, Washington has been unblinkingly generous
- toward the genome project, especially since last April, when an
- array of scientists testified on the subject at a congressional
- committee hearing. There, Nobel laureate Watson of DNA fame,
- since picked by the NIH to head the effort, mesmerized listeners
- with his plea for support: "I see an extraordinary potential for
- human betterment ahead of us. We can have at our disposal the
- ultimate tool for understanding ourselves at the molecular level
- . . . The time to act is now."
- </p>
- <p> Congress rose to the challenge. It promptly allocated more
- than $31 million for genome research to the NIH and to the
- Department of Energy and the National Library of Medicine, which
- are also involved in the quest. The combined appropriations rose
- to $53 million for fiscal 1989.
- </p>
- <p> Even more will be needed when the effort is in full swing,
- involving hundreds of scientists, dozens of Government,
- university and private laboratories, and several computer and
- data centers. With contributions from other Government agencies
- and private organizations like the Hughes institute, the total
- annual cost of the project will probably rise to $200 million,
- which over 15 years will account for the $3 billion price tag.
- </p>
- <p> The staggering expense and sheer size of the genome project
- were what bothered scientists most when the idea was first
- broached in 1985 by Sinsheimer, then chancellor of the
- University of California at Santa Cruz. "I thought Bob
- Sinsheimer was crazy," recalls Leroy Hood, a biologist at the
- California Institute of Technology. "It seemed to me to be a
- very big science project with marginal value to the science
- community."
- </p>
- <p> Nobel laureate David Baltimore, director of M.I.T.'s
- Whitehead Institute, was one of the many who feared that such
- a megaproject would have much the same impact on biology that
- the shuttle had on the U.S. space program: soaking up so much
- money and talent that smaller but vital projects would dry up.
- Others stressed that the technology to do the job in a
- reasonable time was not available. But by 1986 some opponents
- realized they were fighting a losing battle. "The idea is
- gaining momentum. I shiver at the thought," said Baltimore then.
- Now, however, he approves of the way the project has evolved and
- has thrown his weight behind it.
- </p>
- <p> What really turned the tide was a February 1988 report by
- the prestigious National Research Council enthusiastically
- endorsing a project that would first map and interpret important
- regions of the genome, then -- as better technology became
- available -- proceed to reading the entire genetic message. Most
- of the remaining critics were silenced last fall when the NIH
- chose the respected Watson as project director. Still, some
- scientists remain wary of the project. Says David Botstein, a
- vice president at Genentech and a member of the Human Genome
- Advisory Committee: "We need to test its progress, regulate its
- growth and slap it down if it becomes a monster. Jim Watson
- understands the dangers as well as any of us."
- </p>
- <p> The concern, as well as the cost, reflects the complexity
- of the human genome and the magnitude of the effort required to
- understand it. DNA is found in the human-cell nucleus in the
- form of 46 separate threads, each coiled into a packet called
- a chromosome. Unraveled and tied together, these threads would
- form a fragile string more than 5 ft. long but only 50
- trillionths of an inch across.
- </p>
- <p> And what a wondrous string it is. As Watson and Crick
- discovered in 1953, DNA consists of a double helix, resembling
- a twisted ladder with sidepieces made of sugar and phosphates
- and closely spaced connecting rungs. Each rung is called a base
- pair because it consists of a pair of complementary chemicals
- called nitrogenous bases, attached end to end, either adenine
- (A) joined to thymine (T) or cytosine (C) attached to guanine
- (G).
- </p>
- <p> Fundamental to the genius of DNA is the fact that A and T
- are mutually attractive, as are C and G. Consequently, when DNA
- separates during cell division, coming apart at the middle of
- each rung like a zipper opening, an exposed T half-rung on one
- side of the ladder will always attract an A floating freely in
- the cell. The corresponding A half-rung on the other section of
- the ladder will attract a floating T, and so on, until two
- double helixes, each identical to the original DNA molecule, are
- formed.
- </p>
- <p> Even more remarkable, each of the four bases represents a
- letter in the genetic code. The three-letter "words" they
- spell, reading in sequence along either side of the ladder, are
- instructions to the cell on how to assemble amino acids into
- the proteins essential to the structure and life of its host.
- Each complete DNA "sentence" is a gene, a discrete segment of
- the DNA string responsible for ordering the production of a
- specific protein.
- </p>
- <p> Reading these genetic words and deciphering their meaning
- is apparently a snap for the clever machinery of a cell. But for
- mere scientists it is a formidable and time-consuming task. For
- instance, a snippet of DNA might read ACGGTAGAT, a message that
- researchers can decipher rather easily. It codes for a sequence
- of three of the 20 varieties of amino acids that constitute the
- building blocks of proteins. But the entire genome of even the
- simplest organism dwarfs that snippet. The genetic blueprint of
- the lowly E. coli bacterium, for one, is more than 4.5 million
- base pairs long. For a microscopic yeast plant, the length is
- 15 million units. And in a human being, the genetic message is
- some 3 billion letters long.
- </p>
- <p> Like cartographers mapping the ancient world, scientists
- over the past three decades have been laboriously charting human
- DNA. Of the estimated 100,000-odd genes that populate the
- genome, just 4,550 have been identified. And only 1,500 of those
- have been roughly located on the various chromosomes. The
- message of the genes has been equally difficult to come by. Most
- genes consist of between 10,000 and 150,000 code letters, and
- only a few genes have been completely deciphered. Long segments
- of the genome, like the vast uncharted regions of early maps,
- remain terra incognita.
- </p>
- <p> To complicate matters, between the segments of DNA that
- represent genes are endless stretches of code letters that seem
- to spell out only genetic gibberish. Geneticists once thought
- most of the unintelligible stuff was "junk DNA" -- useless
- sequences of code letters that accidentally developed during
- evolution and were not discarded. That concept has changed. "My
- feeling is there's a lot of very useful information buried in
- the sequence," says Nobel laureate Paul Berg of Stanford
- University. "Some of it we will know how to interpret; some we
- know is going to be gibberish."
- </p>
- <p> In fact, some of the nongene regions on the genome have
- already been identified as instructions necessary for DNA to
- replicate itself during cell division. Their message is
- obviously detailed and complex. Explains George Bell, head of
- genome studies at Los Alamos National Laboratory: "It's as if
- you had a rope that was maybe 2 in. in diameter and 32,000 miles
- long, all neatly arranged inside a structure the size of a
- superdome. When the appropriate signal comes, you have to unwind
- the rope, which consists of two strands, and copy each strand
- so you end up with two new ropes that again have to fold up. The
- machinery to do that cannot be trivial."
- </p>
- <p> One of the most formidable tasks faced by geneticists is to
- learn the nature of that machinery and other genetic
- instructions buried in the lengthy, still undeciphered base
- sequences. To do so fully requires achievement of the project's
- most challenging goal: the "sequencing" of the entire human
- genome. In other words, the identification and listing in order
- of all the genome's 3 billion base pairs.
- </p>
- <p> That effort, says Caltech research fellow Richard Wilson,
- "is analogous to going around and shaking hands with everyone
- on earth." The resulting string of code letters, according to
- the 1988 National Research Council report urging adoption of the
- genome project, would fill a million-page book. Even then, much
- of the message would be obscure. To decipher it, researchers
- would need more powerful computer systems to roam the length of
- the genome, seeking out meaningful patterns and relationships.
- </p>
- <p> It was from the patterns and relationships of pea plants
- that a concept of heredity first arose in the mind of Gregor
- Mendel, an Austrian monk. In 1865, after studying the flower
- colors and other characteristics of many generations of pea
- plants, Mendel formulated the laws of heredity and suggested the
- existence of packets of genetic information, which became known
- as genes. Soon afterward, chromosomes were observed in the
- nuclei of dividing cells, and scientists later discovered a
- chromosomal difference between the sexes. One chromosome, which
- they named Y, was found in human males' cells, together with
- another, called X. Females' cells, on the other hand, had two
- copies of X.
- </p>
- <p> But it was not until 1911 that a gene, only a theoretical
- entity at the time, was correctly assigned to a particular
- chromosome. After studying the pedigrees of several large
- families with many color-blind members (males are primarily
- affected), Columbia University scientist E.B. Wilson applied
- Mendelian logic and proved that the trait was carried on the X
- chromosome. In the same manner over the next few decades,
- several genes responsible for such gender-linked diseases as
- hemophilia were assigned to the X chromosome and a few others
- attributed to the Y.
- </p>
- <p> Scientists remained uncertain about the exact number of
- human chromosomes until 1956, when improved photomicrographs of
- dividing cells clearly established that there were 46. This
- revelation led directly to identification of the cause of Down
- syndrome (a single extra copy of chromosome 21) and other
- disorders that result from distinctly visible errors in the
- number or shape of certain chromosomes.
- </p>
- <p> But greater challenges lay ahead. How could a particular
- gene be assigned to any of the nonsex chromosomes? Scientists
- cleverly tackled that problem by fusing human cells with mouse
- cells, then growing hybrid mouse-human cells in the laboratory.
- As the hybrid cells divided again and again, they gradually shed
- their human chromosomes until only one -- or simply a fragment
- of one -- was left in the nucleus of each cell.
- </p>
- <p> By identifying the kind of human protein each of these
- hybrid cells produced, the researchers could deduce that the
- gene responsible for that protein resided in the surviving
- chromosome. Using this method, they assigned hundreds of genes
- to specific chromosomes.
- </p>
- <p> Finding the location of a gene on a chromosome is even more
- complicated. But over the past several years, scientists have
- managed to draw rough maps of all the chromosomes. They
- determine the approximate site of the genes, including many
- associated with hereditary diseases, by studying patterns of
- inheritance in families and chopping up their DNA strands for
- analysis. With this technique, they have tracked down the gene
- for cystic fibrosis in the midsection of chromosome 7, the gene
- for a rare form of colon cancer midway along the long arm of
- chromosome 5, and the one for familial Alzheimer's disease on
- the long arm of chromosome 21.
- </p>
- <p> One of the more dramatic hunts for a disease gene was led
- by Nancy Wexler, a neuropsychologist at Columbia University and
- president of the Hereditary Disease Foundation. Wexler was
- highly motivated; her mother died of Huntington's disease, a
- debilitating and painful disorder that usually strikes adults
- between the ages of 35 and 45 and is invariably fatal. This
- meant that Wexler had a 50% chance of inheriting the gene from
- her mother and contracting the disease.
- </p>
- <p> In a search coordinated by Wexler's foundation, geneticist
- James Gusella of Massachusetts General Hospital discovered a
- particular piece of DNA, called a genetic marker, that seemed
- to be present in people suffering from Huntington's disease.
- His evidence suggested that the marker must be near the
- Huntington's disease gene on the same chromosome, but he needed
- a larger sample to confirm his findings. This was provided by
- Wexler, who had previously traveled to Venezuela to chart the
- family tree of a clan of some 5,000 people, all of them
- descendants of a woman who died of Huntington's disease a
- century ago. Working with DNA samples from affected family
- members, Gusella and Wexler in 1983 concluded that they had
- indeed found a Huntington's marker, which was located near one
- end of chromosome 4.
- </p>
- <p> That paved the way for a Huntington's gene test, which is
- now available. The actual gene has not yet been isolated and
- since there is no cure at present, many people at risk for
- Huntington's are reluctant to take it. "Before the test," Wexler
- says, "you can always say, `Well, it can't happen to me.' After
- the test, if it is positive, you can't say that anymore." Has
- Wexler, 43, taken the test? "People need to have some privacy,"
- she answers.
- </p>
- <p> Tracking down the location of a gene requires tedious
- analysis. But it is sheer adventure when compared with the task
- of determining the sequence of base pairs in a DNA chain. Small
- groups of scientists, working literally by hand, have spent
- years simply trying to sequence a single gene. This hands-on
- method of sequencing costs as much as a dollar per base pair,
- and deciphering the entire genome by this method might take
- centuries.
- </p>
- <p> The solution is automation. "It will improve accuracy,"
- says Stanford's Paul Berg. "It will remove boredom; it will
- accomplish what we want in the end." The drive for automation
- has already begun; a machine designed by Caltech biologist Leroy
- Hood can now sequence 16,000 base pairs a day. But Hood, a
- member of the Genome Advisory Committee, is hardly satisfied.
- "Before we can seriously take on the genome initiative," he
- says, "we will want to do 100,000 to a million a day." The cost,
- he hopes, will eventually drop to a penny per base pair.
- </p>
- <p> Hood is not alone in his quest for automation. That is also
- the goal of Columbia University biochemist Charles Cantor,
- recently appointed by the Energy Department to head one of its
- two genome centers. "It's largely an engineering project,"
- Cantor explains, intended to produce tools for faster, less
- expensive sequencing and to develop data bases and computer
- programs to scan the data. Not to be outdone, Japan has set up
- a consortium of four high-tech companies to establish an
- automated assembly line, complete with robots, that researchers
- hope will be capable of sequencing 100,000 base pairs a day
- within three years.
- </p>
- <p> Is there a better way? In San Francisco in January, Energy
- Department scientists displayed a photograph of a DNA strand
- magnified a million times by a scanning tunneling microscope.
- It was the first direct image of the molecule. If sharper images
- can be made, the scientists suggested, it may be possible to
- read the genetic code directly. But that day seems very far off.
- </p>
- <p> Even before the Human Genome Project was begun by the NIH,
- others were deeply involved in probing the genome. Building on
- a long-standing program of research on DNA damage caused by
- radiation, biologist Charles DeLisi in 1987 persuaded the
- Energy Department to launch its own genome program. In addition
- to the sequencer and computer-hardware engineering projects,
- Energy Department scientists are focusing their attention on
- mapping seven complete chromosomes.
- </p>
- <p> Victor McKusick, a geneticist at Johns Hopkins University,
- was in the game much earlier. He has been cataloging genes since
- 1959, compiling findings in his regularly updated publication,
- Mendelian Inheritance in Man. In August 1987 he introduced an
- electronic version that scientists around the world can tap into
- by computer. At the end of December it contained information on
- all the 4,550 genes identified to date. Says McKusick: "That's
- an impressive figure, but we still have a long way to go."
- Several other libraries of genetic information are already
- functioning, among them GenBank at the Los Alamos National
- Laboratory and the Howard Hughes Medical Institute's Human Gene
- Mapping Library in New Haven, Conn.
- </p>
- <p> McKusick also directs the Human Genome Organization (known
- informally as "Victor's HuGO"), a group formed last September
- in Montreux, Switzerland, by 42 scientists representing 17
- nations. "The U.N. of gene mapping," as McKusick describes it,
- plans to open three data-collection and -distribution sites, one
- each in Japan, North America and Europe.
- </p>
- <p> Geneticist Ray White, formerly at M.I.T., has established
- a major center for genetic-linkage mapping at the University of
- Utah in Salt Lake City. In 1980 he began a study of 50 large
- families, collecting their blood samples, extracting white blood
- cells, which he multiplies in cell cultures, then preserving
- them in freezers.
- </p>
- <p> Working with family pedigrees and DNA extracted from the
- cell bank, White and his group have identified more than 1,000
- markers, each about 10 million base pairs apart, on all the
- chromosomes. They have also been major contributors to the
- Center for the Study of Human Polymorphisms, set up in Paris by
- French Nobel laureate Jean Dausset to coordinate an
- international effort to map the genes. Of the 40 families whose
- cell lines reside in CEPH's major data banks, 27 have been
- provided by White's group.
- </p>
- <p> How and if these and other genetic research efforts will be
- coordinated with the Human Genome Project is a question being
- pondered by director Watson and his advisory committee. "Right
- now," says Watson, "the program supports people through
- individual research grants. We have to build up around ten
- research centers, each with specific objectives, if we want to
- do this project in a reasonable period of time."
- </p>
- <p> The effort will also include studies of genes in other
- organisms, such as mice and fruit flies. "We've got to build a
- few places that are very strong in mouse genetics," Watson
- says, "because in order to interpret the human, we need to have
- a parallel in the mouse." Explains Genentech's Botstein:
- "Experimentation with lower organisms will illuminate the
- meaning of the sequence in humans." For example, genes that
- control growth and development in the fruit fly are virtually
- identical to oncogenes, which cause cancer in humans.
- </p>
- <p> One of the early benefits of the genome project will be the
- identification of more and more of the defective genes
- responsible for the thousands of known inherited diseases and
- development of tests to detect them. Like those already used to
- find Huntington's and sickle-cell markers, for example, these
- tests will allow doctors to predict with near certainty that
- some patients will fall victim to specific genetic diseases and
- that others are vulnerable and could be stricken.
- </p>
- <p> University of Utah geneticist Mark Skolnick is convinced
- that mapping the genome will radically change the way medicine
- is practiced. "Right now," he says, "we wait for someone to get
- sick so we can cut them and drug them. It's pretty old stuff.
- Once you can make a profile of a person's genetic predisposition
- to disease, medicine will finally become predictive and
- preventive."
- </p>
- <p> Eventually, says Mark Guyer of the NIH's Human Genome
- Office, people might have access to a computer readout of their
- own genome, with an interpretation of their genetic strengths
- and weaknesses. At the very least, this would enable them to
- adopt an appropriate life-style, choosing the proper diet,
- environment and -- if necessary -- drugs to minimize the effects
- of genetic disorders.
- </p>
- <p> The ever improving ability to read base-pair sequences of
- genes will enable researchers to speed the discovery of new
- proteins, assess their role in the life processes, and use them
- -- as the interferons and interleukins are already used -- for
- fighting disease. It will also help them pinpoint missing
- proteins, such as insulin, that can correct genetic diseases.
- </p>
- <p> Mapping and sequencing the genes should accelerate progress
- in another highly touted and controversial discipline: gene
- therapy. Using this technique, scientists hope someday to cure
- genetic diseases by actually inserting good genes into their
- patients' cells. One proposed form of gene therapy would be used
- to fight beta-thalassemia major, a blood disease characterized
- by severe anemia and caused by the inability of hemoglobin to
- function properly. That inability results from the lack of a
- protein in the hemoglobin, a deficiency that in turn is caused
- by a defective gene in bone-marrow cells.
- </p>
- <p> To effect a cure, doctors would remove bone-marrow cells
- from a patient and expose them to a retrovirus* engineered to
- carry correctly functioning versions of the patient's faulty
- gene. When the retrovirus invaded a marrow cell, it would insert
- itself into the cellular DNA, as retroviruses are wont to do,
- carrying the good gene with it. Reimplanted in the marrow, the
- altered marrow cells would take hold and multiply, churning out
- the previously lacking protein and curing the thalassemia
- patient.
- </p>
-
- </body></article>
- </text>
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