Gene doping risky for athletes
CBC News | Posted: February 4, 2010 7:25 PM | Last Updated: February 5, 2010
Athletes and coaches might be tempted to try using the already readily available tools of gene therapy to boost performance, but the practice isn't ready to be tested on humans, researchers warn.
The experimental field of gene therapy involves injecting the body with new genes that produce therapeutic proteins meant to block disease.
Theodore Friedmann, chair of the World Anti-Doping Agency's expert group on gene doping, fears that cheaters in sports will turn to gene therapy in their effort to be faster and stronger.
He and his colleagues wrote a policy paper on the subject that will appear in Friday's issue of the journal Science.
"Some athletes and coaches will be tempted, prematurely and unwisely, to take advantage of results packaged by some as performance-enhancement 'breakthroughs,' even if they are untested in humans and the only 'breakthrough' is faster or stronger mice," the researchers wrote.
The article says gene therapy has complicated international competitions like the Olympics.
Online marketing campaigns target athletes with ads focusing on how treatments can "alter muscle genes … activating your genetic machinery."
Deadly risks
Already, scientists doing experiments in lab animals have been approached by athletes volunteering themselves as human test subjects. The athletes want to be like the "Schwarzenegger mice" that have an extra copy of a gene that led the critters to become 30 per cent stronger.
In 2006, German track coach Thomas Springstein was found trying to obtain Repoxygen, which theoretically boosts the body's production of oerythropoietin, or EPO, a hormone that drives production of oxygen-carrying red blood cells.
When a product similar to Repoxygen was injected into baboons, the animals' circulatory system became so clogged with extra red blood cells that the excess blood had to be drained to save their lives. In another experiment, healthy primates had an unexpected immune reaction to the virus used to deliver the EPO gene. The animals were no longer able to produce red blood cells and had to be euthanized.
The 1999 death of 18-year-old Jesse Gelsinger in Arizona was linked with a gene therapy study for a metabolic disease, and children have developed leukemia after gene therapy treatment for severe combined immunodeficiency (SCID) or "bubble boy disease."
Despite the risks, the interest in applying gene-based manipulations to athletes has been growing. The Science article points to an Associated Press report that described an incident prior to the 2008 Olympic Games in Beijing in which a Chinese doctor offered to sell stem-cell therapy to a German reporter posing as a swimming coach.
Race against cheaters
"We don't know the technology in fine enough detail to predict or to avoid problems," Friedmann said.
"It's not enormously complicated to do it badly."
"The problem with sport, of course, is that there's so much money and so much pressure to develop novel approaches to winning that they can dangle a lot of money in front of people.
"So, it would not be impossible to put together a little group of people who would be knowledgeable and sophisticated enough to make the materials required."
The authors of the article say it is not clear whether any athletes have used gene doping, but it is inevitable that they will.
In the race between regulators and cheats, WADA has had gene doping on its list of prohibited substances and methods since 2004, trying to keep a step ahead by developing ways to detect gene doping as animal experiments continue.
"The scourge of doping in our sport is disheartening to athletes, and certainly, it's a challenge for science to keep ahead of the dopers," said Chandra Crawford, a gold medallist in women's cross country 1.1 km sprint at the 2006 Torino Games. "I know it's a tough struggle, but we have to do everything in our power to get it cleaned up."
Starting Thursday, Olympic organizers plan to administer 2,000 blood and urine tests in Vancouver in the weeks ahead, the most rigorous anti-doping effort in the history of the Olympics.
The agency is funding international research teams that are working to detect potential gene doping, based on its effects on protein levels, for example. The tests don't detect all gene doping yet and aren't conclusive, but they may show if an athlete's muscle mass or performance suddenly improved and raise a red flag that might spur further investigation.