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Flaps over patenting biological material, especially DNA, are
not new, but they are growing louder as science reaches out across
the human family tree to pluck at exotic genes that could form
the basis of new and expensive drugs.
The thrust of such "diversity research" has gathered momentum
only in the last decade as experts began unraveling the biological
mysteries of race and ethnicity. Along the way, they have discovered
that different human populations have evolved unique resistances
or susceptibilities to common diseases.
The key lies hidden within the 3 billion nucleotides of DNA within
each of our cells that code for who we are, what we look like
and how we function.
Click for chart of various locations of disease-causing genes on chromosomes.
Though the similarity in all ethnic groups' DNA is boggling--all
our blueprints differ on average by just one nucleotide in every
10,000--enough minute differences can accumulate over the generations
to impart subtle advantages in warding off infections and illnesses.
In effect, natural selection has thousands of such complex experiments
running in diverse human populations all the time.
"We basically let Mother Nature do our work for us," said Georgia
Dunston, a Howard University geneticist who has helped plan the
gene survey proposed by the diversity project. "Why waste years
of research trying to come up with cures from scratch? Evolution
tells us that there are groups out there whose genes have been
tinkering with ways to fight disease since day one."
How do beneficial genes settle out in different ethnic groups?
Scientists credit three elusive forces of evolution: time, isolation
and group size.
It is difficult for unique traits to gain a foothold within large,
dynamic populations, geneticists say, because they can be easily
swamped or diluted by the constant influx and outflow of genes,
the swirling of genetic tides.
Only in smaller, more stable populations--especially ones where
oceans, deserts or mountains minimize outmarriage--can the subtlest
genetic ticks become accentuated and magnified. In these cases,
a positive mutation, such as one that imparts a tougher immune
response, can percolate widely through the gene pool within a
few thousand years.
The sort of biological solitude required for such differentiation,
experts note, is increasingly rare in today's cosmopolitan world.
"You can't really go gene hunting in Chicago," said Alan Shuldiner,
a geneticist at the University of Maryland who recently uncovered
genes associated with obesity in Native American tribes. "There's
so much intermixing and so much environmental variability that
the job would be a nightmare. That's why remote populations make
perfect laboratories."
One human experiment that has become legendary among geneticists
is the village of Limone Sul Garda in Italy.
The medieval village, perched on a lake, was untouched by Italy's
road system until the 1950s. Its gene pool remained largely unrippled
by outside gene flow until that time. Researchers have discovered
to their amazement that the residents, though they eat the same
rich foods as neighbors, suffer almost no heart disease.
Geneticists have now isolated a peculiar mutation--thought to
have first appeared randomly in a resident in the 1700s--in the
villagers' DNA called the A-1 Milano gene, a localized oddity
that appears to gird them against the ravages of atherosclerosis,
or hardening of the arteries--one of the most common diseases
in the industrialized world.
"You can imagine the sort of therapeutic potential discoveries
like these have," said Robert Farrell, a professor of human genetics
at the University of Pittsburgh who is studying diabetes and hypertension
in different population groups. "That town has been combed by
dozens of researchers looking for ways to translate whatever that
gene does into some sort of synthetic drug. The payback would
be amazing."
Yet it isn't just unique resistances to illness that diversity
researchers are homing in on. Tight-knit human groups that suffer
unusually high rates of inherited ailments also have caught the
eye of gene hunters because they set the stage for mapping and
understanding the workings of complex disease genes.
The granddaddy of all such population-specific disease studies
involves the Pima Indians of Arizona and late-onset diabetes.
A desert people whose genes have adapted over the centuries to
a lean, hunter-gatherer existence, the Pimas have been riddled
by health problems associated with the switch to processed foods
and a more sedentary lifestyle. The 6,000-member tribe suffers
the highest diabetes rate of any ethnic group in the world. For
30 years, researchers at the NIH have been tracing Pimas' genealogies
and drawing their blood, trying to crack the genetic underpinnings
of a disease that afflicts millions worldwide.
"We'd really like to see some breakthroughs," said Viella Johnson,
director of the hospital in Sacaton, the Pimas' tribal headquarters
an hour drive east of Phoenix. "We've got families where half
the people in them are diabetes patients. It's a plague."
In the brave new world of diversity research, places such as Sacaton--with
its adobe huts melting into the Sonoran Desert and its dogs curled
on a lonely main street--are becoming the unlikely new capitals
of disease research.
So are the battered trailers and tents of Israel's Bedouin, who
are being studied for clues to obesity and certain inherited forms
of deafness. So are the small towns of Canada's Quebecois, who
are the subjects of a quest for the genetic underpinnings of manic
depression. And so are the remote villages of the Arhuacan Indians
of Colombia's rugged Santa Marta Mountains, who, like the Hagahai,
play host to a type of virus associated with leukemia and AIDS.
"The irony of all this is that by focusing our attention on the
white European populations that can afford advanced medical care
. . . we've been missing the boat on genetic variation for a long
time," said Roger Rosenberg, a University of Texas researcher
who is studying Oklahoma's Cherokees for their remarkable resistance
to Alzheimer's disease, a fatal degeneration of the nervous system.
"This is a whole new frontier."
If there were any doubts about the promise of such research, one
need only follow the rainbow of human diversity down to the pot
of biomedical gold--an economic reality that is triggering the
most volatile debates over the commercialization of DNA from small
and often poor populations.
Big pharmaceutical companies are quietly sinking millions of dollars
into the sort of massive DNA surveying that purely anthropological
proposals such as the diversity project have been pushing for
years.
The stakes, even at this early stage, are tantalizing:
- Multiple sclerosis researchers supported by Genethon, a French
biomedical firm, have discovered a remote population on Reunion
Island in the Indian Ocean that seems to be immune from the crippling
effects of the illness, even though they carry the disease genes.
A "protective" genetic factor might be in play and, if ever isolated,
could lead to lucrative new drugs for millions of MS sufferers.
- Asthma experts are testing a hotbed of bronchial disease on
Tristan da Cunha island in the South Atlantic, where a third of
the roughly 300 interrelated farmers suffer from the ailment.
The California firm Sequana Therapies has signed a $70 million
deal with Boehringer Ingelheim, a German pharmaceutical company,
to help find the Tristanians' disease genes and develop a broad-scale
genetic therapy from them. Sequana expects to announce the discovery
of its first asthma-related gene as soon as next year, one of
the first tangible returns from diversity research.
- In a breathtaking gene hunt that will dwarf the diversity project,
the international biomedical company Genset signed a deal last
year to sift China's 1.2 billion citizens for mutations that might
have beneficial health effects. The company will focus on China's
remote rural populations and its 40-plus minority groups. The
value of the contract, like that of an unexplored mining lease,
is incalculable but likely immense.
Which is why indigenous-rights advocates are crying foul.
"You've got this potentially lucrative traffic in human DNA zipping
from lab to lab across the world and none of it benefits the donors,"
said Edward Hammond, an activist with the Canada-based Rural Advancement
Fund International, or RAFI, a group concerned with biodiversity
and tribal property rights. "There's just this huge potential
for exploitation."
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