Genomics and Its Impact On Science and Society: A Primer
Genomics and Its Impact On Science and Society: A Primer
Genomics and Its Impact On Science and Society: A Primer
see p. 12
DOE/SC-0083
From Genes to Proteins
protein complex
2 www.ornl.gov/hgmis/publicat/primer/ U.S. Department of Energy Ofce of Science
The Human Genome Project, 19902003
A Brief Overview
T
hough surprising to many, the Human Genome
Project (HGP) traces its roots to an initiative in
the U.S. Department of Energy (DOE). Since 1947,
DOE and its predecessor agencies have been charged
by Congress with developing new energy resources
and technologies and pursuing a deeper understand-
ing of potential health and environmental risks posed
by their production and use. Such studies, for example,
have provided the scientifc basis for individual risk
assessments of nuclear medicine technologies.
In 1986, DOE took a bold step in announcing the
Human Genome Initiative, convinced that its missions
would be well served by a reference human genome
sequence. Shortly thereafter, DOE joined with the
National Institutes of Health to develop a plan for a
joint HGP that ofcially began in 1990. During the early
years of the HGP, the Wellcome Trust, a private charita-
ble institution in the United Kingdom, joined the efort
as a major partner. Important contributions also came
from other collaborators around the world, including
Japan, France, Germany, and China.
Ambitious Goals
The HGPs ultimate goal was to generate a
high-quality reference DNA sequence for the human
genomes 3 billion base pairs and to identify all human
genes. Other important goals included sequencing the
genomes of model organisms to interpret human DNA,
enhancing computational resources to support future
research and commercial applications, exploring gene
function through mouse-human comparisons, study-
ing human variation, and training future scientists in
genomics.
The powerful analytical technology and data aris-
ing from the HGP present complex ethical and policy
issues for individuals and society. These challenges
include privacy, fairness in use and access of genomic
information, reproductive and clinical issues, and com-
mercialization (see p. 8). Programs that identify and
address these implications have been an integral part
of the HGP and have become a model for bioethics
programs worldwide.
A Lasting Legacy
In June 2000, to much excitement and fanfare,
scientists announced the completion of the frst work-
ing draft of the entire human genome. First analyses of
the details appeared in the February 2001 issues of the
journals Nature and Science. The high-quality reference
sequence was completed in April 2003, marking the end
of the Human Genome Project2 years ahead of the
original schedule. Coincidentally, it also was the 50th
anniversary of Watson and Cricks publication of DNA
structure that launched the era of molecular biology.
Available to researchers worldwide, the human
genome reference sequence provides a magnifcent
and unprecedented biological resource that will serve
throughout the century as a basis for research and
discovery and, ultimately, myriad practical applica-
tions. The sequence already is having an impact on
fnding genes associated with human disease (see p. 3).
Hundreds of other genome sequence projectson
microbes, plants, and animalshave been completed
since the inception of the HGP, and these data now
enable detailed comparisons among organisms,
including humans.
Many more sequencing projects are under way
or planned because of the research value of DNA
sequence, the tremendous sequencing capacity now
available, and continued improvements in technolo-
gies. Sequencing projects on the genomes of many
microbes, as well as the chimpanzee, pig, sheep, and
domestic cat, are in progress.
Beyond sequencing, growing areas of research
focus on identifying important elements in the DNA
sequence responsible for regulating cellular functions
and providing the basis of human variation. Perhaps
the most daunting challenge is to begin to understand
how all the parts of cellsgenes, proteins, and many
other moleculeswork together to create complex liv-
ing organisms. Future analyses of this treasury of data
will provide a deeper and more comprehensive under-
standing of the molecular processes underlying life and
will have an enduring and profound impact on how we
view our own place in it.
3 www.ornl.gov/hgmis/publicat/primer/ U.S. Department of Energy Ofce of Science
Insights from the Human DNA Sequence
Organism
Genome Size
(Base Pairs)
Estimated
Genes
Human (Homo sapiens) 3.2 billion 25,000
Laboratory mouse (M. musculus) 2.6 billion 25,000
Mustard weed (A. thaliana) 100 million 25,000
Roundworm (C. elegans) 97 million 19,000
Fruit fy (D. melanogaster) 137 million 13,000
Yeast (S. cerevisiae) 12.1 million 6,000
Bacterium (E. coli) 4.6 million 3,200
Human immunodefciency virus (HIV) 9,700 9
The estimated number of human genes is only one-third as great as previously
thought, although the numbers may be revised as more computational and
experimental analyses are performed.
Scientists suggest that the genetic key to human complexity lies not in gene
number but in how gene parts are used to build diferent products in a process
called alternative splicing. Other underlying reasons for greater complexity are
the thousands of chemical modifcations made to proteins and the repertoire
of regulatory mechanisms controlling these processes.
How Does the Human Genome Stack Up?
T
he frst panoramic views of the human genetic
landscape have revealed a wealth of informa-
tion and some early surprises. Much remains to
be deciphered in this vast trove of information; as the
consortium of HGP scientists concluded in their seminal
paper, . . . the more we learn about the human genome,
the more there is to explore. A few highlights follow
from the frst publications analyzing the sequence.
The human genome contains 3.2 billion chemical
nucleotide base pairs (A, C, T, and G).
The average gene consists of 3,000 base pairs, but
sizes vary greatly, with the largest known human
gene being dystrophin at 2.4 million base pairs.
Functions are unknown for more than 50% of discov-
ered genes.
The human genome sequence is
almost exactly the same (99.9%)
in all people.
About 2% of the genome encodes
instructions for the synthesis of
proteins.
Repeat sequences that do not
code for proteins make up at least
50% of the human genome.
Repeat sequences are thought
to have no direct functions, but
they shed light on chromosome
structure and dynamics. Over
time, these repeats reshape
the genome by rearranging it,
thereby creating entirely new
genes or modifying and reshuf-
fing existing genes.
The human genome has a much
greater portion (50%) of repeat
sequences than the mustard
weed (11%), the worm (7%), and
the fy (3%).
Over 40% of predicted human
proteins share similarity with
fruit-fy or worm proteins.
http:// genomics.energy.gov/genegateway/
5 www.ornl.gov/hgmis/publicat/primer/ U.S. Department of Energy Ofce of Science
Medicine and the New Genetics
Gene Testing, Pharmacogenomics, and Gene Therapy
these gene tests is that they could provide information
to help physicians and patients manage the disease or
condition more efectively. Regular colonoscopies for
those having mutations associated with colon
cancer, for instance, could prevent thousands
of deaths each year.
Some scientifc limitations are
that the tests may not detect every
mutation associated with a par-
ticular condition (many are as
yet undiscovered), and the ones
they do detect may present diferent
risks to various people and populations.
Another important consideration in gene
testing is the lack of efective treatments
or preventive measures for many diseases
and conditions now being diagnosed or
predicted.
Knowledge about the risk of poten-
tial future disease can produce signifcant
emotional and psychological impacts.
Because genetic tests reveal information
about individuals and their families, test
results can afect family dynamics. Results
also can pose risks for population groups if
they lead to group stigmatization.
Other issues related to gene tests
include their efective introduction into
clinical practice, the regulation of labo-
ratory quality assurance, the availability of
testing for rare diseases, and the education of
healthcare providers and patients about correct inter-
pretation and attendant risks.
Families and individuals who have genetic disor-
ders or are at risk for them often seek help from medi-
cal geneticists (an M.D. specialty) and genetic coun-
selors (graduate-degree training). These professionals
can diagnose and explain disorders, review available
options for testing and treatment, and provide emo-
tional support. (For more information, see the URL for
Medicine and the New Genetics, p. 12.)
D
NA underlies almost every aspect of human
health, both in function and dysfunction.
Obtaining a detailed picture of how genes and
other DNA sequences work together and inter-
act with environmental factors ultimately will
lead to the discovery of pathways involved
in normal processes and in disease
pathogenesis. Such knowledge will
have a profound impact on the
way disorders are diagnosed,
treated, and prevented and will
bring about revolutionary changes
in clinical and public health practice.
Some of these transformative develop-
ments are described below.
Gene Testing
DNA-based tests are among the frst
commercial medical applications of the
new genetic discoveries. Gene tests can
be used to diagnose and confrm disease,
even in asymptomatic individuals; provide
prognostic information about the course
of disease; and, with varying degrees of
accuracy, predict the risk of future disease
in healthy individuals or their progeny.
Currently, several hundred genetic
tests are in clinical use, with many more
under development, and their numbers
and varieties are expected to increase
rapidly over the next decade. Most current
tests detect mutations associated with rare
genetic disorders that follow Mendelian inheritance
patterns. These include myotonic and Duchenne
muscular dystrophies, cystic fbrosis, neurofbromato-
sis type 1, sickle cell anemia, and Huntingtons disease.
Recently, tests have been developed to detect
mutations for a handful of more complex conditions
such as breast, ovarian, and colon cancers. Although
they have limitations, these tests sometimes are used to
make risk estimates in presymptomatic individuals with
a family history of the disorder. One potential beneft to
6 www.ornl.gov/hgmis/publicat/primer/ U.S. Department of Energy Ofce of Science
Pharmacogenomics: Moving
Away from One-Size-Fits-All
Therapeutics
Within the next decade, researchers will begin
to correlate DNA variants with individual responses
to medical treatments, identify particular subgroups
of patients, and develop drugs customized for those
populations. The disci-
pline that blends phar-
macology with genomic
capabilities is called
pharmacogenomics.
More than 100,000
people die each year
from adverse responses
to medications that may
be benefcial to others.
Another 2.2 million
experience serious
reactions, while others
fail to respond at all. DNA variants in genes involved
in drug metabolism, particularly the
cytochrome P450 multigene family, are the
focus of much current research in this area.
Enzymes encoded by these genes are
responsible for metabolizing most drugs
used today, including many for treating
psychiatric, neurological, and cardiovas-
cular diseases. Enzyme function afects
patient responses to both the drug
and the dose. Future advances will
enable rapid testing to determine the
patients genotype and guide treat-
ment with the most efective drugs,
in addition to drastically reducing
adverse reactions.
Genomic data and technologies
also are expected to make drug devel-
opment faster, cheaper, and more
efective. Most drugs today are based
on about 500 molecular targets,
but genomic knowledge of genes
involved in diseases, disease path-
ways, and drug-response sites will
lead to the discovery of thousands of
*Source: Journal of Gene Medicine web-
site (www.wiley.co.uk/genetherapy/
clinical/), August 2006.
additional targets. New drugs, aimed at specifc sites in
the body and at particular biochemical events leading
to disease, probably will cause fewer side efects than
many current medicines. Ideally, genomic drugs could
be given earlier in the disease process. As knowledge
becomes available to select patients most likely to
beneft from a potential drug, pharmacogenomics will
speed the design of clinical trials to market the drugs
sooner.
Gene Therapy, Enhancement
The potential for using genes themselves to treat
disease or enhance particular traits has captured the
imagination of the public and the biomedical com-
munity. This largely experimental feldgene transfer
or gene therapyholds potential for treating or even
curing such genetic and acquired diseases as cancers
and AIDS by using normal genes to supplement or
replace defective genes or to bolster a normal func-
tion such as immunity.
Almost 1,200 clinical gene-therapy trials were
identifed worldwide in 2006.* The majority (67%)
take place in the United States, followed
by Europe (29%). Although most trials
focus on various types of cancer, studies
also involve other multigenic and mono-
genic, infectious, and vascular diseases.
Most current protocols are aimed at
establishing the safety of gene-delivery
procedures rather than efectiveness.
Gene transfer still faces many
scientifc obstacles before it can
become a practical approach for
treating disease. According to the
American Society of Human Genetics
Statement on Gene Therapy, efec-
tive progress will be achieved only
through continued rigorous research
on the most fundamental mecha-
nisms underlying gene delivery and
gene expression in animals.
7 www.ornl.gov/hgmis/publicat/primer/ U.S. Department of Energy Ofce of Science
*Source: Biotechnology Industry Organization website
(www.bio.org), June 2008.
R
apid progress in genome science and a glimpse
into its potential applications have spurred
observers to predict that biology will be the
foremost science of the 21st Century. Technology and
resources generated by the Human Genome Project
and other genomic research already are having major
impacts across the life sciences. The biotechnology
industry employed more than 250,000 people in 2006,
and revenues for 2005 totaled more than $50.7 billion.*
Future revenues are expected to reach trillions of dollars.
A list of some current and potential applications
of genome research follows. More studies and public dis-
cussion are required for eventual validation and imple-
mentation of some of these uses (see p. 8).
Bioarchaeology, Anthropology,
Evolution, and Human Migration
Study evolution through germline mutations
in lineages
Study migration of diferent population
groups based on maternal genetic inheritance
Study mutations on the Y chromosome to trace
lineage and migration of males
Compare breakpoints in the evolution of
mutations with population ages and
historical events
DNA Identifcation
Identify potential suspects whose DNA may match
evidence left at crime scenes
Exonerate people wrongly accused of crimes
Identify crime, catastrophe, and other victims
Establish paternity and other family relationships
Identify endangered and protected species as
an aid to wildlife ofcials (e.g., to prosecute poachers)
Detect bacteria and other organisms that could
pollute air, water, soil, and food
Match organ donors with recipients in
transplant programs
Determine pedigree for seed or livestock breeds
Authenticate consumables such as caviar and wine
Agriculture, Livestock Breeding,
and Bioprocessing
Grow disease-, insect-, and drought-resistant crops
Optimize crops for bioenergy production
Breed healthier, more productive, disease-resistant
farm animals
Grow more nutritious produce
Develop biopesticides
Incorporate edible vaccines into food products
Develop new environmental cleanup uses for plants
such as tobacco
F
rom its inception, the Human Genome Project
dedicated funds to identify and address the ethi-
cal, legal, and social issues surrounding the avail-
ability of new genetic data and capabilities. Examples
of such issues follow.*
Privacy and confdentiality of genetic informa-
tion. Who owns and controls genetic information? Is
genetic privacy diferent from medical privacy?
Fairness in the use of genetic information by
insurers, employers, courts, schools, adoption
agencies, and the military, among others. Who
should have access to personal genetic informa-
tion, and how will it be used?
Psychological impact, stigmatization, and discrimi-
nation due to an individuals genetic makeup. How
does personal genetic information afect self-iden-
tity and societys perceptions?
Reproductive issues including adequate and
informed consent and the use of genetic informa-
tion in reproductive decision making. Do health-
care personnel properly counsel parents about risks
and limitations? What larger societal issues are raised
by new reproductive technologies?
Clinical issues including the education of doctors
and other health-service providers,
people identifed with genetic
conditions, and the general
public; and implementation of
standards and quality-control
measures. How should health
professionals be prepared for the
new genetics? How can the pub-
lic be educated to make informed
choices? How will genetic tests be
evaluated and regulated for accuracy,
reliability, and usefulness? (Currently,
there is little regulation.) How does soci-
ety balance current scientifc limitations
and social risk with long-term benefts?
Fairness in access to advanced genomic
technologies. Who will beneft? Will there
be major worldwide inequities?
Related Websites
Human Genome Project Information
www.ornl.gov/hgmis/home.shtml
Medicine and the New Genetics
www.ornl.gov/hgmis/medicine/
Ethical, Legal, and Social Issues
www.ornl.gov/hgmis/elsi/
Genetics Privacy and Legislation
www.ornl.gov/hgmis/elsi/legislat.shtml
Gene Gateway
genomics.energy.gov/genegateway/
Image Gallery (downloadable)
genomics.energy.gov/gallery/
Resources for Teachers
www.ornl.gov/hgmis/education/
Resources for Students
www.ornl.gov/hgmis/education/students.shtml
Careers in Genetics and the Biosciences
www.ornl.gov/hgmis/education/careers.shtml
DOE Joint Genome Institute
www.jgi.doe.gov
NIH National Human Genome Research Institute
www.genome.gov
Genomes OnLine Database (GOLD)
www.genomesonline.org
National Center for Biotechnology Information
www.ncbi.nlm.nih.gov