Cancer is a Genetic Disease - National Human Genome Research
THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND
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Transcript of THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
Produced by the Centre for Genetics Education. Internet: http://www.genetics.edu.au
Important points
• Thecompletionofthemappingoftheestimated20,000genesinthehumangenomewasannouncedinApril2003• Thenumberofhumangenesisonlydoublethatfoundintheroundworm• About11,000genesinwhichthegeneticcodehasbeensequencedhavebeenmappedtoeitheroneofthenumbered
chromosomes1-22(autosome)ortheXorYsexchromosomesinthenucleusofthecellortothemitochondria• Ofthesegenes,onlyabout380havebeenfoundtobeassociatedwithageneticconditionwhentheinformationinthegeneis
changedinsomeway.ItisonlyforsuchconditionswherethechangeinthegenehasbeenclearlyidentifiedthatDNAdirectgenetictestingmaybeavailable
• Understandingtheotherfactorsthatinteractwiththegeneticinformationinthedevelopmentofcomplexconditionsisalsoanareaofintenseresearchthatmaypavethewayforthedevelopmentofpreventivestrategies
• Researchisongoingintryingtounderstandtherolethatthe‘non-coding’DNAandtheinteractionsbetweenthegenesplayintheexpressionandcontrolofthegeneticinformation
• Thechallengesthatremainare:– Togainknowledgeaboutthestructureofthegenomeanditsimportanceandthedevelopmentofnewtechnologies– Totranslatethegenomebasedknowledgeintoprovidingdiagnosisandpredictivetestingforgeneticconditionsandnew
treatmentsforgeneticconditions– Tomaximisethebenefitsandminimisetheharmsinimplementingthegenomicbasedknowledgeandtechnologies.Issues
willincludetheprovisionofpredictiveorpresymptomatictestingforconditionsforwhichthereiscurrentlynotreatment,privacy,genetictesting,populationscreeningandestablishingandregulatingtheboundaries
The Helix of Humanity25thApril2003markedthe50thanniversaryofthediscoveryofthehelicalstructure ofDNAbyWatsonandCrickin1953,aspublishedinthejournal,Nature
A brief history of genetics and human genetics discoveries (Table 24.1)
• ThefieldofgeneticshadbeeninitiatedbytheworkofGregorMendelwhoin1865proposedthebasiclawsofhereditybasedontheobservationsfrombreedingpeaplants
• ThiswasfollowedbyanumberofotherhallmarkdiscoveriessuchasThomasMorgan’sexperimentsin1910withthefruitfly(Drosophila)thatrevealedtheexistenceofthesexchromosomesandconfirmedthatgenesresideonchromosomes
• In1944OswaldAvery,ColinMcleodandMaclynMcCarthydiscoveredthatDNA,andnotprotein,wasthehereditarymaterialinmostlivingorganisms
• ItwastheworkofWatsonandCrickhoweverthatheraldedthefieldofthe‘NewGenetics’bydeterminingthattheDNAmoleculemusthaveahelicalstructuretoenablethereplicationofDNAincelldivision(Figure 24.1)
• Furtherresearchandtechnologicaladvancesprogressedrapidlyafterthemid-1970s,sothattheisolationandmanipulationoftheDNAwaspossible
• Duringthe1980sanincreasingnumberofgenesinvolvedinhumanhealth,growthanddevelopmentwerelocatedandtheirsequenceofcodedinformationdescribed
• ThefurtherrealisationofthepotentialfordiagnosisandpredictionofgeneticconditionsbeganwiththeinitiationoftheHumanGenomeProject(HGP)in1990,establishedasaninternationalresearcheffortwiththegoalofproducingavarietyofbiologicalmapsofhumanchromosomesanddeterminingthecompletechemicalsequenceofhumanDNA:thesubstancethatmakesupgenes.Allthegeneticmaterialinthecellsofaparticularlivingorganismisreferredtoasitsgenome.Thehumangenomethusdescribesallthegeneticmaterialfoundinahumancell.Formoreinformationaboutthearrangementofthismaterialintogenesandchromosomes,seeGeneticsFactSheet1
• TheannouncementthatthehumangenomehadbeenmappedwasannouncedinApril2003andthussetthestagefordeterminingthefunctionofthe20,000orsogenesinthehumangenome,ataskthatcontinuestoday
Figure 24.1: The DNA helical structure identified by Watson and Crick in 1953.
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
Table 24.1: The history of human genetics discoveries up to the 50th anniversary of the discovery of the DNA helical structure in 1953.
1866Gregor Mendel proposes basic laws of heredity based on pea plants
April 1953Francis Crick and James Watson discover double helical nature of DNA
1977Maxam, Gilbert and Sanger develop DNA sequencing
1985First use of DNA “fingerprinting” in a criminal investigation
1992US Army begins collecting blood and tissue from all new recruits as part of a “genetic dog tag” program to give better identification of soldiers killed in combat
1999USA announce a 3 year mouse genome projectFirst human chromosome sequenced: chromosome 22
1882Walter Fleming (embryologist) discovers tiny threads in the nuclei of cells of salamander larvae that appeared to be dividing. These later turn out to be chromosomes.
1964Charles Yanofsky and colleagues prove sequence of nucleotides in DNA correspond exactly to the sequence of amino acids in proteins
1978First human gene cloned: insulin
1986First automated sequencer developedApproval for first genetically engineered vaccine for humans, for hepatitis B
1993First rough map of all 23 chromosomes produced Gene for HD cloned
2000Drosophila (fruit fly) genome sequencedChromosomes 5, 16 &19 draft sequenceChromosome 21 sequenced
1883Francis Galton coins the term eugenics referring to improving the human race
1969First gene in a piece of bacterial DNA isolated. The gene plays a role in the metabolism of sugar
1980Mapping human genome proposed using RFLPs (restriction fragment length polymorphisms)
1989Creation of the National Centre for Human Genome Research (headed by James Watson) which would oversee the Human Genome Project (HGP) to map and sequence the genes in human DNA by 2005
1995H. influenzae (virus) sequencedMicroarray (CHIP) technology developed
2000 June“Working draft” of human genome sequence announced
1910Thomas Morgan’s experiments with the fruit fly (Drosophila) reveal some characteristics that are sex-linked: confirms genes reside on chromosomes
1970Researchers at the University of Wisconsin synthesis a gene from scratch
1982First genetically engineered drug approved: insulin
1990Formal launch of the HGPFirst human gene therapy experiment performed on a 4 yr old girl with an immune deficiency
1996S. cerevisae (yeast) sequenced
2001 FebruaryPublication of initial working draft of the human genome published in Science & Nature by the two rival private and public groups
1926US biologist Hermann Muller discovers X-rays cause genetic mutations in fruit flies
1973First genetic engineering experiment: Insertion of a gene from an African clawed toad into a bacterium
1983Genetic marker for the genetic condition Huntington disease (HD) located on chromosome 4
1990Publication of Michael Crichton’s novel “Jurassic Park” in which bio-engineered dinosaurs roam a palaentological theme park: the experiment goes awry
1997Cloning of “Dolly”
2002Genome of mouse completed
1944Oswald Avery, Colin McLeod & MaclynMcCarthy discover DNA, not protein, isthe hereditary material in most livingorganisms
1975First call for guidelines governing genetic engineering
1985Kary Mullis develops PCR (polymerase chain reaction) torapidly reproduce DNA from avery small sample that enables genetic testing for health and other applications such as forensics and paternity testing
1991First gene involved in inherited predisposition to breast cancer and ovarian cancer (BRCA1) located on chromosome 17
1998C. elegans (worm) sequenced
April 25th 2003Completion of the mapping of the genes in the human genome announced setting the stage for determining the function of the then estimated 30, 000 or so genes
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
The Human Genome Mapping Project 1993-2003TheHumanGenomeOrganisation(HUGO)wasformedinSwitzerlandin1988tofacilitateinternationalscientificcollaborationandfundedfrom1990largelybypublicsectorfundingfromtheUSAandtheSangerInstituteintheUK.Theprojectcostapproximately$3billion.
Morefundingwasusedbybiotechnologycompaniesinaracetoanalysethehumangenomeandtocommercialisemanyofitsoutputs.Theworkwascarriedoutat20sequencingcentresinChina,France,Germany,Japan,theUKandtheUSA.Allmadetheirdatafreelyavailableviatheinternetassoonasitwasproduced.Inaddition,theUnitedNations’Educational,ScientificandCulturalOrganisation(UNESCO)promotedthecontinuedinvolvementofdevelopingcountriesintheproject’sactivities.
Objectives and goals ThereweretwomajorobjectivesintheHumanGenomeProject:1. Todevelopdetailedmapsofthelocationofgenesinthe
humangenomeandthegenomesofseveralotherwell-studiedorganisms:bacteria,yeast,nematode,fruitfly(Drosophila),mouseandArabidopsis thaliana,arapidlygrowingplantthathasasmallgenome.Itwasanticipatedthatknowledgegainedbythestudyofgenomesofotherorganismswouldassistintheanalysisofthehumangenome
2. TodeterminethesequenceofthecodedinformationcontainedintheDNAofthevariousgenomesstudiedandfromthistoidentifyalloftheestimated20,000humangenes.Thisinformationisintheformofchemical‘bases’thataredescribedbythelettersA,T,GandC(seeGeneticsFactsSheets1,4&5)
TheHumanGenomeProjectsuccessfullycompletedallthemajorgoalsintwo5-yearplans,1993-98and1998-2003,inwhichhumanDNAsequencingwasthemajoremphasis.Thescheduletocompletethefullsequenceby2003tocoincidewiththe50thanniversaryofthediscoveryofthestructureofDNAbyWatsonandCrickin1953,was2yearsaheadofpreviousprojections(Table 24.2).
InthecourseofcompletingthehumanDNAgenesequence,a‘workingdraft’wasannouncedinJune2000andformallypublishedbythetwogroupsinvolvedinFebruary2001.Thepubliclyfundedinternationalgroup,calledtheHGP,publishedtheirdraftsequenceinthejournalNature,onFebruary15,2001andtheprivateconsortium,CeleraGenomics,publishedtheirsequenceinthejournalScienceonFebruary16,2001.Celeragenomicsdidnotcontinueontoparticipateinthefinalcompletionofthegenesequencing.
Theplanalsoincludedgoalsfor• Sequencingtechnologydevelopment;forstudyinghuman
genomesequencevariation• Developingtechnologyforfunctionalgenomics• Completingthesequencesofseveralotherorganismssuchas
bacteria,yeast,thefruitflyDrosophila melanogaster andthemouse,tobeusedasmodelsforresearch
• Studyingtheethical,legal,andsocialimplicationsofgenomeresearch;forbioinformatics(thecollection,organisationandanalysisoflargeamountsofbiologicalinformationsuchasDNAsequence,usingnetworksofcomputersanddatabases
• Trainingofgenomescientists
The futureManyofthegoalsoftheHGPhavebeenachievedbutmuchremainstobedone:theidentificationofthegenesinthehumangenomeisjustthebeginning.
Thegenes’normalfunctions,theextenttowhichtheyvaryfrompersontopersonandtheroleofthisvariationincausingorcontributingtodevelopmental,growthandhealthproblemswillremainunclearforsometimeandmaytakeanother50years,maybemore.Clarifyingtheseissueswillprovideanongoingroleforhumangenomeresearch.
InthepublicationinthejournalNaturetocelebratethe50thanniversaryoftheDNAhelicaldiscovery,DrFrancisCollinsandhiscolleaguesoutlinedwhatliesaheadinharnessingthebenefitsandminimisingtheharmsgeneratedbytheHumanGenomeProject.
Theyenvisionedthatthefutureholdsthree‘GrandChallenges’,allofwhichareintertwinedanddependentandtheylikenedeachchallengetothethreefloorsofabuilding.ThefoundationsofthebuildingarethefindingsoftheHGP.Thesechallengesare:
Table 24.2: Goals and achievements of the Human Genome Project 1993 - 2003
Goals 1993 – 2003
Complete a map of human DNA to a resolution of 80, 000 basesComplete a map of the DNA of model organisms to aresolution of 80, 000 bases• bacteriumE. coli• yeast S. cerevisae• wormC. elegans• fruitflydrosophila melanogaster• mouse
Status at 1998
Midpoint of mapping of human DNA reachedMaps of several model organisms completed• Yeast1996• Bacteria1997• Worm1998
Goals 1998 – 2003
Finish 1/3 of human sequence and working draft remainderComplete human sequence by April 2003Complete sequence for remaining model organisms
Status in 2002
Draft of 90% of the human genome completed 2001Drosophila genome completed 2001
Status in 2003
Human sequence largely completed and available atEnsembl http://www.ensembl.org/• Genomesofmanyorganismsegmousealsoavailable• AllpubliclyavailableDNAvariationslisted• Linksinformationtoknowndiseasestates• Around600,000hits/day
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
(a) Genomics to Biology
Theworkwillcontinuetoelucidatethestructureandfunctionofanumberofgenomes.Thenextareawheretherewillberapiddevelopmentsiscalledproteomics–thestudyofthegeneproductsandhowtheyworkandinteractwitheachother,thegenesandothercomponentsinthecells.ThestudyofDNAvariationsindifferentgenomesandhowtheyhavecontributedtoevolutionaryvariation.
Knowledge about the structure of the genome and its importanceWhilethediscoveryofnewgenesandknowledgeabouttheirfunctionisanobviousbenefit,theorganisationofthegeneswithinthegenomeisalsoimportant.
Questionssuchas:isitimportantforgenestobelocatedonaparticularchromosome,orinaparticularordertofunction,willhopefullybeanswered.Inaddition,knowledgeaboutepigeneticprocessessuchas‘imprinting’ofgenesasdescribedinGeneticsFactSheet15wheretheexpressionofageneisdeterminedbywhetheritispasseddownfromthemotherorthefather,willbeimportantinformationgenerated.
Development of new technologiesTheHumanGenomeProjecthasbeenthecatalystforenormousadvancesinthedevelopmentoftechnology.Forexample,thepolymerasechainreaction,orPCR,inventedin1985byabiochemist,DrK.Mullis,enablesaverysmallamountofDNAtobecopiedmanytimesover.
ThusonlyverysmallsamplesofDNAarerequiredfortesting,suchastheamountofDNAinseveralhairrootsorinthecellsscrapedorwashedfromtheinsideofaperson’scheek.Thisisalsoveryimportantinforensicsciencewhenonlyasmallsampleoftissueorbloodmaybeavailableforstudy.
(b) Genomics to Health
Translatingthegenome-basedknowledgeintohealthbenefitsincludes
Diagnosis and predictive testing for genetic conditionsGenescontaincodedinformationthatdirectsthebodytocarryoutparticulartasks.Changesinthisinformation,calledmutations,preventthecorrectmessagebeingissuedtothecellsandmayresultinageneticcondition.Onceageneisisolatedanditscorrectsequencedefined,itispossibletodetermineifapersonhasthecorrectcopyofthegeneorthefaultyversionthatmayresultinaparticulargeneticcondition.
Thisinformationmaybeusedtodiagnoseaconditioninanindividualorduringapregnancy(prenatally)(seeGeneticsFactSheet17)oritmaybeusedtotestanindividualpriortoanysymptomsbeingpresent.
Sometimesavariationinthegenesequencedoesnotmakethegenefaultybutincreasesanindividual’ssusceptibilitytodevelopaconditionwhentriggeredbyenvironmentalfactors.Susceptibilitygenetictestingiscalled‘predictive’testingforageneticcondition(seeGeneticsFactSheet21).
New treatments for genetic conditionsTherearemanyconditionsthatareidentifiedasbeinggeneticbecauseoftheirpatternofinheritancewithinfamiliesbutdoctorsdonotknowthebiologicalbasisofthecondition.ThisisclearlyillustratedinHuntingtondisease(seeGeneticsFactSheet44).Thediscoveryofthegenewhichisfaultyinthoseindividualsaffectedwiththeconditionhasledtothediscoveryofapreviouslyunknownproteincalledhuntingtinwhichisobviouslyimportantinneurologicalfunction.
Suchknowledgeprovideshopeforthedesignoftreatmentsbasedoncorrectingthemalfunctioninggeneorprotein(seeGeneticsFactSheet27).
Othertreatmentswillinvolvethedevelopmentofdrugsguidedbythegenesandtheirproducts.Thisnewfieldofpharmacogenetics(seeGeneticsFactSheet25)hasalreadyyieldedanumberofdrugsusedinbreastcancertreatmentforexample.Thedeterminationofanindividual’sgeneticmake-upandhowitinteractswithcertaindrugsforeshadowsaneraofpersonalisedmedicine.
(c) Genomics to Society
ThischallengerecognisesthattherewillbebothbenefitsandharmsengenderedbythecurrentandfuturefindingsgeneratedbytheHumanGenomeProject.About3%ofthetotalbudgetfortheHumanGenomeProjectwasallocatedtosupportresearch,discussionandproposalsabouttheethicalandsocialissuesgeneratedbytheproject,andtheseconcernswillrequirefurtherconsiderationasmoregeneticinformationisgenerated.Theissues,discussedinmoredetailinGeneticsFactSheet21,areonlyafewwhichmustbeaddressedbysocietyasawholeaswellasthepolicy-makersingovernment.
Predictive or presymptomatic testing for conditions for which there is currently no treatmentGeneticcounselling(seeGeneticsFactSheet3)isstronglyrecommendedtoassistininformeddecision-makinginthisarea.
Somewillviewhavingtestingtoseeifheorshehasaparticularfaultygeneforaconditionthatmaynotdevelopforsomeyears,asbeneficial,althoughtheremaynotbeaneffectivetreatment.ExamplesofthisincludehavingpresymptomaticgenetictestingforHuntingtondiseaseandpredictivetestingforyoung-onsetformsofAlzheimerdisease(seeGeneticsFactSheets44&45).Othersmaynotseesuchtestingasbeneficialatall.
GeneticsFactSheet23discussesthedilemmasforfamiliesfacedwiththesechoices.
PrivacyItwillbeimportanttoensurethataccesstopersonalgeneticinformationisonlyonthebasisofinformedconsent.Suchinformationislikelytobeofinteresttothirdpartiessuchasemployersandinsurancecompanies.Equalweightshouldbegiventoanindividual’srighttoknow,ornottoknowdetailsofhisorherpersonalgeneticinformation.
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
TheAustralianLawReformCommissionandtheAustralianHealthEthicsCommitteecompletedtheirreportontheprotectionofhumangeneticinformationinAustralia,Essentially Yours,in2003fortheFederalGovernmentavailablefrom(http://www.alrc.gov.au).ThisisacomprehensivecoverageofalltheissuesrelatedtoprivacygeneratedbytheHumanGenomeProject.
Genetic testing and screeningItwillbeimportanttoensurethatallgenetictestingorscreeningisonlycarriedoutonthebasisofvoluntary,informedconsent.Associatededucationandcounsellingservicesarehighlyrecommendedtoavoidmisunderstandingordiscrimination.
Theveryexistenceoftestinggivesrisetothefollowingquestions:• Shouldsocietyeverimposetestingonpeoplewhoareathigh
riskofdevelopingacondition?• Shouldgeneticinformationbeprovidedtofamilymembers
whodidnotseektheinformationforthemselvesbutwhomaybeatriskofdeveloping,orpassingon,ageneticcondition?
Establishing the boundariesThedevelopmentsintechnologyenablethemanipulationofthegeneticmaterialincludingthepotentialtocloneahuman.Societywillneedtokeepabreastofthesedevelopmentsanddetermineifitshouldbeapplied,howitshouldbeappliedandinwhatsituations(seeGeneticsFactSheet23).
The human genetic codeThedraftDNAsequenceofthecodecontainedinthegenesannouncedin2001coveredabout90%ofthehumangenome,inwhichmostofthegenesaresituated.Thetotalnumberofchemicalbasesorlettersinthegeneticcodewasfoundtobeabout3,164.7million,makinguptheestimated(atthattime)30,000genes.
In2001,morethan50%ofthesegeneswereofunknownfunction.Thefinalsequencecoversalmost100%ofthegene-containinghumanDNAsequence.The‘missingparts’arecontainedinabout400gapsandremainunabletobedecipheredbycurrenttechnology.
Thenumberof‘letters’inthegenesisveryvariable:thereare3,000pergeneonaveragebutthelargestknowngeneisdystrophin(2.4millionlettersorbases)inwhichmutationscausevariousformsofmusculardystrophy(GeneticsFactSheet41).Nevertheless,theorderoflettersinthegeneticcodeofalmostallgenesisexactlythesameinallpeople,regardlessofrace.
Thetotalnumberofgenesinthehumangenomeisnowestimatedtobearound20,000.Thisfigureismuchlowerthanpreviousestimatesof80,000to140,000andisnotmuchmorethaninthegenomeofaverysimpleplantcalledArabidopsis(25,706genes)andisonlydoublethatfoundintheroundworm(Figure 24.2).
Only25%ofthehumansequenceidentifiediscontainedwithingenes(calledthecodingDNA)andonlyabout2%ofthegeneticcodecontainsinformationtoproduceproteins.Therefore50%-75%ofthesequenceisnon-codingDNAorthe‘string’betweenthegenes.
Muchofthisnon-codingDNAismadeupofrepeatedsequencesof‘letters’;thisphenomenonisusedinDNAfingerprintingforforensicandbiologicalrelationshiptestingasdiscussedinGeneticsFactSheet20.
HumanDNAdiffersfromtheDNAsequenceofotherorganismsbyhavingagreaterproportionofrepeatedsequencesoflettersintheirnon-codingDNAalthoughitappearsthatduringthelast50millionyears,humanshavelargelystoppedaccumulatingtheserepeats.
Whilethenumberofgenesinhumansandotherorganismsissurprisinglysimilar,humanshaveanaverageofthreetimesasmanykindsofproteinsastheflyorworm.Thisisbecausethegeneticcodeofthehumangenescanbereadinavarietyofways,producingonaveragethreeproteinspergenecomparedtooneproteinpergeneintheworm.
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Figure 24.2: Comparison of number of genes between humans and other organisms
Table 24.3: Comparison of the count of mapped genes with known genetic code by chromosomal or mitochondrial location with the count of associated genetic conditions (http://www.ncbi.nlm.nih.gov/Omim/mimstats.html March 2007)
Autosomal X-Linked Y-Linked Mitochondrial Total
Genes where the DNA sequence identified 10733 498 48 37 11316
Gene with known sequence associated with a genetic condition 353 32 0 0 385
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THE HUMAN GENETIC CODE – THE HUMAN GENOME PROJECT AND BEYOND 24F A C T S H E E T
Genes and genetic conditionsAtMarch92007,11,316genesinwhichthegeneticcodeisknownhavebeenmappedtoeitheroneofthenumberedchromosomes1-22(anautosome),theXorYchromosome(sexchromosomes)inthenucleusofthecellortothemitochondria(Table 24.3).
Oftheseover11,000genes,however,only385havebeenfoundtobeassociatedwithageneticconditionwhentheinformationinthegeneischangedinsomeway.ItisonlyfortheseconditionsthatDNAdirectgenetictestingmaybeavailable(seeGeneticsFactSheet22).
Limitations and opportunities gained from the Human Genome Project ThedeterminationoftheentireDNAsequencecontainedinthehumangenomewillnotenablegeneticiststolookataperson’sDNAsequenceandpredicteverythingabouttheirappearance,behaviourandothercharacteristics.
Manygenesinteracttoproduceaparticularcharacteristicandtheanalysisofgenesinisolationisnotgoingtoprovidethewholeanswer.Inaddition,whileanindividual’sgeneticmake-upmakesaconsiderablecontributiontotheirhealth,growthanddevelopment,appearanceandbehaviour,environmentalsoplaysamajorrole.Thisisnotjustthephysicalenvironmentsuchasdietandclimatebutalsoeducation,housingandaccesstohighqualityhealthservices.
Information in this Fact Sheet is sourced from:CollinsFS,GreenED,GuttmacherAE&GuyerMS.(2003).Avisionforthefutureofgenomicsresearch.Nature422;835-47TheAustralianLawReformCommissionandtheAustralianHealthEthicsCommittee2003.Essentially Yours [online].Availablefrom:http://www.
alrc.gov.au.[AccessedJune2007]TheNationalCentreforBiotechnologyInformation(USA)[online].Availablefrom:http://www.ncbi.nlm.nih.gov/[AccessedJune2007]TheNationalCentreforBiotechnologyInformation(USA)Genes and genetic disorders located to chromosomes[online].Availablefrom:http://www.
ncbi.nlm.nih.gov/Omim/mimstats.html[AccessedJune2007]TheSangerInstitute.Ensembl[online].Availablefrom:http://www.ensembl.org/[AccessedJune2007]U.S.DepartmentofEnergyOfficeofScience,OfficeofBiologicalandEnvironmentalResearch,HumanGenomeProgram.Major events in the
Human Genome Project and Related Projects[online].Availablefrom:http://www.ornl.gov/hgmis/project/timeline.html.[AccessedJune2007]WatsonJD&CrickFHC.(1953).Molecularstructureofnucleicacids:Astructurefordeoxyribonuceliecacid.Nature171,737.
Edit historyJune2007(6thEd)Author/s:A/ProfKristineBarlow-StewartAcknowledgementsthisedition:GayathriParasivamPreviouseditions:2004,2002,2000,1998,1996Acknowledgementspreviouseditions:MonaSaleh;BronwynButler;ProfGraemeMorgan;ProfRonTrent;MerranCooper
We are all more than the sum of our genes.Nevertheless,enormousopportunitiesfortreatmentandthediagnosisofgeneticconditionswillbegeneratedfromtheHumanGenomeProject.Findingoutthisinformationfromgenetictestingcanfreefamiliesfromtheuncertaintiesofanunexplainedillness,mayenabletheearlydetection,treatmentorpreventionofacurrentorfuturehealthproblemormaybeusedtopreventtheconditionaffectingfurtherchildreninthefamily.
Alongwiththisfreedomcomestheburdenofchoiceand,sometimes,knowledge.Genetictestingshouldonlyeverbeundertakenonaninformedbasissothattheadvantagesanddisadvantagescanbeweighedup.Someindividualswithafamilyhistoryofadebilitatingconditionthatstartsinmiddleagewouldrathernotknowiftheyhaveinheritedthefaultygenewhentheyareintheirtwentiesandstillhealthy.Yetotherswouldratherknowsothattheycanmakelifedecisionsappropriateforthem.
Geneticconditionsarefamilyhealthproblemssothatadiagnosisandtheresultingdecisionsareoften‘familyaffairs’.Somefamilymembers,however,maynotwanttosharethisinformation:othersinthefamilymaythereforeneverfindoutabouttheirriskandbeawareofopportunitiesforgenetictesting,orconditionpreventionandearlytreatment.Theremayalsobeinterestinthegeneticinformationbyothersoutsidethefamily:employersandfinancialinstitutionsforexamplemaywanttoknowtheresultsofgeneticteststhatcouldpredictanapplicant’sfuturehealth.
Other Genetics Fact Sheets referred to in this Fact Sheet: 1, 2, 3, 15, 17, 20, 21, 22, 23, 25, 27, 41, 44, 45