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Gene doping

Introduction

If you could tweak your genes to excel in sports, would you?  It may seem like science fiction but it is a question athletes are actually confronting.

Within the past decade, scientists have made huge strides in genetic research, developing new medical treatments like gene therapy to help those suffering from genetic problems.  But these advances in gene-based technologies have created a newfound worry in sports doping, gene doping.

More than ever, the World Anti-Doping Agency (WADA) is beefing up its fight against cheaters, determined to catch those who use performance-enhancing drugs.  At the 2008 Beijing Summer Olympics, WADA administered more than 4500 tests, a 25 per cent increase from the 2004 Athens games.

Furthermore recent developments in technology now allow scientists to test athletes to see whether they are predisposed to a particular sport.   In doing so, scientists can determine whether a person excels at endurance or power sports. These tests are available commercially for just a few hundred dollars.

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Gene doping

Testing your genes for sporting traits

Watch how I was tested at the University of British Columbia to see what sport I am predisposed to and how easy a test like this can be.

The days of screening for athletic talent based upon individual genetic make-up are here. Recent developments in technology allow scientists to test athletes to see whether they are predisposed to a particular sport. In 2005, the Sea Eagles, a professional rugby team in Australia, DNA-tested 18 of its 24 players for exercise-related genes. The reason for the test was to determine each player’s genetic profile and create a training program based on the results.

One of the genes that they were looking for was the angiotensin-converting enzyme (ACE) gene. ACE is tied to endurance sports, as it allows for a stronger blood flow to reach the muscles. Companies around the world offer these services for a few hundred dollars to the public, but genetic tests like these are occurring on a daily basis at many universities.

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Gene doping

Q&A: Gene doping

UBC Assistant Professor of Human Kinetics James Rupert received US $275,000 from WADA to develop a prototype test to detect if an athlete had manipulated their EPO-producing gene.

Advances in gene-based technologies have sparked concerns in sports over gene doping. The prevalence of doping in sports has increased over the past decade. But now the International Olympic Committee and the World Anti-Doping Agency (WADA) are concerned about catching gene dopers.

An athlete chosing to gene dope can do so in two different manners. One way is to use gene transporters called vectors and inject them directly into a muscle. These vectors can modify an athlete’s genes, giving them performance-enhancing qualities. The second way involves modifying genes that already exist in the body by injecting viruses into cells. By doing so, scientists are able to re-engineer an athlete’s body by injecting genetic material into their cells.

Scientists believe that the first gene doped may be a gene whose function is well understood. And if that were the case, the most likely suspect would be the gene for erythropoietin (EPO). EPO is a naturally occurring hormone that tells the body to produce more blood cells. This in turn allows for more oxygen to be carried to muscles and can counteract fatigue and enhance aerobic performance.

Currently, a synthetic version of the EPO hormone is available to athletes, although it is on WADA’s banned substance list. This version of EPO has been widely used in sports like cycling and cross-country skiing, but scientists are worried that gene doping EPO would allow athlete’s to increase their ability to produce the hormone naturally and bypass the need for injections.

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Gene doping

How athletes excel

Owning the podium in sports means that athletes must work long and hard to perfect their skills. While it is assumed that achieving athletic greatness involves tireless hours of training and exercising both in and out of the gym, taking home that number one spot may, in the end, be the result of the “gifts” that your parents give you at birth – your genes.

The genetic “gifts” our parents gave us at birth may play a part in the way our body responds to training and exercise.  Scientists believe that the combination of psychological traits, the body’s physical characteristics, and the number of years participating in a sport are all part of the package of being an elite athlete.

Watch as some of the men from the Canadian National aerialist team discuss the key components to being an elite athlete, their training regiments, and how they plan to succeed in winning gold in the 2010 Olympics.

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Gene doping

The dilemma of testing for genetic sporting traits

A parent’s dream for their child is a powerful thing. Ask any parent and they will tell you that theirs is the smartest, most gifted child they have ever seen. While that may be true, some parents are going out of their way to prove that fact. Through a commercially available genetics test, parents are now able to find out what types of sports their kids are predisposed for — either endurance or power sports.

When Alison Korn, a former Canadian Olympic rower, first heard about this type of testing, it wasn’t her kids she was thinking about testing, it was herself.

Turning to an industry that has been gaining popularity over the past five years, the two-time Olympic winner, couldn’t help but be curious to find out whether rowing was truly in her “genes.”

“I just kind of wondered what my genetic profile would be,” she said. “So, I sent away and they sent me a test.  This was four years ago, and it came back and it said I was suited for power/sprint sports.”

While she wasn’t surprised about the result, what she was surprised about was that rowing wasn’t even on the list.

“It was kind of funny because it didn’t even mention rowing,” she said, “so I scoffed at the test a bit.”


Alison Korn's advise to parents who are considering DNA-testing their children.

But turning their back on this kind of testing is certainly not an option for some parents in Boulder, Colorado.

Parents willing to shell out around US$149.00, are only one swab away from knowing which sports their child is suited for. The Boulder-based company, Atlas Sports Genetics, is playing to these sports-obsessed parents, allowing them to predict their child’s natural athletic strengths through DNA testing.

The power sport gene

The testing process is simple. A couple of swabs with a finely bristled brush inside the child’s cheek, and the DNA collection is done. The sample is then sent back to the lab for analysis. In a matter of weeks, the results will show whether the child would be best suited for endurance sports like distance running, or speed and power sports like football, or the combination of the two.

The gene scientists are testing for is called the alpha-actinin 3 gene (ACTN3). The gene is found within fast-twitching muscle fibers, allowing the body to generate force during intensive physical displays. Studies have shown that people who are tapped with having this gene are likely to excel in power sports like sprinting.

Understanding of these kinds of genetic links is continually evolving. Research like this is taking place at universities across the world, including at the University of British Columbia (UBC). Jim Rupert, a human kinetics Assistance Professor at UBC, is looking into the relationship between genetics and athletic performance. He said that when the ACTN3 study came out in 2003, it was the first time the science really provided a strong case for the role of genetics affecting athletic abilities.

“When the alpha-actinin gene paper came out in the American Journal of Human Genetics, it was noteworthy in that this was a gene that was involved in muscle,” he said.

The study identified a connection between ACTN3 and performance by looking at individual gene combinations. Those people who had a copy of the R variant of ACTN3 were able to produce a protein that was found exclusively in fast-twitching muscles. This would allow their muscles to move forcefully during speed and power sports. Others who were tapped with having two copies of the X variant were more likely to excel in endurance sports, as the X variant stops the production of the protein.

To come to this conclusion, the researchers looked at 429 elite athletes, of which 50 were Olympians. In the examination of the 107 sprint athletes who participated in the study, 50 percent of them had two copies of the R variant.

In Rupert’s view, the study suggested that the presence or absence of this gene, “would have an effect on physical performance”.

Sporting talent

With this in mind, Korn is now contemplating getting her children tested too.

“I started out saying, yeah, I don’t want to test my kids but I am curious, I will admit it and now they are almost five and I’m like, wow, I’m like I wonder if they are better sprinters or endurance athletes. But I am still holding back on it.”

She may be holding back but others aren’t. Ryan Blais, Canadian winter Olympic hopeful, thinks that genetically identifying kids is going to be the way of the future in sport.

“You’ll start to see sports that really specialize in the type of athletes that they ID. For example, you’ve seen it with Michael Phelps. Before his race he does this little thing with his arms, where his go way back there-he is double jointed in the shoulders. His body is really well suited for swimming.

“So you’ll start to see early on coaches are able to ID you have the perfect anatomy,” said Blais.

In a way he’s right, because this type of identification is already here.

Talent identification (TID) has become a key component for the Australian Institute of Sport (AIS). This sports development firm uses physiological (genetics) and psychological tests to identify talent. Those who fit the “profile” are given access to top training facilities to enhance performance.

Although gene-based selection is still in its infancy, athletes like Blais still believe it is only a matter of time until this type of identification process will make it into the sport he loves.

“That hasn’t happened in freestyle aerials yet. There is tall guys, short guys, there is chubby guys, there is skinny guys. If you take a sport and fast forward 20-years, we’ll start to see that in order to spin quickly it is better to be slim, tall, with long arms to generate a lot of twist. So, I think those types of things will push sport.”


Ever wonder what anti-doping measures athletes have to go through? Watch as Canadian aerialist skier, Ryan Blais, explains the many different steps.

But Rupert doesn’t believe that all the answers for athletic performance lie in the genes.

“If you look at the numbers from the original study, you will still find people who were elite endurance athletes who had the non-endurance variance of the gene and people who were elite non-endurance athletes who had the endurance variant. It is not a 100 percent.”

It may not be an exact science because being an elite athlete is more than just having the perfect genes. Korn said that during her years of competing, it was those athletes who had the most passion and heart for the sport that had the athletic advantage.

“I was like one of the biggest athletes on the team but we always had a couple of smaller women in that boat who on paper shouldn’t of made the team because they weren’t big enough but they had that heart and they had this ability that let them beat out other bigger girls,” said Korn.

“I have seen it in my own career. There are these intangibles that you cannot measure in any way and it just comes out in your performance.”

While genetics testing may gear parents towards their kid’s natural athletic strengths, it is the training, determination and individual passion that makes a true champion. Until the day comes when those traits can be tested for, I wouldn’t place any bets on your kid being the next Usain Bolt.

Categories
Gene doping

Literature review

The Makings of an Olympian

Introduction

The dimensions of becoming an Olympic champion are very complex.  It involves countless hours of training and exercising, both in and out of the gym, but also requires being motivated, patient, and passionate.  While all those traits may contribute to the package, what may truly define the greatness of an elite athlete is their genes.  The genetic makeup in an athlete may in part contribute to their athletic success.  This notion was all too apparent at the 2008 Beijing Summer Olympics.  American swimmer, Michael Phelps, dominated airwaves throughout the entire games because of his record breaking eight gold medals.

During the games, media outlets analyzed every possible aspect that could have contributed to the 23-year olds success.  In doing so, it became clear that Phelps’ advantage over his competitors might have more to do with his genetic makeup than his training regiment.  For instance, Phelps was born with hyperflexible joints, allowing his knees, ankles, and wrists to bend about 10 to 15 degrees more than the average person (Parry, 2008, BBC Sports). As a result, he is able to conduct a more powerful flipper kick with both his legs and angles, resembling that of the motion of a dolphin’s tail (Parry, 2008, BBC Sports).

Further, Phelps has an abnormally long torso with short legs.  This in turn allows him to swim faster, as it minimizes his drag and maximizes propulsion (Parry, 2008, BBC Sports). If one were to breakdown every aspect of Phelps’ body, it can be concluded that the composition of Phelps’ body is genetically sound for swimming success.

Another such example can be identified in the 1964 Winter Olympics.  Eero Mantyranta, brought home two gold medals in cross-country skiing for Finland during the games held in Austria.  Although, Mantyranta’s training practices were similar to his fellow competitors, his athletic success came in part as the result of his genes.

Mantyranta was born with a mutation in the erythropoietin (EPO) receptor gene (McCrory, 2003, p.192). This genetic mutation gave him the advantage over the average person, as it “increased the oxygen carrying capacity of his red blood cells by 25% to 50% to the heart,” which in turn allowed him to maintain his endurance during competition (McCrory, 2003, p.192).

With genetics having been identified as contributing to human athletic performance, it’s hard to understand how those athletes without the same genetic predispositions can compete.  In recent years, scientists have been conducting research into this area, trying to find answers to these questions. Subsequently, this research has lead to the development of gene-based technologies, allowing scientists to examine and manipulate an individual’s genes (Haisma, 2004).

As a result of these advances, new worries have arisen, as to how these technologies will impact sport.  One such worry includes the possibility that athletes will look to enhance their own genes in order to get that athletic advantage. In order to do so, competitors can turn to a medical treatment called gene therapy.  According to Dr. H.J. Haisma (2004):

Gene therapy may be defined as the transfer of genetic material to human cells for the treatment, or prevention of disease or disorders. Genetic materials can be DNA, RNA, or genetically altered cells (p.17).

Through the use of gene therapy, athletes are able to use these techniques to enhance their own athletic performance (Haisma, 2004). This in the realm of sports constitutes as gene doping.  Since, the effectiveness of genetic therapies have advanced over the past few years, sports doping agencies such as the World Anti-Doping Agency (WADA) have been scrambling to come up with a test that would catch genetic cheaters.  At this point, there are no concrete tests available to catch gene dopers, and as these genetic-based technologies continue to advance, it may become nearly impossible to distinguish between those who are genetically ‘gifted’ and those who paid for them.

Given the importance of genetics in sport, the discussion in this paper will examine the key findings in genetic analysis of human athletic performance. In addition, as gene-based technologies continue to evolve, new threats have emerged as to how these advances will impact sport.  In this review, genetic medical treatments, gene-doping, and anti-doping tactics will also be addressed.

Literature Review

David J. Smith provides an in-depth review of the many different components contributing to athletic performance.  Smith acknowledges the relationship between genetics and athletics, but maintains that proper training methods, nutrition and rest all play a role in performance (Smith, 2003).  Most notable, Smith provides a compelling argument for the importance of training within sports, whereby he links the number of years put into a sport to athletic success (Smith, 2003).

According to Smith (2003), “a substantial body of evidence suggests that elite performances require around 10 years of practice to acquire the necessary skills and experience to perform at an international level” (p.1107).  Although, Smith identifies the role of genetics in athleticism, noting “genes account for half of performance”, he places emphasis on recovery periods, marking it as a key component to athletic performance (Smith, 2003).

Furthermore, Smith identifies mental or psychological toughness as key components to athletic performance, and thus, should be incorporated into the training regime of the competitor (Smith, 2003).  Taking note of all the psychological traits that influence performance, Smith (2003) identifies the following:

The psychological factors include motivation, aggression, focus, the aptitude to tolerate pain and sustain effort, attitudes towards winning and losing, the ability to cope with anxiety and stress, coach-ability, the competence to manage distractions and the capacity to relax (p.1108).

Therefore, Smith maintains that the manner in which an athlete can cope with the above-mentioned psychological traits may in fact determine their athletic success (Smith, 2003).

In a review of gene-based technologies, Brad McGregor furthers the analysis of genetics within in sport performance.  Within his article, he examines genetic characteristics and their greater impact on training and exercise.  Through his examinations, McGregor identifies several genetic components that influence the body’s reaction to training and exercise.  Some of these components include oxygen intake, heart rate, and an individual’s cardiac structure (McGregor, 2003).  Studies presented as evidence to support McGregor’s argument showed that “30-70 percent of an individual’s cardiac structures and response to cardiopulmonary exercise is genetically pre-determined” (McGregor, 2003, p.9; Patel and Greydanus, 2002).

Moreover, McGregor goes on to characterize structural traits that are not only influenced by genetics but are integral to performance. He notes that athletic institutions are using gene-based technologies to screen youth for genetic predispositions (McGregor, 2003). They are also using the tests to look for characteristics in the body structure that suit particular sports (McGregor, 2003). These characteristics include:

  • Height, length of arms
  • Muscle size, strength and muscle fiber composition
  • Heart size and resting heart rate
  • Lung size and volume
  • Flexibility of joints (McGregor, 2003, p.5; Patel and Greydanus, 2002)

With the above-mentioned characteristics in mind, McGregor provides strong evidence to what percentage of genetics influence an individual structural trait.  McGregor quotes Patel and Greydanus’ 2002 study to back up his argument, highlighting that “genes are responsible for 30% of baseline heart rate and 27% of heart rate variance in response to training” (McGregor, 2003, p.5; Patel and Greydanus, 2002, p.251).

There are over 200 different genes that could influence “athletic performance and health-related fitness phenotypes” (Brey et al, 2009, p.34).  One such gene is alpha-actinin 3 (ACTN3).  Nan Yang et al. (2003) argue:

[T]here are highly significant associations between ACTN3 genotype and athletic performance.  The presence of ACTN3 has a beneficial effect onthe function of skeletal muscle in generating forceful contractions at high velocity, and provide an evolutionary advantage because of increased sprint performance (p.627).

These researches provide interesting accounts of the ACTN3 gene, as their findings suggest that in both male and female sprinters exhibited “higher frequencies of the 577R allele” (Yang et al., 2003, p.627).  Study found that R577X, which is expressed in muscle, tapped in at much higher numbers than expect in female sprint athletes, and lower in endurance athletes (Yang et al., 2003). Subsequently, researchers did find dissimilar results between the sexes, which they concluded that the ACTN3 gene affects men differently than women (Yang et al., 2003).

In 2004 report by the Netherlands Centre for Doping Affairs, Professor Dr. H. J. Haisma explores the evolution of doping in sport.  In his examination, Haisma identifies gene doping as the next possible threat to sport, suggesting that the advances in gene-based technologies and genetic therapy will likely persuade unscrupulous athletes  (Haisma, 2004). Since “gene therapy may be defined as the transfer of genetic material to human cells for the treatment, or prevention of a disease or disorder,” such transfer of genetic material may become desirable for athletes in the future, as the ability to transfer  (Haisma, 2004).

The report identifies erythropoietin (EPO) gene as the potential first gene doped in sport (Haisma, 2004).  Haisma argues that EPO gene receptor “speeds up wound healing, and ameliorates muscular soreness after exercise,” which in turn may be a desirable feature for athletes experiencing soreness after exercise or suffering from an injury (Haisma, 2004, p.13).  EPO is a commonly used treatment for people who are suffering from anemia or provided to cancer patients to offset the harsh side effects experienced during chemotherapy (Haism, 2004).

Tom D. Brutsaert and Esteban J. Parra examine the complexities of human athletic performance through an analysis of the interaction between genes (G) and environment (E) (Brutsaert and Parra, 2006).  Within their review, these researchers provide evidence to support a correlation between genetics and human athletic perform, but their findings suggest that environment influences affect the outcome of those athletic abilities (Brutsaert and Parra, 2006).

Brutsaert and Parra (2006) maintain that “gene-environment interaction (G x E) as a means of understanding variation in human physiological performance” must be further studied in order to understand the many dimensions of becoming an elite athlete (p.109).  Such notion is further emphasized in their categorization of environmental and human physical performance research.  Within this subsection, Brutsaert and Parra (2006) argue:

[E]lite athletes are those who respond in extraordinary ways to training in order to unlock an already present potential, and G-by-training interaction may itself be affected by G x E taking place over the lifetime
of an individual.  Thus, a broader consideration of environmental effects should be emphasized (p.115).

Although, further study is needed in the area of environmental impacts on human athletic performance, Brutsaert and Parra identify “unmeasured environmental effects” as a major problem in advancing this research (Brutsaert and Parra, 2006, p.117).  Since there may be a correlation between genetics and environment within athletics, Brutsaert and Parra (2006) maintain, “understanding the origins of variation in human athletic performance will require an integration of both, genetic and environmental, researchers and research approaches” (p.117).

George Gayagay et al. study “the genetic markers that may contribute to making an elite athlete” (Gayagay et al., 1998, p.48).  In this study, Gayagay et al. examine the angiotensin-converting enzyme (ACE) in 64 Australian national rowers and compared the sample against a normal population (Gayagay et al., 1998).  The results revealed that the rowers had an excess of “ACE I allele and the ACE II genotype” (Gayagay et al., 1998, p.48).  According to Gayagay et al. (1998):

[T]he study demonstrated a significant association between a measurable genetic polymorphism and elite athletic performance. An excess of the ACE I allele – might represent, in part, a “healthy” cardiovascular system (p.50).

Therefore, this study provides evidence to suggest an association between the presence of the ACE gene and improved athletic performance in endurance sports, as ACE is linked with a strong cardiovascular system (Gayagay et al., 1998).

Dr. Oliver Rabin, the World Anti-Doping Agency (WADA) Science Director, identifies the challenges of catching gene dopers.  He states (2006), “gene or cell doping, referring to the abuse of gene or cell therapy to enhance performance in sport, is considered to be one of the most difficult challenges facing the anti-doping scientific community” (p.1).  Dr. Rabin attests that WADA has placed gene doping at the top of their research priority list, and in doing so, has accepted and funded 11 projects dedicated catching cheats (Rabin, 2006).  Dr. Rabin (2006) goes on to note that this type of doping may pose a challenge to creating a reliable test, as “it is still unknown which maker will offer a sufficient specificity, sensitivity ad window of detection to transfer into valid and practical anti-doping methods” (p.1).

Conclusion

In light of the recent genetic discoveries within human athletic performance, the literature reviewed provided sound arguments for the influential role genetics plays in sports.  As technology is evolving, more than ever is it important to understand how geneticists determine what athletic components individuals are predisposed to in sports. Since human athletic performance is linked to particular genotypes within human DNA, scientists can pinpoint whether an individual will excel in either endurance performance or muscle-strength sports (Rankinen, 2006). This in turn may change the nature of sports competition in the future, as athletes may decide to venture into a particular sport based upon their genetic predisposition, as opposed to their love for the game.

Bibliography

Bray, M.S., Hagberg, J.M., Perusse, L., Rankinen, T., Roth, S.M., Wolfarth, B., &  Bouchard, C. (2009, January). The human gene map for performance and health-related fitness phenotypes: The 2006-2007 update. Medicine & Science in Sports & Exercise, 41(1), 34-73.

Brutsaert, T.D. and Parra, E.J. (2006).  What Makes a Champion?  Explaining Variation in Human Athletic Performance.  Respiratory Physiology & Neurobiology, 151. 109-123.

Gayagay, G., B. Yu, B. Hambly, T. Boston, A. Hahn, D.S. Celermajer, and R.J. Trent. (1998).  Elite Endurance Athletes and the ACE I Allele-the Role of Genes in Athletic Performance.  Hum Genet, 103. 48-50.

Haisma, Dr. H.J. (2004). Gene Doping. Netherlands Centre for Doping Affairs. 1-35.

McCrory, P. (2003). Super Athletes or Gene Cheats? British Journal of Sports Medicine, 37. 192-193.

McGregor, B.  (2003).  The Use of Gene-Based Technologies for Talent Identification in High-Performance Sport. Bond University: Master of Sport Science.  Retrieved December 10, 2008

Parry, S. (2008, August 13).  What Makes Phelps So Special? BBC Sports.  Retrieved
December 21, 2008

Patel, D.R. and Graydanus, D.E. (2002).  Genes and Athletes. Adolescent Medicine. 13(2). pp. 249-255.

Rabin, O. (2006).  WADA Program and Perspectives on Gene Doping Detection.  World Anti-Doping Agency (PDF).  Retrieved February 6, 2009http://www.wada- ama.org/rtecontent/document/3_1_Rabin_Abst.pdf

Rankinen, T., M. S. Bray, J. M. Hagberg, L. Perusse, S. M. Roth, B. Wolfarth, and C. Bouchard. (2006).  The Human Gene Map for Performance and Health-Related Fitness Pheotypes: The 2005 Update. The American College of Sports Medicine. 1863-1888.

Smith, D. J. (2003).  Framework for Understanding the Training Process Leading to Elite Performance.  Sports Med, 33(15). 1103- 1126.

Yang, N., D. G. MacArthur, J.P. Gulbin, A. G. Hahn, A. H. Beggs, S. Easteal, and K. North. (2003). ACTN3 Genotype is Associated with Human Elite Athletic Performance. The American Journal of Human Genetics ,73(3). 627-631.

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