Rieu Michel
Conseil de prévention et de lutte contre le dopage, 39 rue Saint Dominique, 75007 Paris.
Bull Acad Natl Med. 2004;188(6):955-71; discussion 972.
Since Antiquity, sport persons have used doping methods to improve their performance. The methods used today are increasingly specific and professional As a corrolary, doping is becoming extremely difficult to detect: because many prohibited drugs are rapidly metabolized (short half life); it is often impossible to distinguish between the natural and recombinant hormone products; several prohibited substances are not screened for; therapeutic use authorization (TUA)--a recent recommendation from the World antidoping agency (WADA)--and advances in gene therapy are giving cheaters new possibilities. It is necessary to promote a new approach to doping detection by determining potential specific links between changes in human biological profiles (proteom, transcriptom, metabonom), and the use of a given drug. Developments in nanotechnology, and notably" labs on a chip" should prove useful in this respect.
自古以来,运动员就使用兴奋剂方法来提高成绩。如今使用的方法越来越具体和专业。相应地,兴奋剂检测变得极其困难:因为许多违禁药物代谢迅速(半衰期短);通常无法区分天然和重组激素产品;几种违禁物质未进行筛查;治疗用途授权(TUA)——世界反兴奋剂机构(WADA)最近的一项建议——以及基因治疗的进展给作弊者带来了新的可能性。有必要通过确定人类生物学特征(蛋白质组、转录组、代谢组)的变化与使用特定药物之间的潜在具体联系,来推动一种新的兴奋剂检测方法。纳米技术的发展,尤其是“芯片实验室”,在这方面应该会证明是有用的。