Guo Sun-Wei
Shanghai Obstetrics and Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, 200011 China.
Minerva. 2013;51(4):485-512. doi: 10.1007/s11024-013-9237-7. Epub 2013 Aug 30.
Following the successful cloning of genes for mostly rare genetic diseases in the early 1990s, there was a nearly universal enthusiasm that similar approaches could be employed to hunt down genes predisposing people to complex diseases. Around 1996, several well-funded international gene-hunting teams, enticed by the low cost of collecting biological samples and China's enormous population, and ushered in by some well-connected Chinese intermediaries, came to China to hunt down disease susceptibility genes. This alarmed and, in some cases, enraged many poorly funded Chinese scientists, who perceived them as formidable competitors. Some depicted foreign gene-hunters as greedy pilferers of the vast Chinese genetic gold mine, comparing it to the plundering of national treasures from China by invaders in the past, and called upon the government and their fellow countrymen to rise up and protect China's genetic gold mine. Media uproar ensued, proclaiming the imminent "gene war of the century." This article chronicles the key events surrounding this "war" and its aftermath, exposes some inherent complexities in identifying susceptibility genes for complex diseases, highlights some issues obscured or completely overlooked in the passionate and patriotic rhetoric, and debunks some misconceptions embedded in this conflict. In addition, it argues that during the entire course of this "war," the public's interest went conspicuously unmentioned. Finally, it articulates several lessons that can be learned from this conflict, and outlines challenges facing human genetics researchers.
20世纪90年代初,大多数罕见遗传病的基因成功克隆后,人们几乎普遍热衷于采用类似方法来寻找导致人们易患复杂疾病的基因。1996年左右,几个资金雄厚的国际基因搜寻团队,受生物样本采集成本低以及中国庞大人口的吸引,并在一些人脉广泛的中国中介的引领下,来到中国寻找疾病易感基因。这让许多资金匮乏的中国科学家感到震惊,在某些情况下甚至感到愤怒,他们将这些国际团队视为强大的竞争对手。一些人将外国基因搜寻者描绘成贪婪地窃取中国巨大基因宝库的人,把这比作过去侵略者掠夺中国国宝,并呼吁政府和同胞奋起保护中国的基因宝库。随后媒体一片哗然,宣称即将爆发“世纪基因大战”。本文记录了围绕这场“战争”及其后果的关键事件,揭示了识别复杂疾病易感基因过程中一些内在的复杂性,突出了在充满激情的爱国言论中被掩盖或完全忽视的一些问题,并揭穿了这场冲突中存在的一些误解。此外,本文认为在这场“战争”的整个过程中,公众利益明显未被提及。最后,本文阐明了可以从这场冲突中学到的几点教训,并概述了人类遗传学研究人员面临的挑战。