Subscribe to RSS
DOI: 10.1055/s-0029-1245902
© Georg Thieme Verlag KG Stuttgart · New York
Gendoping – aktuelle Möglichkeiten, Risiken und Präventionskonzepte
Gene Doping – Current Possibilities, Risks and Means of PreventionPublication History
Publication Date:
11 March 2011 (online)

Zusammenfassung
Mit dem Voranschreiten der Gentherapie wachsen die Ängste um den Missbrauch zu Dopingzwecken. Das durch die WADA definierte Gendoping grenzt sich streng von der Gentherapie ab. Man unterscheidet in vivo und ex vivo Methoden, um in verschiedene Phasen der Genexpression im Organismus Manipulationen durchführen zu können, als effizienteste werden virale Vektoren angesehen. Wichtigste Ansatzpunkte der Forschung sind IGF-1, PPARδ, MSTN und EPO, deren Potenzial teilweise in Tierversuchen zu signifikanten Leistungsverbesserungen führte. Mögliche Risiken für den menschlichen Anwender liegen in heftigen Immunreaktionen, Mutagenese und erhöhtem Krebsrisiko. Große Bemühungen werden in die Entwicklung von Nachweismethoden verwendet, aktuell gibt es jedoch noch keine praktikablen Kontrollmethoden oder dokumentierte Fälle von manipulierten Menschen. Eine bereits erfolgte Anwendung von Gendoping ist dennoch nicht auszuschließen und hochwahrscheinlich.
Abstract
With the advances in gene therapy fears of an abuse in sports arise. The WADA’s definition of the term strictly differentiates between gene doping and gene therapy. There are in vivo and ex vivo practices to manipulate the different phases of gene expression in the organism, with viral vectors being looked upon as the most efficient ones. IGF-1, PPARδ, MSTN and EPO play the most important roles in today’s scientific research. Their potential was proven in various animal studies, showing a significant improvement of performances. Potential risks for human users include severe immune reactions, mutagenesis, and raised risk for cancer. Big efforts are being put into the development of ways of detection, however until now there are neither practicable methods of control nor any reported cases of manipulated humans. Still, a usage of gene doping that has already taken place cannot be ruled out and is highly likely.
Schlüsselwörter
Gendoping - Gentherapie - Sport - Dopingprävention - Dopingkontrollen
Key words
gene doping - sports - gene therapy - doping prevention - doping control
Literatur
- 1
Arndt N, Singler A, Treutlein G et al.
Sport ohne Doping.
Deutsche Sportjugend.
2004;
1. Auflage
5-92
Reference Ris Wihthout Link
- 2
Higgins A J.
From ancient Greece to modern Athens: 3000 years of doping in competition horses.
J vet Pharmacol Therap.
2006;
29
4-8
Reference Ris Wihthout Link
- 3
Friedmann T, Rabin O, Frankel M S.
Ethics: Gene Doping and Sport.
Science.
2010;
327
647-648
Reference Ris Wihthout Link
- 4
Dunn W R, George M S, Churchill L et al.
Ethics in sports medicine.
Am J Sports Med.
2007;
35
840-844
Reference Ris Wihthout Link
- 5
Azzazy H ME, Mansour M MH, Christenson R H.
Doping in the recombinant era: Strategies and counterstrategies.
Clin Biochem.
2005;
38
959-965
Reference Ris Wihthout Link
- 6
Fraser A D.
Doping control from a global and national perspective.
Ther Drug Monit.
2004;
26
171-174
Reference Ris Wihthout Link
- 7
Haugen K K.
The performance-enhancing drug game.
Journal of Sports Economics.
2004;
5
67
Reference Ris Wihthout Link
- 8 Robert Koch Institut .Gesundheitsberichterstattung des Bundes. 2006 Heft 34
Reference Ris Wihthout Link
- 9
Wells D J.
Gene Doping: Possibilities and Practicalities.
Med Sport Sci.
2009;
54
166-175
Reference Ris Wihthout Link
- 10
Wells D J.
Gene doping: The hype and the reality.
Br J Pharmacol.
2008;
154
623-631
Reference Ris Wihthout Link
- 11
Filipp F.
Is science killing sport? Gene therapy and its possible abuse in doping.
EMBO Rep.
2007;
8
433-435
Reference Ris Wihthout Link
- 12
Haisma H J, De Hon O.
Gene doping.
Int J Sports Med.
2006;
27
257-266
Reference Ris Wihthout Link
- 13
Sweeney H L.
Gene doping.
Sci Am.
2004;
291
62-69
Reference Ris Wihthout Link
- 14 Nationale Antidoping Agentur .Welt Anti Doping Code. 2004
Reference Ris Wihthout Link
- 15
Gießing J, Hildenbrandt E.
Bodybuilding, Körperbau und Muskelschau.
Sportwissenschaft.
2005;
35
135-151
Reference Ris Wihthout Link
- 16
Ostrander E A, Huson H J, Ostrander G K.
Genetics of athletic performance.
Annu Rev Genomics Hum Genet.
2009;
10
407-429
Reference Ris Wihthout Link
- 17
Striegel H, Rossner D, Simon P et al.
The World Anti-Doping Code 2003 – Consequences for Physicians Associated with Elite
Athletes.
Int J Sports Med.
2005;
26
238-243
Reference Ris Wihthout Link
- 18 Diel P, Friedel U. Gendoping: Techniken, potenzielle biologische Ziele und Möglichkeiten des Nachweises. Gutachten im Auftrag des Deutschen Bundestages Deutsche Sporthochschule Köln; 2007
Reference Ris Wihthout Link
- 19
Bogdanovich S, Krag T OB, Barton E R et al.
Functional improvement of dystrophic muscle by myostatin blockade.
Nature.
2002;
420
418-421
Reference Ris Wihthout Link
- 20
Cossu G, Sampaolesi M.
New therapies for Duchenne muscular dystrophy: challenges, prospects and clinical
trials.
Trends Mol Med.
2007;
13
520-526
Reference Ris Wihthout Link
- 21
Engvall E, Wewer U M.
The new frontier in muscular dystrophy research: booster genes.
FASEB J.
2003;
17
1579-1584
Reference Ris Wihthout Link
- 22
Hargreaves M.
Exercise and Insulin-Understanding the Molecular Interactions.
Exerc Sport Sci Rev.
2009;
37
156
Reference Ris Wihthout Link
- 23
Barton-Davis E R, Shoturma D I, Musaro A et al.
Viral mediated expression of insulin-like growth factor I blocks the aging-related
loss of skeletal muscle function.
Proc Natl Acad Sci U S A.
1998;
95
15603-15607
Reference Ris Wihthout Link
- 24
Azzazy H ME, Mansour M MH, Christenson R H.
Gene doping: Of mice and men.
Clin Biochem.
2009;
42
435-441
Reference Ris Wihthout Link
- 25
Vrij de J, Willemsen R A, Lindholm L et al.
Adenovirus-Derived Vectors or Prostate Cancer Gene Therapy.
Hum Gene Ther.
2010;
21
795-805
Reference Ris Wihthout Link
- 26
Naldini L.
Medicine. A comeback for gene therapy.
Science.
2009;
326
805-806
Reference Ris Wihthout Link
- 27
Gao G, Lebherz C, Weiner D J et al.
Erythropoietin gene therapy leads to autoimmune anemia in macaques.
Blood.
2004;
103
3300-3302
Reference Ris Wihthout Link
- 28
Rheinberger H J.
Recent science and its exploration: the case of molecular biology.
Stud Hist Philos Biol Biomed Sci.
2009;
40
6-12
Reference Ris Wihthout Link
- 29
Hilvoorde van I, Vos R, Wert de G.
Flopping, Klapping and Gene Doping: Dichotomies Between’Natural’and’Artificial’in
Elite Sport.
Social Studies of Science.
2007;
37
173-200
Reference Ris Wihthout Link
- 30
Gardlík R, Pálffy R, Hodosy J et al.
Vectors and delivery systems in gene therapy.
Med Sci Monit.
2005;
11
110-121
Reference Ris Wihthout Link
- 31
Baoutina A, Alexander I E, Rasko J EJ et al.
Potential use of gene transfer in athletic performance enhancement.
Mol Ther.
2007;
15
1751-1766
Reference Ris Wihthout Link
- 32
Gregorevic P, Blankinship M J, Allen J M et al.
Systemic delivery of genes to striated muscles using adeno-associated viral vectors.
Nat Med.
2004;
10
828-834
Reference Ris Wihthout Link
- 33
Herweijer H, Wolff J A.
Progress and prospects: naked DNA gene transfer and therapy.
Gene Ther.
2003;
10
453-458
Reference Ris Wihthout Link
- 34
Lombardo A, Genovese P, Beausejour C M et al.
Gene editing in human stem cells using zinc finger nucleases and integrase-defective
lentiviral vector delivery.
Nat Biotechnol.
2007;
25
1298-1306
Reference Ris Wihthout Link
- 35
Hacein-Bey-Abina S, Le Deist F, Carlier F et al.
Sustained correction of X-linked severe combined immunodeficiency by ex vivo gene
therapy.
N Engl J Med.
2002;
346
1185-1193
Reference Ris Wihthout Link
- 36
Cavazzana-Calvo M, Hacein-Bey S, Basile G S et al.
Gene therapy of human severe combined immunodeficiency (SCID)-X1 disease.
Science.
2000;
288
669-672
Reference Ris Wihthout Link
- 37
Wolff J A, Malone R W, Williams P et al.
Direct gene transfer into mouse muscle in vivo.
Science.
1990;
247
1465-1468
Reference Ris Wihthout Link
- 38
Lu Q L, Bou-Gharios G, Partridge T A.
Non-viral gene delivery in skeletal muscle: a protein factory.
Gene Ther.
2003;
10
131-142
Reference Ris Wihthout Link
- 39
Diamanti-Kandarakis E, Konstantinopoulos P A, Papailiou J et al.
Erythropoietin abuse and erythropoietin gene doping: detection strategies in the genomic
era.
Sports Med.
2005;
35
831-840
Reference Ris Wihthout Link
- 40
Baar K.
Training for endurance and strength: lessons from cell signaling.
Med Sci Sports Exerc.
2006;
38
1939-1944
Reference Ris Wihthout Link
- 41
Coleman M E, DeMayo F, Yin K C et al.
Myogenic vector expression of insulin-like growth factor I stimulates muscle cell
differentiation and myofiber hypertrophy in transgenic mice.
J Biol Chem.
1995;
270
12109-12116
Reference Ris Wihthout Link
- 42
Manfredsson F, Okun M S, Mandel R J.
Gene Therapy for Neurological Disorders: Challenges and Future Prospects for the Use
of Growth Factors for the Treatment of Parkinsons Disease.
Curr Gene Ther.
2009;
9
375-388
Reference Ris Wihthout Link
- 43
Musarò A, McCullagh K, Paul A et al.
Localized Igf-1 transgene expression sustains hypertrophy and regeneration in senescent
skeletal muscle.
Nat Genet.
2001;
27
195-200
Reference Ris Wihthout Link
- 44
Grimberg A, Cohen P.
Role of insulin-like growth factors and their binding proteins in growth control and
carcinogenesis.
J Cell Physiol.
2000;
183
1-9
Reference Ris Wihthout Link
- 45
Barton E R.
Viral expression of insulin-like growth factor-I isoforms promotes different responses
in skeletal muscle.
J Appl Physiol.
2006;
100
1778-1784
Reference Ris Wihthout Link
- 46
Lee S, Barton E R, Sweeney H L et al.
Viral expression of insulin-like growth factor-I enhances muscle hypertrophy in resistance-trained
rats.
J Appl Physiol.
2004;
96
1097-1104
Reference Ris Wihthout Link
- 47
Lin J, Wu H, Tarr P T et al.
Transcriptional co-activator PGC-1 drives the formation of slow-twitch muscle fibres.
Nature.
2002;
418
797-801
Reference Ris Wihthout Link
- 48
Lunde I G, Ekmark M, Rana Z A et al.
PPAR expression is influenced by muscle activity and induces slow muscle properties
in adult rat muscles after somatic gene transfer.
J Physiol.
2007;
582
1277-1287
Reference Ris Wihthout Link
- 49
Harber M, Trappe S.
Single muscle fiber contractile properties of young competitive distance runners.
J Appl Physiol.
2008;
105
629-636
Reference Ris Wihthout Link
- 50
Grimaldi P A.
Roles of PPARdelta in the control of muscle development and metabolism.
Biochem Soc Trans.
2003;
31
1130-1132
Reference Ris Wihthout Link
- 51
Takahashi S, Tanaka T, Kodama T et al.
Peroxisome proliferator-activated receptor [delta] (PPAR [delta]), a novel target
site for drug discovery in metabolic syndrome.
Pharmacol Res.
2006;
53
501-507
Reference Ris Wihthout Link
- 52 Müller-Platz C, Boos C, Müller R K. Doping beim Freizeit-und Breitensport. Robert Koch-Institut; 2006
Reference Ris Wihthout Link
- 53 Figura L. Doping: Zwischen Freiheitsrecht und notwendigem Verbot. Aachen: Meyer & Meyer Verlag; 2009
Reference Ris Wihthout Link
- 54
Sebestyén M G, Hegge J O, Noble M A et al.
Progress toward a nonviral gene therapy protocol for the treatment of anemia.
Hum Gene Ther.
2007;
18
269-285
Reference Ris Wihthout Link
- 55
Qiao C, Li J, Zheng H et al.
Hydrodynamic limb vein injection of AAV8 canine myostatin propeptide gene in normal
dogs enhances muscle growth.
Hum Gene Ther.
2009;
20
1-10
Reference Ris Wihthout Link
- 56
Schuelke M, Wagner K R, Stolz L E et al.
Myostatin mutation associated with gross muscle hypertrophy in a child.
N Engl J Med.
2004;
350
2682-2688
Reference Ris Wihthout Link
- 57
Girgenrath S, Song K, Whittemore L A.
Loss of myostatin expression alters fiber-type distribution and expression of myosin
heavy chain isoforms in slow-and fast-type skeletal muscle.
Muscle Nerve.
2005;
31
34-40
Reference Ris Wihthout Link
- 58
Raper S E, Chirmule N, Lee F S et al.
Fatal systemic inflammatory response syndrome in a ornithine transcarbamylase deficient
patient following adenoviral gene transfer.
Mol Genet Metab.
2003;
80
148-158
Reference Ris Wihthout Link
- 59
Chenuaud P, Larcher T, Rabinowitz J E et al.
Autoimmune anemia in macaques following erythropoietin gene therapy.
Blood.
2004;
103
3303-3304
Reference Ris Wihthout Link
- 60
Wang Y X, Zhang C L, Yu R T et al.
Regulation of muscle fiber type and running endurance by PPARdelta.
PLoS Biol.
2004;
2
e294
Reference Ris Wihthout Link
- 61
Perry J K, Emerald B S, Mertani H C et al.
The oncogenic potential of growth hormone.
Growth Horm IGF Res.
2006;
16
277-289
Reference Ris Wihthout Link
- 62
Baoutina A, Alexander I E, Rasko J EJ et al.
Developing strategies for detection of gene doping.
J Gene Med.
2008;
10
3-20
Reference Ris Wihthout Link
- 63
Beiter T, Zimmermann M, Fragasso A et al.
Establishing a novel single-copy primerinternal intron-spanning PCR (spiPCR) procedure
for the direct detection of gene doping.
Exerc Immunol Rev.
2008;
14
73-85
Reference Ris Wihthout Link
- 64
Schneider A J, Friedmann T.
Gene doping in sports: the science and ethics of genetically modified athletes.
Adv Genet.
2006;
51
1-110
Reference Ris Wihthout Link
Mag. phil. Karin Vitzthum
Charité Berlin – Institut für Arbeitsmedizin, Abt. Sportmedizin und Psychologie
Thielallee 69 – 73
14195 Berlin
Email: karin.vitzthum@charite.de