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Codon changes challenge PCR-based gene doping detection
Die Wu1, Shengqian Ding1,2,3, Nian Liu1,2,3
1Shanghai Anti-doping Laboratory, Shanghai University of Sport, Shanghai, PR China.
Gene Therapy
|October 7, 2025
Summary
Gene doping detection using quantitative real-time PCR (qPCR) is challenged by codon changes. High-throughput sequencing offers a more robust method for detecting gene doping, even with modified targets.
Area of Science:
- Sports science
- Molecular biology
- Biotechnology
Background:
- Gene doping, the non-therapeutic use of genes, is a growing concern in sports.
- The World Anti-Doping Agency (WADA) prohibits gene doping and recommends quantitative real-time PCR (qPCR) for detection.
- Current qPCR methods face limitations in detecting novel doping targets and are susceptible to alterations like codon changes.
Purpose of the Study:
- To investigate the impact of codon changes on the detection efficiency of gene doping using qPCR.
- To develop and validate standard materials for detecting genomic and transgenic human EPO (hEPO) gene doping.
- To compare the efficacy of qPCR and Sanger sequencing in identifying gene doping, including codon-modified variants.
Main Methods:
- Preparation of standard materials for genomic and transgenic hEPO genes.
- Design and application of qPCR primers to assess detection of codon-changed transgenes.
- Mimicking real-world gene doping scenarios by mixing wild-type and modified hEPO gene versions.
- Method validation using Sanger sequencing to confirm gene doping detection.
Main Results:
- Carefully designed qPCR assays can detect transgene signals, but codon changes significantly reduce detection efficiency.
- qPCR successfully detected wild-type hEPO but failed to detect codon-changed transgenes in simulated doping scenarios.
- Sanger sequencing effectively identified gene doping, even in the presence of codon changes.
- Codon modifications pose a substantial challenge to current qPCR-based gene doping detection strategies.
Conclusions:
- Codon changes in transgenes present a significant hurdle for qPCR-based gene doping detection.
- The findings highlight the limitations of qPCR in the face of evolving gene doping techniques.
- There is a critical need for the development and implementation of unbiased, high-throughput sequencing methods for comprehensive gene doping surveillance.

