Of all of the chronic smokers in the world, only about 10 percent develop serious emphysema (now called chronic obstructive pulmonary disease or COPD).
What we are looking for: The genes that are responsible for causing those 10 percent to develop COPD.
How we (I) are looking for it: We take blood from COPD patients when they are stable and when they are having a flare-up. I take the white blood cells (WBC's) from the blood and explode the white blood cells to extract the RNA from the cells. From the RNA I make DNA (a reverse process of what happens in our bodies). I take the DNA and make a bunch of copies of it. Then I put this DNA on a glass plate which has hundreds of gene markers on it. With the help of a couple computers, I look for genes that are up-regulated during the flare-ups as compared with the stable periods. These then are the likely genes that cause COPD.
Not as simple as this, but the idea is there. This is cutting-edge science.