If is more than a decade since the first approved clinical trial to put gen
es into the tells of human beings was initiated, In that first trial, inves
tigators at the US National Institutes of Health used a modified mouse leuk
aemia virus to insert a DNA marker into lymphocytes being used to treat can
cer(1). A year later, a similar viral technique was used as treatment for t
wo gills who had severe combined immunodeficiency with mutant adenosine dea
minase,(2) Ten years and more than 3000 patients later, it is appropriate t
o ask, "Where are we now?"