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Category Archives: Transhuman News

Early training forestalls motor, memory difficulties in mouse model of Rett syndrome – Spectrum

Posted: March 29, 2021 at 1:23 am

Swim test: Locating an underwater platform activates specific neurons, which are labeled with a genetic marker, in a mouse model of Rett syndrome.

Courtesy of Nathan Achilly

Motor and memory training early in life postpones the onset of difficulties in those areas in a mouse model of Rett syndrome, according to a study published today in Nature. Stimulating neurons involved in those skills appears to mimic the effects of training.

Mutations in the gene MECP2 cause Rett syndrome, which often overlaps with autism and almost exclusively affects girls. Many children with Rett syndrome develop typically until toddlerhood and then suddenly lose the ability to speak, crawl or walk. Other traits, including breathing problems, intellectual disability, seizures and changes in social behavior, can also emerge.

Gene therapy to replenish missing MECP2 protein holds the potential restore some abilities, but too much MECP2 protein can cause challenges similar to Rett syndrome, and a successful treatment may be more than a decade away.

In the meantime, intensive early therapy may help to delay the conditions progress and maintain abilities such as walking, the new work suggests.

That will hopefully benefit these children long-term as new therapies come on board, says lead investigator Huda Zoghbi, professor of molecular and human genetics at Baylor College of Medicine in Houston, Texas.

The findings demonstrate the importance of using behavioral therapy to maintain abilities in Rett syndrome, and reiterate that neuron function is recoverable, says Michela Fagiolini, associate professor of neurology at Harvard University, who was not involved in the work.

We must stress that behavioral therapy, cognitive therapy, motor therapy early in life can be very useful, as beneficial as taking medication, Fagiolini says. Thats what you get from this.

Mice missing one copy of MECP2 develop motor problems at about 12 weeks of age, roughly equivalent to adolescence in people. The researchers trained some of these Rett mice, starting at 8 or 22 weeks old, to balance and run on a rotating rod. They also trained controls at different ages. At 24 weeks, the trained Rett mice stayed on the rod longer than untrained Rett mice. The Rett mice with earlier training performed the best, and all of the controls performed better than the trained Rett mice, as expected.

At 32 weeks, the early-trained mice did as well as untrained mice at 12 weeks, before the latters motor skills declined.

The researchers also taught Rett mice to swim to a hidden platform in a water tank, a test of spatial memory. At 12 weeks old, mice that had been trained on this task at 4 weeks old did better than those trained at 11 weeks old and untrained mice. With continued training, the early-trained mice did not show memory deficits as severe as those of untrained Rett mice until 24 weeks.

Training on either task had no effect on other traits, such as sociability or anxiety.

The team then used a genetic marker to identify and label neurons that were active during the swimming test. Silencing those neurons after early training impaired the animals performance on the test, whereas activating them after only one training session helped the mice retain their memory of the platforms location.

In early-trained mice, those same neurons had more complex dendrites branches that receive signals from other neurons and were more active than those in untrained mice.

When you put them through intense training, youre really training those neurons and youre changing their behavior, Zoghbi says.

The demonstration that training affects only neurons involved in a task is very elegant, Fagiolini says.

Its difficult to know how the findings translate to people with Rett syndrome, she says, particularly because the conditions signs emerge much later in the mice than in people. In other words, even the early-trained mice were trained after the point in development at which traits would appear in children. Still, its possible that neuronal function in children changes before any related behaviors become apparent, and could benefit from early training, she says.

[The brain is] always plastic; its always able to readjust, Fagiolini says. I think we have to take advantage of that, and thats what Dr. Zoghbi is showing here.

The findings suggest that therapy early in life before traits become apparent could be similarly helpful in autistic children without MECP2 mutations and those with other neurodevelopmental conditions, Zoghbi says.

Future clinical trials could confirm whether such therapy is effective, she says, but that would require identifying children with relevant gene mutations at or shortly after birth.

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Ancient Genetics Trace the Origin and Decline of the Legendary Scythians – SciTechDaily

Posted: at 1:23 am

Mound 4 of the Eleke Sazy necropolis in eastern Kazakhstan. Credit: Zainolla Samashev

Because of their interactions and conflicts with the major contemporaneous civilizations of Eurasia, the Scythians enjoy a legendary status in historiography and popular culture. The Scythians had major influences on the cultures of their powerful neighbors, spreading new technologies such as saddles and other improvements for horse riding. The ancient Greek, Roman, Persian, and Chinese empires all left a multitude of sources describing, from their perspectives, the customs and practices of the feared horse warriors that came from the interior lands of Eurasia.

Still, despite evidence from external sources, little is known about Scythian history. Without a written language or direct sources, the language or languages they spoke, where they came from and the extent to which the various cultures spread across such a huge area were in fact related to one another, remain unclear.

A new study published inScience Advances by an international team of geneticists, anthropologists, and archeologists lead by scientists from the Archaeogenetics Department of the Max Planck Institute for the Science of Human History in Jena, Germany, helps illuminate the history of the Scythians with 111 ancient genomes from key Scythian and non-Scythian archaeological cultures of the Central Asian steppe.

The burial of a social elite known as Golden Man from the Eleke Sazy necropolis. Credit: Zainolla Samashev

The results of this study reveal that substantial genetic turnovers were associated with the decline of the long-lasting Bronze Age sedentary groups and the rise of Scythian nomad cultures in the Iron Age. Their findings show that, following the relatively homogenous ancestry of the late Bronze Age herders, at the turn of the first millennium BCE, influxes from the east, west, and south into the steppe formed new admixed gene pools.

The study goes even further, identifying at least two main sources of origin for the nomadic Iron Age groups. An eastern source likely originated from populations in the Altai Mountains that, during the course of the Iron Age, spread west and south, admixing as they moved. These genetic results match with the timing and locations found in the archeological record and suggest an expansion of populations from the Altai area, where the earliest Scythian burials are found, connecting different renowned cultures such as the Saka, the Tasmola and the Pazyryk found in southern, central and eastern Kazakhstan respectively.

An aerial view of Hun-Xianbi culture burials. Both horses and warriors can be identified. Credit: Zainolla Samashev

Surprisingly, the groups located in the western Ural Mountains descend from a second separate, but simultaneous source. Contrary to the eastern case, this western gene pool, characteristic of the early Sauromatian-Sarmatian cultures, remained largely consistent through the westward spread of the Sarmatian cultures from the Urals into the Pontic-Caspian steppe.

The study also covers the transition period after the Iron Age, revealing new genetic turnovers and admixture events. These events intensified at the turn of the first millennium CE, concurrent with the decline and then disappearance of the Scythian cultures in the Central Steppe. In this case, the new far eastern Eurasian influx is plausibly associated with the spread of the nomad empires of the Eastern steppe in the first centuries CE, such as the Xiongnu and Xianbei confederations, as well as minor influxes from Iranian sources likely linked to the expansion of Persian-related civilization from the south.

Although many of the open questions on the history of the Scythians cannot be solved by ancient DNA alone, this study demonstrates how much the populations of Eurasia have changed and intermixed through time. Future studies should continue to explore the dynamics of these trans-Eurasian connections by covering different periods and geographic regions, revealing the history of connections between west, central and east Eurasia in the remote past and their genetic legacy in present day Eurasian populations.

Reference: 26 March 2021, Science Advances.DOI: 10.1126/sciadv.abe4414

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We Finally Know The Genetic Reason Why This Bunny Walks on Its Front Paws – ScienceAlert

Posted: at 1:23 am

Selective breeding by humans has led to some incredibly odd and unfortunate pets over the years, and the sauteur d'Alfort rabbit is among the strangest of the lot.

This rare breed of bunny does not hop or walk like any other rabbit or hare in existence. When the sauteur is ready to go, it kicks its hind legs into the air and bounces forward on its front paws, like a human acrobat walking on their hands.

While this may seem like an amusing trait, it sadly comes with other debilitating problems too. Now, the one bunny that can't hop properly has helped us better understand the genetics of hopping in mammals.

Crossing a single male sauteur with a single female of the New Zealand white breed and then crossing the resulting offspring, researchers raised 52 bunnies, 23 percent of which carried two copies of the mutant gene similar to the original father.These numbers match the statistics expected when there is only one recessive gene involved in a mutation.

Pooling the DNA of the sauteur and non-sauteur young, researchers used whole-genome sequencing to compare the two groups. In the end - as they anticipated - there was only one gene that stood out.

The cause of the sauteur's defective jumping appears to lie with a mutation in an evolutionary conserved site of a gene known as RORB, which provides instructions to mammalian cells so they can create certain proteins.

RORB proteins are generally found throughout the rabbit nervous system, where they help turn genetic code into a protein building template. This particular mutation, however, causes a sharp decrease in the number of spinal cord neurons that can actually produce this protein.

Two copies of the RORB mutation, in fact, resulted in no proteins in the spinal cord at all, and this was tied to an inability to hop.Other rabbits in the litter capable of jumping with their hind legs showed no such protein loss.

The RORB gene, the authors conclude, must be what allows rabbits to bound around. It could also be the key to other mammal hopping, too.

Over the years, there's been a lot of scientific interest in the special physiology and biomechanics that allow mammals-like kangaroos, bunnies, hares and some mice - to hop, but the underlying genetics of this feat have rarely been considered.

One of the few studies out there recently found mice with the same RORB mutation as sauteur rabbits alsocannot hop like normal. Instead, these rodents waddle around on their front paws like a duck, with their tails and hind legs sticking up in the air.

"I spent four years looking at these mice doing little handstands, and now I get to see a rabbit do the same handstand," neuroscientist Stephanie Koch from the University College London told Science News. "It's amazing."

Koch's study on rabbits is the first to describe a specific gene required for leaping or hopping, and it lines up extremely well with what she's been observing in mutant mice.

Similar to mutant rodents, sauteur rabbits also show other anatomical defects beyond their strange walk. Many are born blind and develop cataracts in their first year of life. RORB knock-out mice also show retinal degeneration.

In mice, the RORB gene appears to play an essential role in differentiating cells in both the brain's cortex and the retina. It might also do something similar in the spinal cord, which is involved in the regulation of sensory information and locomotion among mammals.

As such, this lack of proteins might be what is causing the hind legs of rabbits and mice to lift instead of leaping. In sauteur rabbits, for instance, the RORB mutation appears to cause defects in the differentiation of spinal cord interneurons, although whether this is actually causing the bizarre locomotion remains unclear.

"In addition to its expression in the spinal cord, RORB is also expressed in many regions in the brain such as the primary somatosensory, auditory, visual and motor cortex, in some thalamus and hypothalamus nuclei, in the pituitary gland and in the superior colliculus," the authors write.

"Thus, we cannot exclude the possibility that an alteration of RORB function in the brain contributes to the locomotion phenotype characteristic for the sauteur rabbits."

The effects of the RORB mutation will require more study, but it's obvious it's involved somehow. This was theonly variant identified in the whole genome sequence of rabbits that had any impact on hopping.

While there might well be more genes involved in bunny hopping, it seems that poor sauteur rabbits have certainly pointed us in the direction of one.

The study was published in PLOS Genetics.

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Response to Comment on Large-scale GWAS reveals insights into the genetic architecture of same-sex sexual behavior – Science Magazine

Posted: at 1:23 am

Abstract

Hamer et al. argue that the variable ever versus never had a same-sex partner does not capture the complexity of human sexuality. We agree and said so in our paper. But Hamer et al. neglect to mention that we also reported follow-up analyses showing substantial overlap of the genetic influences on our main variable and on more nuanced measures of sexual behavior, attraction, and identity.

Genetic research on sexuality had been constrained by the unavailability of samples large enough to achieve the statistical power required to detect variants with small effect sizes typical of complex traits. To address this, our study aimed to maximize statistical power in two ways: (i) combining the largest samples available with sexuality data from UK Biobank and 23andMe, and (ii) choosing the variable that yielded the largest effective sample size. Only the dichotomous variable we used in the main genome-wide association study (GWAS) satisfied both considerations. This variable we chose is straightforward and easy to understand, and was clearly described in the paper, including characterizing it as ever versus never had a same-sex partner as suggested by Hamer et al. (1). We made it clear that this variable did not capture the diversity and complexity of sexual behavior, and we did not intend or claim to measure sexual orientation or attraction with this variable. However, we reported follow-up analyses with subsets of the data and independent samples that showed overlap in the genetic signal for our main variable and for traditional measures of sexual orientation based on sexual attraction and identitycontrary to Hamer et al.s assertion that the study did not in fact investigate attraction or sexual orientation.

As is common for large-scale genetic studies, our analyses were constrained by the available phenotypic data, which were not collected for the particular purposes of our study. The UK Biobank, which comprised most of the available data, did not include sexual attraction or identity items. The only UK Biobank items relevant to sexual behavior were one question asking whether the participant had ever had a same-sex partner, and two questions asking their lifetime number of opposite-sex and same-sex partners (9% fewer respondents). Only the variable based on the dichotomous item maximized the absolute sample size. This variable also had the advantage of having an equivalent variable in the 23andMe sample (i.e., Other sex only response versus other responses to the question With whom have you actually had sex?). It also had a far greater effective sample size than the other dichotomous variables with a direct equivalent in 23andMe, namely restricting the non-heterosexual group to those who had only had same-sex partners, which in the UK Biobank can be derived from the items on numbers of same- and opposite-sex partners (effective UK Biobank sample size N = 53,688 for our main variable, versus N = 9775 when comparing heterosexuals with those who only had same-sex partners; effective sample size derived from the formula 4/[(1/Ngroup 1) + (1/Ngroup 2)].)

Without nuanced measures of behavior, fantasy, attraction, and identity in the large majority of our sample, our best option was to use the variable with maximal power available in the full sample (while acknowledging its limitations) and perform more nuanced follow-up analyses in subsets of the data to explore these important research questions about the complexity of sexuality. Hamer et al. seemingly disregard these follow-up analyses, which show evidence for substantial overlap in the genetic influences on sexual behavior with the kinds of measures that Hamer et al. recommend. First, in the UK Biobank there was a genetic correlation between our main dichotomous variable and a continuous variable measuring the proportion of total partners who were same-sex partners [rg = 0.92; supplementary materials of (2), p. 12]. Second, the 23andMe data included Klein scales for sexual fantasy, identity, attraction, and behavior, and these measures were genetically correlated with the main dichotomous measure in the UK Biobank [rg = 0.83, 0.79, 0.75, and 0.70, respectively; table S5 of (2)]. Third, we replicated three single-nucleotide polymorphisms identified by the main GWAS in a much smaller independent sample [MGSOSO; table S10 of (2)] whose comparison groups were predominantly heterosexual and predominantly homosexual individuals, per self-reported identity and feelings. Fourth, polygenic scores based on the main GWAS significantly predicted the identity-based groups in MGSOSO [table S12 of (2)] and continuous measures of same- versus opposite-sex attraction in two other small independent samples of young adults [Add Health and CATSS; tables S13 and S14 of (2)]. So, again, although we did not intend or claim to measure sexual identity or attraction with our main dichotomous variable, follow-up analyses showed that the genetic signal does substantially overlap for these phenotypes.

Responding to our suggestion that some of our findings cast doubt on popular measures of sexuality, Hamer et al. contend that genetic research cannot inform sexology research and that such an idea is an inversion of the scientific process. We disagree with this contention. To suggest that either sexology research or genetic research has supremacy in scientific enquiry is misguided. Both sexology research and genetic research can and should inform each other. Our genetic analyses revealed insights into the underlying structure of variation in sexual behavior that could not have been obtained using traditional methods of sexology researchfor example, that there is partial overlap in the influences on male and female sexual behavior.

The traditional and most popular measure of sexual orientation is the Kinsey scale (Fig. 1), which is bipolar and implies a continuum between exclusive heterosexuality and exclusive homosexuality, measuring the relative incidence of a composite of same-sex versus opposite-sex sexual behavior and psychological responses (not simply preference, as claimed by Hamer et al.). A concern with the Kinsey scale is that it inappropriately measures homosexuality and heterosexuality on a single dimensional scale, making one trade-off of the other (3). This enforced trade-off would not be a problem if it reflected the true underlying structure of individual variation in sexuality, such that the amount of same-sex behavior (and/or psychological responses) were indeed perfectly inverse to their opposite-sex counterparts. However, other research suggests that this is not the case (46). Individuals can be high on both same-sex and opposite-sex behavior or attraction (some bisexual individuals), and individuals can be low on both (asexual). This variation is not captured by a bipolar scale. Our findings (2) reinforced the point at the genetic level: The genetic variants that increase the likelihood of having had any (versus no) same-sex partners do not increase the likelihood of having a greater (versus lesser) proportion of total partners who are same-sex partners. That is, on the genetic level, there is no one continuum from exclusively opposite-sex to exclusively same-sex behavior. The 23andMe data showed genetic correlations (rg = 0.83 to 1.0) of same-sex behavior with attraction and fantasy [figure S7 of (2)], which suggests that the finding on same-sex sexual behavior might extend to these other aspects of sexuality too. For future genetic research on sexuality, if the phenotypic measure does not reflect the structure of the underlying genetic influences, then the precision and accuracy of the findings will be impaired. For this reason, we, like others [e.g., (35, 79)], suggest that sexual attraction, behavior, and feelings toward men and women be measured separately in future research.

The ratings are based on both psychologic reactions and overt experience. [Source: figure 161 of (10)]

Although we would much prefer even massive biobank-based samples to have deep phenotyping on our topic of interest (i.e., sexuality measures), data of this nature are not currently available. Generally, there is a practical trade-off between phenotypic detail and sample size. Our approach was to acknowledge the limitations but make reasoned use of the available data to move the field forward, recognizing that others may prefer to avoid examining such datasets altogether. In any event, we share Hamer et al.s concern to minimize public confusion, which is why we liaised with community groups on reporting and communication strategy, provided lay-oriented explanatory boxes 1 and 2 in our manuscript, developed a companion educational website (www.geneticsexbehavior.info), welcomed the public posting of alternative perspectives and concerns about our work (www.broadinstitute.org/news/perspectives-complex-genetics-same-sex-sexual-behavior), and held an informational press conference.

R. L. Sell, in The Health of Sexual Minorities: Public Health Perspectives on Lesbian, Gay, Bisexual and Transgender Populations, I. H. Meyer, M. E. Northridge, Eds. (Springer, 2007), pp. 355374.

A. C. Kinsey, W. B. Pomeroy, C. E. Martin, Sexual Behavior in the Human Male (Saunders, 1948).

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Cancer Genetics Announces Shareholder Approval of All Proposals in Connection with the Proposed Merger with StemoniX – GlobeNewswire

Posted: at 1:22 am

Combined entity creates an innovative platform to de-risk and accelerate the discovery and development of preclinical and clinical pipelines with biopharma partners as well as the proprietary pipeline of the combined company

RUTHERFORD, N.J., March 25, 2021 (GLOBE NEWSWIRE) -- Cancer Genetics, Inc. (the Company) (Nasdaq: CGIX), an emerging leader in novel drug discovery techniques, announced the results of its March 24, 2021 shareholder meeting to approve the upcoming merger with StemoniX, Inc. ("StemoniX").

At a Special Meeting of Stockholders, CGIs stockholders, upon the unanimous recommendation of the board of directors of CGI: (a) voted in favor of the issuance of shares of Common Stock, warrants and options pursuant to the Agreement and Plan of Merger and Reorganization, dated as of August 21, 2020, as amended, with StemoniX; (b) voted in favor of the amendment to the certificate of incorporation of CGI effecting a reverse stock split of the issued and authorized shares of Common Stock, at a ratio in the range from 1-for-2 to 1-for-10, with such specific ratio to be determined by the CGI board; (c) voted to approve the Cancer Genetics, Inc. 2021 Equity Incentive Plan and to authorize for issuance 4,500,000 shares of Common Stock thereunder; and (d) voted to approve on an advisory basis, the compensation that may be paid or become payable to CGIs named executive officers in connection with the merger.

Chief Executive Officer of Cancer Genetics, Jay Roberts, stated, "The Cancer Genetics team is thankful for the participation and support of our shareholders for voting in favor of the merger with StemoniX. In addition, we are thankful to our management teams and board members from both Cancer Genetics and StemoniX for their effort in bringing the merger to this point. We are proud to be combining forces and we are prepared to execute on our business plan.

ABOUT CANCER GENETICS

Through its vivoPharm subsidiary, Cancer Genetics offers proprietary preclinical test systems supporting clinical diagnostic offerings at early stages, valued by the pharmaceutical industry, biotechnology companies and academic research centers. The Company is focused on precision and translational medicine to drive drug discovery and novel therapies. vivoPharm specializes in conducting studies tailored to guide drug development, starting from compound libraries and ending with a comprehensive set of in vitro and in vivo data and reports, as needed for Investigational New Drug filings. vivoPharm operates in The Association for Assessment and Accreditation of Laboratory Animal Care International (AAALAC) accredited and GLP compliant audited facilities. For more information, please visit http://www.cancergenetics.com.

ABOUT STEMONIX, INC.

StemoniX is empowering the discovery of new medicines through the convergence of novel human biology and software technologies. StemoniX develops and manufactures high-density, at-scale human induced pluripotent stem (iPSC) cell-derived neural and cardiac screening platforms for drug discovery and development. Predictive, accurate, and consistent, these human models enable scientists to quickly and economically conduct research with improved outcomes in a simplified workflow. Through collaborations with drug discovery organizations, StemoniX tests compounds in-house, creates new cell-based disease models, and operationalizes custom human iPSC disease models at large scale for high-throughput screening. With leading-edge iPSC technologies and data science, StemoniX is helping global institutions bring the most promising medicines to patients. To learn more about how StemoniX products and services are accelerating discoveries, please visit http://www.StemoniX.com.

For more information, please visit or follow CGI at:

Internet: http://www.cancergenetics.com

Twitter: @Cancer_Genetics

Additional Information about the Proposed Merger and Where to Find It

In connection with the proposed merger between StemoniX and CGI, CGI has filed relevant materials with the Securities and Exchange Commission, or the SEC, including a registration statement on Form S-4 that has been filed and contained a proxy statement/prospectus/information statement, and which registration statement was declared effective on February 12, 2021. A definitive proxy statement/prospectus/information statement was filed on February 16, 2020, and was mailed to stockholders on February 16, 2021. INVESTORS AND SECURITY HOLDERS OF CGI AND STEMONIX ARE URGED TO READ THESE MATERIALS BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT CGI, STEMONIX AND THE PROPOSED MERGER. The proxy statement, prospectus and other relevant materials, and any other documents filed by CGI with the SEC, may be obtained free of charge at the SEC website at http://www.sec.gov. In addition, investors and security holders may obtain free copies of the documents filed with the SEC by CGI by directing a written request to: CGI Holdings, c/o John A. Roberts, Chief Executive Officer, 201 Route 17 North 2nd Floor, Rutherford, New Jersey 07070. Investors and security holders are urged to read the proxy statement, prospectus and the other relevant materials when they become available before making any voting or investment decision with respect to the proposed merger.

This report shall not constitute an offer to sell or the solicitation of an offer to sell or the solicitation of an offer to buy any securities, nor shall there be any sale of securities in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such jurisdiction. No offering of securities in connection with the proposed merger shall be made except by means of a prospectus meeting the requirements of Section 10 of the Securities Act of 1933, as amended.

Participants in the Solicitation

CGI and its directors and executive officers and StemoniX and its directors and executive officers may be deemed to be participants in the solicitation of proxies from the shareholders of CGI in connection with the proposed transaction under the rules of the SEC. Information about the directors and executive officers of CGI and their ownership of shares of CGIs Common Stock is set forth in the proxy statement/prospectus referred to above. Additional information regarding the persons who may be deemed participants in the proxy solicitations and a description of their direct and indirect interests in the proposed merger, by security holdings or otherwise, are included in the proxy statement/prospectus. These documents are available free of charge at the SEC web site (www.sec.gov) and from the Chief Executive Officer at CGI at the address described above.

Forward-Looking Statements

This report contains forward-looking statements based upon CGIs and StemoniXs current expectations. This communication contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. CGI and StemoniX generally identify forward-looking statements by terminology such as may, should, expects, plans, anticipates, could, intends, target, projects, contemplates, believes, estimates, predicts, potential or continue or the negative of these terms or other similar words. These statements are only predictions. CGI and StemoniX have based these forward-looking statements largely on their then-current expectations and projections about future events and financial trends as well as the beliefs and assumptions of management. Forward-looking statements are subject to a number of risks and uncertainties, many of which involve factors or circumstances that are beyond each of CGIs and StemoniXs control. CGIs and StemoniXs actual results could differ materially from those stated or implied in forward-looking statements due to a number of factors, including but not limited to: (i) risks associated with CGIs ability to obtain the shareholder approval required to consummate the proposed merger transaction and the timing of the closing of the proposed merger transaction, including the risks that a condition to closing would not be satisfied within the expected timeframe or at all or that the closing of the proposed merger transaction will not occur; (ii) the outcome of any legal proceedings that may be instituted against the parties and others related to the Merger Agreement; (iii) the occurrence of any event, change or other circumstance or condition that could give rise to the termination of the Merger Agreement, (iv) unanticipated difficulties or expenditures relating to the proposed merger transaction, the response of business partners and competitors to the announcement of the proposed merger transaction, and/or potential difficulties in employee retention as a result of the announcement and pendency of the proposed merger transaction; and (v) those risks detailed in the proxy statement/prospectus. Accordingly, you should not rely upon forward-looking statements as predictions of future events. Neither CGI nor StemoniX can assure you that the events and circumstances reflected in the forward-looking statements will be achieved or occur, and actual results could differ materially from those projected in the forward-looking statements. The forward-looking statements made in this communication relate only to events as of the date on which the statements are made. Except as required by applicable law or regulation, CGI and StemoniX undertake no obligation to update any forward-looking statement to reflect events or circumstances after the date on which the statement is made or to reflect the occurrence of unanticipated events.

Investor Contacts:Jennifer K. Zimmons. Ph.D.Investor RelationsZimmons International Communications, Inc.Email: jzimmons@zimmonsic.comPhone: +1.917.214.3514

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Cancer Genetics Announces Shareholder Approval of All Proposals in Connection with the Proposed Merger with StemoniX - GlobeNewswire

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Drug that traps COVID-19 discovered in Italy: it is called ‘I3C’. – Emergency-Live

Posted: at 1:22 am

The publication in the journal Cell Death & Disease (Nature) of the study involving I3C

The journal Cell Death & Disease (Nature) has published an international study on COVID-19 coordinated by Professors Giuseppe Novelli (University of Tor Vergata University of Nevada, USA) and Pier Paolo Pandolfi (University of Turin University of Nevada, USA), in collaboration with the Bambino Ges Hospital (Rome), Istituto Spallanzani (Rome), San Raffaele University (Rome) and several US (Harvard, Yale, Rockefeller, NIH, Mount Sinai, Boston University), Canadian (University of Toronto) and French (INSERM Paris, Hpital Avicenne) institutions.

The international team identified a class of enzymes (E3-ubiquitin ligases) needed by the SARS-CoV-2 virus to leave infected cells and spread to all tissues in the body.

These same proteins have a similar effect on other viruses such as Ebola.

Researchers have shown that levels of these enzymes are elevated in patients lungs and other tissues infected with the virus.

The study also identified rare genetic alterations in the genes coding for these proteins in a subset of patients (about 1300) with a severe form of the disease selected from the cohorts of the International Consortia: COVID Human Genetic Effort, French COVID Cohort Study Group, CoV-Contact Cohort, and Healthy Nevada Project.

These alterations increase enzyme activity and favour the exit of the infecting virus.

The genetic mutations that favour the development of the COVID-19 infection have been identified at the Bambino Ges Childrens Hospital: researchers from the Medical Genetics Laboratories, led by Prof. Antonio Novelli, with the aid of NGS Next Generation Sequencing platforms have sequenced the genome of the 130 Italian patients (adults and paediatric) enrolled in the study, tracing the variants of the genes (HECT, WWP1 and NEDD4) involved in the virus multiplication process.

The team demonstrated that the activity of E3-ubiquitin ligase enzymes can be inhibited by a natural compound that is well-tolerated by the human body, known as Indole-3 Carbinol (I3C), and therefore potentially usable as an antiviral in a single form or in combination with other therapies.

The I3C compound has been shown to block, in vitro, the exit and multiplication of the virus from infected cells.

The study, co-funded by the Fondazione Roma, contributes to the understanding of the molecular mechanisms that govern the life cycle of SARS-CoV-2, paving the way for the identification of host-pathogen relationships necessary for the identification and development of new drugs capable of interfering with viral replication, blocking its transmission.

A vaccine, says Prof. Giuseppe Novelli, is only a prophylactic measure.

We need to test the drug in clinical trials with Covid-19 patients to rigorously assess whether it can prevent the onset of severe and potentially fatal symptoms.

Having options for treatment, particularly for patients who cannot be vaccinated, is of paramount importance to save more and more lives and contribute to better public health status and management.

We need to think long-term, says Prof. Pier Paolo Pandolfi.

Vaccines, while very effective, may no longer be so in the future, because the virus mutates, and therefore more weapons are needed to fight it.

The discovery on I3C is important, and we now need to start clinical trials to demonstrate its potential effectiveness.

It will be important to assess whether I3C can also reduce the very serious clinical complications that many patients experience after they have overcome the acute phase of infection.

This will be a major problem in the years to come, which we will have to manage.

We also need to move forward in drug research, to identify additional compounds and therapies that are effective now for Covid-19, and for other viruses that we will face in the future.

Bambino Ges Hospital And University Of Genoa: Study On New Stem Cells In Viral Infections

Kawasaki Syndrome And COVID-19, Pediatricians In Peru Discuss The First Few Cases Of Affected Children

Pediatrics, MicroRNA Analysis Predictive Of Future Heart And Kidney Disease: Research From Mount Sinai

Bambino Ges Childrens Hospital official website

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Drug that traps COVID-19 discovered in Italy: it is called 'I3C'. - Emergency-Live

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What it will take for humans to colonize the Moon and Mars – Engadget

Posted: at 1:20 am

NASAs Artemis program will mark a significant milestone in US space flight history when it lifts off in late 2024. Not only will it be the first time that American astronauts have travelled further than LEO since the 1970s, and not only will it be the first opportunity for a female astronaut to step foot on the moon. The Artemis mission will perform the crucial groundwork needed for humanity to further explore and potentially colonize our nearest celestial neighbor as well as eventually serve as a jumping-off point in our quest to reach Mars. Given how inhospitable space is to human physiology and psychology, however, NASA and its partners will face a significant challenge in keeping their lunar colonists alive and well.

Back in the Apollo mission era, the notion of constructing even a semi-permanent presence on the surface of the moon was laughable largely because the numerous lunar regolith samples collected and returned to Earth during that period were found to be dry as a bone, Rob Mueller, Senior Technologist in Advanced Projects Development at NASA said during a SXSW 2021 panel. That was the common wisdom, there is no water on the moon, and so for many years that was the assumption held in the [aerospace] community.

It wasnt until the late 90s that a neutron spectrometer aboard NASAs Lunar Prospector mission found telltale evidence of hydrogen atoms located at the moons poles, suggesting the potential presence of water ice. And it wasnt until last October that the SOPHIA mission detected water on the sunlit surface of the moon, rather than only squirrelled away in deep, dark lunar craters.

We had indications that H2O the familiar water we know might be present on the sunlit side of the Moon, Paul Hertz, director of the Astrophysics Division in the Science Mission Directorate at NASA Headquarters, said at the time. Now we know it is there. This discovery challenges our understanding of the lunar surface and raises intriguing questions about resources relevant for deep space exploration.

Based on this new evidence, Mueller estimates that there should be enough water ice available to launch a vehicle like the space shuttle every day for 2,000 years. So there's a lot of water on the moon. The trick is, is we have to find it, access it, and mine it, and then economically use it.

The revelation that the moon holds a cache of water which can be used to both quenchslake an astronauts thirst and power their rocket could set off a resource grab the likes of which we havent seen since the days of the forty-niner, Pete Carrato, Senior Consulting Engineer at the Bechtel Corporation, noted during the same panel discussion. So, the next gold rush to me is to the south pole of the Moon, and it's a harsh environment.

This is because the larger accumulations of water are located in permanently shadowed regions where the suns warming rays cannot reach the ice and vaporize it off the Moons surface. Problem is, the temperature in these regions hovers around a brisk 40 degrees Kelvin, which is colder than liquid nitrogen. Thats so cold that even modern mining rigs built for the Earths most extreme environments would have a hard time operating there. You get metal parts down that cold, they become almost like glass, Carrato declared.

It's also a hard vacuum on the moon, so you're going to have some really strange problems like cold welding of metals, Mueller added. If two metal surfaces are exposed to each other, they can actually bond in a hard vacuum and we've seen that before in space. It's a well known problem.

The ubiquitous, razor-sharp, potentially DNA-damaging, electrostatic dust found on the moon also poses a danger to colonists one that NASA has been grappling with since Apollo 17 astronaut Harrison Schmitt came down with the first case of lunar hay fever. This dust not only clings to rovers and spacesuits, the miniscule particles worm their way into sensitive electronics, clog filters, jam zippers and freeze joints. NASA has developed a destaticfying coating to counter the dusts electrical attraction but its effectiveness at scale remains to be seen. The micrometeorites themselves, whose impacts with the surface create this dangerous dust, will also have to be taken into account when designing lunar habitats.

But unlike the Apollo era, which helped usher in the Cold War, this time the American government is not going it alone. The Artemis program is deeply coordinating its efforts alongside a host of international and commercial partners such as SpaceX, which is tasked with delivering pieces of the Lunar Gateway into orbit around the moon (for a cool $331.8 million) in 2024.

This will let us do it for a reasonable cost with arguably a return on investment but we can't do it as NASA. NASA is a government agency, the role of the government is to facilitate industry, Mueller explained. And so we're setting up the framework, the infrastructure, and all the processes, the legal framework, communications, launch sites. This is all necessary, and then private industry can come in and do what they know how to do, which is make some money and create an economically efficient system.

While partnering with other nations in this endeavor is a great way to spread the up-front costs around, it could lead to conflicts as to which member nation will get access and rights to which resources. Currently, such matters are governed by the UNs Outer Space Treaty of 1967, however its language is not entirely clear, leaving the rules open to different readings. The US interpretation is that we will not claim the land and or claim sovereignty, but we do have the right to use resources and the commercial industry has the right to use the resources, Mueller said. Whats more, the Outer Space Treaty lacks specific enforcement mechanisms and has yet to be ratified by any signatory nations, making its rules more like suggestions. The Artemis Accords similarly are guidelines rather than directives, though if enough nations sign onto it and act within its framework, he continued, over time it becomes de facto law.

Mars poses many of the same challenges in exploration and eventual colonization that the Moon does, such as deadly radiation, micrometeorite impacts and clinging dust particles not to mention the six month trip needed just to get to the former, compared to a measly three days for the latter. That vast distance also strains our ability to remotely control rovers and other teleoperated robotic systems we send to the Red Planet due to the minutes-long communication lag.

Prospective explorers and colonists will also have to contend with the wide temperature ranges that exist at each destination. On the Moon for example, the sun-ward side can be as hot as 125 Celsius while the shadowed side can drop to -175 Celsius, causing intense thermal stress on objects moving between them. Protection from galactic and solar radiation will also have to factor heavily into any decisions regarding where to settle on the surface. Shaded valleys and cliffside locations offer a higher degree of natural protection so well have to carefully consider the local topography when picking settlement sites. One potential solution to the radiation problem would be to ensconce our artificial habitats with a 3D-printed shell made from the Martian soil itself, Xavier De Kestelier, Head of Design Technology and Innovation at Hassell, noted during the panel.

Maintaining the crews physical and mental health on these increasingly long-duration missions will be of paramount importance and will have to be accomplished without help from home. The further we travel from Earth, the medical models that we might need and the psychological pressures on the crew will be different, Beth Healey, Head of Emergency Clinic at Hpital Du Valais, said. Each member of the crew will be called upon to serve in multiple roles beyond their individual specialties during the mission.

Should we manage to surmount these challenges, however, the rewards will be substantial. It's very difficult to live in space, Mueller said in a separate panel discussion at SXSW 2021. The good news is that there are a lot of resources in our solar system and beyond, there's almost an infinite amount of resources compared to what we have on Earth. These include everything from water, atmospheric gases, volatiles and rare metals to the crews own trash waste to energy. If you have sunlight, then you have access to energy, he continued. Humanity has already shown that its capable of inhabiting some of the most inhospitable areas of the Earth, such Concordia Station in Antarctica. With continued diligence, research and international cooperation, the stars themselves could soon come within our reach.

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Find the flavors of the Pacific Islands (in taco form) at these 3 Seattle-area food trucks – seattlepi.com

Posted: at 1:20 am

Seattles food scene boasts a huge range of Filipino foods, from the high-end tasting menu of Archipelago to the classic lunch counter of Oriental Mart in the Pike Place Market.

Hawaiian cuisine, too, comes in many forms from plate lunch chain L &L Hawaiian Barbecue to local gem Kona Kitchen. But few restaurants in the area serve the food of any the islands that sit in the vast expanse of the Pacific Ocean between Hawaii and the Philippines, such as Guam, Samoa and Fiji.

Proximity to neighboring islands and the history of colonization throughout the region means that none of these cuisines live in isolation they have long adapted their own cuisines to the ingredients and influences arriving on their shores, often out of necessity.

While a smattering of deli-style counters and stores from South Seattle down to Tacoma offer typical Samoan food, the chefs at three local food trucks have found a new way to bring the flavors of their cuisine to Seattle: by refracting it through the lens of that quintessential American dish, the taco.

The owners of a Renton-based catering and restaurant group knew they needed to change things up to get through the pandemic. Combining the cuisines of their heritage, the owners came up with their own fusion of the foods of Mexico and Guam and started serving it from a truck mostly parked in front of the Yankee Grill, one of their other businesses. The name fuses Spanish and Chamorro, just like the food, and means more spice, which is not only about the food itself, but in the way they bring inspiration from their various homelands together into one kitchen.

Ms Pika

Now they roam all over the city and suburbs, serving Taconadas. Their signature dish takes the framework of a classic street taco, but using an empanada dough to make the tortillas, which they fill with Chamorro flavors like chicken kelaguen (a chopped chicken salad). They also make rice bowls with Spam or bulgogi, a burger served with kim chi and an egg, and a fiesta plate with hulihuli chicken, seasoned red rice, macaroni salad and pickled papaya.

Ed Leota and Ron Manning have operated the Taste of Samoa Manapua Bakery from their Tacoma storefront since 2017, serving a wide variety of Samoan foods. But when the pandemic interrupted the move to a new location, they had to form a back-up plan: take to the road, serving their unique Samoan taco creation.

Corned beef, charsiu and turkey tail tacos from Taste of Samoa Manapua Bakery

Starting this month, the duo reopened in their new, mobile form. Instead of a tortilla, they flatten the dough used to make their signature manapua and fill them with Samoan-style corned beef called povi masima and turkey phat (tail). The truck also serves a rotating selection of other dishes, like Samoan-style lamb curry, as well as the bakerys pineapple half-moon pies.

Taking their name from the Fijian word for three, these three brothers weave three elements of their heritage Indo-Fijian, Native Fijian and the Pacific Northwest into a taco stand. Once in regular rotation at farmers markets and events, theyve been just recently ramping back up with regular Friday and Saturday pop-ups at Georgetowns Machine House Brewing and Sundays at Tacomas Point Ruston Farmers Markets.

Tolu Modern Fijian

Tolu uses poori, a fried flatbread, in place of a tortilla, making for hearty tacos even before they drop in the chicken and potato curry and top it with tamarind chutney and pico de gallo. They also offer spicy soup and rice bowls, and occasionally add additional curry options including lamb or squash and everyone should keep their fingers crossed that they bring back some of the hits from earlier menus like the passionfruit cheesecake.

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Global Cell and Gene Therapy Drug Delivery Devices Market 2020-2030: Focus on Product Type, Commercialized Drug Delivery Devices, and Competitive…

Posted: March 26, 2021 at 6:26 pm

DUBLIN--(BUSINESS WIRE)--The "Global Cell and Gene Therapy Drug Delivery Devices Market: Focus on Product Type, Commercialized Drug Delivery Devices, Country Data (16 Countries), and Competitive Landscape - Analysis and Forecast, 2020-2030" report has been added to ResearchAndMarkets.com's offering.

The global cell and gene therapy drug delivery devices market was valued at $55.75 thousand in 2019, and is expected to reach $375.13 thousand by 2030, registering a CAGR of 16.61% during the forecast.

Cell and gene therapy drug delivery industry is a transformative industry whose full potential is only just beginning to emerge. Cell and gene therapy involves the extraction of cells, protein, or genetic material (DNA) from the donor, and altering them to provide highly personalized therapy. Cell and gene therapies may offer longer-lasting effects than traditional medicines.

One of the significant drugs of the cell and gene therapy industry is CAR-T cell-based medicines, which include both cell therapy and gene therapy. Various market players are actively investing in the research and development of the cell and gene therapy industry. The players are offering improved and new products, which meet the critical needs of patients.

The growth is attributed to major drivers in this market such as the increasing prevalence of cancer and chronic diseases, increased funding in the cell and gene therapy market, rising need to develop novel treatment options for rare diseases, and rising biopharmaceutical R&D expenditure, and rising number of the FDA approvals of cell and gene therapies & clinical trials. The market is expected to grow at a significant growth rate due to various potential opportunities of growth that lie within its domain, which include drug approvals and strong pipeline of cell and gene therapies.

Various new cell and gene-based therapy approaches use biological engineering to improve the immune system's capacity to fight disease while sparing healthy tissues in the body. For instance, there are antibody-based therapies that can make T-cells more effective by increasing their interactions with cancer cells. Other modifications, such as adding complexity to the CAR-T and cancer cell interaction, which can further sharpen T-cells' cancer-targeting ability by reducing damage to normal cells.

The increase in the geriatric population and an increasing number of cancer cases, and genetic disorders across the globe are expected to translate into significantly higher demand for cell and gene therapy drug delivery devices market.

Furthermore, the companies are investing huge amount in research and development of cell and gene therapies and associated drug delivery devices products. The clinical trial landscape of various genetic and chronic diseases has been on the rise in the recent years, this will fuel the cell and gene therapy drug delivery devices market in future.

Within the research report, the market is segmented based on product type, commercialized drugs, and region. Each of these segments covers the snapshot of the market over the projected years, the inclination of the market revenue, underlying patterns, and trends by using analytics on the primary and secondary data obtained.

Competitive Landscape

The exponential rise in the application of precision medicine on a global level has created a buzz among companies to invest in the development of novel cell and gene therapy drug delivery devices.

Due to the diverse product portfolio and intense market penetration, Novartis AG, Kite Pharma Inc., and Dendreon Pharmaceuticals LLC. have been the pioneers in this field and been the major competitors in this market.

The other major contributors of the market include companies such as Vericel Corporation, Amgen Inc., Bausch & Lomb Incorporated, Spark Therapeutics, Inc., and Becton, Dickinson and Company.

Based on region, North America holds the largest share of cell and gene therapy drug delivery devices market due to substantial investments made by biotechnology and pharmaceutical companies, improved healthcare infrastructure, rise in per capita income, early availability of approved therapies, and availability of state-of-the-art research laboratories and institutions in the region. Apart from this, Asia-Pacific region is anticipated to grow at the fastest CAGR during the forecast period.

Companies Mentioned

For more information about this report visit https://www.researchandmarkets.com/r/110jum

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A dying child, a mother’s love and the drug that changed medicine – Wired.co.uk

Posted: at 6:26 pm

Mila Makovec loved the great outdoors. Born in November 2010, she grew up on the outskirts of Boulder, Colorado and was skiing by the age of two. Before her third birthday Mila would go on long hikes, preferring to make her own way rather than be carried in a baby backpack. Shortly after her third birthday Mila started rock-climbing. This is not just a mom boasting about her child, says her mother, Julia Vitarello. She was really outgoing and advanced. But then, she adds, I started noticing things.

Before she turned four, Mila had started walking with an inturned foot. At the doctors surgery there was little alarm. Mila was diagnosed with tibial torsion an inward twisting of the shin bones that is relatively common among toddlers. But, for Julia, the diagnosis didnt add up. Over the coming months Mila became clumsier and clumsier. She would stumble and fall; her speech, previously eloquent and exuberant, became slow and staccato. In 2015, by the time Mila was five, doctors started using the word delay suggesting that she had been born with something that was hindering her development. That didnt make sense, says Julia. Mila was advanced.

The hunt for a diagnosis was arduous, encompassing more than 100 visits to doctors and therapists. Many doctors who assessed Mila commented on how developmentally advanced she was, despite her ever-growing list of symptoms. Then came the suggestion that maybe, just maybe, she had something incredibly rare. Julia started carrying around a piece of paper to note down any symptoms of a potential neurological condition. First it was stepping on toys and breaking them. All the toys in our house were broken. I would ask her, Mila, whats that in the corner? and she would say, Oh, its a butterfly. The next day I would ask again and she would look away like she didnt know. Suspecting that Mila might have a vision problem, Julia took her to an ophthalmologist and an optometrist, both of whom said she seemed fine. They also told me to chill out, Julia says.

One day in December 2016 Julia decided she needed some air. She went for a run, got bitten by two dogs and barely flinched. I didnt even realise Id been crying the whole time for Mila. Perceiving that she could no longer cope, she packed up a duffel bag, put Mila in the car and drove her to the Emergency Room. I heard the word seizure. I heard the word blind. She couldnt even stand, Julia says. Mila spent a week in hospital and received a myriad of tests. I saw her decline so quickly. Everything changed that week. Mila was diagnosed with Batten disease, an incredibly rare genetic disorder that gets progressively worse and is always fatal. I felt enormous relief, says Julia. And I also felt very guilty. Id been told I was crazy for three years, but there it was, in her genetic code.

Children with Batten disease have a problem with their lysosomes, enzyme-filled bags within cells that clear waste molecules. With defective lysosomes, this waste builds up and kills cells, causing brain damage and, by adolescence, death. Symptoms normally appear between the ages of five and ten years. Children suffer from vision problems and seizures. Their behaviour changes, they become clumsy, their spine starts to curve. The disease is fatal and there is no treatment or cure.

Milas doctors in Colorado sequenced the protein-coding part of her genome and found an error in one copy of a gene called CLN7, which codes for a protein that it is thought help molecules move across the membrane of the lysosome bags. To have Batten disease, both copies of CLN7 one from the mother and one from the father need to have mutated. Milas doctors could only find a defective gene from Milas father. To find the other mutation, Milas whole genome would need sequencing. At the time few labs in the world let alone just in the United States could do this, and even then it was prohibitively expensive and time-consuming. Mila was already six years old and her condition was worsening by the day.

But something else was at stake. Azlan, Milas younger brother, could also have been carrying the same fatal mutations. If he did, then he would soon start to show the same symptoms. I would look at my son, who was totally normal, just like Mila was, and the pain drove me to try and figure out what the mutation was, Julia says. Without knowing what both mutations were, there was no point checking out her son. To answer that question and confirm Milas diagnosis someone, somewhere, would need to find both mutations.

Faced with such challenges, many parents look to the frontiers of medicine. Julia founded a charity in her daughters name, Milas Miracle Foundation, and set herself a fundraising target of $4 million to put towards scientific research and treatment. Her end-goal was gene therapy. Gains made in this field are slow and expensive, but the need for breakthroughs is acute. Every year 7.9 million children are born worldwide with a serious birth defect of genetic, or partially genetic, origin. Thats six per cent of all births. An estimated 3.3 million of those children will die before they reach their fifth birthday. Treatments for such diseases are scarce, and cures are almost non-existent. To raise money for research, Julia realised she needed to improve awareness of Batten disease and other similar fatal genetic diseases. I learned that my tool was telling Milas story, she says. So I started telling it to everyone. I let the press into my house, I went on the news. I hated it I was so sad. But it was the only thing I could do.

In January 2017 Julia got a phone call from a doctor named Timothy Yu, a neurologist and neurogeneticist at Boston Childrens Hospital, whose work just happened to involve sequencing the genomes of people with autism. He had read about Mila on Facebook and wondered if he could help. Yu has run a lab at Boston Childrens Hospital since 2000 and has been carrying out whole-genome sequencing since 2010. We were one of the first to apply it to human disease, says Yu. Not only did he think he could help Mila and her family, but the work also aligned perfectly with his academic interests. This gave Yu both the will and, critically, the means to track down the missing mutation. My lab has been figuring out how to use high-throughput sequencing to diagnose disease and discover new causes of disease for a long time, he says. We know that there are a lot of cases out there of genetic conditions that go undiagnosed because traditional clinical testing doesnt cut it.

Yus task was to find a fragment of a needle hidden in the haystack of Milas genetic code. The doctors in Colorado had found the mutation from Milas father, meaning that Yu and his team could focus their efforts on finding the one inherited from Julia. At first we struck out, he recalls. All the standard ways of looking at the human genome sequence gave us nothing. After two days of failure, Yu and his team took a different approach: they started painstakingly combing through the raw genetic data by hand.

The human genome is three billion base pairs long. To analyse it manually, Yu and his team split it up into chunks that are about 100 letters long and started looking for the one tiny anomaly that would confirm Milas diagnosis. After days of searching, Yus team found something. A section within the CLN7 gene inherited from Milas mother didnt match up properly with the sequence of a normal CLN7 gene. Later analysis would reveal that a 2,000-letter stretch of DNA had jumped and landed there, breaking the gene. This extra chunk of DNA caused an error in Milas cells, disrupting their ability to make protein. This, in turn, had broken her bodys ability to clear out waste molecules. When he called Julia to deliver the news, Yu also had another crucial piece of information to share: while Mila had inherited the mutations from both her mother and father, Azlan had inherited neither. That was an enormous, enormous relief, says Julia. But also a huge reminder that Mila was going to die.

Yus initial promise to Julia was to find the mutation, and nothing more. But her jumping gene was unusual. It had essentially landed on a part of the gene between the important parts that encode the instructions for making the crucial cell-cleaning protein. Milas mutation was, it turned out, merely changing the way the instructions were assembled. Most mutations destroy the instructions. In Milas case, they were disrupted but still intact.

Just as the stars had aligned to connect Mila with Yu, so they aligned again when Yu and his team started to research possible treatments. In December 2016 only weeks before Yu first spoke to Julia the Food and Drug Administration (FDA), the US federal agency responsible for drug regulation, had approved a drug called spinraza. The drug is used to treat spinal muscular atrophy, a rare neuromuscular disorder that causes muscle weakness and is a leading genetic cause of death in infants, many of whom die before the age of two. The defect that spinraza targets is the assembly of a critical gene called SMN2. Spinraza reassembles this gene by removing the defect. This type of drug is called an antisense oligonucleotide (ASO) and it works by binding to defective RNA, hiding it and tricking cells into producing a normal protein. Yu had an idea: could he create a similar kind of genetic plaster to cover Milas fatal defect?

People were talking about it being curative, says Yu. I went into neurology because there is a huge unmet need. But, in reality, there are very few curative therapies in neurology. Spinraza changed that. When we looked at what spinraza did for those kids and we looked at the mutation that we found in our patient, it was the same story. Why couldnt we pull the same trick? It was a huge undertaking, made all the more challenging by the fact that Yu and his colleagues had never made a drug before. Were an academic lab. Im a clinician, Im not a drug developer. But when I looked at the basic science I couldnt see a reason why this wouldnt work.

Between April and October 2017, Yu and his team created a scientific proof of principle a new drug, targeted at one tiny mutation in one patient. If it worked, it would become the first single-patient drug ever created. But they faced one additional, potentially insurmountable hurdle: the FDA. We werent looking to commercialise a drug, says Yu. We werent looking to do what a pharma company would do. What we wanted to do was apply for permission to treat our patient under emergency access. This regulatory route allows doctors caring for individual patients to, for example, apply to use a drug that has been approved for use on another disease or a drug that is still in development and has not yet gone through clinical trials. If the need is dire and the application is successful then the treatment can be used. So we decided to choose that path, says Yu. Except that path had never been undertaken for a drug that hadnt undergone some professional development before.

Yu found himself at the frontier of not just medical science, but also regulation. The drug that he and his team had conceived had been developed in an academic lab, not by a pharmaceutical company. Not sure where to start, Yu naively called up an FDA hotline. Theres a 1800 number you can call. So I called them up and told them what I wanted to do. The FDA agreed to set up a conference call, which Yu ended up taking while on holiday. Sitting on the patio of a house that he and his family had rented for the weekend, Yu addressed the 15-member FDA panel. It was after this conference call that I realised, Oh gosh, I think it might be good to get some additional advisers on our side.

All the while Milas condition was worsening. One day in the summer of 2017, around six months after the diagnosis, Julia was lying in bed with her daughter. It was dark and Mila, as had become common, was struggling to get her words out. Her sentences were getting shorter and shorter. She was saying, Mommy, Mommy and she just kept getting stuck on Mommy. She could never get the rest of the sentence out. She was driving me nuts, Julia says. But then I realised I might never hear her say Mommy again. And that happened. I took a video that night in the dark. And I heard her say Mommy and it was just horrible. It was really horrible. By the autumn of 2017 Mila could no longer speak. All her food had to be blended to the consistency of mashed potato, and even then she choked all the time. She had also been fitted with a gastrostomy tube, in preparation for the day when she would no longer be able to eat or drink.

Back in Boston, Yu and his team were grappling with two challenges: how could they prove their drug was safe to use, and how could they manufacture it quickly enough? To tackle the first challenge, Yus laboratory tested the drug they had developed on skin and blood samples they had taken from Mila. This process, Yu recalls, was simple enough. But the logistical challenges proved more complex. The drug Yu had created, like spinraza, is known as an antisense oligonucleotide. For a laboratory-grade version of this drug, Yu would expect to pay as little as $10 for a small sample. For a higher quantity, maybe $300. But clinical-grade manufacturing is more costly and complex. Yu started calling around and was told that it would take six to nine months and cost hundreds of thousands of dollars to manufacture a clinical-grade version of his drug. The laboratory-grade version could be turned around in a week. The manufacturers he contacted were also only really geared up to produce huge quantities, perhaps as much as half a kilo. Yu only needed 2030 grams. Eventually they found a company willing to manufacture the drug in the right quantity and for the right price. The negotiations with the FDA were complex, but, remarkably, Yu continued to make good progress. But time was slipping away and so, in October 2017, manufacturing of the drug began, without FDA approval.

By this point Mila was having up to 30 seizures a day. She was smashing her legs and arms against tables. She was bruised. She was going down very quickly, says Julia. Milas disease, as is typical for Batten, was manifesting as a series of plateaus and cliffs for weeks Milas condition would stabilise, then she would rapidly deteriorate, before stabilising again. Each fall took another chunk of Mila with it. In January 2018, days after Julia and Mila had arrived in Boston hoping that FDA approval was imminent, the good news arrived. I was so overwhelmed, Julia says. Yu assembled his team and asked Julia and Mila to come into Boston Childrens Hospital. They were taken to an unremarkable back room, in which sat a refrigerator packed with vials of the new drug. The drug the first of its kind ever developed for just one patient now had a name: milasen. Before she received the first dose, Milas doctors anaesthetised her and carried out one final MRI scan of her brain and spine. Once the scans were done, she was wheeled into the room next door to receive her first dose of milasen, administered via a lumbar puncture.

For Julia and Yu it was the first moment of pause for almost a year. They sat in the MRI waiting room, leaning forward, their elbows on their knees, and they paused. Id been working day and night for the previous year it was probably one of the most intense professional periods that Id encountered, says Yu. In the weeks before, people had come up to me saying I was going to lose my licence for this. This is a very risky thing to do. But there was no other help coming. It was very, very clear that if we didnt do anything, she would have no quality of life and she would die within a few short years. I really came to peace with it, professionally and ethically and clinically. So we definitely did pause and take a deep breath and reflect on where we were.

The day after was blissfully boring. Mila had no adverse reaction to the drug. The first few doses also went without a snag and, over the next six months, Milas condition started not just to stabilise, but to improve. The number of seizures she had went down drastically and also became less severe. Where before they had been long and violent, now they were short and calm. Mila also began to hold up her own body again and started eating. She even started walking. With her mother standing behind her, their arms interlocked, Mila was able to take a few, stumbling steps. It was a pretty big deal, Julia says.

As the days turned to months, and the months to years, Milas disease started progressing again though more slowly than it had before. We know its not all a fairy-tale story, says Yu. We believe this drug is definitely helping, but there are areas in which this disease has progressed that are meaningful and impactful and sad. But I think it has provided her with an improved quality of life.

Julia agrees. Mila has always been a kid who loves imagery and storytelling and songs and has reacted well to nature. I try my best to engage her mind and body. Most days, a girl the same age as Mila comes round to read her stories. If she touches Milas hands, she feels a childs hands, Julia says. When Milas brother Azlan runs around the house and screams and shouts, Mila hears a childs voice. I believe, as her mother, that shes absolutely listening and paying attention.

Milas story is about so much more than simply one patient. Its extremely important to me that all the blood, sweat and tears that we put into milasen is not just for Mila, says Julia. Its opened the eyes of everyone. Its shown whats possible. The story of Mila represents the most profound realisation of personalised medicine yet. Her legacy, it is hoped, will be to make the path to treatment easier and less expensive for the next patient in desperate need. We can imagine a situation where the tools for drug development are good enough, and accessible enough, that a scientist can apply them to a single patient, says Yu. In this respect, Milas story is a story from the future. The pharmaceutical industry has already progressed from developing drugs to treat diabetes and heart disease illnesses that affect millions of people to develop treatments like spinraza, which target diseases found in only a few thousand patients. Milasen has shown that scientists have the tools at their disposal to develop treatments that can be applied to only one patient with a specific, targetable genetic mutation.

Theres a lot more work to do to be able to prove that the work we did with milasen, as a proof of principle, can be scaled, Yu says. Now, with an example of how it can work, he believes that healthcare is on the brink of a major change. Antisense oligonucleotides the genetic plasters behind the success of milasen and spinraza will likely be the first wave of this change. These are incredibly easy to make. You make them out of a machine thats about the size of a large, soft-serve ice-cream machine, says Yu. You type in the sequence, add in the ingredients and the drug is synthesised and comes out twenty-four hours later. This, says Yu, is a field that can become cheaper and more efficient in a relatively short space of time.

But, as he found while developing milasen, two major hurdles stand in the way: a scientific hurdle and a logistical one. Im a scientist, right? And weve still only done an N of one, Yu says, using the scientific term for a clinical trial with just one patient. If a graduate student comes up to me and shows me an experiment with an N of one, I tell them to go back and do it at least three more times. So conceptually, thats what we need to do. On the logistical side, Yu realises there are more complex challenges to overcome. In order to scale, this process has to be made simpler and less expensive, he says. More than 70 people were involved in the development of milasen. The cost of the development has never been disclosed, but spinraza, the treatment for spinal muscular atrophy that inspired Yu to develop milasen, costs $750,000 in its first year and $375,000 annually thereafter, placing it among the most expensive drugs in the world.

To be available to the hundreds of thousands of children born with fatal neurodegenerative diseases that can be targeted by antisense oligonucleotides, the price of treatment needs to come down, right down and fast. For that to happen, drug manufacturers will need to develop processes and business models that enable them to make lots of drugs in very small batches with quick turnaround times. Think going from spending nine months developing one drug to spending one month developing nine drugs. Regulators will also need to introduce new pathways for targeted, small-scale treatments. This will be a huge challenge for an industry that is used to regulating, manufacturing and monetising treatments that can be taken by hundreds of thousands or millions of patients, rather than simply a handful. Or one. Milasen shows that it can be done once, and so Julia and Yu are now focusing their efforts on showing it can be done time and time again.

In the future, the mutations that cause rare, often-fatal diseases could be targeted with precision medicines just like milasen. As whole-genome sequencing costs come down, such checks will become more routine giving physicians access to all the data they need to make an early and accurate diagnosis. Yu sees a future where parents of children with potentially fatal genetic mutations are immediately connected to experts who can explore the feasibility of making a drug and start the process in days, not months.

Parents could even be screened before they try for a child, to find out if they have mutations that could cause a fatal or life-limiting disease. They can know that they have a one-in-four chance of having a child with this disease, says Yu. The parents would then receive counselling to help them make the best decision. A foetus with an incurable, fatal genetic mutation could be aborted. Or, if in utero procedures could correct the genetic fault, treatment could be carried out at the earliest opportunity to give the child the best chance of a long, healthy life. The potential to eradicate some fatal genetic diseases before they even exist is one of the great promises of precision medicine. The diagnostic portion is ready to implement right now, says Yu. We just need the political will and the money to do it.

Julia compares the situation she faced when Mila was diagnosed with Batten to being handed an empty toolbox. Now, that box contains one truly remarkable tool. If and its a big if another child has Batten caused by the exact same genetic mutation as Mila, then there is a fridge in Boston that contains a lifetimes worth of treatment. And if that child is diagnosed sooner than Mila, then theres a chance they could press Pause on the disease and slow its progress earlier perhaps before that child even displays any symptoms. As a clinician and as a human, I think about that all the time, says Yu. What if we could have gotten to Mila sooner? What if wed been able to make this diagnosis in Mila at age four? We only met her at age six. Batten is a disease that gains momentum cells in the brain start dying, symptoms compile and accelerate. Coupling this kind of approach with earlier diagnosis is just so critical, says Yu.

No one wants to hear the story of a dying child, says Julia. But when its told in the light of hope, people want to listen.

Mila Makovec passed away on February 11, 2021.

James Temperton is WIRED's digital editor. He tweets from @jtemperton

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