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Category Archives: Transhuman News

Every cancer patient could have DNA tested under five-year government plan to cut deaths – The Independent

Posted: July 7, 2017 at 1:46 am

A new era of genome-based personalised medicine could open up for cancer patients within five years under new plans unveiled by the Government's chief medical adviser.

The "genomics dream" outlined by Professor Dame Sally Davies would see millions of patients having all their DNA tested as genome sequencing becomes as routine as MRI or CT scans.

Ultimately, the future goal is for every cancer patient to have his or her whole genome sequenced, making the procedure as standard as blood tests and biopsies.

People with rare diseases are also expected to benefit from having greater access to the technology, ending the years long "diagnostic odyssey" of multiple tests and visits to different specialists.

Whole genome sequencing involves unscrambling the entire book of genetic instructions that make us what we are, encompassing 3.2 billion "letters" of code.

Research suggests that in 60 per centof cases, the genomes of cancer patients reveal "actionable" data - personal mutations that can shape future treatment.

Tens of thousands of NHS patients have already had their DNA mapped, but the new recommendations set out in Chief Medical Officer Dame Sally's "Generation Genome" report aim to multiply the numbers many times over.

Dame Sally said: "The age of precision medicine is now and the NHS must act fast to keep its place at the forefront of global science .

"This technology has the potential to change medicine forever - but we need all NHS staff, patients and the public to recognise and embrace its huge potential.

"Genomic medicine has huge implications for the understanding and treatment of rare diseases, cancer and infections."

Currently, genetic testing of NHS patients in England is conducted via 25 regional laboratories and a plethora of smaller ones operating along the lines of a "cottage industry", said Dame Sally.

Her chief recommendation is to centralise all the labs and establish a national network providing equal access to the tests across the country.

Within government, a new National Genomics Board would be set up, chaired by a minister, to oversee the expansion and development of genomic services taking into account new advances within the rapidly evolving technology.

Other proposals include offering every existing clinician training in genomics and ensuring their descendants are equipped to practise genomic medicine.

The report also recommends setting up a standing committee of experts to advise on the availability of genetic tests and indications for their use.

Lessons could be learned from the highly successful 100,000 Genomes Project, which has now sequenced more than 31,000 genomes from patients with cancer and rare diseases, said Dame Sally.

Her report calls for a simplified two-stage consent system that draws on the Genomes Project model and makes it easier for patients to get involved in research studies and clinical trials.

Speaking at a news briefing in London, Dame Sally said she hoped to see the new system fully operational within five years.

Part of what made greater access to whole genome sequencing feasible was the rapidly reducing cost of the tests, which has fallen from several thousand pounds to an average 680, she pointed out.

Results from analysis of cancer samples could now be delivered in as little as four weeks.

In the short term, she wanted to see "all appropriate patients" given the opportunity to have their genomes sequenced under the guidance of experts.

Wearable device could help fight brain cancer

Further down the line, she hoped the tests would become routine for every cancer patient.

Dame Sally said: "Yes, my dream is that, in the end, every patient gets their genome done if they've got cancer.

"It's not just their genome but its the cancer itself, and as the cancer changes over time and with treatment it will need redoing.

"But you go at it through what will give a worthwhile actionable result for the patients, and the experts will tell us."

Health Secretary Jeremy Hunt said he welcomed the report, pointing out that the UK had established itself as a world leader in genomics medicine.

He added: "Tens of thousands of patients across the country have already benefited from quicker diagnosis, precise treatment and care, and we will support the NHS to continue its relentless drive to push the boundaries of modern science to benefit even more people."

Press Association

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Possible link found between eczema flare-ups and strain of bacteria – Medical Xpress

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July 6, 2017 by Bob Yirka report Eczema patients had more Staphylococcus aureus bacteria (golden colonies) on their skin during active flare-ups. Credit: Carla Shaffer / AAAS

(Medical Xpress)A team of researchers with the National Institutes of Health in the U.S. has found what appears to be a link between eczema flare-ups and a certain strain of bacteria. In their paper published in Science Translational Medicine, the group outlines their study of the connection between the skin ailment and bacteria and what they found.

Eczema is a skin condition causing patches of skin to become itchy and discolored. Besides being an irritant, it also causes emotional problems because most patients are young people, including children. Some studies have also shown it can lead to an increased likelihood of developing allergies. Prior research has suggested it might be possible that the condition is caused by some type of bacteriasome researchers have even found possible candidates. But despite evidence of higher numbers of certain bacteria existing on the skin during flare-ups, no one has been able to figure out if they were a cause or a side effect. In this new effort, the researchers sought to prove they were a likely cause.

The suspected bacteria, a strain of Staphylococcus aureus, lives on most people's skin, but because it appears to reproduce dramatically during flare-ups, the researchers sought a link. They enlisted the assistance of 18 volunteers, all children, and 11 of whom had eczema. The researchers scraped their skin to collect bacterial samples. For those with eczema, samples were collected during flare-ups, between flare-ups and just after flare-ups. Those without eczema only had their skin scraped once to offer as a comparison.

The researchers report that S. aureus was much more prevalent during flare-ups in the volunteers. They also noted that patients who experienced less severe flare-ups had more methicillin-resistant strains of the bacteria than did those who experienced more severe symptoms.

To find out if the bacteria was the cause of the flare-ups or merely a side effect, the researchers collected samples of the bacteria during a flare up and applied it to the skin of test mice. They report that doing so caused skin inflammationmuch more so than when other strains of the same types of bacteria were applied.

The researchers acknowledge that their findings are not definitive proof that S. aureus causes eczema, but believe it indicates it is likely. More work needs to be done to determine why the bacteria suddenly multiply and to find out if there are other factors involved.

Explore further: Skin defences point to eczema therapies

More information: Staphylococcus aureus and Staphylococcus epidermidis strain diversity underlying pediatric atopic dermatitis, Science Translational Medicine (2017). DOI: 10.1126/scitranslmed.aal4651 , http://stm.sciencemag.org/content/9/397/eaal4651

Abstract The heterogeneous course, severity, and treatment responses among patients with atopic dermatitis (AD; eczema) highlight the complexity of this multifactorial disease. Prior studies have used traditional typing methods on cultivated isolates or sequenced a bacterial marker gene to study the skin microbial communities of AD patients. Shotgun metagenomic sequence analysis provides much greater resolution, elucidating multiple levels of microbial community assembly ranging from kingdom to species and strain-level diversification. We analyzed microbial temporal dynamics from a cohort of pediatric AD patients sampled throughout the disease course. Species-level investigation of AD flares showed greater Staphylococcus aureus predominance in patients with more severe disease and Staphylococcus epidermidis predominance in patients with less severe disease. At the strain level, metagenomic sequencing analyses demonstrated clonal S. aureus strains in more severe patients and heterogeneous S. epidermidis strain communities in all patients. To investigate strain-level biological effects of S. aureus, we topically colonized mice with human strains isolated from AD patients and controls. This cutaneous colonization model demonstrated S. aureus strainspecific differences in eliciting skin inflammation and immune signatures characteristic of AD patients. Specifically, S. aureus isolates from AD patients with more severe flares induced epidermal thickening and expansion of cutaneous T helper 2 (TH2) and TH17 cells. Integrating high-resolution sequencing, culturing, and animal models demonstrated how functional differences of staphylococcal strains may contribute to the complexity of AD disease.

2017 Medical Xpress

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Scientists Home in on Eczema-Causing Germs – NBC News – NBCNews.com

Posted: at 1:46 am

Eczema patients had more Staphylococcus aureus bacteria (golden colonies) on their skin during active flare-ups. A.L. Byrd et al / Science Translational Medicine (2017)

And the team at the National Institutes of Health narrowed down the bad bacteria using genetic sequencing.

The hope is to figure out if the staph bacteria are causing the eczema or are a side-effect, and whether they worsen the symptoms. Eventually, it might be possible to use the knowledge to develop better treatments.

Atopic dermatitis (eczema) is a common inflammatory skin disorder in industrialized countries, affecting 10 to 30 percent of children, Julia Segre of the NIHs National Human Genome Research Institute and colleagues wrote.

Patients with atopic dermatitis suffer from chronic, relapsing, intensely itchy, and inflamed skin lesions and have an increased likelihood of developing asthma and/or hay fever.

Bacteria are a longtime suspect, and one treatment for eczema is a bleach bath to kill them off. But its not usually a long-term fix.

Related:

One team at NIH is working on

But its important to figure out just who the bad actors are, and thats what Segres team did.

They tested 18 children, 11 of whom had eczema. They scraped off the microbes living on their skin during flare-ups and outside of flare-ups, and sequenced the genomes of everything they found.

Staph bacteria were definitely the most variable and seemed most associated with eczema flare-ups, they found.

The more severe atopic dermatitis patients were markedly colonized with a single clade of S. aureus during disease flares, they wrote.

We found that less severe (eczema) patients were colonized with more methicillin-resistant strains, whereas the more severe (eczema) patients were primarily colonized with methicillin-sensitive strains.

Its not clear why. Methicillin-resistant Staphylococcus aureus (MRSA) has become very common across the U.S.

But understanding the differences between the various types of bacteria living on healthy skin and itchy skin could lead to ways to prevent allergies, the NIH team hopes.

Because eczema develops so early in life, scientists believe that the bacteria that take up residence on a babys skin can influence whether that child develops allergies. Getting rid of bad bacteria may help prevent the development of allergies, researchers believe.

Eczema is caused by a combination of genetic, immune and environmental factors.

There are many treatments out there now, from simple skin lotions to steroid creams and immune suppressant drugs like tacrolimus. But none of these works for everybody, and the immune suppressant drugs can raise the risk of cancers such as lymphoma.

The

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Paolo Bediones admits suffering from psoriasis – ABS-CBN News

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Paolo Bediones. Facebook.com/paolo.bediones

MANILA - Host Paolo Bediones surprised his social media followers when he admitted that he is suffering from psoriasis.

In a Facebook post on July 5, Bediones said he has been keeping his condition a secret "for more than half my life."

He turned 43 last March.

"I HAVE PSORIASIS. Don't worry, it's a non-communicable skin disorder. It is NOT CONTAGIOUS. It's a painful, chronic disease characterized by incessant itching and scratching. Occasional bleeding and scabbing. Reddening of the skin and flaking. It's not pretty for sure, but I have been hiding it well," he wrote in the post, which has been shared more than 1,000 times as of writing.

Bediones went on to shed light on the plight of his fellow psoriasis patients in the country.

"More than 2 million of my KABALAT in the country suffer the daily plight of flare ups that are mild to severe, that happen during bouts of stress and heat, and sometimes it's caused by the food we eat. Some have even perished from the ordeal.

"Every day we have to mentally prepare ourselves before we go out into the world. Each one of us insecure, knowing someone will notice the discolored patch of skin or the white flakes. Knowing someone would like to ask about it, but feel uncomfortable doing so," he said.

The TV anchor then asked the public to show their support for psoriasis patients and encourage them to seek treatment.

"If you, a family member, or a friend share these symptoms, look up Psor Phil and please see a specialist and learn about the various forms of treatment that exists. If you know anyone with psoriasis, hug them. If you see me on the street, hug me," he ended.

Other celebrities who have opened up about suffering from psoriasis include reality TV star Kim Kardashian and singer Britney Spears.

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"Scandal" Star Opens Up About Her Experience with Psoriasis – KDRV

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KDRV
"Scandal" Star Opens Up About Her Experience with Psoriasis
KDRV
She says right around the time she started the big role, she was diagnosed with psoriasis. The disease causes red, scaly patches on the skin that itch and burn. Not only is it painful, some say it can be embarrassing. Katie Lowes says she dealt with ...

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CMO Samsung BioLogics Inks Deal to Manufacture Plaque Psoriasis Inhibitor – Pharmaceutical Processing

Posted: at 1:46 am

Sun Pharma and Samsung BioLogics announce strategic manufacturing tie-up for tildrakizumab.

Sun Pharmaand Samsung BioLogics announced a strategic long-term manufacturing agreement for tildrakizumab. The agreement was entered into by Sun Pharma's wholly owned subsidiary and Samsung BioLogics. According to the agreement, Sun Pharma has appointed Samsung BioLogics to manufacture tildrakizumab, an investigational IL-23p19 inhibitor being evaluated for the treatment of moderate to severe plaque psoriasis.

Filings for the novel investigational biologic was accepted for review by the U.S. Food and Drug Administration (FDA) in May and the European Medicines Agency (EMA) in March. The agreement was signed at Samsung BioLogics' headquarters in Incheon,South Korea. The approximate value of the contract will be $55.5 million. Other financial details of the agreement were confidential.

"Samsung BioLogics is a globally renowned CMO. Through this partnership we will leverage Samsung's manufacturing knowledge and world class quality systems to provide high quality products for the tildrakizumab pipeline,"Kirti Ganorkar, global headportfolio management and business development atSun Pharma, said.

Tildrakizumab is an investigational humanized, anti-IL-23p19 monoclonal antibody designed to selectively block the cytokine IL-23. With this precise targeting, tildrakizumab has the potential to help control the pathogenic cells responsible for the inflammatory process of psoriasis with limited impact on the rest of the immune system.

Phase-3 tildrakizumab data provide further evidence for the role of the IL-23 pathway in helping to control the inflammatory process of psoriasis. The regulatory filings associated with tildrakizumab have been accepted for review by the FDA and EMA.

A Sun Pharmaceutical Industries Ltd. wholly owned subsidiary received worldwide rights to tildrakizumab from Merck, known as MSD outsidethe United StatesandCanada, in 2014. Funded by a Sun Pharma subsidiary, Merck is responsible for the completion of Phase-3 trials in patients with mild-to-moderate plaque psoriasis and, as appropriate, submission of a Biologics License Application to the United States Food and Drug Administration (FDA). Merck is also responsible for manufacturing finished goods to support Sun Pharma's initial product launch.

Post-approval in the U.S., Sun Pharma will be responsible for all other regulatory activities, including subsequent submissions, pharmacovigilance, post approval studies, manufacturing and commercialization of the approved product. Sun Pharma will also be responsible for all regulatory, pharmacovigilance, post approval studies, manufacturing and commercialization of approved products for all non-U.S. markets. Merck is eligible to receive milestone payments and royalties on sales of tildrakizumab.

(Source: PR Newswire)

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Novartis’ psoriasis drug gets label boost – pharmaphorum

Posted: at 1:46 am

Novartis could gain further traction in the psoriasis drug market after European regulators granted a label update showing the firms Cosentyx clears skin better than Johnson & Johnsons rival, Stelara.

Europes CHMP scientific committee approved the label update for Cosentyx (secukinumab), the first interleukin-17A approved to treat psoriasis.

Sales of Cosentyx, which is injected every four weeks, are mounting and the drug looks set to achieve blockbuster status, with sales expected to peak at around $4 billion.

But the market is highly competitive, with a range of disease modifying drugs available and Stelara establishing itself as a mainstay treatment.

Results of the CLEAR study showing Cosentyx is better at clearing skin than Stelara first emerged at the European Academy of Dermatology and Venerology (EADV) conference in October.

Data presented at the congress in Vienna, showed Cosentyx is significantly superior to J&Js Stelara (ustekinumab)in delivering long-lasting skin clearance in psoriasis over 52 weeks.

Further data published at the congress also showed long-lasting clear or almost clear skin in the vast majority of patients, with a favourable safety profile over four years.

Almost all response rates are maintained from year one to year four, according to data.

The four-year data was based on assessments using the Psoriasis Area Severity Index (PASI) 90 (almost clear skin), and PASI 100 (clear skin).

The label update also includes data on the treatment of scalp psoriasis, a particularly difficult form of the disease to treat as activity is often maintained through hair care, scratching and shampooing.

Vas Narasimhan, Novartis chief medical officer, said: We are continually investigating new areas for Cosentyx to significantly enhance patients quality of life, such as scalp psoriasis.

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Gene Editing Controversy Reminds Us Just How Much Money Influences Science – Gizmodo

Posted: at 1:45 am

Recently, a kerfuffle in the world of CRISPR illustrated just how easily moneyand our perception of itcan impact science.

In late May, a paper came out questioning how effective the gene-editing technology really is. Working with mice, researchers found that edits made with CRISPR can also result in thousands of unintended changes to a genome. The study cast serious doubt on whether CRISPR is ready for prime time.

The fallout was swift. Stock prices of three CRISPR companiesEditas Medicine, Intellia Therapeutics and CRISPR Therapeuticstumbled. Scientists affiliated with those companies fired back, questioning the studys methodology. Stocks bounced back. The scientific world was set atwitter, questioning not only the validity of the initial study, but how to trust a rebuttal against that study when it came from those who stood to lose the most from its publication.

Conflicts of interest arent a new problem in science. One frequently-cited example is the role that tobacco industry-funded scientists played in distorting the health consequences of smoking. There is a significant body of evidence suggesting financial interests can correlate with favorable results. But, conflicts of interest arent always all bad. Research funding from sources with a vested interest in a topic can sometimes help advance science that otherwise might not get funded at allthink the patient advocacy groups funding cures for little-known diseases.

Whats undoubtedly true is that money plays a significant role in science. And rarely has there been as much money at stake as with CRISPR, the nascent gene-editing technique that promises to cure everything from genetic disease to global famine by allowing researchers to easily cut and paste particular genes. When scientists whose fortune and reputation hinges on a particular technology speak out against a paper questioning that technology, its hard not to wonder how that bias might factor in.

There is this unspoken assumption the people in academia are driven primarily by the quest for knowledge and the science, Josephine Johnston, a bioethicist at The Hastings Institute, told Gizmodo. But in recent history, controversies over things like tobacco and GMOs have begun to erode that perception. When it became clear that more and more scientists have a specific financial stake, it caused a lot of concern, Johnston said.

When it comes to CRISPR, the financial stakes are certainly complicated. Two separate groups of scientists have long been embroiled in a battle over the patent for the technology, with one headquartered at The Broad Institute of MIT and Harvard, and the other at U.C. Berkeley (so far, the US has awarded the patent to Broad but Europe and China have sided with Berkeley). The patent gives the scientists the ability to license the technology. In this case, Broad has licensed the technology to Editas, a company founded by scientists at both Berkeley and Broad. Berkeley licensed its patents Intellia, which Berkeleys Jennifer Doudna is also a founder of, as well as to CRISPR Therapeutics.

Most of the headline-grabbing scientists associated with CRISPR have major financial stakes in publicly traded CRISPR companies, creating a strong incentive across the industry for CRISPR to succeed. The concern is that a CRISPR-favoring bias could potentially cause researchers to misinterpret or skew study results, or forge ahead with human clinical trials before CRISPR is really ready.

Thats not to say that theres necessarily anything wrong with the points industry-affiliated CRISPR scientists raised in their rebuttal to the paper questioning their science. In fact, several other scientists raised similar concerns.

Finances certainly can influence science. Not just companies, but also the premises supporting government grant finances, George Church, an author of the rebuttal paper and founder of Editas, told Gizmodo via email. We were basically raising issues that the original authors can address. This, fortunately, doesnt require perfect unbiased authors. Anyone can point out a potential problem.

Michael Kalichman, director of UC San Diegos research ethics program, pointed out that financial interest isnt the only bias that scientists have to be wary of.

Weve talked about conflicts of interest for many years in science and for many reasons much of that focus has been on financial conflicts. For one, its easy to see, he told Gizmodo. What I find astonishing is that even scientists forget that there are other conflicts that can influence work, like tenure, your reputation or just being excited about an idea.

Kalichman said his biggest concern is less that scientists are actually doing anything unethical, and more that financial conflicts of interest create the perception that they are. The paper that sparked the CRISPR controversy received press in most major news outlets, and the blowback against it has received significant attention, too.

Part of me is worried about the way [this CRISPR fight] is playing out because of the picture it paints of science, he said. We have this battle going on in the pages of scientific journals that creates this perception that this is what science is about when most of science is not about this.

Johnston echoed those concerns.

The introduction of these financial interests muddies the water enough that people dont know who to trust, she said. Whether or not we can see anything wrong with either study, or anyone else can, theres still this suspicion that the financial stakes must have played some role here. Thats a very corrosive thing across science.

In the initial Nature Methods paper, scientists from Stanford and University of Iowa working to cure blindness in mice found that while CRISPR did successfully edit the gene for blindness, it also caused mutations in more than a thousand unrelated genes. The consequences of those off-target effects, far more extensive than previously realized, are largely unknown. This finding warns that CRISPR technology must be further tailored, particularly before it is used for human gene therapy, the researchers wrote.

As mentioned, scientists associated with CRISPR companies were not the only ones, or even the first, to criticize the studys design. Many scientists raised red flags about basic mistakes, such as misidentifying genes, mislabeling genetic defects, and the small number of animals the researchers had included in their research. But other scientists found the reaction against the paper, was written as a brief letter to the editor intended mainly to point to an area where more study might be needed, to be overwrought. Some, like UC Davis professor Paul Knoepfler, suggested the real problem was that the results had been over-interpreted and blown up in the press, setting in motion an out-sized blowback.

Scientists from Intellia and Editas both sent separate letters to Nature Methods, forcing it to eventually add a note to the study about the controversy surrounding the letter. Whats more, in publishing their own study taking down the initial works methodology, scientists associated with Editas opted to publish a pre-print online before it was peer-reviewed, though the initial paper did go through a peer review process. And while the response paper mentions the institutions and companies each author is affiliated with, there is no clear conflict of interest section. (Church said conflicts of interest will be included with journal publication.)

This week, a pre-print of a second paper published by scientists at Intellia that reanalyzed the original papers data and found far fewer off-target edits also appeared online.

In a statement, the Broad Institute said that the peer review process should weed out the impact of any conflict.

Scientific paperswhether making a new claim, or analyzing an existing scientific claimshould always be subject to rigorous evaluation by the scientific community to establish whether the scientific evidence actually supports the argument in the paper, the Broad Institute told Gizmodo. Such review by the community provides protection against incorrect arguments, whether due to a scientific error, financial or reputational interest, or something else.

Most journals and research institutions have a comprehensive conflict of interest policy. In 2010, UNESCO called for journals to adopt a common standard of dealing with the complex and growing financial arrangements that have developed in recent years between vested interests and independent scientists. Even so, sometimes those ties wind up omitted.

Kalichman said more might be needed to address conflicts of interest in the realm of basic science.

In clinical research, you do everything you can to separate financial interests from the people doing the work, Kalichman said. We dont really talk about that in basic research, but maybe we need to do something like that. Maybe if you have a financial interest, youre not the one that looks at the raw data.

Its next to impossible to fully weed out conflict in sciencebe it financial or otherwise. Besides, it makes sense that scientists should be able to make money off of their own work. But its also impossible not to acknowledge that those interests can influence the science. How could they not?

Update: This story has been updated to include mention of the Intellia study.

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Researchers Identify Levels Of Gene That Could Play A Key Role In Depression – HuffPost

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The levels of one gene in particular may play a key role in protecting from depression or accelerating its severity, according to a new study from researchers at the University of Maryland School of Medicine.

Depression, which affects over 300 million people,changing the waythey interact with the world, is the mostcommon cause of disabilityglobally.

The study, published Thursday in the Journal of Neuroscience, pinpoints the importance of the levels of gene Slc6a15, which works in neurons of the brain involved with the brains reward system. The levels of this gene, which acts as a neutral amino acid transporterin brain neurons, could affect peoples mood, according to Dr. Mary Kay Lobo, the senior author of the study and an assistant professor in the department of anatomy and neurobiology at the University of Maryland School of Medicine.

The study focused on vulnerable neurons, or parts of the brain that react to stress. While previous studies had indicated Slc6a15 was associated with depression susceptibility, Lobo and her team wanted to examine how levels of this particular gene would correlate with mediating susceptibility to stress.

In their research, the team found that mice who had been genetically modified to have lower levels of the gene were found to exhibit depression-like outcomes after experiencing stress. In mice they had modified to enhance the level of the gene, they found a resilient response to stress, according to Lobo.

They also found that the level of gene Slc6a15 was reduced in the post-mortem analysis of individuals who had suffered from depression.

If we can find ways to actually enhance levels of this molecule in this particular vulnerable neuron population that would be a way to combat depression, Lobo said. This is also a druggable target.

Put more simply, the study of this previously understudied gene could be critical in advancing the understanding of depression and its underlying causes, according to Dr. A.J. Robison, a professor of physiology at Michigan State University who was not involved in the study.

In order to improve, we really need to understand not only how the disease is happening and what went wrong to cause depression, but how the drugs work to combat it, Robison said.This study should lead to a continuing body of work that can really make genuine progress in understanding how depression works and maybe even in treating it.

For Lobo, the next steps entail identifying more of these types of genes and their impact.

We have to go in and find these vulnerable neuron subtypes, perhaps to alleviate depression-like symptoms, she said.

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Tumor gene testing urged to tell if drug targets your cancer – Lexington Herald Leader

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Lexington Herald Leader
Tumor gene testing urged to tell if drug targets your cancer
Lexington Herald Leader
The government has recently approved the first cancer therapy that's based on a tumor's genetics instead of the body part the cancer struck first. Now thousands of patients whose cancer is growing worse despite standard treatment can try this new ...

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