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Category Archives: Transhuman News
What the Death of the World’s Oldest Human Means for Longevity – Inverse
Posted: May 2, 2017 at 10:35 pm
The oldest man in the world died on Sunday at his home in Indonesia. Sodimejo, known to many as Mbah Gotho, claimed to be 146 years old. While the Indonesian government only started tracking births in 1900, Sodimejo has identification papers that say he was born in December 1870. And though his age was called into question in 2016, Indonesian authorities have confirmed the validity of his documents. If theyre right, he was the oldest person on record.
This would mean that the oldest human was 24 years older than what we have previously even thought possible for aging. And in a world filled with people obsessed with living forever, people are hungry for the keys to slowing the inexorable process of bodily and mental decay.
Unfortunately, Sodimejo doesnt appear to have had many answers that doctors could bottle. A lifelong smoker, he cited patience and close relationships with loved ones as the keys to his longevity. Nevertheless, besides the whole smoking thing, this is good advice, even if it is a little underwhelming.
But having a positive attitude doesnt seem to sufficiently explain Sodimejos long life. His case, if true, would upend conventional wisdom about human lifespans. So what could account for it?
One possible explanation for why Sodimejo lived from 1870 to 2017 is not totally unique to him: Improvements in public health and sanitation affect everyone. When he was born, most people didnt have electricity, running water, or access to science-based health care. Shortly before he died, though, he spent several days in a modern hospital. This is a huge change from the era of his birth.
The common causes of death during much of Sodimejos life such as water-borne pathogens, tuberculosis, or even infections that settle in minor scrapes are now considered to be almost completely preventable. So while many people who were born around the same time as Sodimejo may have fallen victim to illnesses or accidents that are now treated as routine, he beat the odds for a man born in 1870.
But that doesnt seem to explain his whole situation. Other people in his peer group also dodged preventable diseases before they were curable, so if we choose to explain his long life as beating the odds, we still need another way to explain why he outlived his peers by so long.
In 2016, scientists said that the upper limit for human aging is 115 years old and that this limit is fixed and subject to natural constraints. The matter is far from settled, though; other researchers in the field vigorously disagreed about whether there could be a fixed upper limit to human aging at all. Directly contradicting that study in the same year that it was published, Jeanne Calment, who at the time was the worlds oldest person, died at 122 years old.
Besides, while seemingly irreversible physical changes like slowed mitochondrial regeneration and telomere shortening set in as we age, a fixed limit on aging doesnt seem to make sense in light of average human lifespans that continue to increase each year.
So, the possibility that the limit to human aging does not exist remains. This doesnt mean that all humans will live for a super long time because human illnesses vary in who they affect and are often unpredictable. It could simply mean that Sodimejo is on the far end of the bell curve, where outliers live. If thats the case, then whats to stop others from joining him there? We could be witnessing an era in which the maximum human lifespan simply continues to increase, and not just for the super rich.
Then again, its also entirely possible that Sodimejo wasnt actually 146 years old.
Peter is a writer living in New York. He is preoccupied with Star Wars and memes, but he writes about climate change, chatbots and ants. You may have seen his work in Popular Science, New Scientist and Motherboard.
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How Scientists Think CRISPR Will Change Medicine – TIME
Posted: at 10:35 pm
With the advent of CRISPR , a new way to edit DNA, the field of genomic technology has never been more exciting. The implications have yet to be seen, but scientists could theoretically snip out a person's genetic risk for disease. But it's also never been a more anxiety-inducing time. Some experts argue innovations in genomics are moving forward at a pace faster than our ability to parse their potential consequences.
In a panel discussion at Fortune s Brainstorm Health conference in San Diego, scientists discussed the promises and perils of this breakthrough technologysome of which they're already starting to see.
I think CRISPR is a very exciting discovery, said J. Craig Venter, co-founder of the health company Human Longevity, Inc. and one of the first scientists to sequence the human genome. Venter is using genome sequencing as a way to help predict a persons risk for disease and offer more personalized treatment with a physical exam called the Health Nucleus : an eight-hour, $25,000 inside-and-out doctors appointment that includes whole-genome sequencing, high-tech scanning and early diagnostics.
So far the company has sequenced more than 40,000 human genomes. Of the people that complete the Health Nucleus, one in 40 will discover they have a serious cancer they didn't know about, he said.
Yet some experts are skeptical that exhaustive testing always translates to better health. Dr. Eric Topol, founder and director of Scripps Translational Science Institute, called for a more reserved way forward in his remarks at the conference, arguing that too much scanning can lead to more false positive results and potentially unnecessary interventions. We have to prove that doing tests are truly associated with positive outcomes, Topol said. We have to be much more discriminative about the tests that we do.
Some companies are taking a more tempered approach: inexpensive testing that looks for specific genes known to substantially increase a persons risk for disease. Color Genomics, a genetics company that has brought down the cost of genetic testing, focuses on cancer and offers affordable tests for the BRCA1 and BRCA2 genes, which can significantly raise a womans risk for breast and ovarian cancer. It changes the equation in terms of treating disease, said Othman Laraki, co-founder and CEO of Color Genomics.
As for finding and fixing genetic problems well before they even arise? The scientists on the panel agreed that they're not there yet, and that current iterations of CRISPR may not be quite as precise as the hype has claimed. For now, that may be for the best. Editing human embryos with CRISPR should be a long way off, said Venter. Not something we do next week.
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Oldest human might have reached 146 or it was a very long con – Next Big Future
Posted: at 10:35 pm
An Indonesian man claimed to be 146 years old the longest living human ever. He died in his village in Central Java.
According to his papers, Sodimedjo, also known as Mbah Ghoto (grandpa Ghoto), was born in December 1870.
But Indonesia only started recording births in 1900 and there have been mistakes before.
Yet officials told the BBC his papers were valid, based on documents he provided and interviews with him. He was taken to hospital on 12 April because of deteriorating health. Six days later he insisted on checking out to return home.
Mbah was an Indonesian Christian man who unverifiably claimed to be the oldest person ever recorded. In May 2010, Solopos reported that enumerators of that years census had recorded his age next birthday as 142, which would make him 19 years older than the official oldest recorded person, Jeanne Calment, who died in 1997. He outlived ten siblings, four wives and all his children. The Liputan 6 website reported that Mbah Gothos estimated age was 140, that he could not remember his date of birth but claimed to remember the construction of a sugar factory built in Sragen in 1880.
Indonesian officials at the local record office confirm the birth date. There is no independent, third-party verification of his claimed age, which is required for the longevity claim to be recognized by record authorities such as Guinness World Records. Robert Young of the Gerontology Research Group said the claimed age was fiction, unbelievable and in the same category as Sasquatch [Bigfoot], the Yeti, and the Loch Ness Monster. The 2010 Liputan 6 story noted others of a similar claimed age including a woman named Maemunah and known as Ambu Unah, supposedly born in 1867, in Cimanuk, Pandeglang Regency.
There are living supercentenarian cases, in descending order of claimed age, with full birth and review dates, have been updated within the past two years, but have not had their claimed age validated by an independent body such as the Gerontology Research Group or Guinness World Records. Only claims over 115 years but under 130 years are included in the list. See longevity myths for claims over 130 years, such as Mbah Gotho.
Maria Lucimar Pereira, is a native of Feij and was born on September 3, 1890. She is of the Kaxinaw ethnic group and lives in Aldeia Grota. She is believed to be 126 and has better documentation than Mbah. Marias claim has not been independently verified.
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The Patients Association: New Report Highlights True Personal and Public Cost of Psoriasis, and Spotlights Variation … – Yahoo Finance
Posted: at 10:34 pm
HARROW, England, May 3, 2017 /PRNewswire/ --
"Research shows that far from being just a skin disease, psoriasis ruins lives - and has the potential to shorten them too." Katherine Murphy, Chief Executive of the Patients Association
Today, Wednesday 3 May 2017, the Patients Association, in partnership with LEO Pharma, released a new report highlighting the debilitating effect psoriasis can have on up to two million people battling the condition in the UK[8] and Ireland[9]. Despite the World Health Organisation (WHO) recognising psoriasis as an area of focus,[10] and recent advancement in treatments, the PSO What? Report underscores the need for improvement in the health and experiences of people living with psoriasis.
(Photo: http://mma.prnewswire.com/media/507020/Katherine_Murphy_The_Patients_Association.jpg )
The PSO What? report, led by the Patients Association in collaboration with the expert PSO What? Taskforce, which brought together patients, healthcare professionals and charities, reinforces that far from being 'just a skin condition', psoriasis is a serious, sometimes lifelong condition impacting emotional and mental wellbeing, as well as physical health[10]. "This new report highlights the need to take action now to address the significant burden psoriasis places on individuals with psoriasis, and inspire those who may have previously given up to take control of their condition, as well as raise the priority of psoriasis care in the health service", said Katherine Murphy, Chief Executive of the Patients Association. "We are therefore asking people to pledge their personal and practical support to drive real change by visiting http://www.PSO-What.com."
She added: "A third of people with psoriasis we surveyed do not regularly visit their GP each year and contrasting healthcare guidelines mean that doctors have no clear direction for when exactly to ask their psoriasis patients back into the consulting room. We are therefore using this report to ask that every individual with psoriasis has the opportunity to discuss their care with a healthcare practitioner, and undergo screening for associated conditions at regular reviews, at least once a year. "
Alongside the personal toll of psoriasis, figures show the disease places a heavy burden on the health service - with nearly a quarter of the population having sought a GP consultation on skin matters in England and Wales; up to 5% on psoriasis alone.[5],[6] Despite this, some GPs in the UK have only received five days of undergraduate dermatological training.[7] Inevitably, there is a risk that these practitioners may not be afforded the depth of knowledge required to treat psoriasis specifically. The problem is exacerbated due to the lack of consultants to support GPs, with only 650 dermatologists to provide more specialist care.[6] This is particularly concerning given that people with psoriasis are at risk of developing other serious associated conditions,[10] including psoriatic arthritis,[10] cardiovascular disease,[4],[11],[12],[13] inflammatory bowel disease (IBD)[10], liver disease[10], complications with vision[14] and some cancers.[3],[15]
The survey conducted as part of the PSO What? initiative also reveals that the condition negatively affects the quality of life of 93% of the people surveyed and that less than half (45%) feel well supported by their doctor.[1] Jacqueline McCallum from Hertfordshire was diagnosed with psoriasis over 30 years ago: "Psoriasis is a horrible disease to live with on a daily basis. In the past it has made me depressed and affected my self-esteem, which has limited my personal and professional life. However, I've regularly struggled to even get a GP appointment to discuss my psoriasis because the receptionists do not think it is a serious enough condition, and do not understand the significant impact it has on my wider health and wellbeing. They see my psoriasis plaques, but not me."
Dr Angelika Razzaque, GPwSI Dermatology and Vice Chair of the Primary Care Dermatology Society (PCDS), comments: "The onus is on the GP community to continually review how we're treating the psoriasis itself, and to look beyond the skin to screen for associated complications such as depression, cardiovascular disease and diabetes. Regular reviews, at least annually, can safeguard against further psoriasis complications. Psoriasis affects everyone differently, but people can live full and happy lives providing they regularly see their doctor, and medical professionals are adequately trained to offer an effective and personalised approach to treatment. My advice to patients is not to give up, there is always a way to get help."
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Dr Anthony Bewley, Consultant Dermatologist at Whipps Cross and St Bart's NHS Trust comments, "We, as healthcare professionals need to move far away from the misconception that psoriasis is 'just a skin condition'. The PSO What? Taskforce invites patients to demand more from their health care professionals, to be more empowered, and to make sure that healthcare professionals do not undermine the experience of living with psoriasis. There needs to be a true dialogue between a patient and their doctor in order to achieve the best outcomes for them individually; each person has different needs, experiences and expectations of what they want in order to live well.'
The cost of psoriasis to the UK economy is substantial, coming in at over 1.07 billion in lost productivity alone, while figures show that just a 10% reduction in sickness absence due to psoriasis, would deliver a 50 million boost.[16] Dr Angelika Razzaque continues: "By 'treating to prevent', we're reducing the risk of life-limiting complications for the patient, helping to tackle sickness absence in the workplace, and reducing the potential burden on the health system later down the line."
PSO What? will you do differently? To find out more visit the PSO What? website (http://www.PSO-What.com) and pledge to do one thing differently to help make a difference for the nearly 2 million people living with psoriasis in the UK[8] and Ireland.[9]
Notes to the editor
About the PSO What? Initiative
The PSO What? initiative is a partnership programme led by The Patients Association and LEO Pharma, in collaboration with the expert PSO What? Taskforce. LEO Pharma has provided core funding, editorial input and undertaken survey-based research to support the development of the PSO What? Report.
The PSO What? Taskforce is a multidisciplinary group representing people living with psoriasis, psoriasis advocacy and professional groups, and healthcare professionals. A full list of Taskforce members can be found in the report.
The Taskforce met in 2016 to discuss the challenges currently facing people living with psoriasis as well as those who care and commission services for them, including key themes and issues around which change could be effected for the benefit of people living with the condition. The pledge of each member of the Taskforce is to continue to have a voice and drive positive change for psoriasis and develop resources and programmes to facilitate this.
As part of the PSO What? initiative a survey was conducted amongst psoriasis sufferers and healthcare professionals in the UK and Ireland. The survey results and further desk research helped inform some of the key findings of the PSO What? Report. These include:
Psychological impact of psoriasis
Standards of care
Impact on employment
To read the full Report visit the PSO What? website: http://www.PSO-What.com
References
1. Data on file. LEO Pharma. DERM-004 MAR 2017
2. NHS Choices. Psoriatic Arthritis Overview. Available at: http://www.nhs.uk/conditions/psoriatic-arthritis/Pages/Introduction.aspx.Last accessed April 2017
3. Pouplard C, Brenaut E, Horreau C, et al. Risk of cancer in psoriasis: a systematic review and meta-analysis of epidemiological studies. JEADV. 2013;27(Suppl 3):36-46.
4. Gelfand JM, Niemann AL, Shin DB, et al. Risk of myocardial infarction in patients with psoriasis. JAMA. 2016;296:1735-41
5. King's Fund. How can dermatology services meet current and future patient needs while ensuring that quality of care is not compromised and that access is equitable across the UK? Source report, 7 March 2014.
6. Schofield JK, Grindlay D, Williams HC. Skin conditions in the UK: a health needs assessment. 2009. Centre for Evidence Based Dermatology, University of Nottingham.
7. Primary Care Commissioning. Quality standards for dermatology. Providing the right care for people with skin conditions. July 2011. Available at: https://www.bad.org.uk/shared/get-file.ashx?itemtype=document&id=795
8. Mental Health Foundation, Psoriasis Association. See psoriasis: look deeper. Recognising the life impact of psoriasis. 2012.
9. Irish Skin Foundation. Securing the future for people with skin disease. Submission to Oireachtas Committee on the Future of Healthcare (Dil ireann). August 2016.
10. World Health Organization. Global report on psoriasis. 2016. World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/204417/1/9789241565189_eng.pdf. Last accessed January 2017.
11. Ahlehoff O, Gislason GH, Jorgensen CH, et al. Psoriasis and risk of atrial fibrillation and ischaemic stroke: a Danish nationwide cohort study. Eur Heart J. 2012;33:2054-64.
12. Lowes MA, Suarez-Farinas M, Kreuger JG. Immunology of psoriasis. Ann Rev Immunol. 2014;32:227-35.
13. Langan SM, Seminara NM, Shin DB, et al. Prevalence of metabolic syndrome in patients with psoriasis: a population-based study in the United Kingdom. J Invest Dermatol.
14. Fraga NA, Oliveira MF, Follador I, et al. Psoriasis and uveitis: a literature review. An Bras Dermatol. 2012;87:877-83.
15. Lebwohl M. Psoriasis. Lancet. 2003;361:1197-204.
16. Bajorek Z, Hind A, Bevan S. The impact of long term conditions on employment and the wider UK economy. 2016.
17. Kurd SK, TROXE B, Crits-Christoph P, Gelfand JM. The risk of depression, anxiety and suicidality in patients with psoriasis: a population-based cohort study. Ann Dermatol. 2019;146:891-5
18. Gupta MA, Schork NJ, Gupta AK. Suicidal ideation in psoriasis. Int J Dermatol. 1993;32:188-90.
19. Changing Faces. Report highlights stigma faced by psoriasis patients. Available at: https://www.changingfaces.org.uk/report-highlights-stigma-faced-psoriasis-patients. Last accessed March 2017
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The Patients Association: New Report Highlights True Personal and Public Cost of Psoriasis, and Spotlights Variation ... - Yahoo Finance
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This Founder is using Synbio to Revolutionize Genetic Medicine – Labiotech.eu (blog)
Posted: at 10:34 pm
Oxford Genetics founder and CEO Ryan Cawood told me about his companys improvements to DNA design for better biologicals.
Last month at Synbiobeta, I caught up with Ryan Cawood, who created one of the most successful synthetic biology companies around, Oxford Genetics. Our direction actually took off from this conference, he told me. We saw that the cost of DNA synthesis is going to be driven down, so this was not a market for us to compete in.
Instead of focusing on making DNA engineering cheaper, Cawood decided to explore how to improve the quality of its products. Specific inspiration came in the form of frustration as he was trying to finish his PhD in genetics at Oxford University
I was making gene therapy plasmids, and they were increasingly hard to test because we just couldnt make them. They were 50 to 100 kilobases for different viruses with no standardization one section camefrom Spain, one section from the US, and one from the back of the freezerit was a sort of genetic car crash, as my PI, Len Seymour, called it.
As a company, we set out to improve this by focusing on DNA design we now help other companies working on therapeutics develop them better with SnapFast, a lego-like core DNA system.
In 2011, I formed the company by taking out bank loan. Then I negotiated a lab bench from local company in return for gene engineering for them. Finally, I built a website. Ive since obtained seven grants and connected with solid investors. Mercia Technologies has invested three times now the first time was in 2013 and on this next round, someone else will probably come in as well.
Len, my former lab PI, is still on the board as one of the cofounders. He was actually involved in founding two biotech companies before hand, one for oncolytic viruses (PsiOxus Therapeutics) and one for protein expression (The Native Antigen Company).
Cawoods lightning talk at Synbiobeta: fromsynthetic biology, Oxford Genetics is building up to improve biological drugsto reachpersonalised versions.
Well, our trajectory and plan was to build better DNA tech for the design and synthesis to discover and manufacture biologicals better. Fundamentally, youre always trying to build a tool to develop these better.
What Id like to see from the field is a major advancement of human therapeutics. There are four major challenges in biological development that were working to address: discovery, design, production and delivery basically every step.
We think Snapfast DNA will improve all of them because DNA is an integral part of each. So, we can absolutely use synbio to improve cell and gene therapies and biologics.
People who work in the area think of synbio as making things in algae, or making new genetic circuits etc, but dont necessarily see consequences for human health. The field has a huge role to play in tying the genetics of an individual human to a therapeutic treatment based on DNA. At the moment, there is no such pairing were a long way from that, but with synbio well get there.
We take a sort of blunt hammer approach now: its very inefficient therapeutically, and its a very inefficient use of government funds. By funding a better understanding of people, youll see significant gains intreatmentefficiencies.
The current approach is far too retrospective at the moment: we give a drug and then try to figure out why it worked in some people afterwards, or we just carry on giving it everyone knowing only a few people will benefit, in the future I hope we can predict efficacy and act upon that calculation.
Im still very much motivated by the therapeutic side of synthetic biology. Not everyone working at the company has a background in human genetics some come from working on archaea, but they all are oriented towards working towards therapeutics. Even my PA has first class degree in genetics.
DNA foundries are all the rage in synbio now, but we were much more interested in biology than physical manufacture that is, were much more focused on end goal versus how you get there. This thinking has changed the company a lot: instead of just making things, were designing things.
Images from Oxford Genetics,author at Synbiobeta, 04 April 2017, Mercia, & Sergei Drozd, Saibarakova Ilona /shutterstock.com
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Smoking-related heart disease tied to effects of a single gene – Medical Xpress
Posted: at 10:33 pm
May 1, 2017 Credit: Vera Kratochvil/public domain
Researchers have found a genetic explanation for how smoking can lead to coronary heart disease (CHD). Many people have a protective gene type that reduces levels of an enzyme connected to artery-clogging fatty plaques and CHD. However, in people carrying this gene, smoking counteracts the protective effect.
"Our finding suggest that interventions to inhibit this enzyme would be particularly beneficial for smokers, and they may also prove useful for anyone at heightened risk of coronary heart disease," said study leader Muredach P. Reilly, MBBCH, MSCE, the Herbert and Florence Irving Professor of Medicine (in Cardiology) and director of the Irving Institute for Clinical and Translational Research at Columbia University Medical Center (CUMC).
The study, the largest of its kind, was published online today in the journal Circulation.
Cigarette smoking is known to cause about one in five cases of CHD, and is linked to approximately 1.6 million deaths worldwide each year. But the precise mechanisms by which smoking leads to CHD has not been clear. To learn more about how genetics affect the interplay between smoking and heart disease, the researchers pooled genetic data on more than 140,000 people from 29 previous studies. They analyzed 45 small regions of the genome that have been previously associated with a heightened risk of CHD. They hypothesized that for some of these regions, the associated heart risk would be different in smokers than in non-smokers.
The analysis showed that a change in a single DNA "letter" on chromosome 15, near the gene that expresses an enzyme (ADAMTS7) produced in blood vessels, was associated with a 12 percent reduction in heart risk in non-smokers. However, smokers with this same variation had only a 5 percent lower risk of CHDreducing by over half the protective effect of this genetic variation.
DNA variations located near a gene sometimes inhibit the gene's activity, causing below-normal levels of the protein it produces. In this case, the researchers discovered that the single-letter DNA variation that protected patients from CHD resulted in a significant decline in the production of ADAMTS7.
In a separate recent mouse study, Dr. Reilly's lab demonstrated that genetic deletion of ADAMTS7 reduced the buildup of fatty plaques in arteries, suggesting that blocking the production or function of this enzyme might be a way to lower the risk of CHD.
In the current study, when the researchers applied a liquid extract of cigarette smoke to coronary artery cells, the cells' production of ADAMTS7 more than doubled, supporting the conclusion that smoking may counteract the genetic protection from CHD by increasing the level of ADAMTS7 in the artery wall.
"This has been one of the first big steps towards solving the complex puzzle of gene-environment interactions that lead to CHD," said lead author Danish Saleheen, PhD, assistant professor of biostatistics and epidemiology at the Perelman School of Medicine at the University of Pennsylvania.
In future studies, the researchers hope to establish exactly how the ADAMTS7 variants protect against CHD, how cigarette smoking affects the activity of the gene that produces the enzyme, and whether reducing or inhibiting ADAMTS7 can slow the progression of atherosclerosis due to cigarette smoking.
"This study is an important example of the emerging field of precision medicine and precision public health," said Dr. Reilly. "Through these large-scale genetic studies, we're beginning to understand the genetic variations that drive risk in response to certain environmental exposures or lifestyle behaviors. Not everyone reacts the same to the same exposures or behaviors. For example, some people who don't exercise develop diabetes while others do not. So, instead of saying there are rules for everybody, we can specify which interventions will be especially beneficial for specific populations or individuals and focus our health resources more efficiently."
The study is titled, "Loss of Cardio-Protective Effects at the ADAMTS7 Locus Due to Gene-Smoking Interactions."
Explore further: Scientists identify new therapeutic target for coronary heart disease
More information: Danish Saleheen et al. Loss of Cardio-Protective Effects at theLocus Due to Gene-Smoking Interactions, Circulation (2017). DOI: 10.1161/CIRCULATIONAHA.116.022069 , circ.ahajournals.org/content/early/2017/04/20/CIRCULATIONAHA.116.022069
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Researchers have found a genetic explanation for how smoking can lead to coronary heart disease (CHD). Many people have a protective gene type that reduces levels of an enzyme connected to artery-clogging fatty plaques and ...
The Tibetan people have inherited variants of five different genes that help them live at high altitudes, with one gene originating in the extinct human subspecies, the Denisovans. Hao Hu and Chad Huff of the University of ...
Physical activity can reduce the weight-gaining effects of the genetic variant that carries the greatest risk of obesity, report Mariaelisa Graff of the University of North Carolina at Chapel Hill, Tuomas Kilpelinen of ...
Researchers at Sanford Burnham Prebys Medical Discovery Institute (SBP) have identified a previously unrecognized step in stem cell-mediated muscle regeneration. The study, published in Genes and Development, provides new ...
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Smoking-related heart disease tied to effects of a single gene - Medical Xpress
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This is the direction direct-to-consumer genetic testing needs to take – MedCity News
Posted: at 10:33 pm
The recent FDA approval of 23andMes direct-to-consumer genetic testing is an interesting and inevitable milestone in the dissemination of medical knowledge to the public. However, we must proceed with caution to ensure that this information is understandable and not anxiety provoking.
Over the past two decades, we have seen a dramatic increase in our knowledge about the genetic basis of many diseases. Most of the clinical use of this genetic information has been to counsel selected populations that were deemed high risk based on family history or other features. The information was conveyed to patients under the guidance of medical professionals who are skilled at interpreting the prognostic implications of the test results and who can advise patients about treatment options.
Recent advances in technology permit the whole genome to be screened for serious diseases at reasonable costs. Given the thirst by consumers for access to health information, direct-to-consumer testing was bound to happen.
Overall, I believe that readily accessible genetic information has the potential to improve public health if also accompanied by access to medical interpretation and counseling regarding test results.
For many, the implications of genetic mutations are quite complex, as they may only indicate increased risks of disease, not the inevitability of disease occurrence. Additionally, implications for social and family consequences of test results must be addressed. It is interesting that the first set of diseases chosen by 23andMe are diseases with public fear factors such as Alzheimers and Parkinsons rather than the more lethal conditions that can be identified by genetic testing. For example, the American College of Medical Genetics (ACMG) has published a list of 56 serious diseases that may be incidentally found during genetic screening (during research studies or exams for other conditions). These include genetic predispositions to cancer, heart disease, and neuromuscular diseases. Careful medical counseling is required when these genetic alterations are identified.
It is not a question of if but rather when the public will demand over-the-counter access to screening for more serious diseases, including the BRCA breast cancer genes or hereditary colon cancer genes.How the public will handle this information is unclear, but most studies on medically supervised genetic testing have been favorable. And based on the feedback I hear from patients and their families in my oncology practice, they would all encourage greater public awareness and testing for these conditions.
But even before we reach that stage, the current lack of required professional counseling regarding the interpretation of test results is troubling. The cautionary concerns that have bubbled up in recent years around Dr. Google and the surge in self-diagnosis from sites such as WebMD will need to extend to genetic testing. For example, some individuals may welcome the reassurance that they do not carry high-risk genes. But a positive test result could be met with great angst without understanding that for some mutations the risk of disease can be high, but for other genes the risk can be low. This is where counseling is critical.It will be incumbent on test manufacturers to provide access to genetic counselors so the results can be placed into proper context.The public must be properly informed that merely carrying a certain gene does not doom an individual to developing a disease, but similarly must be counseled when medical actions are appropriate.
Although direct-to-consumer advancement and FDA approval should be celebrated, it is by no means an endorsement to open a floodgate of genetic testing. When we consider the growing consumerization of medicine and the reduction in genetic testing costs, this was a logical progression. I hope that we will see more in terms of increasing access to medical advances and that more private enterprises will step up to satisfy the publics thirst for credible medical information. Other advances in technology including healthcare monitors and wearables, home diabetes monitoring and medication reminders will place consumers in more control of their own health. Changes in data exchange, including greater access to electronic medical records and direct transfer of laboratory results, will also help patients stay aware of their diseases.
The increased benchmarking of doctors and hospital systems will also help consumers make more informed choices about where to receive healthcare. What the medical community learns from these advancements and how consumers respond will we all be willing to give more for science or vice versa? could easily accelerate our path to moonshot. Or perhaps we will see a recoil and consider this a time of oversharing of too much information. Time will tell. But in the meantime, I look forward to the next logical step: More channels and greater access to counseling so patients are not interpreting these results in a vacuum.
Photo: DrAfter123, Getty Images
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This is the direction direct-to-consumer genetic testing needs to take - MedCity News
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Smoking Weakens a Gene That Protects Arteries – Newsmax
Posted: at 10:33 pm
People who smoke cigarettes may boost their risk of clogged heart arteries by weakening a gene that is otherwise protective of these important blood vessels, US researchers said Monday.
The findings point to a genetic explanation for how smoking can lead to the plaque buildup that stiffens arteries and causes heart disease, said the report in the journal Circulation.
"This has been one of the first big steps towards solving the complex puzzle of gene-environment interactions that lead to coronary heart disease," said co-author Danish Saleheen, assistant professor of biostatistics and epidemiology at the Perelman School of Medicine at the University of Pennsylvania.
Researchers pooled genetic data on more than 140,000 people from more than two dozen earlier studies, with a particular focus on regions of the genome that have been previously associated with a higher risk of plaque buildup in the heart's arteries.
"A change in a single DNA 'letter' on chromosome 15, near the gene that expresses an enzyme (ADAMTS7) produced in blood vessels, was associated with a 12 percent reduction in heart risk in nonsmokers," said the report.
"However, smokers with this same variation had only a five percent lower risk of coronary heart disease -- reducing by over half the protective effect of this genetic variation."
Follow-up lab studies showed that in cells that line arteries of the human heart, the production of the enzyme ADAMTS7 dropped significantly when the cells contained this single-letter DNA variant.
Another experiment showed when coronary artery-lining cells were exposed to the liquid extract of cigarette smoke, the cells' production of ADAMTS7 more than doubled.
If researchers can find other ways to inhibit this enzyme, they might be able to help smokers and others at heightened risk of coronary heart disease, said co-author Muredach Reilly, director of the Irving Institute for Clinical and Translational Research at Columbia University Medical Center.
Cigarette smoking is known to cause about one in five cases of coronary heart disease, and is linked to approximately 1.6 million deaths worldwide each year.
"Through these large-scale genetic studies, we're beginning to understand the genetic variations that drive risk in response to certain environmental exposures or lifestyle behaviors," said Reilly.
"Not everyone reacts the same to the same exposures or behaviors. For example, some people who don't exercise develop diabetes while others do not," he added.
"So, instead of saying there are rules for everybody, we can specify which interventions will be especially beneficial for specific populations or individuals and focus our health resources more efficiently."
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Smoking Weakens a Gene That Protects Arteries - Newsmax
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Meet The Minefield Girl: A ‘Politically Incorrect’ Modern Feminist – Huffington Post
Posted: at 10:33 pm
Where can modern women look for inspiration thats truly authentic?
If youre like me, you may have become a bit tired and even bored of the modern feminist narrative. Its too safe, too neat, too polite and painfully politically correct.
Maintaining some form of prim perfection seems to remain the new normal despite neo-feminist proclamations and the glorious body baring antics of Lena Dunham and all her Millennial Girls
Sofia Ek is that kind of woman, and her best-selling memoir on Amazon, The Minefield Girl http://a.co/az4mus5, is the transformational narrative women need to hear today.
When she became disenchanted with her 20-something-self, the Swedish native jumped at the opportunity to present Muammar Gaddafis Libya to the western world of big business via the pages of The Wall Street Journals former monthly publication Smart Money.
As she learned to navigate Gaddafis military dictatorship she realized that nothing was what it appeared to be and that she was watched at every turn. However, Sofia was determined to succeed and to be part of something bigger than herself, oblivious of the minefield she had walked into.
Where most stories like hers center around the trials and tribulations of negotiating with the Devil Wears Prada-like dictators of fashion magazines or fending off married Wall Street men, Ek ducks danger daily, negotiating with criminals and dictators even becoming dangerously close to Gaddafis proposed heir, Saif Al Islam Gaddafi, and navigating cultural norms that are polar opposite to those she grew up in. Along the way, she finds new powers within herself to lift her head high in a culture where women are punished for doing so.
Doing this intimate act of self-exposure would be a risk for any woman, but for Ek its even greater.
Shes married to one of the worlds most prominent tech visionaries, Spotify founder Daniel Ek, and with that she carries the crown and burden that being the wife of entails.
A burden of self-censorship at best and paranoia at worse, where one cannot fully express themselves at the risk of doing something to hurt their partners career. One only needs to look to American politics or most of todays top TV shows to see this marital dynamic play out.
As someone also married to a prominent man, Im even more inspired by The Minefield Girl and the authentic, fresh voice Sofia Ek presents to the world.
When I begin to censor myself, I now think of Sofia. Shes a reminder for me to stand out and fearlessly challenge the small boxes people want to shut women in. Read her fun and modern interview below and I think you will agree with me.
Then go read The Minefield Girl http://a.co/az4mus5 because you wont be able to put it down.
Natalia Brzezinski: Why did you write this book?
Sofia Ek: Getting that ten-thousand-foot perspective was exactly what I needed to move past the dark memories and on to a much lighter and more positive attitude towards my Libya experience.
Until recently I considered it a failure, but as I read the book from start to finish it dawned on me that it wasnt. I mostly succeeded in accomplishing the goals I set out for myself. I have a sense of pride about it now.
What lessons do you hope your daughters will take from your book when they read it one day that will help them navigate modern challenges?
My story is authentic. Were living in a world where everyone is glorifying their lives. This is dangerous because its not real. I wanted to show with this book what trying to succeed no matter what really looks like.
Its brutal, amazing, exciting and draining, all at the same time. Just like life. Its exciting to have a purpose, a mission and that you can find a new context to exist in if you dont like the one youve been placed in.
As a mother, whats the most important thing youre trying to teach your own daughters about?
To stand up for themselves and to not let the fear of not fitting in cripple their ability to dream big.
What was the most difficult thing about writing this book?
Remembering all the risks I took for the adventure. Even though Im very thankful that I didnt end up in a more compromising situation than I did, its still hard to reel those suppressed emotions in and lay them bare on paper. Not just the bad ones, sometimes, happy memories can be as painful.
What has been your greatest life challenge thus far, and how have you overcome it?
The value of the present. Its a work in progress.
What did you learn about yourself while living in Libya?
That my lack of patience is a good thing. I would never have been able to climb to the top with that weight in my knapsack. Sometimes patience is just another word for Its not going to happen.
I learned to always keep my ear to the ground and my eyes on the prize. To know when to quit and who to ask for favors and when to follow up on their promises.
How have you changed from that young 20-something in Libya to the woman you are today?
I used to nurture my restlessness with drastic twists and turns because thats what I thought I needed to keep it in check - but it turns out that the antidote to my restlessness was the exact opposite. Smooth sailing is of course more enjoyable if you just went through a storm.
Is there anything we can learn from Libyan culture? What was your favorite thing about living there?
In Sweden we are not proud of our elderly. We are almost ashamed of them. In Libya they were valued and appreciated within the family. They were considered a source of knowledge and comfort and I liked that. I also loved Libyan bread. So much sugar.
How has Sweden shaped you as a woman?
Im opinionated and Sweden protected and allowed me to be that way. In my world gender equality in free countries are mostly circumstantial. This is why its so important that every single woman stand up for themselves in any given situation where they might be disrespected.
We need to start doing what men have done since the beginning of time; look out for ourselves.
You raise a brutally honest point that most women are afraid to state: You used your looks and charisma to get ahead. How do you view the power of femininity in the modern workplace?
If your femininity and charm is part of your artillery then use it -- and if its not, make sure you sharpen the other tools you might have. However, pretty and charming as isolated attributes are useless in the long run, unless they are backed up with something of substance.
What advice would you give your younger self?
Dont let yourself get worked up over absolutely everything. Pick something to be pretty freaking upset about and then do something about it.
Are you a feminist? If so, what does that mean to you?
I cant believe I must answer this question in 2017.
All women should be feminists. In case someone still doesnt know what it is, here we go: Women should have the same obligations, rights and opportunities as men. This includes the same social, political and economic rights.
How do you hope people view you and your story upon reading this?
What they think of me is irrelevant but if my story inspires someone to take that new job, make that trip, meet that stranger, mission accomplished.
Watch the awesome book trailer below:
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Meet The Minefield Girl: A 'Politically Incorrect' Modern Feminist - Huffington Post
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Blogger Vidyut Kale on being politically incorrect – Femina
Posted: at 10:33 pm
Mumbai-based homemaker and blogger Vidyut Kale's Twitter bio reads, "I am that part of you you fear to voice. Follow at own risk. Changes in world view/loss of pink glasses non refundable." Over the years, hers has been recognised as one of the most fearless voices in India's online space, chiefly for her politically satirical spoof websites on Prime Minister Narendra Modi and other bigshots such as Rahul Gandhi and Kapil Sibal. The spoofs, Kale says, were born of anger at how politicians fail at delivering on promises. Though she received a take-down notice for one of the sites, Kale maintains none of it had dire repercussions, "Unless you count the occasional trolls."
The blogger-commentator, who started Aamjanta.com to bring us 'the perspective of the common man' writes tongue-in-cheek pieces on various socio-political issues. "One of the reasons I started the site was to voice things beyond the dominant narrative of people with voice. And there is so much about India that is vanishing quietly out of sight, as we change and grow as a country," says Kale, who also works with People's Archive of Rural India, a project, started by veteran journalist P Sainath, that 'documents the people of India'.
So, when did she start blogging full-time? "When I had my son in 2009 and was staying at home a lot, I started taking more of an interest in news and realised that the country, at large, was a group too," she says. "So I started blogging from that perspective - the nation as a shared space and the dynamics that impact its actualisation, with issues of hostility, xenophobia, opportunistic polarisation, denial of rights and so on."
The 41-year-old says the space for public debate is shrinking in India. "Celebrity voices tend to dominate what public ethics should be and there is an overall stupidification of the country - it basically tells you that lots of people aren't thinking for themselves, because it is simply impossible for unconnected people to come up with identical nuanced stands," she says.
Kale believes that though there's a lot of social censorship going on, a good trolling attack actually helps. "The first thing to realise is that if you are getting trolled, you probably said something that upset a lot of people who'd rather shut you up than look at what you said. A good trolling attack enhances your reach to people who'd never be exposed to your views normally." And there's a comical irony to the hate too. "I often joke that I grow my follower count on the trolling budgets of others. I mean, it is one thing to oppose, it is quite another to use the money spent to shut me up to improve my reach, yes?"
PHOTO: Vinay Javkar
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Blogger Vidyut Kale on being politically incorrect - Femina
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