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Category Archives: Transhuman News

COVID-19 update: Why did UK call BA.2 a ‘variant under investigation’? – Down To Earth Magazine

Posted: January 24, 2022 at 9:48 am

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The United Kingdom declared BA.2 a variant under investigation amid an increase in the number of patients infected by the that sub-lineage of the omicron variant of the novel coronavirus. The prevalence of the variant has increased to 426 since it was first isolated in the country December 6. 2021.

At least 40 countries have detected this variant since November 17, 2021. India has reported 530 samples to the Global Initiative on Sharing Avian Influenza Data (GISAID) the worlds largest database of novel coronavirus genome sequences. The variant has also been found in Denmark, Sweden, Philippines, France, Norway and Singapore.

The designation was based on rising numbers domestically and globally, the United Kingdom Health Security Agency (UKHSA) noted in its latest update from January 21, 2021. There is still uncertainty around the significance of the changes to the viral genome, and further analyses will now be undertaken.

So far, there is insufficient evidence to determine whether BA.2 causes more severe illness than Omicron BA.1, said Dr Meera Chand, COVID-19 Incident Director at UKHSA. She added:

We do know that the BA.2 variant does not have the mutation which results in an S-gene target failure (SGTF) during some polymerase chain reaction (PCR) tests a quick method used widely to detect which variant of the SARS-CoV-2 variant it is since genome sequencing is a time consuming process. This is why it was popularly dubbed as the 'stealth variant' in December when it was first discovered.

The stealth variant has 32 mutations in common with BA.1 but also has 28 other mutations, she noted. It remains to be seen what this means for the virus' virulence and infectivity.

BA.2 is unlikely to have any severe impact on the ongoing omicron wave, argued Tom Peacock, a virologist at the Imperial College London, in a series of tweets. Several countries are near, or even past the peak of BA.1 waves. I would be very surprised if BA.2 caused a second wave at this point.

Even with slightly higher transmissibility, this absolutely is not a delta to omicron change and instead is likely to be slower and more subtle, he said. While BA.1 is now the dominant strain in UK, BA.2 is likely to replace it soon.

The stealth version is less likely to evade immunity than omicron to evade immunity, according to predictions by Bloom Lab, a Seattle-based lab studying molecular evolution of proteins and viruses, made in December last year.

Read our coverage of the COVID-19 pandemic here.

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People in the News: Baylor’s Thomas Caskey Dies; New Appointments at UK Biobank, CS Genetics, More – GenomeWeb

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Baylor College of Medicine: C. Thomas Caskey

C. Thomas Caskey, professor of molecular and human genetics at Baylor College of Medicine, has died at the age of 83. Caskey began his career with Baylor College of Medicine in 1971, when he also founded the Institute for Molecular Genetics, currently known as the Department of Molecular and Human Genetics. In 1994 Caskey moved on to Merck Research Laboratories, where he was senior vice president of human genetics and vaccines discovery. He later returned to Houston to become CEO of the Brown Foundation Institute of Molecular Medicine at the University of Texas Health Science Center, and in 2011 came back to Baylor to work in his current role. In addition, in 2019 he became chief medical officer at Human Longevity.

His research identified the genetic basis of 25 major inherited diseases and clarified the understanding of "anticipation" in the triplet repeat diseases fragile X syndrome and myotonic muscular dystrophy, Baylor said. His personal identification patent is the basis of worldwide application for forensic science, and he was a consultant to the FBI in forensic science. His recent publications addressed the utility of genome-wide sequencing to prevent adult-onset diseases, and his research focused on the application of whole-genome sequencing and metabolomics of individuals to understand disease risk and its prevention, the school noted.

Caskey was a member of the National Academy of Sciences, the National Academy of Medicine (serving as chair of the Board of Health Sciences Policy), and the Royal Society of Canada. He was a past president of the American Society of Human Genetics, the Human Genome Organization, and the Texas Academy of Medicine, Engineering and Science.

UK Biobank: Mahesh Pancholi

Mahesh Pancholi has joined the UK Biobank as chief information officer. Previously, he was an enterprise account manager for genomics and life sciences research at Amazon Web Services, and prior to that, a business development manager at OCF. Before that, he was head of research computing at Queen Mary University of London, where he also received a bachelor's degree in genetics.

CS Genetics: Jeremy Preston

Genomics technology company CS Genetics has named Jeremy Preston as chief commercial officer. Preston joins the company from Illumina, most recently serving as VP of regional and segment marketing. Earlier roles at Illumina included VP of specialty sales and marketing and senior director of product marketing. Prior to Illumina, Preston was associate director of product marketing at Affymetrix. He completed his postdoc in molecular biology at Japan's Riken, and his Ph.D. in molecular biology at La Trobe University in Melbourne.

For additional recent items on executive appointments and promotions in omics and molecular diagnostics, please see the People in the News page on our website.

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People in the News: Baylor's Thomas Caskey Dies; New Appointments at UK Biobank, CS Genetics, More - GenomeWeb

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New genomic study highlights robust measures needed to save rare Lop pig breed – Pig World

Posted: at 9:48 am

A major new genomic study into the genetic markers of the rare Lop pig breed has reinforced the need for robust measures to be in place to tackle in-breeding and prevent further decrease in the population of the rare breed.

The findingspave the way for action to save the rare native pig breed that is far more bespoke and scientifically informed than ever before,said Rare Breeds Survival Trust (RBST) which commissioned the study in conjunctionwith the British Lop Pig Society.

Hair samples were collected from 190 individual pigs raised in 40 farms, constituting a cross section of the current breeding population. The hair samples were used by experts at SRUC (Scotlands Rural College) to derive genome-wide genotypes for each pig.

Professor Georgios Banos at SRUC explained: This work demonstrates the genetic uniqueness of the British Lop pig.We used modern technologies and data to derive information that may be used as a practical breed purity test and also inform breeding strategies aiming to safeguard the integrity of the breed.

The studyidentified unique genetic markers for the Lop breed for the first time, as well as identifying a high level of genomic inbreeding and a decrease in the Lops effective breeding population size to a concerning level of 40-45.

The Lop pig is in a perilous position and is categorised as a Priority Breed on the RBST Watchlist due to its low numbers and concerns about genetic diversity, said rare breeds survival trust chief executive Christopher Price.

This first ever identification of the genetic markers of the Lop breed not only provides the basis for best animal selection for breeding programmes and for storing genetic material, but it also enables us to form tailored programmes to increase genetic diversity within the breed.

Mr Price called the study really important to ensure other rare native breeds survive too, and said they now hope it will set a template for how other rare breeds could access similar genetic data.

Giles Eustice, who farms with British Lop pigs at Trevaskis Farm in Cornwall and is chairman of the British Lop Pig Society, said the new genomic data was a fantastic boost for the breed as it proves there is still the diversity required to bounce back.

We have a committed following of old and new breeders and I am confident with the new tools we have been given we can achieve the diversity goal required, said Mr Eustice. I am interested in using the sequencing to explore some of the Celtic white pigs in existence with much similarity to the British Lop; they could hold a diversity key that may be needed.

The genomic study is part of a five year project which began in 2019 as partnership between RBST and the British Lop Pig Society with major funding from the Gerald Fallowes Discretionary Trust.

Along with the genome study, the project is collecting embryos and semen to support the strength of the breed now and to bank genetic material in preparation for a future crisis for the breed.

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Balancing openness with Indigenous data sovereignty: An opportunity to leave no one behind in the journey to sequence all of life – pnas.org

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Abstract

The field of genomics has benefited greatly from its openness approach to data sharing. However, with the increasing volume of sequence information being created and stored and the growing number of international genomics efforts, the equity of openness is under question. The United Nations Convention of Biodiversity aims to develop and adopt a standard policy on access and benefit-sharing for sequence information across signatory parties. This standardization will have profound implications on genomics research, requiring a new definition of open data sharing. The redefinition of openness is not unwarranted, as its limitations have unintentionally introduced barriers of engagement to some, including Indigenous Peoples. This commentary provides an insight into the key challenges of openness faced by the researchers who aspire to protect and conserve global biodiversity, including Indigenous flora and fauna, and presents immediate, practical solutions that, if implemented, will equip the genomics community with both the diversity and inclusivity required to respectfully protect global biodiversity.

Since the early days of the Bermuda Accord (1), Human Genome Project (2), and the Fort Lauderdale Agreement (3), the field of genomics has been strongly committed to open data sharing, and the calls for improved data-sharing approaches have only become even louder in the recent response to the COVID-19 outbreak (4). Rapid sequencing and open release of SARS-CoV-2 viral genome sequences throughout the outbreak have aided vaccine development, efficacy assessments, and continual monitoring of the viruss evolution in ways unimaginable a few decades ago (5). Similarly, the open release of the human reference genome and follow-up studies, such as the 1000 Genomes and the gnomAD data resource, have transformed our understanding of human genomic variation and disease and are exemplars of successful community resource-building projects. Now, new projects, such as the Earth BioGenome Project (6), aim to sequence the genomes of all living eukaryotic species to further understand molecular evolution, catalog the worlds biodiversity, and inform future conservation efforts. Such projects have the potential to bring the benefits of genomics to all people and species, but the past model of large consortia generating vast troves of data, favoring the inclusion of some over the exclusion of others, is both damaging and inequitable, requiring movement beyond the principles defined in Bermuda and updated in Toronto (7). These ambitious projects will require contributions from community and academic partners around the globe, and so the genomics community must develop and implement inclusive data-sharing policies and infrastructure that respect the rights and interests of all people.

Unfettered openness of genomic data, and the hows and whys of its enforcing open-science norms, impinge on the rights of Indigenous Peoples. As one example, the Navajo Nation became rightfully wary of freely contributing samples and genomic data and, in 2002, placed a tribal-wide Banishment Order on genetics research (8). In Canada, the three councils that fund research have formally adopted policies that were developed by Indigenous Peoples and scholars, which include that data and samples from Indigenous communities must be collected, analyzed, and disseminated under the terms of a mutually determined research agreement that respects community preferences to maintain control over, and access to, data and human biological materials collected for research (9). Only by reconsidering the definition of openness and who it benefits within the context of the current inequitable infrastructures can a more inclusive genomics community be built to responsibly sequence all of life for the future of life (6).

The prospect of cataloging the genome reference sequences for a huge number of representative species is only possible thanks to the exponential technological advances of the genomics community over the past 40 y. Whereas the initial Human Genome Project cost several billion in todays dollars (USD), the sequencing and assembly of high-quality vertebrate reference genomes now costs under $10,000 and continues to drop rapidly. Leveraging these new sequencing technologies, the Vertebrate Genomes Project has now generated over 100 new vertebrate reference genomes (10), and in the coming year, the Human Pangenome Reference Consortium (https://humanpangenome.org/) aims to create hundreds of new reference genomes that will better represent human genetic diversity. Along with reductions in sequencing costs, the underlying technologies are also becoming increasingly portable, with nanopore-based technologies now enabling on-site sequencing in the most remote corners of the world (11).

This genomics revolution is timely, in the midst of the Earths sixth mass extinction with 35,500 species on the International Union for Conservation of Nature Red (threatened) List (https://www.iucnredlist.org/en). Unlike the mass extinctions of the past, the sixth has been caused as a result of the actions of just one species, humans, and as a species we must act swiftly to halt the dangerous loss of biodiversity and extensively catalog what remains. Providing a catalog of genomic sequences for all life will be important for informing decisions about the effects of climate change on species diversity (12), the development of conservation strategies for threatened and endangered flora and fauna (13), assessing the success of ongoing conservation efforts, and for the preservation of genomic biodiversity before it is lost forever to extinction (6).

The importance of conserving biodiversity is universally recognized, but Earths biodiversity is not uniformly distributed. The Critical Ecosystem Partnership Fund currently recognizes 36 biodiversity hotspots, defined as regions with over 1,500 endemic vascular plant species. These hotspots have suffered a 70% loss of their native vegetation (14). Hotspots will be a top priority for any genomic conservation project, but many of these hotspots overlap Indigenous lands. Indigenous Peoples and lands historically have been exploited and excluded, and not engaged by the genomics community (15). Thus, it is imperative for the genomics community to work as equal partners with Indigenous Peoples going forward. To move forward, however, new infrastructure and policies are required to facilitate alternative modes of data sharing that can coexist with the current open-sharing policies of international genomics consortia. Current blanket open data-sharing policies override the rights of Indigenous Peoples, specifically the right to determine the use and mode of sharing Indigenous resources, which includes data. A fact that contravenes the United Nations (UN) Convention on Biological Diversity (CBD) as a matter of international law (16), violates several rights stipulated in the UN Declaration on the Rights of Indigenous Peoples (17), and results in perpetuating the marginalization of these Indigenous Peoples (18).

Open genomic data are defined here as genomic sequence information that is made freely available without restrictions on use, copying, or distribution. The worlds most popular molecular sequence databasessuch as the National Center for Biotechnology Informations GenBank, the European Nucleotide Archive, and DNA Database of Japanstrictly adhere to this model. Furthermore, in 2011 a Joint Data Archive Policy was drafted and adopted by many leading journals that reinforced open data sharing (19). Open data sharing in genomics has fostered a productive and collaborative international research community; it aspires to reduce systematic wealth and power inequalities by extending research opportunities from partners with a large investment in genomics capacity and capability to those partners with lower investment. In addition, open data sharing has provided knowledge that is more transparent, accessible, and verifiable, which has improved the efficiency and reliability of genomic research (20). However, despite its success, by negating local and regional representation and participation in governance, it has also resulted in the development of data-sharing policies that do not maximize opportunities for all participants in an equitable manner (21).

Moreover, when strictly mandated, open data policies can have the unintended consequence of excluding many minority communities, including those Indigenous Peoples who wish, for a variety of legitimate reasons, to retain control over the resources and data derived from their lands, species, and waters. The lack of clear, respectful, and operational policy that respects Indigenous rights breeds mistrust among Indigenous partners and not only hinders the inclusion of Indigenous science in international biodiversity and conservation efforts, but can also build opposition that results in the stagnation and reversal of Indigenous genomics projects (22). By demanding rigid policies on data sharing, the genomics community has forged rules premised on a single worldview. It undermines the rights and interests associated with traditional knowledge, a phenomenon scholars of Indigenous communities call epistemicide (23). Despite international consortia recognizing the rights of Indigenous Peoples, a lack of accountability and clarity for implementation of appropriate policies has exacerbated tensions between Indigenous communities and international genomic efforts (21).

In the past, the worlds of genomic science and Indigenous communities intersected mainly through Indigenous Peoples being used as subjects of research conducted by non-Indigenous researchers. Research was done on Indigenous Peoples, not by them and very rarely for them. The mistrust of the scientific community among Indigenous communities is well-earned: it has been caused by years of exploitation, mistrust, power imbalances, and inequality (24). It has included decades of taking and using Indigenous samples and data without adequate consent and consultation (24, 25); Indigenous data and samples not being properly attributed or acknowledged as coming from Indigenous lands and waters; Indigenous data being misused through bioprospecting and biopiracy (2628); Indigenous data being scientifically interpreted without cultural or contextual knowledge (29); and researchers who have claimed authority over the Indigenous world by relying on quantitative data rather than traditional knowledge and lived experience (30). Furthermore, the failure of researchers to disseminate research outcomes respectfully through mechanisms that are meaningful and applicable to Indigenous partners, such as asset-based approaches (31), has fomented a sense of a lack of control, lack of access, lack of opportunities to derive benefits from the use of traditional knowledge and genetic resources, and a lack of opportunity to integrate traditional ways of knowing into research plans (32). Through asset-based approaches, results can be communicated more meaningfully and ameliorate the five Ds of statistical data on Indigenous Peoples: disparity, deprivation, disadvantage, dysfunction, and difference (33).

Indigenous Peoples are the guardians and sovereign authorities of their lands and have been since time immemorial. Indigenous Peoples have their own unique beliefs, values, and worldviews. They are highly diverse; however, a commonality shared among many is a deep interconnectedness, interdependence, and intimate connection to their lands and waters (34). In regions of Africa, for example, life is not perceived through an individualistic lens but is experienced as relational and collective; this worldview is known as Ubuntu (35), an example of Indigenous or traditional knowledge that is based upon lived experience extending as far back as the Pleistocene era (36). It has been developed over time, informed by an extensive system of principles, beliefs, and traditions. In New Zealand, a governmental inquiry into the Mori knowledge system, or Mtauranga Mori, concluded that this system of knowledge is fundamentally different from Western science. The Mori knowledge framework has evolved through its own cultural context and evolutionary pathway (37). These epistemological differences in knowledge sharing and individual possession are largely incommensurate with existing intellectual property rights, which privilege and support Eurocentric notions of knowledge commons with no or limited rules around access to knowledge and property. However, rather than being treated as outdated or inferiorattitudes that embody cognitive imperialism and epistemic violencetraditional knowledge systems should be acknowledged, integrated, treated as a coequal, and considered when interpreting findings. One system of knowledge should not eclipse the other. When recognized in this way, traditional knowledge is integral to knowledge production contributing both technically and scientifically to the protection and sustainable development of Indigenous lands, resources, and data through an intrinsic understanding of the interdependence of land and its inhabitants (38).

Any complete catalog of Earths biodiversity must necessarily include species on the lands of Indigenous Peoples. Thus, for global genomic conservation efforts to succeed, the genomics community will need to adapt its open data policies to Indigenous data sovereignty and knowledge systems. To achieve this, policies must be operationalized that embrace multiparadigmatic research approaches (39, 40) that recognize the inherent sovereignty of Indigenous Peoples and that remove barriers to those Indigenous communities who wish to contribute to bioconservation as equal partners.

Over the past two decades there has been an international call for the recognition and protection of Indigenous data rights. Indigenous data sovereignty (IDSov) refers to the individual and collective rights of Indigenous Peoples to control data from and about their communities, land, species, and waters (30).

In 2010, the Nagoya Protocol was established and adopted by the UN CBD (41) to protect, promote, and fulfill this right. It has been fundamental in providing guidance on access and benefit-sharing of Indigenous resources and data. Article 12 states that parties shall, in accordance with domestic law, take into consideration Indigenous and local communities customary laws, community protocols, and procedures. The Nagoya Protocol now has 2,000 internationally recognized certificates of compliance, but notably does not include some nations that have both Indigenous Peoples and a large genomic research program (e.g., the United States, Canada, New Zealand, and Australia). Despite this, domestic legislation over a sample/genetic resource from a signatory nation extends to where that sample/genetic resource is housed or used. Thus, nonsignatory countries are expected to implement Nagoya legislation if resources have been obtained from a country where the Nagoya Protocol is enforced.

In 2014, the UNs General Assembly adopted the United Nations Declaration on the Rights of Indigenous Peoples (17), which affirms the right of Indigenous Peoples to control, protect, and develop manifestations of their sciences, technologies, and cultures, including human and genetic resources (Article 31), the right to the conservation and protection of the environment and the productive capacity of their lands (Article 29), as well as the right to participate in decision-making in matters which would affect their rights (Article 18). Furthermore, the UN has also developed 17 Sustainable Development Goals (SDG) to be achieved by 2030. In 2015, these were agreed upon and adopted by 193 countries worldwide, including the United States, Canada, New Zealand, and Australia (42). SDG 15 aims to Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss (42). Its associated Sustainable Development Solutions Network Target 15.6 aims to ensure fair and equitable sharing of the benefits arising from the utilization of genetic resources, and promote appropriate access to genetic resources (42), a provision that has particular importance for marginalized communities, including Indigenous Peoples. Additionally, many individual nations have binding legislation covering their own Indigenous populations. For example, in New Zealand, the founding charter, subsequent legislation, and other policies covering Indigenous species require that all data and intellectual property be retained by the government within New Zealand (43, 44). Indigenous claims to cultural and intellectual property are also being addressed in New Zealand, where a work program to address the issues identified in WAI262 Report Ko Aotearoa Tenei has just been developed and some projects have been initiated (45, 46).

Rights secured through IDSov can be at odds with the open by default culture of the genomics field, leaving Indigenous genomic data unsupported by the decades of open infrastructure that has been built by the genomics community. In an effort to close the gap, higher-income countries, such as Australia, Canada, and New Zealand, have established national Indigenous-driven human genomic efforts, including the work of the National Centre for Indigenous Genomics (https://ncig.anu.edu.au/), the Silent Genomes project, and the Aotearoa Variome, respectively (47). These national efforts are examples of Indigenous-driven human genomics research programs intended to directly benefit Indigenous Peoples. In Canada, protocols have also been established for the protection of nonhuman data, specifically through the Tri-Council Policy Statement (48) on research ethics that provides protection over Indigenous samples. Furthermore, research licensing in the three territories of Canada protects samples and data collected on Indigenous lands (4951).

To date, three national-level IDSov networks provide processes and protocols to enable Indigenous data governance (SI Appendix, Table S1): Te Mana Raraunga Mori Data Sovereignty Network, the United States Indigenous Data Sovereignty Network, and the Maiam nayri Wingara Aboriginal and Torres Strait Islander Data Sovereignty Group in Australia. However, blanket adoption of national efforts is not feasible in countries that lack substantial genomics investment or in which Indigenous governance structures are less established or respected.

Alongside the national efforts, IDSov is also gaining recognition on an international level through a variety of initiatives. For example, in 2019 the Global Indigenous Data Alliance (GIDA) (https://www.gida-global.org) was established to build a global community for the development of data-sharing infrastructure, data-driven research, and data use policies. In 2020, ENRICH (Equity in Indigenous Research and Innovation Co-ordinating Hub) was established in a collaboration between New York University and the University of Waikato. ENRICH supports IDSov-based protocols, Indigenous-centered standard-setting mechanisms, and machine-focused technology that informs policy and transforms institutional and research practices (https://www.enrich-hub.org/bc-labels). Platforms such as the International IDSov Interest Group have also been set up under the Research Data Alliance (https://www.rd-alliance.org/groups/international-indigenous-data-sovereignty-ig). These initiatives include the development of specific tools and practical mechanisms alongside education and training to provide a foundation for further development of ethical research guidelines that address Indigenous rights and interests.

The FAIR principles are a common refrain of open data efforts that encourage data to be Findable, Accessible, Interoperable, and Reusable (52). In 2019, GIDA released a set of complementary CARE' Principles (53) that highlight the core values and expectations of Indigenous Peoples when engaging with the scientific community. These principles encourage the consideration of collective benefit, authority to control, responsibility, and ethics in Indigenous data governance. Such efforts toward developing new policies to respect and promote IDSov are essential; however, there is now the difficult challenge of informing and implementing IDSov principles, policy, and mechanisms within the global field of genomics (54).

A brief inspection of the publicly available data access and governance policies of international genomics-based consortia showcases where progress has been made and where it is needed the most. Notable exceptions include the H3Africa Consortium (55), which has led the way in the adoption of Indigenous policies for human genomics, providing clarity to researchers through an in-depth set of principles and guidelines that hold participating researchers accountable for their implementation. At present, many nonhuman-focused consortia lack governance and data policy information. Some claim to recognize the rights of Indigenous Peoples but provide no pragmatic implementation plan or accountability measures. Exceptions in the nonhuman space include Genomics Aotearoa (56), which have actively developed engagement and biobanking frameworks in partnership with Mori to guide all consortium members while engaging with Indigenous data. However, for many other efforts, the lack of clear and transparent adoption of IDSov policy is problematic for a successful engagement between genomic researchers and Indigenous partners, given the incompatibility of unfettered open data and IDSov. Moreover, there remain ongoing practical challenges in keeping provenance and cultural connections between Indigenous communities and the data generated from their lands and waters transparent and clear within the databases themselves. Open data have successfully encouraged transparency and inclusion among international genomic research collaborations, but it is now time to ensure such success extends to including Indigenous partners and IDSov in these collaborative infrastructures.

The conflicts between IDSov and open data in genomics research are not new and have been extensively discussed (18). Progress, although slow, is being made to identify and provide solutions to these incompatibilities. Local Contexts is a key international initiative that recognizes and advances the rights of Indigenous Peoples in museum collections and their data through a unique set of traditional knowledge and biocultural labels and notices (with licenses under development) (57). Inspired by the Creative Commons licensing structure (https://creativecommons.org/), Local Contexts initiated this work in 2010, producing a suite of practical mechanisms designed to enhance the protection of Indigenous communities and hold researchers accountable. That process entailed community partnership and collaboration, as will scientific projects that follow its precepts. As durable digital tags with unique IDs, the labels (for communities) and the notices (58) (for researchers and institutions) provide an opportunity to include Indigenous protocols and expectations around the sharing of knowledge as metadata within the data infrastructures. As a result, this information, such as the origin of samples and data, travels with the data across platforms. Through this mechanism, Indigenous partners are given a voice, and future research engagement is encouraged; its aspiration is to leave no one behind.

The field of genomics is operating under data-sharing practices established decades ago. A status quo that began with the Bermuda Principles defining the best mode of data sharing with respect to human data, these principles were then extended by the Fort Lauderdale Agreement to include nonhuman data and further updated in Toronto (59). Since Toronto, community-based efforts such as the Global Alliance for Genomics and Health (https://www.ga4gh.org) have reconsidered these data-sharing frameworks, developing responsible and inclusive human data-sharing policies and toolkits for genomics researchers.

An equal effort is now needed for nonhuman data, and nonhuman genomics continues to embed inherent biases and inequality, doing little to address existing disparities. Indigenous Peoples are part of contemporary life, they are not outside of modernity. Indigenous voices need to be heard. It is both a moral responsibility and a legal obligation to share benefits of research fairly and to respect traditional knowledge derived from their lands and waters. Genomics research needs to implement a future that has hitherto been mainly aspirational, a future that builds intellectual bridges between different ways of knowing and being. The appropriate acknowledgment, understanding, and implementation of Indigenous Peoples rights while conducting genomic research provide a foundation to reach this goal.

Change must happen both at the individual and institutional level to ensure that Earths genomic biodiversity can be ethically cataloged. Several suggestions, references, and resources are provided to aid this transformation.

Operationalizing clear policies that respect Indigenous rights will communicate to potential Indigenous research partners what principles guide the research activity, the manner in which the researchers will conduct themselves, and the standards enforced and upheld. By providing clarity and increasing transparency, trust can be built and remove potential impediments to building relationships with Indigenous partners. When implementing these policies, inclusion does not equal assimilation. Respecting and cultivating divergent practices and beliefs is important to avoid monoculturalization. Indigenous Peoples wishes regarding data access and benefit-sharing must be honored, making one-size-fits-all open data licenses inappropriate. International consortia seeking to perform Indigenous research must implement IDSov policies and engage with Indigenous communities in a manner that allows them to contribute on mutually agreed terms.

To change the culture from research that is done to Indigenous Peoples rather than by or for them, researchers, institutes, scientific journals, repositories, and funding bodies must change the status quo. Researchers must reflect upon their personal assumptions and biases and listen attentively to alternative frameworks. This can be done through questioning scientific orthodoxies and recognizing that research, even when good is intended for all humanity, can create power and benefit imbalances. In beginning a new project, researchers must question the expectations of each research partner, the genomics community, the institutions, the funding bodies, the ethics review boards, the Indigenous partners, and the Indigenous communities who have provenance over the data and organisms in question. Rather than pushing the boundaries, attempt to foresee the consequences and deeply consider at the outset of each research project its social license and duty to diverse societies.

Although significant progress toward policy development has been made, further clarity is particularly needed for nonhuman Indigenous data. As species do not respect country or land borders, policy is required to provide clarity to researchers regarding species that straddle the borders of Indigenous and non-Indigenous lands, and those species that are of special importance to Indigenous Peoples but are found also on non-Indigenous lands.

To ensure an even distribution of power, financial resourcing, and benefit, researchers who wish to partner with Indigenous communities must first ensure their own cultural competency while also prioritizing engagement with Indigenous communities at the onset of the study. This allows the necessary time for a partner relationship to be built from mutual agreement as to the role and responsibilities of both groups, the community, and the researchers. Early engagement also provides Indigenous communities with relevant details pertaining to all aspects of the project, from sample collection to potential research publications and intellectual property development and benefit-sharing in a clear, transparent, and accessible fashion, including: the background, the scope of the research, potential outcomes of the project, and any foreseen risks associated with the research. By doing so, both researchers and Indigenous partners have all of the necessary information and education to conceptualize and design the research project in a concerted fashion that acknowledges the communities long-standing relationship with local species and greater breadth of knowledge of the ecological systems and how they are changing (60, 61). This equips all parties with a fair and equal voice in setting research goals, understanding and contextualizing data, and planning of the time and budgetary requirements needed to achieve research goals ethically. Early engagement also allows project outcomes to be jointly interpreted, drafted, and disseminated by multiple parties, rather than the typical one-sided reporting driven by research institutions. Furthermore, the dissemination of outcomes in the Indigenous local languages will enhance accessibility for Indigenous community partners so that the community can relay the outcomes to others, and this process does not depend on an external scientist. This joint dissemination of research outcomes is extremely important for maintaining trust, communicating mutual benefits, and ensuring that Indigenous knowledge is not misappropriated. Indigenous partners should also be included in the evaluation phases of a project to include Indigenous best practice and better understand research impacts in an Indigenous context.

Projects that have been conceptualized and funded prior to engagement already fall outside the best practices for engagement with Indigenous Peoples. Here, other considerations are crucial for a successful partnership, such as minimizing power inequalities throughout the remaining research period. Indigenous Peoples, such as the African San tribe, Mori in New Zealand, and the Australian Institute of Aboriginal and Torres Strait Islander Studies in Australia, have considered and documented the best practices and expectations for engagement in these circumstances (60, 62, 63). These best practices include understanding and incorporating the expectations of Indigenous communities into the research plan; clearly communicating the scope of research, timelines, funding, methods of consent as informed by the Indigenous research partners, and all potential research outcomes; identifying short- and long-term risks and benefits and how they will be shared; building sustainable long-term governance and communication frameworks; discussing potential barriers to project completion and the impacts of project incompletion on partners; and evaluating the cultural competency of the research team. A focus on the process rather than the product is also helpful in assuring that the project has an adequate timeframe and budget to achieve its stated outcomes in a respectful manner, keeping in mind that fast-paced, product-oriented, and extractive strategies are not compatible with Indigenous cultures and may lead to irrevocable harm (24).

The fully open model of sharing must be challenged; the inclusion of some should not be valued over the exclusion of others. Policies need to be cognizant of the history, needs, and worldviews distinct to each Indigenous community (64). To operationalize situated openness, a pragmatic implementation of IDSov policies and licenses is necessary. As it stands, IDSov policies are being actively developed and adopted; however, progress depends on implementing and enforcing these policies by the genomics research community. Ambitious international goals, such as the push to catalog all genomic information on Earth, sit at the interface of genomic science and Indigenous ways of knowing. Effective implementation of IDSov policies and power sharing between communities is necessary to ethically realize such visions. This will require multiparadigm research methodologies built upon commonalities, but also accepting of divergent beliefs and practices, to move away from the extractive and exploitative strategies of past research on Indigenous Peoples. The task is hard, but eminently achievable, as recently demonstrated by more inclusive, diverse, and political research paradigms developed by researchers in New Zealand, Australia, North America, Africa, Central and South America, and the Pacific (40). These stand as positive examples for how to best champion polycultural expression and establish a new status quo for the genomics community.

Open data sharing in genomics has fueled progress and brought benefits to a field that continues to grow, even as it ramifies into many different fields of research and application. However, it is evident that those doing the sharing, to date, have taken on very little riskand in many cases, stand to benefitfrom the act of openly sharing. To impose the same open data requirements on those with the most to lose by relinquishing control over use of resources and data is unfair, and when openness is stated as a prerequisite for participation, it can have the unintended effect of excluding marginalized communities. An infrastructure that allows for multiple modes of data sharing is needed, particularly modes that allow for materials and data over which Indigenous communities exert stewardship to remain under their control, and with respectful communication of findings and sharing of benefits with Indigenous communities. The Native BioData Consortium is the first tribal-driven BioBank in the United States (NBDC; https://nativebio.org/) and provides a model of how to facilitate the flexibility needed to share data in a manner respectful of all parties and worldviews. In an Aboriginal and Torres Strait Islander context, the idea of kinship speaks toward the interconnectedness and interdependence of all life (65), as well as water and geographical features. This relationship to land is shared among Mori (66), and First Nations and Inuit Peoples (67). Adequate time and resources must be assigned to directly coordinate conservation efforts with Indigenous partners who are the experts on implementing systems thinking approaches within their own lands.

To sequence everything requires the help and participation of everyone on equal and mutually agreed terms. Ultimately, genomic technologies can be advanced to the point of becoming commonplace, and initiatives are already under way to bring DNA sequencing into classrooms (68). As the field of genomics progresses, all research partners have the responsibility and opportunity to build a trustworthy and inclusive research community. Investing in outreach programs that pass on the latest technologies and methods such as the SING Consortium (https://www.singconsortium.org/) and IndigiData (https://indigidata.nativebio.org/) workshops, this capacity building will facilitate local research, fueled by local priorities and guided by local best practice. Graduate and undergraduate genomics courses should also include training in ethics and engagement best practices to improve the cultural competency of non-Indigenous researchers that may enter this space. This provides cultural safety but also alleviates expectations and responsibilities resting solely on Indigenous researchers shoulders (47). Infrastructure and opportunities for media producers local to the study should also be developed for the dissemination of genomic research findings in multiple languages, regions, and formats. These efforts will enable all partners, including Indigenous and other marginalized communities, to directly contribute to ongoing international genomics efforts and by fostering diversity within the field. It can help ensure that genomics infrastructure will be accessible and beneficial for all, and practices put in place to foster trust over the long haul.

Parties to the UN CBD and its Nagoya Protocol are currently reviewing the meaning of digital sequence information (DSI) and the requirement for a change to access and benefit-sharing policies under the convention that pertain to such DSI (41). As it stands, the term DSI is a placeholder used to facilitate discussions surrounding three data types: 1) DNA and RNA; 2) DNA, RNA nucleotide sequences, and protein-peptide amino acid sequences; and 3) DNA, RNA, and protein sequences as well as digital information pertaining to metabolites and macromolecules. All three of these definitions would include data contributing to reference genome sequences for nonhuman organisms. Prior to these discussions, there had been a fourth option for associated information, including traditional knowledge (69), but this was removed during the revision.

Despite the Nagoya Protocol calling for access and benefit-sharing, to date only 16 signatory countries have domestic legislation regarding DSI. Eighteen additional signatories are planning to or are in the process of drafting such legislation (70). The United States is not a signatory to the Convention, but United States representatives have attended the November 2021 review conference in China, and will attend further discussions in 2022. Many nations involved in the Earth BioGenome Project, European Reference Genome Atlas (https://vertebrategenomesproject.org/erga), the Human Pangenome Reference Consortium, and other international genomic collaborations are signatories. The ongoing CBD review has the goal of standardizing terms for access and benefit-sharing among all signatories, and discussions continue to include DSI. The international committee overseeing the CBD has expressed discontent with the status quo. Disparate policies among signatories and other major nations have led to the interpretation of open access to DSI as sufficient to fulfill access and benefit-sharing requirements in some cases, while in other cases formal agreements are required to share samples or sequence data. The review considers 13 recent publications relevant to access, benefit-sharing, and sequence data that have been categorized into five policy archetypes, some of which are mutually exclusive, while others can be combined (Table 1). Each archetype will be considered for cost-effectiveness, feasibility, and practicality, as well as uses of traditional knowledge. Access and benefit-sharing standards will be addressed again before a standardized policy is agreed upon and incorporated into the convention framework.

Potential policy options under review of the Convention on Biological Diversity, with respect to access and benefit-sharing and digital sequence information

The lack of infrastructure to trace the geographic origin of samples and DSI is readily apparent: only 12% of the sequence data in publicly available databases specifies a country of origin. The lack of proper infrastructure to monitor compliance with access, benefit-sharing, and sharing of DSI at each point in the value chain has also been flagged as a potential barrier to agreement, with block chain smart contracts highlighted as a potential solution (71).

Policies about access and benefit-sharing, and about sharing of DSI are in flux, but it is clear that unfettered open access to data and materials, including sharing of sequence data, is being questioned when it comes into conflict with Indigenous rights. National and international law are likely to evolve, and the scientific community would be wise to both directly engage in helping set the standards and practices but also to comply with the emerging laws, norms, and practices governed by national and international law.

Following basic principles in a transparent manner, with all parties having access to and an equal understanding of the research project, will help remove the barriers between the genomics community and Indigenous partners, and will facilitate a long-term partnership founded on trust, safety, honesty, and accountability. The genomics community must engage with each Indigenous partner in accordance with that communitys specific traditional beliefs, practices, and connections to the organisms being studied and the appropriate way to engage with other people in discussions of other organisms. As Chip Colwell, previous senior curator of anthropology at the Denver Museum of Nature and Science, stated during SING Aotearoa (https://www.singaotearoa.nz), Indigenous People are not anti-science [but] they demand a science that restores the dignity of Indigenous Peoples and is carried out with fundamental respect (72). This is now the responsibility of each researcher, consortium, journal, data repository, and funding body that seeks engagement with data or resources derived from Indigenous lands. Practical mechanisms like the traditional knowledge and biocultural labels and notices, and Indigenous-driven biobanks such as the Native BioData Consortium, provide proven models. The field has come a long way in working toward diversity, and the wind is at our back. Indigenous researchers have already put great effort into developing guidelines, best practices, legal and extralegal tools, and new research paradigms (SI Appendix, Table S1). Equipped with this knowledge, the community must now capitalize on the opportunity to build an inclusive, respectful, and mutually beneficial future for genomics.

There are no data underlying this work.

We thank Carla Easter (Education and Outreach Department of the National Human Genome Research Institute, NIH), Jenny Reardon (University of California, Santa Cruz), Harris Lewin (University of California, Davis), and Jacob S. Sherkow (University of Illinois) for their time in reviewing and consulting in preparation of this manuscript; and IndigiData and SING USA, Canada, and Aotearoa for their support and guidance throughout the manuscript-drafting process. This work was supported, in part, by the Intramural Research Program of the National Human Genome Research Institute, NIH (A.M.M.C. and A.M.P.). J.G. is funded by NIH Grant 5R01CA237118-02 and a Canadian Institutes of Health Research Fellowship (202012MFE-459170-174211). Development of the Biocultural Label Initiative has been supported by Catalyst Seeding funds for the project Te Tukiri o te Tonga: Recognizing Indigenous Interests in Genetic Resources provided by the New Zealand Ministry of Business, Innovation and Employment and administered by the Royal Society Te Aprangi (19UOW008CSG to M.L.H. and J.A.), leveraging the existing Local Contexts (https://localcontexts.org/) platform supported by the National Endowment for the Humanities (PR 234372-16 and PE 263553-19 to J.A.) and the Institute of Museums and Library Services in the United States (RE-246475-OLS-20 to J.A.), New York University Graduate School of Arts and Sciences, and the University of Waikato. Continuing infrastructure development is supported through the Equity for Indigenous Research and Innovation Co-ordinating Hub based at New York University and University of Waikato (https://www.enrich-hub.org/). The Biocultural Label Initiative is extended through use cases, supported and refined by the Aotearoa Biocultural Label Working Group, Federation of Mori Authorities Innovation (https://www.foma.org.nz/), Te Mana Rauranga (https://www.temanararaunga.maori.nz/), Genomics Aotearoa (https://www.genomics-aotearoa.org.nz/), Indigenous Design and Innovation Aotearoa (https://www.idia.nz/), the Genomics Observatories Metadatabase (https://geome-db.org/), the Ira Moana Genes of the Sea Project (https://sites.massey.ac.nz/iramoana/), supported by Catalyst Seeding funds provided by the New Zealand Ministry of Business, Innovation and Employment and administered by the Royal Society Te Aprangi, 17MAU309CSG to L.L.), and a Massey University Research Fund to L.L. L.L. is supported by a Rutherford Foundation Discovery Fellowship. J.G. and R.C.-D. are funded by the US National Cancer Institute through Grant R01 CA227118 (sulstonproject.org). M.Z.A. is funded by NIH Grant R01AI148788 and NSF CAREER 2046863.

Author contributions: A.M.M.C., J.A., L.L., M.L.H., M.Z.A., B.T., J.G., R.C.-D., and H.R.P. designed research; A.M.M.C. and A.M.P. wrote the paper; and J.A., L.L., M.L.H., M.Z.A., B.T., J.G., R.C.-D., and H.R.P. contributed to drafting text.

The authors declare no competing interest.

This article is a PNAS Direct Submission.

This article contains supporting information online at https://www.pnas.org/lookup/suppl/doi:10.1073/pnas.2115860119/-/DCSupplemental.

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Genomic Biomarkers Market 2022 Industry Development and Growth Forecast to 2029 The Oxford Spokesman – The Oxford Spokesman

Posted: at 9:48 am

Key players in the market, major collaborations, merger and acquisitions along with trending innovation and business policies are reviewed in the superiorGenomic Biomarkers Marketdocument. This report aims to examine the market with respect to general market conditions, market improvement, market scenarios, development, cost and profit of the specified market regions, position and comparative pricing between major players. It is a professional and a detailed report focusing on primary and secondary drivers, market share, market size, sales volume, leading segments and geographical analysis.Genomic Biomarkers MarketResearch report comprises of the comprehensive and thorough insights which are based on business intelligence.

The significantGenomic Biomarkers Marketdocument is a useful resource that provides current as well as upcoming technical and financial details of the industry to 2029. This market report provides top to bottom examination of the market as far as income and developing business sector is concerned. This market research report is the promising and the way in which is anticipated. The analysis and forecasting of market data using best statistical and coherent models, market share analysis and key trend analysis are the major accomplishing factors in this market report. A high quality global market research has been brought together viaGenomic Biomarkers Marketreport for the success of business at international level.

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After Reading The Market Report, Readers Can Understand the drivers, restraints, opportunities, and trends affecting the growth of the Genomic Biomarkers Market. The report contains an analysis of key regions holding a significant share of the total market revenue. The report studies the growth outlook of the global market scenario, including production, consumption, history, and forecast. This research helps to learn the consumption pattern and impact of each end-user on market growth. The report investigates the recent R&D projects performed by each market player.

Market Analysis and Insights:Genomic Biomarkers Market

The genomic biomarkers market is expected to gain market growth in the forecast period of 2022 to 2029. Data Bridge Market Research analyses the market to grow at a CAGR of 17.60% in the above-mentioned forecast period. Rise in the demand for minimally invasive procedure drives the genomic biomarkers market.

Major market manufacturers enlisted in this report are:

The major players covered in the genomic biomarkers market report are Thermo Fisher Scientific Inc., F. Hoffmann-La Roche Ltd, Myriad Genetics, Inc, Eurofins Scientific, QIAGEN, Bio-Rad Laboratories, Inc., MedGenome, Almac Group, Transgenomic Ltd, Sema4., GENOME LIFE SCIENCES, Creative Diagnostics, Cancer Genetics Inc., FOUNDATION MEDICINE, INC. CENTOGENE N.V, and Quanterix. among other domestic and global players

BrowseFull TOC, Table and Figures:https://www.databridgemarketresearch.com/toc/?dbmr=global-genomic-biomarkers-market&Shiv

TheGenomic Biomarkers Market is segmented on the basis of product, wound type and end user. The growth amongst these segments will help you analyze meager growth segments in the industries, and provide the users with valuable market overview and market insights to help them in making strategic decisions for identification of core market applications.

Ascend in the openness to specific poison or change in climate might expand the Genomic Biomarkers Market will inspire the market development, additionally expansion in the mindfulness about treatment and mechanical progression and fast reception of fresher definitions and novel measurements structures are a portion of the significant elements among others driving the Genomic Biomarkers Market. In addition, ascend in the innovative work exercises on the lookout and ascend in the interest from arising economies will additionally set out new open doors for the Genomic Biomarkers Market in the conjecture time of2022-2029.

The market report is segmented into the application by the following categories:

Global Genomic Biomarkers Market, By Type (Oncology, Cardiovascular Diseases, Neurological Diseases, Others), End- User (Diagnostic and Research Laboratories, Hospitals Others), Country (U.S., Canada, Mexico, Germany, Italy, U.K., France, Spain, Netherlands, Belgium, Switzerland, Turkey, Russia, Rest of Europe, Japan, China, India, South Korea, Australia, Singapore, Malaysia, Thailand, Indonesia, Philippines, Rest of Asia- Pacific, Brazil, Argentina, Rest of South America, South Africa, Saudi Arabia, UAE, Egypt, Israel, Rest of Middle East & Africa) Industry Trends and Forecast to 2029.

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In any case, lacking information about Genomic Biomarkers Market in some agricultural nations and patent expiry from many organizations and presentation of nonexclusive medications of marked variant are the main considerations among others going about as restrictions, and will additionally challenge the Genomic Biomarkers Market in the conjecture time frame referenced previously.

Highlights Points of The Market:

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Genomic Biomarkers Market 2022 Industry Development and Growth Forecast to 2029 The Oxford Spokesman - The Oxford Spokesman

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Living with Psoriasis: Beyond Just Skin | Pfizer

Posted: at 9:38 am

Psoriasis is a chronic immune mediated inflammatory disorder that affects approximately 2% of the world population or 140 million people worldwide. In the U.S, approximately 7.4 million adults have psoriasis. This chronic disease is known for its effects on the skin, which occurs when the immune system mistakenly triggers skin cells to overgrow. As a result, the life cycle of cells is sped up and an excess of them can form inflamed patches of skin that may occur anywhere on the body, especially on the elbow, knees, lower back and scalp. Often times, psoriasis has a genetic component, and is known to run in families.

Psoriasis may be associated with diseases of other organs. In fact, according to the Centers for Disease Control and Prevention (CDC), about 10% - 20% of people with psoriasis also suffer from psoriatic arthritis, which causes joint pain and stiffness, and joint destruction (in severe cases). Additionally, research suggests that people living with psoriasis may also have an increased risk for heart disease, stroke, depression and other immune diseases.

Psoriasis can occur in children or adults, however, peak onset of psoriasis often occurs between the ages of 16 to 22 years, or between the ages of 57 and 60 years. The way symptoms appear and their seriousness may vary greatly depending on the type, form and severity of disease.

Psoriasis generally occurs as redness on the skin, raised areas (called plaques or lesions), and silvery white patches (called scales). Other forms of psoriasis can cause additional types of skin conditions. These may include small red spot-like lesions that show up after a bacterial infection (such as strep throat), pus-filled bumps, or intensely sore red patches in body folds (i.e., arm pits, groin, under the breast).

Most often, in psoriasis, the affected skin is found on elbows, knees, lower back, and scalp, though patches can appear just about anywhere. Other places on the body can include face, genitals, fingernails, palms of the hands, and soles of the feet.

Its important to tell your doctor about any skin problems you may be having.While not all skin irregularities are psoriasis, its important to show them to your doctor for an accurate diagnosis, as skin problems can be signs of other illnesses.

There are many different treatment options. Typical therapies include topical treatments (medicine applied to the skin), phototherapy (treatment with ultraviolet light therapy), treatment taken by mouth or injection (conventional therapy), and treatments called biologic (injections or infusions) which target specific immune-system proteins known to play a role in psoriasis inflammation.

With psoriasis, response to therapy may vary by person. Some people will try several approaches until finding one that works well; others will try more than one therapy at a time. Diagnosis, understanding patients needs, appropriate treatment, and check-ins to see if the management plan should continue or be modified are key toward reaching the goals agreed upon by people with psoriasis and their health care teams.

Not everybody understands psoriasis. Some people see skin lesions and fear they will get the disease from being near a person with psoriasis or by touching their skin. People with psoriasis are sometimes asked to leave public places like gyms or pools. This may cause undue stress to someone living with psoriasis, and is completely based on false notions.

Psoriasis is not something you can catch, or that others can catch from you. It is not contagious. Because symptoms on the skin are often visible, coping with other peoples reactions to lesions or plaque can be part of managing psoriasis.Today people living with the disease and their advocates are working to highlight the facts about psoriasis and change the biases based on unfounded fears.

Lotus Mallbris, MD, PhD, was a Senior Medical Director and the global medical lead across several investigational dermatology programs at Pfizer.

Mandeep Kaur, MD, MS was the Therapeutic Team Lead in Dermatology during her employment at Pfizer.

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Consumer’s Guide to Biologics for Atopic Dermatitis – Everyday Health

Posted: January 21, 2022 at 11:53 pm

In general, dermatologists classify moderate atopic dermatitis as an outbreak of symptoms that affects about 10 percent of the surface area of your body, says Vij; severe atopic dermatitis affects about 30 to 40 percent. Not sure how much of your body is affected? Heres a rough way to estimate the number: The size of your palm is about 1 percent of your skin, so you count up the number of palm-sized areas that are affected, says Vij.

People with more mild atopic dermatitis for example, symptoms that dont affect very much of their body and arent too bothersome may be able to treat the condition with moisturizers or topical steroids during a flare, he says.

That said, theres no magic formula for determining whether your condition is mild, moderate, or severe, which is why dermatologists also take other factors into consideration.

Its also about the global burden of atopic dermatitis on someones quality of life, says Vij. For example, if your atopic dermatitis affects only a small area of your body, but that area is critical, such as your face, then you may want to consider a stronger medication, he says.

If people are having problems at school or work or with their relationships, whether its normal friend relationships or sexual relationships, then we know their skin is having a greater cumulative effect than what you can just see, Vij says.

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Kelly Rowland Swears by This Skin-Care Remedy for Eczema Interview – Allure

Posted: at 11:53 pm

It's the Friday before a long weekend and I'm on a Zoom call with Kelly Rowland, who Unilever tapped for a little top-of-year goal-setting session. Sure, I'm doing the interview, but if you listened to a voiceover of my inner thoughts, I'm stuck on how beautiful she is. I know she's a famous singer, actor, TV host, the list goes on. Of course she's gorgeous. But this is a little different. It's kind of like she's floating? Even though she's perched comfortably on what from my view looks like a giant gray sectional.

Make no mistake, the beauty is goddess-level, but, talented as she is, Rowland is still very much a person. One of many, she casually mentions after I ask her what she's shopping for at the drugstore (Vaseline Cocoa Radiant Lotion for red carpets and L'Oral Paris Voluminous Mascara), who got COVID over the holidays. "We were the COVID crib," she says. And while her crib might be bigger than literally everywhere I've lived combined, just like everyone else, she was quarantined up with her family.

"We played games, made Rice Krispie Treats. I did a lot of cooking, I made chicken and rice soup," she tells me, mentioning that she also recruited her husband and older son to help make burgers. There was also water lots of it. "We had a water-drinking contest because we were trying to empty our bodies out of the virus." (For the record, the recommendation to drink fluids if you get COVID is related to staying hydrated, not because you'll pee the virus out.) Of course, Rowland and her family are okay now and looking forward to what 2022 might bring.

The singer says she's focused on dreaming big so big she scares herself. "Of all the gifts that Sidney Poitier left us with, the biggest one for me is his quote where he says, 'If your dreams don't scare you, they're not big enough,'" she explains. Rowland has already lived a life that some of us dream about; now, she's wondering what else she can create or what new opportunity she can take on. Poitier's words are ones she says she lives by and plans on passing the mindset to her sons, Titan, 7, and Noah (who made a brief and very adorable cameo on the call), 1. "I hope that they dream so big that they wonder, 'Oh, my God, how am I going to do of that?' And then they do it. And they surprise themselves and do it even bigger the next time."

As Rowland dreams up her next move (which we're hoping includes a leading role in a Donna Summer biopic, but more on that later), I chat with her some more about her boys, her trick for moisturized elbows, and how the late great disco diva inspires her today.

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The National Eczema Association and Pediatric Dermatology Research Alliance Receive Collaborative Engagement Award from PCORI – PRNewswire

Posted: at 11:53 pm

NOVATO, Calif., Jan. 19, 2022 /PRNewswire/ -- The National Eczema Association (NEA) and the Pediatric Dermatology Research Alliance (PeDRA) have been approved for a $250,000 funding award through the Eugene Washington PCORI Engagement Awards program, an initiative of the Patient-Centered Outcomes Research Institute. The award will support a project titled "Making it Count: Using Gamification to Enhance Childhood Eczema PCOR and CER". Working as equal partners, NEA and PeDRA will launch a series of virtual and in-person activities to drive education and engagement of patients, families, and researchers around the management of childhood eczema and the conduct of meaningful patient-centered outcomes research and comparative effectiveness research.

Nearly 10 million U.S. children under the age of 18 are affected by eczema, with one-third affected by moderate-to-severe disease. Despite recent therapeutic advances, the burdens on these patients and their families can be significant, and many important research questions remain unanswered. The already strong partnership between NEA and PeDRA has evolved as activities in the field have increased and, in addition to the award from PCORI, includes the co-funded Childhood Eczema Challenge Grant, which is entering its third annual cycle in 2022.

The PCORI Engagement Award will be run under the direction of Co-Project Lead and PeDRA Executive Director Michael Siegel, PhD and Co-Project Lead and NEA VP of Scientific and Clinical Affairs Wendy Smith Begolka, MBS. Over the course of the two-year award period, NEA and PeDRA will collaborate on a novel virtual educational curriculum directed at a diverse stakeholder audience and gamified approach to learner engagement. It will include real-world activities at the planned in-person Eczema Expo and PeDRA Annual Conference, and virtual education using the NEA Research Ambassador platform and PeDRA Research App.

"We are so excited to be embarking on this important project with PeDRA and grateful for the support from PCORI," said Julie Block, president and CEO of NEA. "The project will be carried out at an opportune time, as the list of FDA-approved eczema treatments is growing, and the need for research to support informed decision-making and direct future research investments is becoming increasingly important."

Near-term goals of the award include increasing competence in patient-centered outcomes research and knowledge of emerging pediatric eczema therapies for the patient and researcher communities. The project's long-term goal is to influence research that supports shared decision-making for patients and health care providers and to improve quality of life and long-term health outcomes for patients. In pursuing these goals, the award directly furthers the missions and strategic priorities of both NEA and PeDRA.

For more information on the PCORI Engagement Award, visit https://www.pcori.org/research-results/2021/making-it-count-using-gamification-enhance-childhood-eczema-pcor-and-cer. This project and the other projects approved for funding by the PCORI Engagement Award Program were selected through a highly competitive review process in which applications were assessed for their ability to meet PCORI's engagement goals and objectives, as well as program criteria.

About the National Eczema Association (NEA)Founded in 1988, NEA is the largest, 501(c)(3) non-profit, US patient advocacy organization serving people affected by eczema. NEA is the driving force for an eczema community fueled by knowledge, strengthened through collective action and propelled by the promise for a better future.For more on NEA, visit https://nationalecezma.org

About the Pediatric Dermatology Research Alliance (PeDRA)Formed in 2012, the Pediatric Dermatology Research Alliance (PeDRA) is a nonprofit research organization that includes more than 550 members and supports vibrant research and educational programs. PeDRA's mission is to create, inspire, and sustain research to prevent, treat, and cure childhood skin disease. For more on PeDRA, visit https://pedraresearch.org.

SOURCE National Eczema Association

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The National Eczema Association and Pediatric Dermatology Research Alliance Receive Collaborative Engagement Award from PCORI - PRNewswire

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Are Hives on the Breast a Symptom of Another Health Condition? – Healthline

Posted: at 11:53 pm

Hives (urticaria) may appear as pink-red bumps, or patches on your skin, and are very itchy. They are often signs of an allergic reaction but can also be idiopathic, meaning the cause is unknown.

While hives tend to disappear within hours, they may reoccur. They can show up anywhere on the body that has come into contact with irritating substances, including the breast area.

Its important to have a doctor check any rashes on the breasts or the areola, and to not quickly assume its just hives.

Aside from hives, other possible rashes or skin conditions that can occur around the breasts include:

Lets go over how to evaluate whether your rash is due to hives or another possible cause, and when you should see a doctor for further evaluation.

Hives are primarily caused by our bodys release of the chemical histamine, which is also generated in allergic reactions. According to the American Academy of Dermatology (AAD), here are some common allergens and environmental factors that can trigger hives:

Inflamed bumps may appear if your skin comes into contact with irritating substances, such as perfumes or detergents. Hives can also be a symptom of an autoimmune disease, and less commonly, may be caused by viral infections. Hives and other rashes have been a reported symptom of some people with COVID-19.

Other possible causes and contributors of hives may include:

If youre experiencing hives in the breast area, you may also have them on other areas of the body, especially in the case of an allergic reaction. Check to see if you have hives on other areas of your skin.

Some people find it helpful to take notes or photos of their skin irritation to try and trace the cause, and to show to their doctor to aid in diagnosis.

Symptoms of hives include raised welts on the skin that are pink or red in color. Theyre often extremely itchy. Hives tend to occur in multiples and can range significantly in size. Sometimes smaller hives can grow larger to form one big one up to the size of a dinner plate.

A hallmark of hives is that they appear suddenly and dont last long, typically disappearing in less than 24 hours. However, hives can reoccur in cycles, depending on the cause.

Hives have characteristic symptoms, such as being raised and itchy, but this condition may be confused with other types of rashes. Explore the images below, which show what hives, eczema, and rashes from inflammatory breast cancer may look like.

Other rashes and forms of skin irritation may mimic the appearance of hives. However, there are often unique defining factors that will help you tell the difference.

Some hive-like irritations can develop because of a reaction to a bug bite, but the two arent the same. While bug bites tend to be more common on the arms and legs, its possible for them to occur in the breast area and other parts of the torso.

Bug bites that may mimic the appearance of hives commonly come from:

An allergic reaction to a bug such as a bee sting or flea bite allergy can also cause hives.

Another condition that causes a rash that looks similar to hives is eczema, which has several different types. Like hives, eczema is red and extremely itchy; although, it looks slightly different depending on the melanin in a persons skin. The eczema rash itself does not cause welts.

If you have atopic eczema, you may notice that this rash comes and goes. This type of eczema most often begins during infancy or your childhood and requires lifelong management and treatment of flare-ups.

Other types of dermatitis (skin irritation), such as contact dermatitis, can similarly appear as a pink or red scaly rash.

A rare and aggressive form of breast cancer called IBC can also cause rash-like symptoms.

IBC can manifest as a scaly orange or pinkish rash on the areola or breast, and may include swelling or itchiness. This cancer is a type of invasive ductal carcinoma, and the inflammation is caused by cancer cells blocking lymph vessels. If not detected early, IBC can quickly spread to the lymph nodes.

But unlike hives, IBC also causes:

Certain breast cancer treatments, such as chemotherapy, targeted therapies, and hormonal therapy, may cause breast rashes in some people. Its important to report these symptoms to your doctor to rule out medication allergies.

Researchers in one 2017 study found it was common for dermatitis to develop several weeks or months after breast reconstruction surgery following a mastectomy. This may be due to a loss of skin barrier integrity, which may be corrected with a combination of antibiotics and topical corticosteroids.

Radiation therapy in cancer treatment can also cause a red scaly rash known as radiation dermatitis.

To diagnose a rash on the breasts or chest area, your doctor will need to conduct a physical exam. They may be able to tell that the rash is allergy-related right away based on the symptoms, as well as your medical history. They may also order lab tests.

If your doctor determines your rash is hives due to an allergy or irritant, theyll likely prescribe a topical steroid ointment. Youll then schedule a follow-up within a month to check your progress.

Your doctor may refer you to an allergist and recommend allergy testing. This helps to determine which allergens your body reacts to help you in avoiding them.

If a rash does not resolve after a month, or if IBC or Pagets disease is suspected, a skin biopsy will usually be done to determine the cause. Your doctor will refer you to an oncologist (cancer specialist) for further medical evaluations, including imaging.

Treatment for hives on the breast depends on the underlying cause. If your hives are related to allergies, your doctor may recommend:

If its determined that a bug is responsible for your rash, some culprits (like bedbugs and scabies) may require you to clean or hire a professional to treat your environment to get rid of an infestation. You may also need to take an oral or topical medication.

If your hives continue to recur despite treatment, your doctor may refer you to an internal medicine specialist. They may help rule out any other possible underlying medical conditions that could be causing hives.

A doctor should evaluate any unusual rash on the breast. This is especially true if your hives continue to return after several weeks despite treatment. You may benefit from seeing a specialist, such as an allergist, dermatologist, immunologist, or internist, which your doctor can refer you to.

Seek emergency medical care right away if your hives are accompanied by other severe symptoms, such as facial swelling and breathing difficulties. These may be signs of anaphylaxis, a potentially life threatening allergic reaction.

You should also see a doctor if youre experiencing nipple discharge or pus from any welts or rashes on your breast. These may be signs of an infection.

Finding a rash on your breast can be concerning, but its important to know there are a variety of possible causes. Try not to jump to conclusions without all the information. Consider documenting the rash via a diary or photos to aid in diagnosis, and schedule an appointment with a healthcare professional.

Hives are just one potential cause of a breast rash. This is most often an allergic reaction that results in raised, red welts that become very itchy. Bug bites, eczema, IBC, and other conditions can also cause hive-like rashes or bumps on your chest.

Reach out to your doctor if a rash on your breast worsens, or if it does not resolve within a few days. They can help provide proper testing and an accurate diagnosis so you can receive effective treatment.

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Are Hives on the Breast a Symptom of Another Health Condition? - Healthline

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