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Monthly Archives: April 2017
Looping the genome: How cohesin does the trick – Science Daily
Posted: April 25, 2017 at 4:36 am
Looping the genome: How cohesin does the trick Science Daily Defined genome-sequences that were previously located far apart are now next to each other and can interact to regulate gene expression. In Nature online this week, IMP-researchers publish data that support the existence of such a mechanism. First ... |
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New ‘oldest person in world’ is 117, explains secret to longevity – KIRO – KIRO Seattle
Posted: at 4:35 am
by: Shelby Lin Erdman, Cox Media Group National Content Desk Updated: Apr 23, 2017 - 8:45 AM
Violet Mosse-Brown of Jamaica is officially the oldest living person in the world, at 117 years of age.
Mosse-Brown earned the title after the death of Emma Morano of Italy, who died earlier this week at 117 years, 137 days old.
>> Read more trending news
Mosse-Brown has a simple secret to her longevity.
Really and truly, when people ask what me eat and drink to live so long, I say to them that I eat everything, except pork and chicken, and I dont drink rum and them things, Mosse-Brown told the Jamaica Gleaner in a 2010 interview in honor of her 110th birthday.
Mosse-Brown was born in 1900 and still lives in the same house with family members. The home has been in their family for the past 200 years.
According to a biography posted by the Violet Mosse-Brown Foundation, started by her family, she was a sugarcane farmer for much of her life.
According to CNN, she is the last living subject of Queen Victoria from when many of the Caribbean islands were ruled by the British.
2017 Cox Media Group.
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New 'oldest person in world' is 117, explains secret to longevity - KIRO - KIRO Seattle
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How AI Will Help Us Defeat Aging – Wall Street Pit
Posted: at 4:35 am
Aside from finding a cure for cancer, one of the most elusive battles that numerous scientists all over the world have been trying to win is the fight against aging.
So far, with mice as test subjects, anti-aging techniques include the use of blood plasma, protein adjustment, stem cells, gene manipulation and senescent cell removal. The objectives are also diverse. Some scientists are working on slowing down the process, while others want to reverse it. There are also those who want to stop the process altogether so human life can be extended indefinitely.
Dr. Alex Zhavoronkov director of the International Aging Research Portfolio (IARP) and U.K.-based charity group Biogerontology Research Foundation, also co-founder and CEO of bioinformatics firm Insilico Medicine is among those who believe that while aging happens naturally and is experienced by all living organisms, it doesnt necessarily have to mean that it should result in a degraded quality of life. In other words, Zhavoronkov is one of those who are advocating to classify aging as a disease an unnatural condition that can be treated and cured; a problem that can be solved. He is likewise a longevity enthusiast Zhavoronkov believes it is possible to extend the current longevity record beyond 122 years.
Insilico Medicine is one of the avenues through which Dr. Zhavoronkov intends to prove what he believes about aging and life span. As he told LEAF (Life Extension Advocacy Foundation) in an interview, the companys long-term goals are continuous improvement of human performance, and the prevention and cure of age-related diseases. And he believes the way to do it is by using A.I. to discover new drugs and develop biomarkers for aging.
Among Insilico Medicines more noteworthy projects is OncoFinder an algorithm thats used to analyze the activities of molecular pathways involved in growth, development, aging and cancer. In normal conditions, the algorithm can be used to determine which pathways lead to the development of conditions associated with aging. In pathological conditions, it can be used to predict which drugs will be most effective in treating diseases like cancer.
Theres also iPANDA algorithm which can be used to monitor changes in tissues and identify molecules that can target these changes. Together, these two algorithms help provide a better understanding on the changes that take place from a young state to an old state, as well as from a healthy state to a cancerous state.
Dr. Zhavoronkov is confident that in five years, they will be able to make breakthroughs in personalized medicine by being able to build comprehensive models that can be used as reference to predict, recommend and treat deviations from ideal healthy conditions. In other words, initiate interventions before disease has a chance to progress. And AI will play a major role in bringing this into fruition.
As he explained to LEAF: I think that applying AI to aging is the only way to bring it under the comprehensive medical control. Our AI ecosystem is comprised of multiple pipelines. With our drug discovery and biomarker development pipelines we can go after almost every disease and we even have several projects in ALS And since we are considering aging as a form of disease, many of the same algorithms are used to develop biomarkers and drugs to prevent and possibly even restore aging-associated damage.
Renowned futurist Peter Diamandis envisions that in the next one to two decades, AI will bring in demonetization of our major everyday expenses and therefore considerably bring down the cost of living, including health care. But before that happens, Dr. Zhavoronkov believes that AI can help bring about the cure for aging and maybe other notorious diseases like cancer.
If both scientists are proven correct, and we are certainly rooting for them and the field they represent, then we logically should start believing in the idea that AI really promises to progressively improve our lives. So instead of fantasizing how the development of this striking technology could bring the end of the world, maybe we should focus more on the scale that AI promises, and how it will help usher in the beginning of a new world.
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Gene may hold key to hearing recovery – Medical Xpress – Medical Xpress
Posted: at 4:35 am
April 24, 2017 Credit: CC0 Public Domain
Researchers have discovered that a protein implicated in human longevity may also play a role in restoring hearing after noise exposure. The findings, where were published in the journal Scientific Reports, could one day provide researchers with new tools to prevent hearing loss.
The study reveals that a gene called Forkhead Box O3 (Foxo3) appears to play a role in protecting outer hair cells in the inner ear from damage. The outer hair cells act as a biological sound amplifier and are critical to hearing. When exposed to loud noises, these cells undergo stress. In some individuals, these cells are able to recover, but in others the outer hair cells die, permanently impairing hearing. While hearing aids and other treatments can help recovered some range of hearing, there is currently no biological cure for hearing loss.
"While more than a hundred genes have been identified as being involved in childhood hearing loss, little is known about the genes that regulate hearing recovery after noise exposure," said Patricia White, Ph.D., a research associate professor in the University of Rochester Medical Center (URMC) Department of Neuroscience and lead author of the study. "Our study shows that Foxo3 could play an important role in determining which individuals might be more susceptible to noise-induced hearing loss."
Approximately one-third of people who reach retirement age have some degree of hearing loss, primarily due to noise exposure over their lifetimes. The problem is even more acute in the military, with upwards of 60 percent of individuals who have been deployed in forward areas experiencing hearing loss, making it the most common disability for combat veterans.
Foxo3 is known to play an important role in cell's stress response. For example, in the cardiovascular system, Foxo3 helps heart cells stay healthy by clearing away debris when the cells are damaged. Additionally, people with a genetic mutation that confers higher levels of Foxo3 protein have been shown to live longer.
White and her team carried out a series of experiments involving knock-out mice who were genetically engineered to lack the Foxo3 gene. The researchers found that, compared to normal mice, these animals were unable to recover hearing after being exposed to loud noises. The team also observed that during the experiment the Foxo3 knock-out mice lost most of their outer hair cells. In the normal mice, outer hair cell loss was not significant.
"Discovering that Foxo3 was important for the survival of outer hair cells is a significant advance," says senior author Patricia White. "We are also excited about the results because Foxo3 is a transcription factor, which regulates the expression of many target genes. We are currently investigating what its targets might be in the inner ear, and how they could act to protect the ear from damage."
Explore further: Success of sensory cell regeneration raises hope for hearing restoration
More information: Felicia Gilels et al, Severe hearing loss and outer hair cell death in homozygous Foxo3 knockout mice after moderate noise exposure, Scientific Reports (2017). DOI: 10.1038/s41598-017-01142-3
In an apparent first, St. Jude Children's Research Hospital investigators have used genetic manipulation to regenerate auditory hair cells in adult mice. The research marks a possible advance in treatment of hearing loss ...
(HealthDay)The noise of modern life causes permanent hearing damage to many U.S. adults who don't even suspect they've experienced a loss, federal researchers reported Tuesday.
Patients who complain they can't hear their friends at a noisy restaurant, but pass a hearing test in their doctor's office, may be describing hidden hearing loss.
The loss of tiny, sound-sensing cells in the inner ear, known as "hair cells," is a leading cause of hearing loss, a public health problem affecting at least 5 percent of the world population. Hair cells, which do not regenerate ...
Researchers from the Eaton-Peabody Laboratories of the Massachusetts Eye and Ear and Harvard Medical School have created a new mouse model in which by expressing a gene in the inner ear hair cellsthe sensory cells that ...
Hearing loss is a natural part of the aging process. But noise-induced hearing loss is on the rise.
Researchers have discovered that a protein implicated in human longevity may also play a role in restoring hearing after noise exposure. The findings, where were published in the journal Scientific Reports, could one day ...
The largest genomic analysis of puberty timing in men and women conducted to date has identified 389 genetic signals associated with puberty timing, four times the number that were previously known.
Whole-exome DNA sequencinga technology that saves time and money by sequencing only protein-coding regions and not the entire genomemay routinely miss detecting some genetic variations associated with disease, according ...
(Medical Xpress)An international team of researchers has developed a way to use RNA sequencing to help in diagnosing patients with rare genetic muscle conditions. In their paper published in the journal Science Translational ...
Research published this week in Scientific Reports uses computer image and statistical shape analysis to shed light on which parts of the face are most likely to be inherited.
Salk scientists and collaborators have shed light on a long-standing question about what leads to variation in stem cells by comparing induced pluripotent stem cells (iPSCs) derived from identical twins. Even iPSCs made from ...
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Compound in aged cheese may prevent liver cancer, boost longevity – Medical News Today
Posted: at 4:35 am
A new study suggests that there may be a simple way to help reduce the risk of liver cancer and extend lifespan: consume mushrooms, soy, whole grains, aged cheese, and other foods rich in spermidine.
Researchers found that mice fed an oral supplement of spermidine were less likely to develop liver fibrosis and hepatocellular carcinoma (HCC) - the most common form of liver cancer - compared with rodents that did not receive the supplement.
Furthermore, the research team - from Texas A&M University in College Station - found that spermidine increased the lifespan of mice by as much as 25 percent.
Study co-author Leyuan Liu, Ph.D., of the Institute of Biosciences & Technology at Texas A&M, and colleagues recently reported their findings in the journal Cancer Research.
Spermidine is a polyamine - a compound that has at least two amino groups - that was originally isolated from sperm, hence its name. Spermidine is also naturally found in a variety of food products, including aged cheese, mushrooms, legumes, soy, whole grains, and corn.
Previous research has suggested that dietary spermidine may have health benefits. One study published in Nature Medicine last year, for example, associated oral supplementation of spermidine with better heart health and longevity in mice, while a more recent study linked the compound to reduced blood pressure.
For this latest study, Liu and colleagues investigated whether spermidine might have anti-cancer properties.
To reach their findings, the researchers gave an oral spermidine supplement to mice that were predisposed to develop HCC or liver fibrosis - that is, a buildup of scar tissue in the liver that can lead to liver cancer.
Not only were the mice less likely to develop HCC or liver fibrosis than rodents that were not given the spermidine supplement, but they were also found to live much longer.
"It's a dramatic increase in lifespan of animal models, as much as 25 percent," says Liu. "In human terms, that would mean that instead of living to about 81 years old, the average American could live to be over 100."
The authors note that the 25 percent increase in lifespan was only seen in mice that had lifelong spermidine supplementation; rodents that were given the supplement later in life experienced a 10 percent increase in longevity.
In previous research, Liu and team found that lack of autophagy - the process by which cells "eat" their own debris - contributed to cancer development.
In this study, the researchers found that the benefits of spermidine diminished in the absence of a protein called MAP1S, which is known to trigger autophagy. As such, the team speculates that the cancer-protective effects of the compound are down to its enhancement of MAP1S-related autophagy.
Further studies are needed to determine the safety and efficacy of spermidine supplementation in humans, but the team believes that it could offer significant health benefits.
"Just think: if we added spermidine to every bottle of beer, it might balance out the alcohol and help protect the liver," says Liu.
"It's still early, but perhaps one day this approach will provide a novel strategy to prolong lifespans, prevent or reverse liver fibrosis, and prevent, delay, or cure hepatocellular carcinoma in humans."
Leyuan Liu, Ph.D.
Learn how having children may increase lifespan.
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Eczema treatment: Allergy link KEY to beating painful skin condition affecting 15m Brits – Express.co.uk
Posted: at 4:34 am
It is important for both patients and healthcare professionals to understand the connection between atopic eczema and allergy
Amena Warner
Up to 15 million adults and children are suffering from eczema in the UK.
The dry, itchy skin rash costs the NHS almost 170 million each year.
Eczema is common in babies but also affects older children and adults.
Researchers believe there is a vital link between allergies and developing eczema.
Amena Warner, Head of Clinical Services at Allergy UK, said: It is important for both patients and healthcare professionals to understand the connection between atopic eczema and allergy.
GETTY
Eczema is a common symptom which can be triggered by irritants and allergens as well as from a genetic tendency of dry skin. As well as a symptom, it can also be the gateway to allergic sensitisation, so when the body is exposed to that allergen there is a potential for a reaction.
Experts say its important to protect the skin barrier to help reduce the risk of allergen sensitivity.
If you have an intense itch or areas of dry, sensitive, red or inflamed skin, youre advised to see a doctor.
Warner said: Having an accurate and timely diagnosis is important for effective management of eczema and maintaining the skin barrier.
GETTY
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Resist the itch - Eczema is almost always itchy no matter where it occurs on the body and although it may be tempting to scratch affected areas of the skin, this should be avoided as much as possible
Around 1.7 million school children are already suffering eczema in the UK.
Its estimated between 50-70 per cent of children with early onset eczema are sensitised to at least one allergen.
Natalie Newman, mother of Calum, aged 5, said early diagnosis can significantly reduce suffering.
She explained: Calums multiple allergies started from a really early age. His eczema was one of the key indicators that something wasnt right.
It took a long time for us to get a diagnosis and Calum now has to avoid 15 foods plus reduce exposure to multiple airborne triggers. His eczema still causes him a lot of distress when he experiences a bad flare up.
GETTY
I cannot stress how important it is for new parents to track their childs symptoms and discuss them with their GP.
Eczema isnt just a painful and irritating condition, it can also affect self-confidence.
Over half (52 per cent) of adults have head and neck eczema, while 50 per cent have it on their hands, all areas that are easily visible.
Allergy UK recommends using emollient on skin even when eczema isnt currently present, to keep in moisture and prevent any future flare ups.
You can also try cutting out certain foods like cows milk and wheat to help with the condition.
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Everything you’ve ever wondered about skin allergies – Netdoctor
Posted: at 4:34 am
Skin conditions caused by allergies can not only be uncomfortable, but downright frustrating. How do you isolate what's causing you to react and what's the best way to treat your now very sensitive skin? And is there anything you can do to avoid becoming allergic in the first place? Dermatologist Dr Daniel Glass from The Dermatology Clinic London offers his advice on how to recognise, treat and eliminate skin allergies without confusion or concern.
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An 'allergy' is a reaction by the body's immune system to a substance, which for most people is harmless. Allergic reactions can cause symptoms such as a runny nose, itchy eyes and rashes; however in their most severe form they can be fatal.
The most common allergy is hay fever, which is an allergic reaction to pollen, whilst other possible allergens include foods, drugs, insects, dust, pets as well as chemicals that come into contact with the skin such as nickel or rubber.
Maybe. Something called the filaggrin gene is involved in maintaining a healthy skin barrier. A mutation in the filaggrin gene has been found in about 10% of the general population of the UK and is linked to development of eczema and allergies. If the skin barrier is not functioning properly, substances may be getting through that normally would not, ultimately causing these skin conditions.
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Are you giving yourself eczema?
Cleaner may not necessarily be better. There's been a rapid increase in allergies in recent years. And the most popular explanation from scientists is the "Hygiene Hypothesis". It suggests that the cleanliness of the modern world is leaving our immune system confused, with a tendency to overreact.
Getty heshphoto
But we don't have enough evidence to say for sure yet. What we do know is that babies with less diverse gut bacteria are at higher risk of developing eczema and other allergies. After birth, maturing of the immune system takes place and studies show that specific early microbial exposure of the gut is thought to reduce the incidence of inflammatory, autoimmune and skin allergy diseases. Not enough exposure to bacteria could, in theory, leave our gut bacteria lacking, increasing our risk of allergy.
Many expectant mothers wonder if there's anything they can do to reduce the possibility of their baby going on to develop allergies. There's no overwhelming evidence for specific things pregnant women should try but there have been a few insightful studies. For instance, higher maternal concentrations of nicotinamide (vitamin B3) are associated with a lower risk of a baby having eczema at age 12 months. And increased levels of certain fish oil-derived fatty acids in pregnancy are thought to decrease wheeze and asthma in kids.
With this in mind it is highly beneficial for expectant mothers to ensure they have a balanced diet, allowing adequate intake of essential vitamins and fatty acids.
In general, allergy services globally appear not to have kept pace with increasing demand.
If over the counter treatments don't seem to be doing the trick and you're still unsure of what may be causing your skin allergy, make an appointment with a dermatologist. A dermatologist can try to determine the causes of these allergies by testing with either skin patch tests, prick tests or blood tests. They can also help optimise your skin care routine and to try to reduce flares of allergies such as eczema as well as decreasing the number of allergens getting through the skin.
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Emerging targeted therapies for plaque psoriasis impact of ixekizumab – Dove Medical Press
Posted: at 4:34 am
Tiana Kazemi,1 Benjamin Farahnik,2 John Koo,3 Kourosh Beroukhim1
1University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, 2University of Vermont College of Medicine, Burlington, VT, 3University of California San Francisco, Department of Dermatology, Psoriasisand Skin Treatment Center, San Francisco, CA, USA
Background: Recent studies into the pathogenesis of psoriasis have identified the importance of interleukin 17 (IL-17) in disease activity and have thus provided a new target for biologic therapy. Ixekizumab, the most recent US Food and Drug Administration (FDA)-approved anti-IL-17 biologic agent, appears to be a promising medication for patients suffering from moderate-to-severe plaque psoriasis. Methods: We reviewed the results of phase III trials for ixekizumab in order to assess the efficacy, safety, and impact on quality of life of this agent in the treatment of plaque psoriasis. Additionally, we compared these results to phase II and phase III trials for other biologic psoriasis medications including the anti-IL-23 agents tildrakizumab and guselkumab, the combined anti-IL-12 and anti-IL-23 agent ustekinumab, and the anti-IL-17 agents brodalumab and secukinumab. Results: Pooled results from individual studies demonstrate that among the most efficacious dosing regimens of these anti-interleukin therapies, ixekizumab achieves higher Psoriasis Area and Severity Index 75 rates and similar or higher static Physician Global Assessment 0-1 rates than the other anti-IL-17 and anti-IL-23 agents. The safety profile of ixekizumab is similar to these agents, with nasopharyngitis, upper respiratory infection, headache, arthralgia, and injection-site erythema as the most commonly reported adverse events. Conclusion: Ixekizumab is a highly efficacious, newly FDA-approved treatment for moderate-to-severe plaque psoriasis that demonstrates a robust clinical response, significant improvement in patient quality of life, and a favorable safety profile.
Keywords: biologic medication, IL-17, IL-23, IL-12, psoriasis, ixekizumab
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
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Are you a chocaholic? Your genes could be to blame – Medical … – Medical News Today
Posted: at 4:34 am
Burgers, fries, chocolate - we know these foods are bad for our health. So why are some of us incapable of cutting them from our diets? A new study suggests that our genes may be responsible.
Researchers from Spain have identified certain gene variants that influence a person's food preferences, such as a liking for chocolate and high-fat foods.
Study co-author Silvia Berciano, of the Universidad Autonoma de Madrid in Spain, and colleagues hope that their results will lead to personalized dietary advice that helps to prevent and treat obesity and other chronic conditions associated with poor eating habits.
The researchers recently presented their findings at Experimental Biology 2017, held in Chicago, IL.
The Dietary Guidelines for Americans recommend following a diet high in fruits, vegetables, and whole grains and low in added sugars, sodium, and saturated fats.
However, it seems that many of us are failing to adhere to these guidelines. A study conducted by the Centers for Disease Control and Prevention (CDC) last year, for example, found that more than 90 percent of adults in the United States eat more than the recommended sodium intake.
An earlier study from the CDC also revealed that people in the U.S. get around 13 percent of their total daily calories from added sugar, rather than the recommended maximum of 10 percent.
It goes without saying that following a healthful diet is easier for some people than others. Many of us are unable to resist a chocolate bar or takeout, despite being well aware that excessive consumption of these foods is bad for us.
Previous research has identified certain genes that are associated with behaviors related to anorexia and other eating disorders. For their study, Berciano and team set out to investigate whether genetics play a role in the food choices of healthy individuals.
The researchers reached their findings by analyzing data from the Genetics and Lipid Lowering Drugs and Diet Network study. The data included 818 adults of European ancestry, of whom 404 were men and 414 were women.
The team analyzed the genetic data of each participant, and subjects' dietary habits were determined using food frequency questionnaires.
The analysis revealed a number of genetic variations that were associated with certain food preferences.
For example, the team found that variants of the receptor gene for the "love hormone" oxytocin were associated with a higher chocolate intake and a larger waist circumference.
Higher salt intake was associated with CREB1 and GABRA2 gene variants, while variants of the SLC6A2 gene were linked to greater total fat intake.
The team notes that the identified gene variants have previously been associated with a number of behavioral and psychological traits, such as stress, addiction, impulsivity, and depression.
As such, the researchers believe that their study has uncovered a number of gene variants that affect our behavior in a way that influences our food choices.
"Most people have a hard time modifying their dietary habits, even if they know it is in their best interest. This is because our food preferences and ability to work toward goals or follow plans affect what we eat and our ability to stick with diet changes," says Berciano.
"Ours is the first study describing how brain genes affect food intake and dietary preferences in a group of healthy people."
The researchers hope that their findings will lead to more effective ways to reduce the risk of chronic disease developed as a result of poor dietary habits.
"The knowledge gained through our study will pave the way to better understanding of eating behavior and facilitate the design of personalized dietary advice that will be more amenable to the individual, resulting in better compliance and more successful outcomes."
Silvia Berciano
In future research, the team plans to assess whether the genetic variants related to food preferences are associated with greater risk of certain health conditions.
Learn how a certain protein may cause obesity by disrupting the metabolic functions of brown fat.
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Researchers identify more effective, cost-efficient test for breast cancer risk – ModernMedicine
Posted: at 4:34 am
Certain variants of the BRCA1 and BRCA2 genes are well recognized to raise a womans risk of inherited breast cancer.A growing body of research finds that five lesser-known genes, including TP53 and PTEN, also raise this risk, according to a study published in the April 2017 issue of Value in Health, the journal of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR).
Researchers at Quest Diagnostics developed a decision-making model for hypothetical cohorts of 50-year-old and 40-year-old asymptomatic women with a family history of breast or ovarian cancer or other hereditary syndromes. The model compared two strategies for detecting pathogenic genetic variants and using the test result to select appropriate breast cancer risk reduction: the usual care strategy tests for variants in the BRCA1 and BRCA2 genes and the other strategy tests for variants in the BRCA1, BRCA2, TP53, PTEN, CDH1, STK11, and PALB2 genes (seven-gene testing). The risk-reduction procedures are those recommended by National Comprehensive Cancer Network guidelines, and the probabilities of breast cancer and death used in the model are based on the peer reviewed literature.
Investigators found thatbased on the computer modeling, genetic testing for these five genes and BRCA1 and BRCA2 could yield better health outcomes and good economic value than would testing of the two BRCA genes alone.
Li
Genetic testing of five additional genes known to confer increased risk of hereditary breast cancer along with BRCA1/2 testing provides health and economic benefits beyond BRCA1/2testing alone, says lead study author Yonghong Li, PhD, principal scientist, Quest Diagnostics.
Specifically, when factoring in risk-reducing surgery, the impact of enhanced surveillance, or both, hypothetical cohorts of 40- and 50-year-old women undergoing genetic testing with the seven-gene panel would result in an incremental cost-effectiveness ratio (ICER) of $23,734 and $42,067 per life-year gainedcompared withBRCA1/2testing alone, according to the study. ICER is a measure ofthe cost-effectivenessof a healthcare intervention. This study showed that the multigene test can increase life expectancy, and the ICER shows how much it will cost payers for each additional year of life gained by using the multigene test.
By comparison, the estimated ICER for annual MRI for high-risk women is about $179,600. The findings of the Queststudy also suggest that the seven-gene test strategy would be cost-effective, according to World Health Organization Thresholds for Cost-Effectiveness of Interventions.
Managed care executives want to promote better care and outcomes but they also need to control costs, says Li. They want to know that a new medical service has health and economic value before they will reimburse it. One of their most challenging issues is determining whether new genetic tests provide this value.
According to the editors of Value in Health in a commentary in support of the study, clinical practice guidelines are often proposed without adequate consideration of cost-effectiveness considerations the test and risk reduction strategy (in the study) could represent a cost-effective option for improving life expectancy in this population (women with inherited breast cancer risk).
One of the most controversial topics in genetics today is the process of determining the criteria by which genes are thought to meet a baseline for economic value, according to Li.
The [study] suggests that genetic testing beyond BRCA1 and BRCA2 could potentially generate favorable health and cost outcomes, Li says. While the prospect of over testing is always a concern, the present study is a reminder that under testing can also raise risks for patients and payers.
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Researchers identify more effective, cost-efficient test for breast cancer risk - ModernMedicine
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