Monthly Archives: July 2017

Only 10-25% of Human Genome is Functional, New Estimate Says – Sci-News.com

Posted: July 20, 2017 at 2:46 am

In a paper published in the journal Genome Biology and Evolution, University of Houston Professor Dan Graur says that the functional portion of the human genome probably falls between 10% and 15%, with an upper limit of 25%. These figures are very different from one (about 80%) given in 2012 by the Encyclopedia of DNA Elements (ENCODE) project, but more optimistic than the 2014 estimate (8.2%) by Rands et al.

According to Professor Graur, the functional fraction within the human genome cannot exceed 25%, and is probably considerably lower.

Professor Graur took a deceptively simple approach to determining how much of the genome is functional, using the deleterious mutation rate that is, the rate at which harmful mutations occur and the replacement fertility rate.

Both genome size and the rate of deleterious mutations in functional parts of the genome have previously been determined, and historical data documents human population levels.

With that information, the researcher developed a model to calculate the decrease in reproductive success induced by harmful mutations, known as the mutational load, in relation to the portion of the genome that is functional.

The functional portion of the genome is described as that which has a selected-effect function, that is, a function that arose through and is maintained by natural selection.

Protein-coding genes, RNA-specifying genes and DNA receptors are examples of selected-effect functions.

In Professor Graurs model, only functional portions of the genome can be damaged by deleterious mutations; mutations in nonfunctional portions are neutral since functionless parts can be neither damaged nor improved.

Because of deleterious mutations, each couple in each generation must produce slightly more children than two to maintain a constant population size.

Over the past 200,000 years, replacement-level fertility rates have ranged from 2.1 to 3 children per couple; global population remained remarkably stable until the beginning of the 19th century, when decreased mortality in newborns resulted in fertility rates exceeding replacement levels, Professor Graur said.

If 80% of the genome were functional, unrealistically high birth rates would be required to sustain the population even if the deleterious mutation rate were at the low end of estimates.

For 80% of the human genome to be functional, each couple in the world would have to beget on average 15 children and all but two would have to die or fail to reproduce.

If we use the upper bound for the deleterious mutation rate (2108 mutations per nucleotide per generation), then the number of children that each couple would have to have to maintain a constant population size would exceed the number of stars in the visible Universe by ten orders of magnitude.

_____

Dan Graur. An upper limit on the functional fraction of the human genome. Genome Biol Evol, published online July 11, 2017; doi: 10.1093/gbe/evx121

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Bio-Rad Laboratories Aims to Create Genome Editing Tools Pipeline, Starting With ddPCR – GenomeWeb

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NEW YORK (GenomeWeb) Genome editing continues to be one of the most compelling trends in biological research as investigators maintain a steady pace of studies and papers on new CRISPR-Cas systems, innovative research tools, and various uses for the technology.

But academia is certainly not alone in its enthusiasm for CRISPR industry is joining in as various companies are either setting out to develop new tools based on the genome editing technology or find CRISPR-based applications for tools that already exist.

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The role of AI in the future of health care | VentureBeat | AI | by Peter … – VentureBeat

Posted: at 2:45 am

American physician and surgeon William J. Mayo, one of the founders of the famed Mayo Clinic, stated, The aim of medicine is to prevent disease and prolong life, the ideal of medicine is to eliminate the need of a physician. Emerging applications of artificial intelligence (AI), as well as medical research trends, suggests that we are moving toward fulfilling medicines aim and achieving its ideal.

Health care organizations appear to be preparing themselves for the next technological step. For instance, in 2014 health care providersspent4.2 percent of their revenues on IT, compared to a 3.3 percent cross-industry average. Penetration of electronic health care recordsgrewfrom 40 percent in 2012 to 67 percent in 2017. With its wealth of smart machines, health care is expected to be among the fastest growing industries in terms of data generated. Ciscoestimatesa 2015-2020 CAGR (compound annual growth rate) of machine-to-machine connections in health care to be 30 percent, more than the expected 29 percent growth rate for connected cars.

The next big thing in health care is also anticipated by investors, who have increased their bets on the segment. Venture capital investment in cutting-edge, AI-driven medical technologies like computer vision, machine learning (ML), and robotics hasskyrocketedfrom $30 million in 2012 to $892 million in 2016.

Studying the academic and funding dimensions of the medical AI ecosystem, we see that the movement towards Mayos vision is taking place. Prediction and prevention, wellness and rehabilitation, amelioration of aging, and technological augmentation of doctors are all noticeable themes.

Prediction and prevention are well-known concepts for health care professionals. Now they appear to be revitalized and reinforced by machine learning. A dive into PubMed databases demonstrates that the pace of research activity for ML-powered prediction and prevention is currently higher than the research activity associated with these concepts without involving ML.

AI health care startups working with predictive and preventive medicine are a new phenomenon that seems to embrace growing research. Out of 218 health care AI startups selected from an industry database, 54 were involved in predictive medicine, with 44 founded in 2010 or later.

Some companies, likeJvionandHBI Solutions, provide health care organizations with patient-level predictions and risk scores. Others, likeOcuvera, bring prevention to hospitals operations by, for example, by identifying a patients proclivity to fall and helping to avoid the accident.

Activity in the wellness segment of the health care value chain also reflects growing interest in the preventive aspect of medicine. Wellness appears to be the fastest-growing segment among the core segments of the health care value chain.

Researchers attention to the wellness segment is matched by entrepreneurs interest. Out of 218 AI health care startups, 21 develop wellness applications.

Startup funding data suggests that younger startups tend to work with wellness applications. About 95 percent of AI-powered wellness startups were founded in 2010 or later, compared with 57 percent of those tackling surgery-related issues.

Wellness applications may use almost unlimited data from healthy populations, the collection of which is accelerated by new devices entering the market. The more data from healthy patients is available, the more insight one can get. Traditional health care uses data that is limited by the number of cases and more severe sampling requirements.

Prevention and prediction segments start from research into cells and genetics, aiming to eliminate the underlying causes of dangerous diseases. Machine learning drives these research topics as well.

Founding data for AI startups helps to identify the uptick in launching startups working with cell and genetic research. For example, notable companies such asHuman Longevity,BenevolentAI,Recursion Pharmaceuticals, and at least seven others were launched between 2010 and 2017.

Following Mayos vision, health care researchers and founders try to make life longer by battling aging and making rehabilitation smoother. Medical research on aging is growing rapidly, compared with research on the leading causes of death in the U.S. It is also one of the fastest accelerating research area in the past six years.

Not being a disease in the traditional sense, aging is an excellent target for tech disruption, with no critical state (i.e., the fast deterioration of a patient) and developing across the whole lifespan. Aging research may benefit from lots of data collected during a patients life.

Already amassed data and evolving data collection technologies, combined with machine learning, contribute to fighting aging. For instance, this technology can check if senescence acceleration is taking place and estimate biological age more precisely. Then relevant treatment options can be selected.BioageLabsandInsilico Medicineuse machine learning to discover anti-aging drugs.

Rehabilitation is experiencing a growing research interest as well. It also benefits from AI as it requires long-term commitment, repetitive actions, and a continuous feedback loop. Twelve startups are moving the field of rehabilitation forward by, for instance, working with brain dysfunction rehabilitation likeIntenduor helping joint replacement patients likePeerwell.

The examples given above suggest that tech is moving medicine toward preventing diseases from happening. This can be done by tweaking genes, detecting early signs of diseases, and altering human behavior for health benefits. Currently AI tech penetrates just a part of the list of dangerous diseases.

Perhaps at some point, all diseases will be preventable and there will be no need for a physician. But can tech eliminate physicians before it eliminates diseases by replacing human doctors with robots and algorithms? Our observation suggests that this goal is not a heavy area of interest. Instead, AI-powered health tech looks to assist physicians and make them more accessible for patients.

Studying 35 companies that employ computer vision in health care, one may conclude, that their primary approach is to augment professionals, rather than to replace them. For example,BayLabsdevelops technology to simplify the process of recording, editing and sharing of video, whileMindshare Medicalaims to empower clinicians and health care providers by utilizing medical imaging.Oxford Heartbeathelps clinicians accurately plan and rehearse stent placements inside blood vessels.

Telemedicine is also empowering health care professionals rather than replacing them. In a world where 400 million people do not haveaccessto basic health care services, telemedicine is a viable option to keep doctors busy, even after efficiency grows manifold and demand in well-off regions starts decreasing. Out of 218 companies, 39 are in one way or another providing telemedicine technologies. Some help patients to navigate medical knowledge and make a preliminary diagnosis (Babylon,YourMD), while others give doctors unprecedented monitoring tools (Sentrian,AiCure) and provide valuable health-related information and advice (ZoiHealth,Flo). Medical research in telemedicine is also growing rapidly, rocketing from 317 articles in 2010 to 845 in 2016.

Our inquiry suggests that the vision of medicine coined by Mayo is closer to life then we think, thanks to AI. Cognitive technologies fit nicely with the popular research themes explored above. Moreover, at the current stage, where diseases are not eliminated entirely, tech empowers rather than displaces health professionals. Therefore, we expect to see more exciting AI health tech to emerge and suggest entrepreneurs consider opportunities in this space.

Notes on data collection: Trends on research activity are derived from searching titles and abstracts at PubMed. Data on AI health tech companies is from a keyword search and manual selection at Pitchbook.Flint Capital is an investor in Flo, an AI-powered period and ovulation tracker referred to in this article.

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Search for Eczema Relief Leads to Business Opportunities – New York Times

Posted: at 2:45 am

Eczema entrepreneurs are often driven by personal experiences that they or their family members have had with the skin condition. Joe Paulo, for example, created Smiling Panda clothing after he had eczema as a teenager. But he and others, including Ms. Scott, have found that the path to a winning eczema product is not short or easy, in large part because there is no official testing process to get approval.

Everyones eczema is different, and not everything works the same way on every patient, said Julie Block, president and chief executive of the National Eczema Association, which tracks developments in the field but does not endorse products. The association does offer a certificate of acceptance for companies that can show they have clinical safety testing data for their products.

The only apparel company to earn the associations grade so far is Ms. Scotts AD RescueWear, whose wet-wrap therapy garments relieve itching by sealing in moisture. Medical studies have shown such therapy helps eczema sufferers.

Ms. Scott discovered the therapy while searching for a way to help Harrison, who will be 9 in September. As a baby, his eczema was so severe that he got a staph infection from scratching. Dr. Mark A. Ebadi, an allergist at the Colorado Allergy and Asthma Center in Denver who was treating Harrison, recommended wet-wrap therapy.

Ms. Scott dressed her son in wet cotton pajamas, and at Dr. Ebadis suggestion taped her husbands tube socks around her sons hands for protection. But the wrapping was cumbersome.

It was off-putting to wrap a child in damp clothing, she said. And cotton pajamas got baggy, and my son would get cold. We needed something for him that was close fitting so it would be next to his skin.

It took a lot of trial and error, but Ms. Scott, who is an interior designer, gradually developed a full body suit with flat seams almost like a long-sleeve onesie with covers for her sons nails. The suit has attached feet, like those found on infant and toddler pajamas, to prevent children from scratching their legs and ankles, where clusters of eczema are often found.

I knew nothing about clothing manufacturing, Ms. Scott said. Eventually, she found a family-owned company in Michigan that was willing to produce a run of her sample suit. It was made from the artificial fiber Tencel, which retains more water so the material holds its shape and stays closer to the skin.

She called the body suit the Wrap-E-Soothe suit, but customers later began calling it the rescue suit a nickname her company quickly adopted. It sells for $109 for children. The product line later was expanded to include tops and pants, which cost $74.50, and sleeves, which cost $34.95, to cover childrens arms and legs.

Ms. Scott began selling the garments in 2012, the same year that she teamed up with Anne McVey, an experienced marketer in Davenport, Iowa, whose daughter has eczema. To test reaction from doctors, they took samples to an annual meeting of allergy, asthma and immunology specialists, held in San Antonio in 2013. The garments received good reviews, but Ms. Scott said it was an uphill climb to attract customers online because the product was little known.

She did not share specific numbers, but Ms. Scott said sales increased 70 percent last year to around 10,000 items over 2015. Repeat customers, the eczema associations certificate of acceptance and a medical product billing insurance code have all helped raise the sites visibility and attract business, Ms. Scott said.

Were aiming for 100,000 pieces annually, she added, noting that the site is adding garments for adults.

Mr. Paulo, 23, has already made some inroads with adults seeking relief with his Smiling Panda brand, which he started after getting eczema on his arms. The eczema appeared after he moved from California to Philadelphia in 2012 to attend college.

His eczema, he said, got significantly worse when he had to wear professional clothing during college internships. When even bedsheets began irritating his skin, he started researching the properties of different fibers and how clothing was made. He chose a bamboo-cotton blend for his clothing because bamboo is soft and cotton fibers allow a closer fit, he said. He began cutting and stitching his own shirts, with flat seams and no tags.

When he wore his shirts to bed, he said: I went from having a really tough time falling asleep to having no trouble at all.

I thought there might be other working adults interested in this type of clothing, and that comfortable clothing would help them in the same way it helped me, he said. He found a small manufacturer willing to make a batch of sizes for women and men. He chose Smiling Panda as the company name and started a website in February 2016.

Mr. Paulo, an engineer for a construction company, sold only about 70 shirts last year at $40 to $50 apiece.

But we are on track to sell 100 shirts this year, he said, despite limited advertising, mostly on Facebook. He added that sales were expected to pick up in coming months.

Many of the men and women who buy his garments for workout wear, undergarments and sleepwear are repeat buyers and are so committed that, in March, he decided to add childrens sizes.

Mr. Paulo said he did not know if the company would ever be profitable. I like doing it because I feel like our products make a difference in our customers lives, he said. I know from personal experience how miserable clothing can be when you are itching from eczema.

A version of this article appears in print on July 20, 2017, on Page B5 of the New York edition with the headline: Personal Stories Drive Start-Ups In Eczema Products.

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Skin doctor’s top tips to help eczema sufferer’s survive summer and five must-have remedies for under a tenner – The Sun

Posted: at 2:45 am


The Sun
Skin doctor's top tips to help eczema sufferer's survive summer and five must-have remedies for under a tenner
The Sun
The sun alone can cause it to dry our but excess sweat can also leave your skin craving moisture. Dr Bewley said the summer heat has been found to cause eczema flare ups with many sufferers. The drier your skin becomes the more your eczema is likely to ...

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How will we keep controversial gene drive technology in check? – Science Magazine

Posted: at 2:44 am

Gene drive technology might limit the ability of Anopheles gambiae mosquito to transmit malaria to humans.

CDC/James Gathany

By Kelly ServickJul. 19, 2017 , 4:00 PM

We dont yet know whether the gene-spreading approach known as gene drive, intended to wipe out invasive pests or reduce the spread of insect-borne disease, will work in the wild. But groups of genetic experts are already talking about how to make it stop working if needed.

And at a symposium today in Washington, D.C., organized by the International Life Sciences Instituteand the National Academies of Sciences, Engineering, and Medicine, researchers and policy experts discussed how to measure and limit a gene drive strategys environmental risks. And the U.S. militarys research arm announced it will fund efforts by several high-profile genetics labs to develop ways to reverse or limit the spread of an introduced gene if it should have unintended consequences on animals or an ecosystem.

Were in the business of preventing technological surprise, but also being prepared for the surprises that come from the use of these technologies, said Renee Wegrzyn, a program manager at the Defense Advanced Research Projects Agency (DARPA) in Arlington, Virginia, which today announced seven research teams that will share a $65 million pot of funding under the agencys Safe Genes program over the next 4 years.

Gene drive works by tinkering with the rules of inheritance, increasing the likelihood a gene will be passed to the next generation. The phenomenon occurs in nature by a variety of mechanisms, but all increase a genes ability to permeate a population quickly and thoroughly, even if it doesnt carry any survival advantage. Inspired by natural gene drives, researchers have spent decades trying to perfect a system that might endow a population of mosquitoes with a malaria resistance gene, for example, or spread a lethal gene that cuts down a local population of invasive insects or rodents.

Progress surged with the discovery of CRISPR/Cas9 gene editing. By inserting the gene for a new trait alongside genes for a DNA-cutting enzyme and an RNA guide, scientists can prompt a cell to slice out copies of the original, wild-type gene from its chromosomes and use the inserted gene as a template for repair. Its sperm and egg cells will thus bear two copies of the new gene, which radically increases the odds that its offspring will inherit it.

But the notion of wiping out an entire species or unleashing a gene that could spread like wildfire through a population has also bred controversy. Evidence that CRISPR gene drives could be extremely efficient in lab-reared insects led prominent researchers to urge caution.

Todays meeting included some practical discussion of how gene drive might be contained. Molecular biologist Bruce Hay of the California Institute of Technology in Pasadena presented his labs research into high-threshold gene drives, designed to spread effectively only if individuals with the new gene make up a large fraction of the total population. Wayward migrants thus wouldnt manage to spread the gene widely outside the intended area. And if an introduced gene had unexpected consequences, researchers might reverse a gene drive by introducing more wild, unmodified individuals to outnumber the new ones. I think we really can do safe, local, and reversible gene drive, Hay told the audience. This is not just a fantasy.

But CRISPR brings a whole new set of unknowns. It might have unpredictable, off-target effects on the genome, and scientists dont know how to shut it down. Among the seven teams selected for the Safe Genes program are some CRISPR pioneers. Harvard University geneticist George Church will lead efforts to develop more precise gene-editing systems that distinguish between similar sequences. Molecular biologist Jennifer Doudna of the University of California (UC), Berkeley, will, according to DARPAs news release, look for anti-CRISPR proteins that could prevent unwanted editing.

Several more projects explicitly focus on gene drive applications: A group at UC Riverside led by molecular biologist Omar Akbari will try to document the genetic diversity of the Aedes aegypti mosquito and test ways to limit or reverse gene drives in contained test environments. Biologist John Godwins team at North Carolina State University in Raleighwill test ways to cut down rodent populations by targeting gene variants present only in invasive communities.

Experts still predict that testing of gene drive in the field is still years away. This is such early days in the field, Wegrzyn told the audience today. Why dont we build those [control] tools in now, rather than trying to retrofit them into these systems?

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Restoring Cognitive Function for Alzheimer’s Disease – UB School of Medicine and Biomedical Sciences News

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Researchers in the Department of Physiology and Biophysics are studying genetic and epigenetic factors in Alzheimers disease to develop novel ways of restoring function to patients in the later stages of the neurodegenerative disorder.

While most research on Alzheimers has focused on early diagnosis and treatment, the new study is focusing on finding novel ways to restore cognitive function and will utilize studies in mouse models carrying gene mutations for familial Alzheimers (where more than one family member has the disease) and in human stem cell-derived neurons from Alzheimers patients.

The work involving preclinical research to unravel genetic and epigenetic factors that cause Alzheimers is funded by a five-year, $2 million grant from the National Institutes of Healths National Institute on Aging. Zhen Yan, PhD, professor of physiology and biophysics, is principal investigator.

Epigenetic factors can change gene expression without altering the underlying DNA sequence which in turn affects how cells read the genes. Such changes may profoundly impact human health.

We hypothesize that Alzheimers is produced by a combination of genetic risk factors and environmental factors, such as aging, that induce the dysregulation of specific epigenetic processes that lead to impaired cognition, Yan says.

The research will explore how epigenetic changes that accompany Alzheimers disease also might help identify a much sought-after biomarker for the disease, which could allow for novel treatment.

Numerous clinical trials in recent years have focused on reducing amyloid beta plaque in the brain. So far, such efforts havent yet translated into improving cognitive function, Yan says.

Our research, by contrast, will target synaptic function, which is at the root of cognitive function, she explains. Our hypothesis is that this approach will have a more fundamental effect.

Yan and her colleagues will investigate aberrant histone methylation, an epigenetic process that affects the expression of genes encoding key proteins that allow for signals to be transmitted between neurons.

When this process is dysregulated in Alzheimers disease, neuronal signaling doesnt function properly, leading to cognitive impairment.

Even though Alzheimers patients can often easily remember something that happened 20 years ago, the later stages of the disease are characterized by a growing inability to recall recently learned information.

That kind of short-term working memory, Yan explains, is dependent on excitatory transmission in the frontal cortex, mediated by glutamate receptors.

At the later stages of the disease, we know that there is a loss of glutamate receptors that are crucial for learning and memory, she says. When these receptors lose the ability to communicate, there is a loss of cognition.

Our research will try to restore gene expression in these glutamate receptors using epigenetic tools, with the ultimate goal of restoring cognitive function.

Jian Feng, PhD, professor of physiology and biophysics, is a co-investigator on the grant titled A Novel Epigenetic Mechanism for Alzheimers Disease.

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Lunatic Fringe gene plays key role in renewable brain | Baylor … – Baylor College of Medicine News (press release)

Posted: at 2:44 am

The discovery that the brain can generate new cells about 700 new neurons each day has triggered investigations to uncover how this process is regulated. Researchers at Baylor College of Medicine and Jan and Dan Duncan Neurological Research Institute at Texas Childrens Hospital have developed a novel mouse model that for the first time selectively identifies neural stem cells, the progenitors of new adult brain cells. In these mice, researchers have found a novel mechanism by which descendants of neural stem cells can send feedback signals to alter the division and the fate of the mother cell. These findings appear in eLife.

Our initial goal for this study was to find a gene that is selectively expressed in primary neural stem cells. Based on the information obtained from publicly available expression databases, we started with roughly 750 potential candidate genes. It took an enormous amount of hard work and meticulousness to systematically narrow it down to a single gene it was like looking for a needle in a haystack, said Dr. Mirjana Maleti-Savati, assistant professor of pediatrics and neurology at Baylor and Texas Childrens Hospital, who led this study. After extensive analysis, we were convinced that the gene lunatic fringe, a member of the well-studied Notch signaling pathway, was the selective marker of neural stem cells.

Previous studies in a number of animal models have shown that members of the Notch signaling pathway participate in the regulation of stem cell fate.The finding that lunatic fringe is a selective marker for neural stem cells and a member of the Notch family was a clue of its possible role as regulator of neural stem cell fate. This represented a potentially significant step forward in the field of neurogenesis because the precise mechanism and the fine-tuning of Notch signaling in the hippocampus of the adult brain, where new neurons are born, had remained elusive until now.

Lunatic fringe helps keep the brain renewable

Maleti-Savati and her colleagues show that lunatic fringe mediates a mechanism that helps preserve neural stem cells, so that they can form new neurons throughout life while also ensuring optimal number of neurons.

Interestingly, neural stem cells and their progeny physically cluster closely around one another, which makes it an ideal environment for direct cell-cell communication between neural stem cells and adjacent cells. The scientists found that lunatic fringe allows neural stem cells to distinguish between and respond differently to surrounding cells expressing other markers, namely those expressing the Delta marker and those expressing the Jagged1 marker.

When surrounded by Delta-neurons, most neural stem cells remain in a stand-by mode, protected from random activation and unnecessary division. On the other hand, when neural stem cells interact with Jagged1-neurons, they begin to divide. Combined, these processes allow division of every neural stem cell to be finely regulated to prevent excessive division and premature exhaustion of its potential.

This study and the mouse model we have generated is a huge step forward in the field of neural stem cell biology because now we not only have a benchmark to specifically label primary neural stem cells, but have identified a key quality control step that determines their fate, said Fatih Semerci, postdoctoral student in Maleti-Savati lab and the lead author of this study. Lunatic fringe allows neural stem cells to decide whether to stay dormant or not, and, once they start to divide, whether to continue or to stop.

This study has far-reaching implications on the field of neurogenesis because age-related mental decline and psychiatric disorders such as anxiety and depression have been associated with a reduced ability to generate new neurons in the hippocampus, the center of learning and memory. The formation of new neurons is affected by many factors, both internal and external. For example, physical activity and enriched environment enhance it, while loneliness and depression dampen it. Adult hippocampal neurogenesis has garnered significant interest because targeting it could result in new therapies for many disorders.

Others who contributed to this study include William Tin-Shing Choi, Aleksander Bajic, Aarohi Thakkar, Juan Manuel Encinas, Andrew Groves of Baylor College of Medicine; Frederic Depreux of the Rosalind Franklin University of Medicine and Science in Chicago and Neil Segil of University of Southern California.

Funding for this study comes from the Nancy Chang Award and the CPRIT grant (RP130573CPRIT), and in part by the Microscopy, RNA In Situ Hybridization and Neuropathology Core facility at Baylor College of Medicine, supported by the NIH Shared Instrumentation grant (1S10OD016167) and the NIHIDDRC grant U54HD083092. Further support was provided by the Cytometry and Cell Sorting Core (NCRR grant S10RR024574, NIAID AI036211 and NCI P30CA125123).

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Intermountain, Stanford University see promise for precision medicine in cancer cases – Healthcare IT News

Posted: at 2:44 am

Recent research from Intermountain Healthcare's clinicians shows the successful application of genomic-based approaches to studying individual cancer cases.

Oncologists Lincoln Nadauld, MD, and Derrick Haslem, MD, work at the Southwest Cancer Center in St. George, Utah. In addition to treating patients, they conduct research aimed at improving cancer care and precision medicine.

Their recent research has been published in two national peer-reviewed journals in collaboration with Intermountain Healthcare doctors and researchers from Stanford School of Medicine.

[Also:Precision medicine: Hype today but the promise is even bigger than we think]

One study outlines what the doctors call an "impressive" clinical course and positive outcome of a patient with metastatic colon cancer treated with a precision oncology approach. It was published in the Journal of Clinical Oncology-Precision Oncology, a research publication outlet from the American Society of Clinical Oncologists.

The second publication, co-authored by Nadauld and published in Genome Medicine, shows that linked read sequencing is useful in characterizing oncogenic rearrangements in cancer metastasis.

Both studies were done in collaboration with Hanlee P. Ji, MD, senior associate director of the Stanford Genome Technology Center and Associate Professor at Stanford's School of Medicine.

Linked read sequencing, the researchers note, is a process that allows scientists and doctors to look at the molecular structure of tumor DNA in longer reads of 50,000 base pairs, as opposed to the typical 200-300, and thus "revealing the genomic complexity of patient tumors."

In reference to the Genome Medicine study, Nadauld points out: "In this patient, we were able to identify an amplification of a gene called FGFR2, which is critical because there are drugs that target that mutation.

"This case indicates there are broader applications for linked read technology, including diagnostic purposes and defining additional treatment options for patients along with new genes to target," he added. "With further study, pharmaceutical and biotech technologies can start to develop new drugs that target different molecular phenomena."

Twitter: @Bernie_HITN Email the writer: bernie.monegain@himssmedia.com

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INSIDE THE GAME: No chanting, no more retired numbers, please – MyWebTimes.com

Posted: at 2:43 am

Its all a matter of taste.

I have many friends and acquaintances, and among them, for every person who thinks of me as this nice, amiable person who tries to be a ray of sunshine wherever he goes, theres another who knows that at times I can make Clint Eastwoods Get off my lawn character in Gran Torino seem like Mary Poppins on Valium.

I dont like to offend people, but what I have to say might, on occasion. Here go a couple of thoughts I hope will be food for discussion, not food for dissent.

As I related inour Tweet of the Day on the front of The Times Sports section this week, in all my time playing, watching and covering baseball in my 50-some years on this planet, I dont remember anyone in a dugout chanting hes a SLUG-ger, hes a SLUG-ger when it was Anthony Rizzos turn to bat, or hit a HOME run, hit a HOME run whenever Aaron Judge or Giancarlo Stanton got in the box, and they CERTAINLY never did anything like num-BER SEV-en, num-BER SEV-en when Mickey Mantle stepped to the plate. Wow, that last one sent a cold shiver down my spine.

Saw Bull Durham the other day and Im more in line with Robert Wuhls character, Larry Hockett, when he spit out rapid-fire through a mouthful of seeds, Cmon, baby, you got this, you got this, its you, baby, its you, cmon, baby to Bulls on the field or at the plate.

I know Little Leaguers are not supposed to yell Swing! at the batter anymore, but what happened to the old standard hes no batter, hes no batter, aaAAaaAA and other encouragement to a pitcher? Please just something not near as mind-numbingly annoying as the rhythmic nonsense being spewed the last few years. I might expect that from softball, but in baseball? No thanks.

It deserves a place in the baseball dumpster along with The Wave, the White Soxs uniform shorts and Chris Bermans calls of the Home Run Derby.

Try this: No MORE CHAN-ting, no MORE CHAN-ting.

Roberto Clementes number

Im going to tread lightly here because my opinion might offend some who are sensitive to matters of race. Believe me, it has nothing to do with race, gender or religious beliefs. It has to do only with my view of the game.

I do not believe Roberto Clemente should have his number 21 retired through all of MLB the way Jackie Robinsons 42 is.

I know what a tremendous player Clemente was, having seen him many times in action against my Cubs on WGN back in the day and in the national broadcasts of the World Series the Pirates played in. Hes an all-time great, in addition to being a generous, caring individual who died while delivering humanitarian aidto storm victims in Nicaragua.

No doubt, no question, he deserves to be the icon to the Hispanic community that he is.

But I personally don't feel the challenges he overcame on his way to the majors are at the same level of those traversed by Robinson when he broke the MLB color barrier in 1947.

Looking at it another way, if Clemente deserves that honor, why not Hank Greenberg or Sandy Koufax for being the greatest Jewish players of all time? Why not Honus Wagner as the hero of Americas extensive, generations-deep German population? Why not Joe DiMaggio for all those fans of Italian descent?

This is opening a can of worms with so many arguments, some of them so politically incorrect that I wont go there.

I didnt agree with Robinsons 42 being retired across the leagues when it happened. Like Clemente, Robinson is an incredibly talented figure in the game and a man of immense character, patience and tolerance. His impact on the game is undeniable. I just dont see Clementes impact being as significant in the history of baseball.

OK, all that now said, I add the immortal words of comedian Dennis Miller: Of course, thats just my opinion. I could be wrong.

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INSIDE THE GAME: No chanting, no more retired numbers, please - MyWebTimes.com

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