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id=\"wnxqjWPunPnkNxirmoKmxB8OyxTBzMuy\"]\u003c/p>\n\u003cp>Authorities revealed they used DNA from a publicly available genealogy website to crack the case.\u003c/p>\n\u003cp>Since then, police around the country have started doing the same sort of thing to solve other cold cases.\u003c/p>\n\u003cp>That prompted \u003ca href=\"https://www.myheritage.com/management/yaniv_erlich\" target=\"_blank\" rel=\"noopener\">Yaniv Erlich, \u003c/a>the chief science officer at the Israeli company \u003ca href=\"https://www.myheritage.com/\" target=\"_blank\" rel=\"noopener\">MyHeritage\u003c/a>, to investigate just how easy it is to use public genealogy databases to track down people.\u003c/p>\n\u003cp>\"We wanted to quantify how powerful this technique is to identify individuals,\" Erlich says. So he and his colleagues analyzed the genomes of 1.28 million people in the company's database.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a \u003ca href=\"http://science.sciencemag.org/lookup/doi/10.1126/science.aau4832\" target=\"_blank\" rel=\"noopener\">paper \u003c/a>published Thursday in the journal \u003cem>Science\u003c/em>, the researchers projected that they could identify third cousins and more closely related relatives in more than 60 percent of people of European descent. (They chose this group because most people in their database have that ancestry.)\u003c/p>\n\u003cp>\"It's kind of like each person in this database is a beacon that illuminates hundreds of distant relatives,\" Erlich says. \"So it's enough to have your third cousin or your second cousin once-removed in these databases to actually identify you.\"[contextly_sidebar id=\"B44UUm4fmJ0qJhwetu8JjvUYBxbNVQtq\"]\u003c/p>\n\u003cp>And when the researchers combined their strategy with other information, such a specific geographic area or the approximate age of a person, they could quickly reduce a list of possibilities to just a few people.\u003c/p>\n\u003cp>\"Of course, you need the genealogical records. You need to do the work. But you have enough power to to get very close,\" Erlich says.\u003c/p>\n\u003cp>And that's not all. Erlich estimates that as his and other databases grow, investigators will essentially be able to identify anyone in the United States within that ethnic background within a few years.\u003c/p>\n\u003cp>\"It seems that very quickly we can get virtually to nearly everyone,\" Erlich says.\u003c/p>\n\u003cp>In another part of the study, the researchers went even further to see if they could do the same thing with other DNA databases. They were able to use their techniques to identify a supposedly anonymous woman whose DNA was stored in the \u003ca href=\"https://www.genome.gov/27528684/1000-genomes-project/\" target=\"_blank\" rel=\"noopener\">1,000 Genomes Project\u003c/a>, a National Institutes of Health research database.\u003c/p>\n\u003cp>\"This technique doesn't only get you criminals,\" Erlich says. \"You can also use this technique for other purposes — maybe purposes that could be illegitimate.\"\u003c/p>\n\u003cp>And that, he says, raises serious questions about privacy.\u003c/p>\n\u003cp>\"The police currently [are] using these techniques to find ... [murderers] and bad people,\" Erlich says. \"But are we OK with using this technique to identify people in a political demonstration who left their DNA behind? There are many scenarios that you can think about misuse.\"[contextly_sidebar id=\"EdtIiFNqDOAH81r6zsse3iX6ZCM6PiDN\"]\u003c/p>\n\u003cp>But some people involved in genealogical forensics defend the use of the techniques to help solves serious crimes.\u003c/p>\n\u003cp>\"I was excited to see this demonstration that genetic genealogy is so powerful,\" says \u003ca href=\"https://www.parabon-nanolabs.com/nanolabs/news-events/2015/10/snapshot-ishi-presentation.html\" target=\"_blank\" rel=\"noopener\">Ellen Greytak\u003c/a>, director of bioinformatics at \u003ca href=\"https://parabon-nanolabs.com/\" target=\"_blank\" rel=\"noopener\">Parabon Nanolabs, Inc.\u003c/a>, which helps police solve crimes this way.\u003c/p>\n\u003cp>\"We're working on these cases that haven't been able to be solved for decades. They are all either homicide or sexual assault. And some of these are horrific,\" she says.\u003c/p>\n\u003cp>But Greytak and her colleagues caution that this study suggests the process is easier than it seems.\u003c/p>\n\u003cp>\"There are a number of problematic assumptions made in the study that do not reflect the reality of the work I am doing,\" writes \u003ca href=\"http://www.yourgeneticgenealogist.com/p/about-me.html\" target=\"_blank\" rel=\"noopener\">CeCe Moore\u003c/a>, who works with Parabon, in an e-mail. \"The study demonstrates the power of genetic genealogy in a theoretical way, but does not fully capture the challenges of the work in practice.\"\u003c/p>\n\u003cp>But others argue that the findings underscore the need to make sure people know what they're getting into when they provide their genetic information to genealogy services and other databases.\u003c/p>\n\u003cp>\"When you make those decisions to put the genome out in the world it's really hard to dial it back,\" \u003ca href=\"https://its.law.nyu.edu/facultyprofiles/index.cfm?fuseaction=profile.overview&personid=31567\" target=\"_blank\" rel=\"noopener\">Erin Murphy\u003c/a>, a professor at the New York University School of Law.\u003c/p>\n\u003cp>\"And more importantly,\" she says, \"you've made a decision not just for yourself but for your siblings, for your distant cousins, people you don't even know you're related to, for your children, for your children's children.\"\u003c/p>\n\u003cp>A second \u003ca href=\"http://www.cell.com/cell/fulltext/S0092-8674(18)31180-2\" target=\"_blank\" rel=\"noopener\">paper\u003c/a> published Thursday in the journal \u003cem>Cell\u003c/em> found that it could be possible to link ancestry databases to older law enforcement DNA databases, giving police yet another potential tool.\u003c/p>\n\u003cp>\"We were trying to pose the question of whether a newer, more modern system of genetic markers could be tested against the old system and still get matches and find relatives,\" says \u003ca href=\"https://profiles.stanford.edu/noah-rosenberg\" target=\"_blank\" rel=\"noopener\">Noah Rosenberg\u003c/a>, a biology professor at Stanford University.\u003c/p>\n\u003cp>Taking these studies together, some bioethicists and legal experts say they show that it's important to take steps to protect genetic information and make sure people providing DNA samples are aware of the risks.\u003c/p>\n\u003cp>\"We can tell people that we can de-identify their data,\" says \u003ca href=\"https://www.bioethics.nih.gov/people/berkman-bio.shtml\" target=\"_blank\" rel=\"noopener\">Benjamin Berkman\u003c/a>, a bioethicist at the National Institutes of Health, who was speaking for himself, not NIH. \"We can tell them about all the procedural and technical safeguards that we've put in place to protect the confidentiality of their data. But I don't think we can promise people anonymity.\"\u003c/p>\n\u003cp>As a result, Berkman says, \"it's incumbent on anyone collecting and aggregating and sharing genomic data to be clear exactly how the data will be treated and whether there are any risks to genomic privacy.\"\u003c/p>\n\u003cp>For his part, Erlich proposes that all genetic information be encrypted to protect the information and enable people to explicitly provide consent for using their data.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It sounds geeky and complicated, but it's very simple in practice,\" Erlich says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Easy+DNA+Identifications+With+Genealogy+Databases+Raise+Privacy+Concerns&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A majority of Americans of European descent could be linked to third cousins, or closer relatives, using genealogy databases, a study finds. Soon it may be possible to identify nearly everyone by DNA.","status":"publish","parent":0,"modified":1539363353,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":989},"headData":{"title":"Easy DNA Identifications With Genealogy Databases Raise Privacy Concerns | KQED","description":"A majority of Americans of European descent could be linked to third cousins, or closer relatives, using genealogy databases, a study finds. Soon it may be possible to identify nearly everyone by DNA.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Easy DNA Identifications With Genealogy Databases Raise Privacy Concerns","datePublished":"2018-10-12T16:54:04.000Z","dateModified":"2018-10-12T16:55:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"445019 https://ww2.kqed.org/futureofyou/?p=445019","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/10/12/easy-dna-identifications-with-genealogy-databases-raise-privacy-concerns/","disqusTitle":"Easy DNA Identifications With Genealogy Databases Raise Privacy Concerns","source":"DIY Health","nprByline":"Rob Stein, NPR","nprImageAgency":"Randy Pench/Sacramento Bee/TNS via Getty Images","nprStoryId":"656268742","nprApiLink":"http://api.npr.org/query?id=656268742&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/10/11/656268742/easy-dna-identifications-with-genealogy-databases-raise-privacy-concerns?ft=nprml&f=656268742","nprRetrievedStory":"1","nprPubDate":"Thu, 11 Oct 2018 18:53:00 -0400","nprStoryDate":"Thu, 11 Oct 2018 15:58:00 -0400","nprLastModifiedDate":"Thu, 11 Oct 2018 16:51:42 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/10/20181011_atc_easy_dna_identifications_with_genealogy_databases_raise_privacy_concerns.mp3?orgId=1&topicId=1128&d=251&p=2&story=656268742&ft=nprml&f=656268742","nprAudioM3u":"http://api.npr.org/m3u/1656682250-420468.m3u?orgId=1&topicId=1128&d=251&p=2&story=656268742&ft=nprml&f=656268742","audioTrackLength":251,"path":"/futureofyou/445019/easy-dna-identifications-with-genealogy-databases-raise-privacy-concerns","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/10/20181011_atc_easy_dna_identifications_with_genealogy_databases_raise_privacy_concerns.mp3?orgId=1&topicId=1128&d=251&p=2&story=656268742&ft=nprml&f=656268742","parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Police in California \u003ca href=\"https://www.npr.org/sections/thetwo-way/2018/04/27/606624218/in-hunt-for-golden-state-killer-investigators-uploaded-his-dna-to-genealogy-site\" target=\"_blank\" rel=\"noopener\">made headlines\u003c/a> this spring when they charged a former police officer with being the Golden State Killer, a man who allegedly committed a series of notorious rapes and murders in the 1970s and '80s.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Authorities revealed they used DNA from a publicly available genealogy website to crack the case.\u003c/p>\n\u003cp>Since then, police around the country have started doing the same sort of thing to solve other cold cases.\u003c/p>\n\u003cp>That prompted \u003ca href=\"https://www.myheritage.com/management/yaniv_erlich\" target=\"_blank\" rel=\"noopener\">Yaniv Erlich, \u003c/a>the chief science officer at the Israeli company \u003ca href=\"https://www.myheritage.com/\" target=\"_blank\" rel=\"noopener\">MyHeritage\u003c/a>, to investigate just how easy it is to use public genealogy databases to track down people.\u003c/p>\n\u003cp>\"We wanted to quantify how powerful this technique is to identify individuals,\" Erlich says. So he and his colleagues analyzed the genomes of 1.28 million people in the company's database.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a \u003ca href=\"http://science.sciencemag.org/lookup/doi/10.1126/science.aau4832\" target=\"_blank\" rel=\"noopener\">paper \u003c/a>published Thursday in the journal \u003cem>Science\u003c/em>, the researchers projected that they could identify third cousins and more closely related relatives in more than 60 percent of people of European descent. (They chose this group because most people in their database have that ancestry.)\u003c/p>\n\u003cp>\"It's kind of like each person in this database is a beacon that illuminates hundreds of distant relatives,\" Erlich says. \"So it's enough to have your third cousin or your second cousin once-removed in these databases to actually identify you.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>And when the researchers combined their strategy with other information, such a specific geographic area or the approximate age of a person, they could quickly reduce a list of possibilities to just a few people.\u003c/p>\n\u003cp>\"Of course, you need the genealogical records. You need to do the work. But you have enough power to to get very close,\" Erlich says.\u003c/p>\n\u003cp>And that's not all. Erlich estimates that as his and other databases grow, investigators will essentially be able to identify anyone in the United States within that ethnic background within a few years.\u003c/p>\n\u003cp>\"It seems that very quickly we can get virtually to nearly everyone,\" Erlich says.\u003c/p>\n\u003cp>In another part of the study, the researchers went even further to see if they could do the same thing with other DNA databases. They were able to use their techniques to identify a supposedly anonymous woman whose DNA was stored in the \u003ca href=\"https://www.genome.gov/27528684/1000-genomes-project/\" target=\"_blank\" rel=\"noopener\">1,000 Genomes Project\u003c/a>, a National Institutes of Health research database.\u003c/p>\n\u003cp>\"This technique doesn't only get you criminals,\" Erlich says. \"You can also use this technique for other purposes — maybe purposes that could be illegitimate.\"\u003c/p>\n\u003cp>And that, he says, raises serious questions about privacy.\u003c/p>\n\u003cp>\"The police currently [are] using these techniques to find ... [murderers] and bad people,\" Erlich says. \"But are we OK with using this technique to identify people in a political demonstration who left their DNA behind? There are many scenarios that you can think about misuse.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But some people involved in genealogical forensics defend the use of the techniques to help solves serious crimes.\u003c/p>\n\u003cp>\"I was excited to see this demonstration that genetic genealogy is so powerful,\" says \u003ca href=\"https://www.parabon-nanolabs.com/nanolabs/news-events/2015/10/snapshot-ishi-presentation.html\" target=\"_blank\" rel=\"noopener\">Ellen Greytak\u003c/a>, director of bioinformatics at \u003ca href=\"https://parabon-nanolabs.com/\" target=\"_blank\" rel=\"noopener\">Parabon Nanolabs, Inc.\u003c/a>, which helps police solve crimes this way.\u003c/p>\n\u003cp>\"We're working on these cases that haven't been able to be solved for decades. They are all either homicide or sexual assault. And some of these are horrific,\" she says.\u003c/p>\n\u003cp>But Greytak and her colleagues caution that this study suggests the process is easier than it seems.\u003c/p>\n\u003cp>\"There are a number of problematic assumptions made in the study that do not reflect the reality of the work I am doing,\" writes \u003ca href=\"http://www.yourgeneticgenealogist.com/p/about-me.html\" target=\"_blank\" rel=\"noopener\">CeCe Moore\u003c/a>, who works with Parabon, in an e-mail. \"The study demonstrates the power of genetic genealogy in a theoretical way, but does not fully capture the challenges of the work in practice.\"\u003c/p>\n\u003cp>But others argue that the findings underscore the need to make sure people know what they're getting into when they provide their genetic information to genealogy services and other databases.\u003c/p>\n\u003cp>\"When you make those decisions to put the genome out in the world it's really hard to dial it back,\" \u003ca href=\"https://its.law.nyu.edu/facultyprofiles/index.cfm?fuseaction=profile.overview&personid=31567\" target=\"_blank\" rel=\"noopener\">Erin Murphy\u003c/a>, a professor at the New York University School of Law.\u003c/p>\n\u003cp>\"And more importantly,\" she says, \"you've made a decision not just for yourself but for your siblings, for your distant cousins, people you don't even know you're related to, for your children, for your children's children.\"\u003c/p>\n\u003cp>A second \u003ca href=\"http://www.cell.com/cell/fulltext/S0092-8674(18)31180-2\" target=\"_blank\" rel=\"noopener\">paper\u003c/a> published Thursday in the journal \u003cem>Cell\u003c/em> found that it could be possible to link ancestry databases to older law enforcement DNA databases, giving police yet another potential tool.\u003c/p>\n\u003cp>\"We were trying to pose the question of whether a newer, more modern system of genetic markers could be tested against the old system and still get matches and find relatives,\" says \u003ca href=\"https://profiles.stanford.edu/noah-rosenberg\" target=\"_blank\" rel=\"noopener\">Noah Rosenberg\u003c/a>, a biology professor at Stanford University.\u003c/p>\n\u003cp>Taking these studies together, some bioethicists and legal experts say they show that it's important to take steps to protect genetic information and make sure people providing DNA samples are aware of the risks.\u003c/p>\n\u003cp>\"We can tell people that we can de-identify their data,\" says \u003ca href=\"https://www.bioethics.nih.gov/people/berkman-bio.shtml\" target=\"_blank\" rel=\"noopener\">Benjamin Berkman\u003c/a>, a bioethicist at the National Institutes of Health, who was speaking for himself, not NIH. \"We can tell them about all the procedural and technical safeguards that we've put in place to protect the confidentiality of their data. But I don't think we can promise people anonymity.\"\u003c/p>\n\u003cp>As a result, Berkman says, \"it's incumbent on anyone collecting and aggregating and sharing genomic data to be clear exactly how the data will be treated and whether there are any risks to genomic privacy.\"\u003c/p>\n\u003cp>For his part, Erlich proposes that all genetic information be encrypted to protect the information and enable people to explicitly provide consent for using their data.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"It sounds geeky and complicated, but it's very simple in practice,\" Erlich says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Easy+DNA+Identifications+With+Genealogy+Databases+Raise+Privacy+Concerns&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/445019/easy-dna-identifications-with-genealogy-databases-raise-privacy-concerns","authors":["byline_futureofyou_445019"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73","futureofyou_1064"],"tags":["futureofyou_464","futureofyou_17","futureofyou_197"],"collections":["futureofyou_1093","futureofyou_1094"],"featImg":"futureofyou_445020","label":"source_futureofyou_445019"},"futureofyou_443977":{"type":"posts","id":"futureofyou_443977","meta":{"index":"posts_1591205157","site":"futureofyou","id":"443977","score":null,"sort":[1534348813000]},"guestAuthors":[],"slug":"multi-gene-test-may-find-risk-for-heart-disease-and-more","title":"Multi-Gene Test May Find Risk for Heart Disease and More","publishDate":1534348813,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>You know your cholesterol, your blood pressure ... your heart gene score? Researchers say a new way of analyzing genetic test data may one day help identify people at high risk of a youthful heart attack in time to help.\u003c/p>\n\u003cp>Today, gene testing mostly focuses on rare mutations in one or a few genes, like those that cause cystic fibrosis or sickle cell disease, or the BRCA gene responsible for a small fraction of breast cancer. It is less useful for some of the most common diseases, such as heart disease or diabetes, because they are influenced by vast numbers of genes-gone-wrong working together in complicated ways.\u003c/p>\n\u003cp>Monday, researchers reported a new way to measure millions of small genetic variations that add up to cause harm, letting them calculate someone’s inherited risk for the most common form of heart disease and four other serious disorders. The potential cardiac impact: They estimated that up to 25 million Americans may have triple the average person’s risk for coronary artery disease even if they haven’t yet developed warning signs like high cholesterol.\u003c/p>\n\u003cp>“What I foresee is in five years, each person will know this risk number, this ‘polygenic risk score,’ similar to the way each person knows his or her cholesterol,” said Dr. Sekar Kathiresan who led the research team from the Broad Institute, Massachusetts General Hospital and Harvard Medical School.\u003c/p>\n\u003cp>If the approach pans out and doctors adopt it, a bad score wouldn’t mean you’d get a disease, just that your genetic makeup increases the chance — one more piece of information in deciding care. For example, when the researchers tested the system using a DNA database from Britain, less than 1 percent of people with the lowest risk scores were diagnosed with coronary artery disease, compared to 11 percent of people with the highest risk score.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“There are things you can do to lower the risk,” Kathiresan said — the usual advice about diet, exercise, cholesterol medication and not smoking helps.\u003c/p>\n\u003cp>On the flip side, a low-risk score “doesn’t give you a free pass,” he added. An unhealthy lifestyle could overwhelm the protection of good genes.\u003c/p>\n\u003cp>The scoring system also can predict an increased risk of Type 2 diabetes, inflammatory bowel disease, breast cancer and an irregular heartbeat called atrial fibrillation, the team reported in the journal Nature Genetics — noting that next steps include learning what might likewise lower those risks.\u003c/p>\n\u003cp>It doesn’t require the most sophisticated type of genetic testing. Instead, Kathiresan can calculate risk scores for those five diseases — eventually maybe more — simply by reanalyzing the kind of raw data people receive after sending a cheek swab to companies like 23andMe.\u003c/p>\n\u003cp>A geneticist who specializes in cardiovascular disease, he hopes to open a website where people can send in such data to learn their heart risk, as part of continuing research. Kathiresan and co-author Dr. Amit Khera, a Mass General cardiologist, are co-inventors on a patent application for the system.\u003c/p>\n\u003cp>Other scientists and companies have long sought ways to measure risk from multiple, additive gene effects — the “poly” in polygenic — and Myriad Genetics has begun selling a type of polygenic test for breast cancer risk.\u003c/p>\n\u003cp>But specialists in heart disease and genetics who weren’t involved with the research called the new findings exciting because of their scope.\u003c/p>\n\u003cp>“The results should be eye-opening for cardiologists,” said Dr. Charles C. Hong, director of cardiovascular research at the University of Maryland School of Medicine. “The only disappointment is that this score applies only to those with European ancestry, so I wonder if similar scores are in the works for the large majority of the world population that is not white.”\u003c/p>\n\u003cp>Hong pointed to a friend who recently died of a massive heart attack despite being a super-fit marathon runner who’d never smoked, the kind of puzzling death that doctors have long hoped that a better understanding of genetics could help to prevent.\u003c/p>\n\u003cp>“Most of the variation in disease risk comes from an enormous number of very tiny effects” in genes, agreed Stanford University genetics professor Jonathan Pritchard. “This is the first time polygenic scores have really been shown to reach the level of precision where they can have an impact” on patient health.\u003c/p>\n\u003cp>First, the Boston-based team combed previous studies that mapped the DNA of large numbers of people, looking for links to the five diseases — not outright mutations but minor misspellings in the genetic code.\u003c/p>\n\u003cp>Each variation alone would have only a tiny effect on health. They developed a computerized system that analyzed how those effects add up, and tested it using DNA and medical records from 400,000 people stored in Britain’s UK Biobank. Scores more than three times the average person’s risk were deemed high.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Associated Press Health & Science Department receives \u003ca href=\"http://bit.ly/2G0n9w6\">support\u003c/a> from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.\u003c/p>\n\n","blocks":[],"excerpt":"Researchers have reported a new way to measure millions of small genetic variations that add up to cause harm.","status":"publish","parent":0,"modified":1534320042,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":873},"headData":{"title":"Multi-Gene Test May Find Risk for Heart Disease and More | KQED","description":"Researchers have reported a new way to measure millions of small genetic variations that add up to cause harm.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Multi-Gene Test May Find Risk for Heart Disease and More","datePublished":"2018-08-15T16:00:13.000Z","dateModified":"2018-08-15T08:00:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443977 https://ww2.kqed.org/futureofyou/?p=443977","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/08/15/multi-gene-test-may-find-risk-for-heart-disease-and-more/","disqusTitle":"Multi-Gene Test May Find Risk for Heart Disease and More","source":"Health","nprByline":"Lauran Neergaard\u003cbr />The Associated Press","path":"/futureofyou/443977/multi-gene-test-may-find-risk-for-heart-disease-and-more","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>You know your cholesterol, your blood pressure ... your heart gene score? Researchers say a new way of analyzing genetic test data may one day help identify people at high risk of a youthful heart attack in time to help.\u003c/p>\n\u003cp>Today, gene testing mostly focuses on rare mutations in one or a few genes, like those that cause cystic fibrosis or sickle cell disease, or the BRCA gene responsible for a small fraction of breast cancer. It is less useful for some of the most common diseases, such as heart disease or diabetes, because they are influenced by vast numbers of genes-gone-wrong working together in complicated ways.\u003c/p>\n\u003cp>Monday, researchers reported a new way to measure millions of small genetic variations that add up to cause harm, letting them calculate someone’s inherited risk for the most common form of heart disease and four other serious disorders. The potential cardiac impact: They estimated that up to 25 million Americans may have triple the average person’s risk for coronary artery disease even if they haven’t yet developed warning signs like high cholesterol.\u003c/p>\n\u003cp>“What I foresee is in five years, each person will know this risk number, this ‘polygenic risk score,’ similar to the way each person knows his or her cholesterol,” said Dr. Sekar Kathiresan who led the research team from the Broad Institute, Massachusetts General Hospital and Harvard Medical School.\u003c/p>\n\u003cp>If the approach pans out and doctors adopt it, a bad score wouldn’t mean you’d get a disease, just that your genetic makeup increases the chance — one more piece of information in deciding care. For example, when the researchers tested the system using a DNA database from Britain, less than 1 percent of people with the lowest risk scores were diagnosed with coronary artery disease, compared to 11 percent of people with the highest risk score.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There are things you can do to lower the risk,” Kathiresan said — the usual advice about diet, exercise, cholesterol medication and not smoking helps.\u003c/p>\n\u003cp>On the flip side, a low-risk score “doesn’t give you a free pass,” he added. An unhealthy lifestyle could overwhelm the protection of good genes.\u003c/p>\n\u003cp>The scoring system also can predict an increased risk of Type 2 diabetes, inflammatory bowel disease, breast cancer and an irregular heartbeat called atrial fibrillation, the team reported in the journal Nature Genetics — noting that next steps include learning what might likewise lower those risks.\u003c/p>\n\u003cp>It doesn’t require the most sophisticated type of genetic testing. Instead, Kathiresan can calculate risk scores for those five diseases — eventually maybe more — simply by reanalyzing the kind of raw data people receive after sending a cheek swab to companies like 23andMe.\u003c/p>\n\u003cp>A geneticist who specializes in cardiovascular disease, he hopes to open a website where people can send in such data to learn their heart risk, as part of continuing research. Kathiresan and co-author Dr. Amit Khera, a Mass General cardiologist, are co-inventors on a patent application for the system.\u003c/p>\n\u003cp>Other scientists and companies have long sought ways to measure risk from multiple, additive gene effects — the “poly” in polygenic — and Myriad Genetics has begun selling a type of polygenic test for breast cancer risk.\u003c/p>\n\u003cp>But specialists in heart disease and genetics who weren’t involved with the research called the new findings exciting because of their scope.\u003c/p>\n\u003cp>“The results should be eye-opening for cardiologists,” said Dr. Charles C. Hong, director of cardiovascular research at the University of Maryland School of Medicine. “The only disappointment is that this score applies only to those with European ancestry, so I wonder if similar scores are in the works for the large majority of the world population that is not white.”\u003c/p>\n\u003cp>Hong pointed to a friend who recently died of a massive heart attack despite being a super-fit marathon runner who’d never smoked, the kind of puzzling death that doctors have long hoped that a better understanding of genetics could help to prevent.\u003c/p>\n\u003cp>“Most of the variation in disease risk comes from an enormous number of very tiny effects” in genes, agreed Stanford University genetics professor Jonathan Pritchard. “This is the first time polygenic scores have really been shown to reach the level of precision where they can have an impact” on patient health.\u003c/p>\n\u003cp>First, the Boston-based team combed previous studies that mapped the DNA of large numbers of people, looking for links to the five diseases — not outright mutations but minor misspellings in the genetic code.\u003c/p>\n\u003cp>Each variation alone would have only a tiny effect on health. They developed a computerized system that analyzed how those effects add up, and tested it using DNA and medical records from 400,000 people stored in Britain’s UK Biobank. Scores more than three times the average person’s risk were deemed high.\u003c/p>\n\u003cp>___\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Associated Press Health & Science Department receives \u003ca href=\"http://bit.ly/2G0n9w6\">support\u003c/a> from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443977/multi-gene-test-may-find-risk-for-heart-disease-and-more","authors":["byline_futureofyou_443977"],"categories":["futureofyou_1060","futureofyou_1064"],"tags":["futureofyou_17","futureofyou_324","futureofyou_61","futureofyou_279"],"collections":["futureofyou_1093","futureofyou_1094"],"featImg":"futureofyou_443979","label":"source_futureofyou_443977"},"futureofyou_443403":{"type":"posts","id":"futureofyou_443403","meta":{"index":"posts_1591205157","site":"futureofyou","id":"443403","score":null,"sort":[1531854049000]},"guestAuthors":[],"slug":"potential-dna-damage-from-crispr-seriously-underestimated-study-finds","title":"Potential DNA Damage From CRISPR ‘Seriously Underestimated,’ Study Finds","publishDate":1531854049,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>From the earliest days of the CRISPR-Cas9 era, scientists have known that the first step in how it \u003ca href=\"https://www.statnews.com/2018/04/04/how-crispr-works-visualized/\">edits genomes\u003c/a> — snipping DNA — creates an unholy mess: Cellular repairmen frantically try to fix the cuts by throwing random chunks of DNA into the breach and deleting other random bits. \u003ca href=\"https://www.nature.com/articles/Nbt.4192\" target=\"_blank\" rel=\"noopener\">Research\u003c/a> published on Monday suggests that’s only the tip of a Titanic-sized iceberg: CRISPR-Cas9 can cause significantly greater genetic havoc than experts thought, the study concludes, perhaps enough to threaten the health of patients who would one day receive \u003ca href=\"https://www.statnews.com/2018/02/21/crispr-sickle-cell-clinical-trials/\">CRISPR-based therapy\u003c/a>.[contextly_sidebar id=\"y9TqAZzR84fJHw52DmhRAZZb04jkzjxD\"]\u003c/p>\n\u003cp>The results come hard on the heels of two \u003ca href=\"https://www.statnews.com/2018/06/11/crispr-hurdle-edited-cells-might-cause-cancer/\">studies\u003c/a> that identified a related issue: Some CRISPR’d cells might be missing a key anti-cancer mechanism and therefore be able to initiate tumors.\u003c/p>\n\u003cp>The DNA damage found in the new study included deletions of thousands of DNA bases, including at spots far from the edit. Some of the deletions can silence genes that should be active and activate genes that should be silent, including cancer-causing genes.\u003c/p>\n\u003cp>The DNA chaos that CRISPR unleashes has been “seriously underestimated,” said geneticist Allan Bradley of England’s Wellcome Sanger Institute, who led the study. “This should be a wake-up call.”\u003c/p>\n\u003cp>Leading CRISPR companies scrambled to play down the latest threat to what they hope will be a multibillion-dollar business \u003cstrong>— \u003c/strong>and to their stock prices, but investors reacted with alarm. Within the first 20 minutes of when the study was released, the three publicly traded CRISPR companies lost more than $300 million in value, and it was downhill from there: CRISPR Therapeutics ended down 8.6 percent, Editas Medicine fell 7 percent, and Intellia Therapeutics lost nearly 10 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The companies questioned whether the CRISPR-caused DNA damage reported in the new study applied to the kind of cells they’re planning to CRISPR. They emphasized that if genomic scrambling is at all common then it should also be seen in earlier forms of genome-editing such as \u003ca href=\"https://www.statnews.com/2017/11/30/crispr-talens-gene-editing/\">zinc fingers and TALENs\u003c/a> (but apparently isn’t). And they insisted they’re on the case.\u003c/p>\n\u003cp>“We’re not Pollyannaish about this,” said geneticist Tom Barnes, chief innovation officer at Intellia. For its mouse experiments, Intellia analyzes edited genomes for collateral damage both near the editing target and tens of thousands of DNA letters away, he said, but “we have not seen any [cancer-causing] transformation of these cells, even with all the edits we’ve introduced.”[contextly_sidebar id=\"X3REPdHlQY5Hjsf4rQxCF5iuUbyNXJ8K\"]\u003c/p>\n\u003cp>In a statement, Editas spokeswoman Cristi Barnett said the possibility of genetic chaos from CRISPR is “an interesting topic” that the company “actively examine[s].” The reported DNA havoc, she said, is not “specifically problematic in our work to make CRISPR-based medicines.” CRISPR Therapeutics did not respond to requests for comment.\u003c/p>\n\u003cp>Academic scientists were less dismissive of the new study, in Nature Biotechnology. One leading CRISPR developer called it “well-done and credible,” “a cautionary note to the [genome-editing] community,” and consistent with other research showing that the DNA cuts that CRISPR makes, called double-stranded breaks, “can induce the types of genomic DNA rearrangements and deletions they report.” He asked not to be identified so as not to jeopardize business relationships with genome-editing companies.\u003c/p>\n\u003cp>But just as critics of last month’s studies asked why, if CRISPR’d cells can initiate cancer, no CRISPR’d mice had turned up with tumors, so scientists raised similar questions about the new genomic havoc finding: Why don’t scientists see it when they analyze the DNA of CRISPR’d cells?\u003c/p>\n\u003cp>“You find what you look for,” said Bradley. “No one is looking at the impact [of these DNA changes] on downstream genes.”\u003c/p>\n\u003cp>And few studies conduct full-out genome sequencing of CRISPR’d cells. Moreover, scientists typically search for one form of the collateral damage the Sanger study found — deletions of thousands of DNA bases (the double helix’s famous A’s, T’s, C’s, and G’s) — using a standard technique called PCR, which makes millions of DNA copies. But to work, PCR must attach to a “binding site” on DNA; CRISPR sometimes deletes that binding site, said Bradley, whose team used a different technique to analyze the double helix for collateral damage from CRISPR.\u003c/p>\n\u003cp>The Sanger scientists didn’t set out to find collateral DNA damage from CRISPR. As they investigated how CRISPR might change gene expression, a “weird thing” showed up, Bradley said: The target DNA was accurately changed, but that set off a chain reaction that engulfed genes far from the target. The scientists therefore changed course.[contextly_sidebar id=\"dkt97iGOrAQULIvrxP1t89Dkl2rYRsky\"]\u003c/p>\n\u003cp>When they aimed CRISPR at different targets in mouse embryonic stem cells, mouse blood-making cells, and human retinal cells, “extensive on-target genomic damage [was] a common outcome,” they wrote in their paper. In one case, genomes in about two-thirds of the CRISPR’d cells showed the expected small-scale inadvertent havoc, but 21 percent had DNA deletions of more than 250 bases and up to 6,000 bases long.\u003c/p>\n\u003cp>Since therapeutic uses of CRISPR would edit the genomes of billions of cells in, say, a patient’s liver, even rare DNA damage “makes it likely that one or more edited cells … would be endowed with an important [disease-causing] lesion,” the scientists wrote.\u003c/p>\n\u003cp>Nature Biotechnology took a year to publish the paper, after asking Bradley numerous variations of “are you sure?” and “did you consider this?” and asking him to run additional experiments, Bradley said. The results all held up.\u003c/p>\n\u003cp>The one U.S. \u003ca href=\"https://clinicaltrials.gov/ct2/show/NCT03399448\" target=\"_blank\" rel=\"noopener\">clinical trial\u003c/a> using CRISPR’d cells began recruiting patients this year. It will use CRISPR to make immune cells, removed from patients with any of four types of cancer, attack telltale molecules on the tumor cells’ surface. Asked what genome analysis he plans to do, lead investigator Dr. Edward Stadtmauer of the University of Pennsylvania said, “We are doing extensive testing of the final cellular product as well as the cells within the patient.”\u003c/p>\n\u003cp>The possibility of adverse consequences from CRISPR’d cells has caused some company officials to argue that if, say, their therapy cures a child of a devastating disease, but increases her risk of cancer, that might be an acceptable trade-off.\u003c/p>\n\u003cp>That argument may well prevail. In 2003, however, when a boy in a gene therapy trial in France \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJM200301163480314\" target=\"_blank\" rel=\"noopener\">developed leukemia\u003c/a> because the repair gene landed in the wrong place in his genome and activated a cancer-causing gene, it shut down gene therapy development on both sides of the Atlantic for years.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/07/16/crispr-potential-dna-damage-underestimated/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Leading CRISPR companies scrambled to play down the latest threat to what they hope will be a multibillion-dollar business.","status":"publish","parent":0,"modified":1531933835,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1198},"headData":{"title":"Potential DNA Damage From CRISPR ‘Seriously Underestimated,’ Study Finds | KQED","description":"Leading CRISPR companies scrambled to play down the latest threat to what they hope will be a multibillion-dollar business.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Potential DNA Damage From CRISPR ‘Seriously Underestimated,’ Study Finds","datePublished":"2018-07-17T19:00:49.000Z","dateModified":"2018-07-18T17:10:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443403 https://ww2.kqed.org/futureofyou/?p=443403","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/07/17/potential-dna-damage-from-crispr-seriously-underestimated-study-finds/","disqusTitle":"Potential DNA Damage From CRISPR ‘Seriously Underestimated,’ Study Finds","source":"Hope/Hype","nprByline":"Sharon Begley\u003cbr />STAT","path":"/futureofyou/443403/potential-dna-damage-from-crispr-seriously-underestimated-study-finds","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>From the earliest days of the CRISPR-Cas9 era, scientists have known that the first step in how it \u003ca href=\"https://www.statnews.com/2018/04/04/how-crispr-works-visualized/\">edits genomes\u003c/a> — snipping DNA — creates an unholy mess: Cellular repairmen frantically try to fix the cuts by throwing random chunks of DNA into the breach and deleting other random bits. \u003ca href=\"https://www.nature.com/articles/Nbt.4192\" target=\"_blank\" rel=\"noopener\">Research\u003c/a> published on Monday suggests that’s only the tip of a Titanic-sized iceberg: CRISPR-Cas9 can cause significantly greater genetic havoc than experts thought, the study concludes, perhaps enough to threaten the health of patients who would one day receive \u003ca href=\"https://www.statnews.com/2018/02/21/crispr-sickle-cell-clinical-trials/\">CRISPR-based therapy\u003c/a>.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The results come hard on the heels of two \u003ca href=\"https://www.statnews.com/2018/06/11/crispr-hurdle-edited-cells-might-cause-cancer/\">studies\u003c/a> that identified a related issue: Some CRISPR’d cells might be missing a key anti-cancer mechanism and therefore be able to initiate tumors.\u003c/p>\n\u003cp>The DNA damage found in the new study included deletions of thousands of DNA bases, including at spots far from the edit. Some of the deletions can silence genes that should be active and activate genes that should be silent, including cancer-causing genes.\u003c/p>\n\u003cp>The DNA chaos that CRISPR unleashes has been “seriously underestimated,” said geneticist Allan Bradley of England’s Wellcome Sanger Institute, who led the study. “This should be a wake-up call.”\u003c/p>\n\u003cp>Leading CRISPR companies scrambled to play down the latest threat to what they hope will be a multibillion-dollar business \u003cstrong>— \u003c/strong>and to their stock prices, but investors reacted with alarm. Within the first 20 minutes of when the study was released, the three publicly traded CRISPR companies lost more than $300 million in value, and it was downhill from there: CRISPR Therapeutics ended down 8.6 percent, Editas Medicine fell 7 percent, and Intellia Therapeutics lost nearly 10 percent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The companies questioned whether the CRISPR-caused DNA damage reported in the new study applied to the kind of cells they’re planning to CRISPR. They emphasized that if genomic scrambling is at all common then it should also be seen in earlier forms of genome-editing such as \u003ca href=\"https://www.statnews.com/2017/11/30/crispr-talens-gene-editing/\">zinc fingers and TALENs\u003c/a> (but apparently isn’t). And they insisted they’re on the case.\u003c/p>\n\u003cp>“We’re not Pollyannaish about this,” said geneticist Tom Barnes, chief innovation officer at Intellia. For its mouse experiments, Intellia analyzes edited genomes for collateral damage both near the editing target and tens of thousands of DNA letters away, he said, but “we have not seen any [cancer-causing] transformation of these cells, even with all the edits we’ve introduced.”\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In a statement, Editas spokeswoman Cristi Barnett said the possibility of genetic chaos from CRISPR is “an interesting topic” that the company “actively examine[s].” The reported DNA havoc, she said, is not “specifically problematic in our work to make CRISPR-based medicines.” CRISPR Therapeutics did not respond to requests for comment.\u003c/p>\n\u003cp>Academic scientists were less dismissive of the new study, in Nature Biotechnology. One leading CRISPR developer called it “well-done and credible,” “a cautionary note to the [genome-editing] community,” and consistent with other research showing that the DNA cuts that CRISPR makes, called double-stranded breaks, “can induce the types of genomic DNA rearrangements and deletions they report.” He asked not to be identified so as not to jeopardize business relationships with genome-editing companies.\u003c/p>\n\u003cp>But just as critics of last month’s studies asked why, if CRISPR’d cells can initiate cancer, no CRISPR’d mice had turned up with tumors, so scientists raised similar questions about the new genomic havoc finding: Why don’t scientists see it when they analyze the DNA of CRISPR’d cells?\u003c/p>\n\u003cp>“You find what you look for,” said Bradley. “No one is looking at the impact [of these DNA changes] on downstream genes.”\u003c/p>\n\u003cp>And few studies conduct full-out genome sequencing of CRISPR’d cells. Moreover, scientists typically search for one form of the collateral damage the Sanger study found — deletions of thousands of DNA bases (the double helix’s famous A’s, T’s, C’s, and G’s) — using a standard technique called PCR, which makes millions of DNA copies. But to work, PCR must attach to a “binding site” on DNA; CRISPR sometimes deletes that binding site, said Bradley, whose team used a different technique to analyze the double helix for collateral damage from CRISPR.\u003c/p>\n\u003cp>The Sanger scientists didn’t set out to find collateral DNA damage from CRISPR. As they investigated how CRISPR might change gene expression, a “weird thing” showed up, Bradley said: The target DNA was accurately changed, but that set off a chain reaction that engulfed genes far from the target. The scientists therefore changed course.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>When they aimed CRISPR at different targets in mouse embryonic stem cells, mouse blood-making cells, and human retinal cells, “extensive on-target genomic damage [was] a common outcome,” they wrote in their paper. In one case, genomes in about two-thirds of the CRISPR’d cells showed the expected small-scale inadvertent havoc, but 21 percent had DNA deletions of more than 250 bases and up to 6,000 bases long.\u003c/p>\n\u003cp>Since therapeutic uses of CRISPR would edit the genomes of billions of cells in, say, a patient’s liver, even rare DNA damage “makes it likely that one or more edited cells … would be endowed with an important [disease-causing] lesion,” the scientists wrote.\u003c/p>\n\u003cp>Nature Biotechnology took a year to publish the paper, after asking Bradley numerous variations of “are you sure?” and “did you consider this?” and asking him to run additional experiments, Bradley said. The results all held up.\u003c/p>\n\u003cp>The one U.S. \u003ca href=\"https://clinicaltrials.gov/ct2/show/NCT03399448\" target=\"_blank\" rel=\"noopener\">clinical trial\u003c/a> using CRISPR’d cells began recruiting patients this year. It will use CRISPR to make immune cells, removed from patients with any of four types of cancer, attack telltale molecules on the tumor cells’ surface. Asked what genome analysis he plans to do, lead investigator Dr. Edward Stadtmauer of the University of Pennsylvania said, “We are doing extensive testing of the final cellular product as well as the cells within the patient.”\u003c/p>\n\u003cp>The possibility of adverse consequences from CRISPR’d cells has caused some company officials to argue that if, say, their therapy cures a child of a devastating disease, but increases her risk of cancer, that might be an acceptable trade-off.\u003c/p>\n\u003cp>That argument may well prevail. In 2003, however, when a boy in a gene therapy trial in France \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJM200301163480314\" target=\"_blank\" rel=\"noopener\">developed leukemia\u003c/a> because the repair gene landed in the wrong place in his genome and activated a cancer-causing gene, it shut down gene therapy development on both sides of the Atlantic for years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/07/16/crispr-potential-dna-damage-underestimated/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443403/potential-dna-damage-from-crispr-seriously-underestimated-study-finds","authors":["byline_futureofyou_443403"],"categories":["futureofyou_1062","futureofyou_73"],"tags":["futureofyou_103","futureofyou_94","futureofyou_17","futureofyou_1275","futureofyou_830","futureofyou_61"],"collections":["futureofyou_1097","futureofyou_1094"],"featImg":"futureofyou_443405","label":"source_futureofyou_443403"},"futureofyou_442882":{"type":"posts","id":"futureofyou_442882","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442882","score":null,"sort":[1529535610000]},"guestAuthors":[],"slug":"report-for-defense-department-ranks-top-threats-from-synthetic-biology","title":"Report For Defense Department Ranks Top Threats From 'Synthetic Biology'","publishDate":1529535610,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>New genetic tools are making it easier and cheaper to engineer viruses and bacteria, and a report commissioned by the Department of Defense has now ranked the top threats posed by the rapidly advancing field of \"synthetic biology.\"[contextly_sidebar id=\"gb9g2YDw6S8Tv2v2EUI0TWtfXV5po4Qp\"]\u003c/p>\n\u003cp>One of the biggest concerns is the ability to recreate known viruses from scratch in the lab. That means a lab could make a deadly virus that is normally kept under lock and key, such as \u003ca href=\"http://www.who.int/csr/disease/smallpox/en/\">smallpox\u003c/a>.\u003c/p>\n\u003cp>\"Right now, recreating pretty much any virus can be done relatively easily. It requires a certain amount of expertise and resources and knowledge,\" says \u003ca href=\"https://medicine.umich.edu/dept/microbiology-immunology/michael-j-imperiale-phd\" target=\"_blank\" rel=\"noopener\">Michael Imperiale\u003c/a>, a microbiologist at the University of Michigan who chaired the committee convened by the \u003ca href=\"http://www.nationalacademies.org/\" target=\"_blank\" rel=\"noopener\">National Academies of Sciences, Engineering, and Medicine\u003c/a> to assess the state of synthetic biology and offer advice to defense officials.\u003c/p>\n\u003cp>As an example of what's possible, Imperiale pointed to the recent and controversial creation of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/02/17/585385308/did-pox-virus-research-put-potential-profits-ahead-of-public-safety\" target=\"_blank\" rel=\"noopener\">horsepox,\u003c/a> a cousin of smallpox, in a Canadian laboratory. \"These things can now be done,\" he said.\u003c/p>\n\u003cp>Another top danger listed in the report, which was released Tuesday, is making existing bacteria or viruses more dangerous. That could happen, by, say, giving them antibiotic resistance or altering them so that they produce toxins or evade vaccines.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And one scenario pondered by the experts is the creation of microbes that would produce harmful biochemicals in humans while living on the skin or in the gut. This possibility, the report notes, \"is of high concern because its novelty challenges potential mitigation options.\" Public health officials might not even recognize that they were witnessing a biological attack if the dangerous material was delivered to victims in such an unusual way.\u003c/p>\n\u003cp>All in all, the committee examined about a dozen different synthetic biology technologies that could be potentially misused. For each, they considered how likely it was to be usable as a weapon, how much expertise or resources would be needed, and how well governments would be able to recognize and manage an attack.\u003c/p>\n\u003cp>\"There are certain capabilities that may not be possible now, but in those cases we tried to identify what the bottlenecks or barriers might be that, if overcome, would enable those to be more possible,\" Imperiale says.[contextly_sidebar id=\"hU2ywe0bo5FhMcFg3CwThXSqo89g4izl\"]\u003c/p>\n\u003cp>One of the least concerning possibilities, because of the knowledge and technical barriers, was inventing a brand new pathogen by taking a \"mix and match\" approach to combining genetic parts from multiple organisms, according to the report. It notes that making even simple changes to viruses can produce \"drastic deficiencies\" in key viral properties, \"making any such effort especially difficult,\" and that \"the difficulty increases as the distance from natural pathogens increases.\"\u003c/p>\n\u003cp>But that was exactly the scenario that recently unfolded in a table-top exercise conducted last month by the Johns Hopkins Center for Health Security. During the event, experts in pandemic response and national security grappled with a fictional virus called \"\u003ca href=\"http://www.centerforhealthsecurity.org/about-the-center/pressroom/press_releases/2018-05-15_clade-x-policy-recommendations.html\">Clade X\u003c/a>\" that was created by a terrorist group that inserted genetic elements of deadly \u003ca href=\"https://www.npr.org/2018/05/29/615079779/why-it-s-difficult-for-viruses-to-turn-in-to-deadly-pandemics\" target=\"_blank\" rel=\"noopener\">Nipah\u003c/a> virus into a normally-mild \u003ca href=\"https://www.cdc.gov/parainfluenza/index.html\" target=\"_blank\" rel=\"noopener\">human parainfluenza virus\u003c/a>.\u003c/p>\n\u003cp>The terrorist group in this scenario wanted to depopulate the Earth, and deliberately released the contagious virus at multiple spots around the globe. The resulting pandemic killed 150 million people within a year as officials struggled to contain the social and economic chaos until a vaccine could be made.\u003c/p>\n\u003cp>\"What people don't think about very often is the potential for an engineered organism to become an epidemic or even a pandemic. One of the goals of this exercise was to show that an engineered organism could be the cause of something that we are not really preparing for,\" says \u003ca href=\"http://www.centerforhealthsecurity.org/our-staff/profiles/inglesby/index.html\" target=\"_blank\" rel=\"noopener\">Dr. Tom Inglesby\u003c/a>, director of the Johns Hopkins center. \"What we wanted to show in the exercise was that there are different ways of getting to a pandemic. And we need to be prepared for all of them.\"\u003c/p>\n\u003cp>Much of the public health response to an engineered outbreak would be the same as to a natural outbreak, the exercise showed. That means a possible line of defense is beefing up public health infrastructure such as disease surveillance.\u003c/p>\n\u003cp>And, as the new report notes, the same synthetic biology tools that could be used to harm could also be used to fight this threat, by allowing the rapid creation of better medicines, vaccines, and diagnostics.[contextly_sidebar id=\"9JS7pw28z71O9Hau5X1qfcsxIFZNY5TF\"]\u003c/p>\n\u003cp>\u003ca href=\"https://silver.med.harvard.edu/\">Pamela Silver\u003c/a>, a synthetic biologist at Harvard who was not on the committee but reviewed its report, said that the assessment is \"timely, given that there's a lot of attention being paid to genetic engineering because of \u003ca href=\"https://www.npr.org/sections/health-shots/2015/12/28/460705645/gene-editing-tool-hailed-as-a-breakthrough-and-it-really-is-one\" target=\"_blank\" rel=\"noopener\">CRISPR\u003c/a>,\" the new tool that has made it much easier to edit genes.\u003c/p>\n\u003cp>She does worry, though, that because this report ranked potential threats, \"somebody might say 'oh, here are the three things we have to worry about the most,' and then ignore the others.\"\u003c/p>\n\u003cp>And this assessment was made based on today's technology, she says, but it's clear that biology changes rapidly and is full of surprises. \"So what's the next CRISPR? What's the next big thing?\" Silver asks. \"We need to anticipate, as well. Biology is a rapidly moving field and we need to stay on top of that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She says she just recently was looking at a preprint of a scientific paper about engineering bacteria, \"and I noticed that it was from high school students. That's just amazing to me.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Report+For+Defense+Department+Ranks+Top+Threats+From+%27Synthetic+Biology%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A committee of experts examined about a dozen different synthetic biology technologies that could be potentially misused. For each, they considered how likely it was to be usable as a weapon.","status":"publish","parent":0,"modified":1529517676,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":916},"headData":{"title":"Report For Defense Department Ranks Top Threats From 'Synthetic Biology' | KQED","description":"A committee of experts examined about a dozen different synthetic biology technologies that could be potentially misused. For each, they considered how likely it was to be usable as a weapon.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Report For Defense Department Ranks Top Threats From 'Synthetic Biology'","datePublished":"2018-06-20T23:00:10.000Z","dateModified":"2018-06-20T18:01:16.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442882 https://ww2.kqed.org/futureofyou/?p=442882","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/20/report-for-defense-department-ranks-top-threats-from-synthetic-biology/","disqusTitle":"Report For Defense Department Ranks Top Threats From 'Synthetic Biology'","source":"Technology","nprImageCredit":"Dr. Hans Gelderblom","nprByline":"Nell Greenfieldboyce\u003cbr />NPR","nprImageAgency":"Visuals Unlimited/Getty Images","nprStoryId":"621350272","nprApiLink":"http://api.npr.org/query?id=621350272&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/19/621350272/report-for-defense-department-ranks-top-threats-from-synthetic-biology?ft=nprml&f=621350272","nprRetrievedStory":"1","nprPubDate":"Tue, 19 Jun 2018 21:37:00 -0400","nprStoryDate":"Tue, 19 Jun 2018 11:05:00 -0400","nprLastModifiedDate":"Tue, 19 Jun 2018 16:53:41 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/06/20180619_atc_report_for_defense_department_ranks_top_threats_from_synthetic_biology_.mp3?orgId=1&topicId=1128&d=235&p=2&story=621350272&ft=nprml&f=621350272","nprAudioM3u":"http://api.npr.org/m3u/1621579108-a7215c.m3u?orgId=1&topicId=1128&d=235&p=2&story=621350272&ft=nprml&f=621350272","path":"/futureofyou/442882/report-for-defense-department-ranks-top-threats-from-synthetic-biology","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2018/06/20180619_atc_report_for_defense_department_ranks_top_threats_from_synthetic_biology_.mp3?orgId=1&topicId=1128&d=235&p=2&story=621350272&ft=nprml&f=621350272","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>New genetic tools are making it easier and cheaper to engineer viruses and bacteria, and a report commissioned by the Department of Defense has now ranked the top threats posed by the rapidly advancing field of \"synthetic biology.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>One of the biggest concerns is the ability to recreate known viruses from scratch in the lab. That means a lab could make a deadly virus that is normally kept under lock and key, such as \u003ca href=\"http://www.who.int/csr/disease/smallpox/en/\">smallpox\u003c/a>.\u003c/p>\n\u003cp>\"Right now, recreating pretty much any virus can be done relatively easily. It requires a certain amount of expertise and resources and knowledge,\" says \u003ca href=\"https://medicine.umich.edu/dept/microbiology-immunology/michael-j-imperiale-phd\" target=\"_blank\" rel=\"noopener\">Michael Imperiale\u003c/a>, a microbiologist at the University of Michigan who chaired the committee convened by the \u003ca href=\"http://www.nationalacademies.org/\" target=\"_blank\" rel=\"noopener\">National Academies of Sciences, Engineering, and Medicine\u003c/a> to assess the state of synthetic biology and offer advice to defense officials.\u003c/p>\n\u003cp>As an example of what's possible, Imperiale pointed to the recent and controversial creation of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/02/17/585385308/did-pox-virus-research-put-potential-profits-ahead-of-public-safety\" target=\"_blank\" rel=\"noopener\">horsepox,\u003c/a> a cousin of smallpox, in a Canadian laboratory. \"These things can now be done,\" he said.\u003c/p>\n\u003cp>Another top danger listed in the report, which was released Tuesday, is making existing bacteria or viruses more dangerous. That could happen, by, say, giving them antibiotic resistance or altering them so that they produce toxins or evade vaccines.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And one scenario pondered by the experts is the creation of microbes that would produce harmful biochemicals in humans while living on the skin or in the gut. This possibility, the report notes, \"is of high concern because its novelty challenges potential mitigation options.\" Public health officials might not even recognize that they were witnessing a biological attack if the dangerous material was delivered to victims in such an unusual way.\u003c/p>\n\u003cp>All in all, the committee examined about a dozen different synthetic biology technologies that could be potentially misused. For each, they considered how likely it was to be usable as a weapon, how much expertise or resources would be needed, and how well governments would be able to recognize and manage an attack.\u003c/p>\n\u003cp>\"There are certain capabilities that may not be possible now, but in those cases we tried to identify what the bottlenecks or barriers might be that, if overcome, would enable those to be more possible,\" Imperiale says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>One of the least concerning possibilities, because of the knowledge and technical barriers, was inventing a brand new pathogen by taking a \"mix and match\" approach to combining genetic parts from multiple organisms, according to the report. It notes that making even simple changes to viruses can produce \"drastic deficiencies\" in key viral properties, \"making any such effort especially difficult,\" and that \"the difficulty increases as the distance from natural pathogens increases.\"\u003c/p>\n\u003cp>But that was exactly the scenario that recently unfolded in a table-top exercise conducted last month by the Johns Hopkins Center for Health Security. During the event, experts in pandemic response and national security grappled with a fictional virus called \"\u003ca href=\"http://www.centerforhealthsecurity.org/about-the-center/pressroom/press_releases/2018-05-15_clade-x-policy-recommendations.html\">Clade X\u003c/a>\" that was created by a terrorist group that inserted genetic elements of deadly \u003ca href=\"https://www.npr.org/2018/05/29/615079779/why-it-s-difficult-for-viruses-to-turn-in-to-deadly-pandemics\" target=\"_blank\" rel=\"noopener\">Nipah\u003c/a> virus into a normally-mild \u003ca href=\"https://www.cdc.gov/parainfluenza/index.html\" target=\"_blank\" rel=\"noopener\">human parainfluenza virus\u003c/a>.\u003c/p>\n\u003cp>The terrorist group in this scenario wanted to depopulate the Earth, and deliberately released the contagious virus at multiple spots around the globe. The resulting pandemic killed 150 million people within a year as officials struggled to contain the social and economic chaos until a vaccine could be made.\u003c/p>\n\u003cp>\"What people don't think about very often is the potential for an engineered organism to become an epidemic or even a pandemic. One of the goals of this exercise was to show that an engineered organism could be the cause of something that we are not really preparing for,\" says \u003ca href=\"http://www.centerforhealthsecurity.org/our-staff/profiles/inglesby/index.html\" target=\"_blank\" rel=\"noopener\">Dr. Tom Inglesby\u003c/a>, director of the Johns Hopkins center. \"What we wanted to show in the exercise was that there are different ways of getting to a pandemic. And we need to be prepared for all of them.\"\u003c/p>\n\u003cp>Much of the public health response to an engineered outbreak would be the same as to a natural outbreak, the exercise showed. That means a possible line of defense is beefing up public health infrastructure such as disease surveillance.\u003c/p>\n\u003cp>And, as the new report notes, the same synthetic biology tools that could be used to harm could also be used to fight this threat, by allowing the rapid creation of better medicines, vaccines, and diagnostics.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://silver.med.harvard.edu/\">Pamela Silver\u003c/a>, a synthetic biologist at Harvard who was not on the committee but reviewed its report, said that the assessment is \"timely, given that there's a lot of attention being paid to genetic engineering because of \u003ca href=\"https://www.npr.org/sections/health-shots/2015/12/28/460705645/gene-editing-tool-hailed-as-a-breakthrough-and-it-really-is-one\" target=\"_blank\" rel=\"noopener\">CRISPR\u003c/a>,\" the new tool that has made it much easier to edit genes.\u003c/p>\n\u003cp>She does worry, though, that because this report ranked potential threats, \"somebody might say 'oh, here are the three things we have to worry about the most,' and then ignore the others.\"\u003c/p>\n\u003cp>And this assessment was made based on today's technology, she says, but it's clear that biology changes rapidly and is full of surprises. \"So what's the next CRISPR? What's the next big thing?\" Silver asks. \"We need to anticipate, as well. Biology is a rapidly moving field and we need to stay on top of that.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She says she just recently was looking at a preprint of a scientific paper about engineering bacteria, \"and I noticed that it was from high school students. That's just amazing to me.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Report+For+Defense+Department+Ranks+Top+Threats+From+%27Synthetic+Biology%27+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442882/report-for-defense-department-ranks-top-threats-from-synthetic-biology","authors":["byline_futureofyou_442882"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73","futureofyou_1064"],"tags":["futureofyou_1525","futureofyou_1521","futureofyou_94","futureofyou_17","futureofyou_155","futureofyou_1526","futureofyou_1527"],"collections":["futureofyou_1093","futureofyou_1094"],"featImg":"futureofyou_442883","label":"source_futureofyou_442882"},"futureofyou_442808":{"type":"posts","id":"futureofyou_442808","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442808","score":null,"sort":[1529335810000]},"guestAuthors":[],"slug":"results-of-at-home-genetic-tests-for-health-can-be-hard-to-interpret","title":"Results Of At-Home Genetic Tests For Health Can Be Hard To Interpret","publishDate":1529335810,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1094,"site":"futureofyou"},"content":"\u003cp>Rita Adele Steyn's mother had a double mastectomy in her 40s because she had so many lumps in her breasts. Her first cousin died of breast cancer. And Steyn's sister is going through chemotherapy for the disease now. Steyn worries she might be next.[contextly_sidebar id=\"2jv7QCmynDbyHW9qUVcm6pRU4NOR220R\"]\u003c/p>\n\u003cp>\"Sometimes you feel like you beat the odds. And sometimes you feel like the odds are against you,\" said Steyn, 42, who lives in Tampa, Fla. \"And right now I feel like the odds are against me.\"\u003c/p>\n\u003cp>So Steyn jumped at the chance when she heard about a company offering an inexpensive and easy new way to get her DNA tested for genetic mutations that sharply increase the risk for \u003ca href=\"https://www.cancer.org/cancer/breast-cancer.html\" target=\"_blank\" rel=\"noopener\">breast cancer\u003c/a>.\u003c/p>\n\u003cp>\"I thought it would be good to get tested,\" says Steyn. \"I thought this is something I should know.\"\u003c/p>\n\u003cp>She ordered a $200 testing kit from the company, 23andme, spit into a small plastic tube, sent it back and waited for the results.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Genetic testing used to be uncommon and ordered only by doctors. They used it mainly to diagnose rare conditions, to find out whether prospective parents are carrying genetic diseases, or to determine whether patients are at risk for diseases in the future.\u003c/p>\n\u003cp>Now, more people are getting their DNA analyzed for health reasons, in the comfort of their own homes. As genetic testing has gotten easier, faster and more affordable, it has become a multimillion-dollar industry, with many companies aggressively marketing convenient, inexpensive tests directly to consumers. About one-third of Americans say they or a family member have considered getting a genetic test, \u003ca href=\"https://www.npr.org/sections/health-shots/2018/06/01/616126056/poll-genealogical-curiosity-is-a-top-reason-for-dna-tests-privacy-a-concern\" target=\"_blank\" rel=\"noopener\">according to a recent NPR-IBM Watson Health Poll\u003c/a>. And millions of people have gotten them, for a variety of reasons.[contextly_sidebar id=\"5sGM4fbYVp0AOmgc16BrIla2iYM1tjtz\"]\u003c/p>\n\u003cp>\"This health-related testing is probably the next big step in using genomic information in our lives,\" says \u003ca href=\"https://isearch.asu.edu/profile/2783639\" target=\"_blank\" rel=\"noopener\">Robert Cook-Deegan\u003c/a>, who studies health policy at Arizona State University.\u003c/p>\n\u003cp>But others find the trend troubling. The tests have limitations and can be hard to interpret without a doctor or genetic counselor to weigh in.\u003c/p>\n\u003cp>\u003cstrong>Pros and Cons\u003c/strong>\u003c/p>\n\u003cp>The company Steyn used, \u003ca href=\"https://www.23andme.com/\" target=\"_blank\" rel=\"noopener\">23andMe\u003c/a>, recently \u003ca href=\"https://www.npr.org/2018/03/07/591423146/test-for-breast-cancer-gene-will-be-available-in-weeks\" target=\"_blank\" rel=\"noopener\">became the first to win approval\u003c/a> from the Food and Drug Administration to market a genetic test for cancer directly to consumers without a doctor's order. It spent $27.9 million on advertising in the first quarter of 2018, according to the tracking firm Kantar Media. (NPR receives financial support from 23andMe.)\u003c/p>\n\u003cp>The industry is set to grow even more as restrictions on the medical uses of these tests are eased. The Food and Drug Administration recently \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm583885.htm\">announced\u003c/a> plans to make it easier for these kinds of tests to win approval.[contextly_sidebar id=\"6BR65Pmc5xtQQjBssPMWnhSlrwXrhHIz\"]\u003c/p>\n\u003cp>Many physicians welcome the trend, saying it's giving people valuable information. Consumers can find out early whether they are at increased risk for cancer, Alzheimer's and other diseases — and take steps to protect themselves. The testing can also sometimes help identify the safest and most effective medications to use.\u003c/p>\n\u003cp>\"Direct-to-consumer genetics companies are leading the way toward democratizing genetics and making it available to more and more people to learn about their risks and intervene in ways to keep themselves healthy,\" says \u003ca href=\"http://personalizedmedicine.partners.org/About/Leadership-Team/Robert%20Green.aspx\" target=\"_blank\" rel=\"noopener\">Robert Green\u003c/a>, a medical geneticist at Harvard.\u003c/p>\n\u003cp>But other genetic specialists, including \u003ca href=\"https://www.med.unc.edu/im/patients/general-medicine-internal-medicine-clinic/james-evans-md-phd\" target=\"_blank\" rel=\"noopener\">James Evans\u003c/a>, a professor of genetics and medicine at the University of North Carolina, Chapel Hill, argue genetic testing is still in its infancy and that the results are often inconclusive and confusing.\u003c/p>\n\u003cp>\"I think that it's an unfortunate development that will likely cause considerable mischief,\" Evans says.\u003c/p>\n\u003cp>One problem is that patients can be easily overwhelmed when results are misleading or murky. Genetic testing is still best done through doctors, he says, working with specially trained genetic counselors who can guide patients every step of the way.[contextly_sidebar id=\"xJAmUsouQpJLM7V2Qt8t7fJx04FgVQwG\"]\u003c/p>\n\u003cp>\"What people deserve is well-thought-out information,\" Evans says. \"The only people who will really benefit are the investors in these companies that market these incomplete and misleading tests.\"\u003c/p>\n\u003cp>Some companies are offering newer forms of genetic testing that decipher and analyze every gene known to carry instructions for producing proteins that might reveal mutations — a process called \u003ca href=\"https://ghr.nlm.nih.gov/primer/testing/sequencing\" target=\"_blank\" rel=\"noopener\">whole exome sequencing\u003c/a>. Still others analyze the entire genetic code, which is called \u003ca href=\"https://www.fda.gov/Food/FoodScienceResearch/WholeGenomeSequencingProgramWGS/\" target=\"_blank\" rel=\"noopener\">whole genome sequencing\u003c/a>, which may find additional clues to disease. They will then analyze customers' genomes for any variations known to be associated with diseases.\u003c/p>\n\u003cp>The approach 23andMe takes is a rapid, but older, process. It analyzes short pieces of DNA for genetic variations known as \u003ca href=\"https://ghr.nlm.nih.gov/primer/genomicresearch/snp\" target=\"_blank\" rel=\"noopener\">single nucleotide variations (SNPs)\u003c/a> associated with specific diseases.\u003c/p>\n\u003cp>Except for 23andMe, all of the companies still require a doctor's order to get this testing. But an increasing number of these companies will find a physician to sign off on that for customers.\u003c/p>\n\u003cp>\"We're all about empowering consumers and making it as easy as possible for people to get these insights,\" says \u003ca href=\"https://www.helix.com/blog/author/elissa-levin/\" target=\"_blank\" rel=\"noopener\">Elissa Levin\u003c/a>, director of policy and clinical services at \u003ca href=\"https://www.helix.com/\">Helix\u003c/a>, a genetic testing company.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.stanford.edu/louanne-hudgins\" target=\"_blank\" rel=\"noopener\">Louanne Hudgins\u003c/a>, president of the \u003ca href=\"https://www.acmg.net/\" target=\"_blank\" rel=\"noopener\">American College of Medical Genetics and Genomics\u003c/a>, says she's \"very concerned\" about this.\u003c/p>\n\u003cp>\"Individuals should be evaluated by medical professionals who are not conflicted, meaning they do not somehow work for a company,\" Hudgins says. \"Doctors who are contracted by companies are going to say, 'Do the test' no matter what, even if the test may not be indicated.\"\u003c/p>\n\u003cp>The companies defend the practice, saying the doctors they find for customers may be better suited than the average physician.\u003c/p>\n\u003cp>\"The majority of doctors have had maybe one class in genetics,\" says \u003ca href=\"https://www.color.com/team\" target=\"_blank\" rel=\"noopener\">Othman Laraki\u003c/a>, CEO of Color Genomics, another genetic testing company. \"I think it's much more important to have someone who has a background in genetics than just simply have someone who you can physically meet with.\"[contextly_sidebar id=\"z5IAPc8KdOy51FSsfsI8mbgyU8TgOGr0\"]\u003c/p>\n\u003cp>Privacy is another concern. Genetic testing companies say they have strict policies and procedures to protect customers' information. But some firms provide access to the genetic information they collect on an anonymous basis to drug companies and others to use for research.\u003c/p>\n\u003cp>Recent breaches of privacy by companies that collect information about people, such as Facebook, have underscored the risks of electronic data.\u003c/p>\n\u003cp>\"I'm really hoping that the security practices associated with genetic information are quite strong,\" says Cook-Deegan. \"The companies say they're strong. Time will tell if that's true.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://www.eeoc.gov/laws/statutes/gina.cfm\">federal law\u003c/a> prohibits the use of genetic information to discriminate against the people for health insurance or jobs. But that law does not protect against the use of genetic information in making decisions about other things, such as life and long-term care insurance.\u003c/p>\n\u003cp>\"These are the types of things you really ought to consider when thinking about doing this kind of genetic testing — not whether there's a special on the testing this week,\" says \u003ca href=\"https://louisville.edu/bioethics/directory/mark-a.-rothstein\" target=\"_blank\" rel=\"noopener\">Mark Rothstein\u003c/a>, a professor of medicine and a bioethicist at the University of Louisville School of Medicine.\u003c/p>\n\u003cp>\u003cstrong>Results — With Limitations\u003c/strong>\u003c/p>\n\u003cp>About a month after sending in her sample, Steyn got a notice that the results of her breast cancer test were ready.\u003c/p>\n\u003cp>\"I'm really nervous,\" she said as she read through the company's explanation of what her results do and do not mean.\u003c/p>\n\u003cp>She paused in silence after she clicked to get the results.\u003c/p>\n\u003cp>\"It says zero variants detected,\" Steyn finally said, meaning the test had not found any mutations that would increase her risk.\u003c/p>\n\u003cp>\"I guess I do feel really relieved. It does make me feel better,\" she said, her voice cracking. \"I guess I just feel my chances are better now, you know?\"\u003c/p>\n\u003cp>Critics worry the testing is misleading — and relying on it could be dangerous. It tests for only three mutations in two genes known as \u003ca href=\"https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet\" target=\"_blank\" rel=\"noopener\">BRCA1 and BRCA2\u003c/a> that can increase the risk for breast and \u003ca href=\"https://www.cancer.org/cancer/ovarian-cancer.html\" target=\"_blank\" rel=\"noopener\">ovarian cancer\u003c/a>. Women could still have one of the thousands of other mutations that increase the risk, or be at risk for other, nongenetic reasons.[contextly_sidebar id=\"yoPuviqWfqVzH92JGqeNFv9hvL3T9Qlf\"]\u003c/p>\n\u003cp>The concern is that if a woman's 23andMe test shows she's free of the risky mutations, she may think she's in the clear and not do things she should do, such as get regular mammograms or undergo more thorough genetic testing.\u003c/p>\n\u003cp>\"To be very blunt, I worry that women who undertake testing from 23andMe could believe that they do not carry a mutation when in fact they do, and as a consequence could die of breast or ovarian cancer,\" says \u003ca href=\"http://www.gs.washington.edu/faculty/king.htm\" target=\"_blank\" rel=\"noopener\">Mary-Claire King\u003c/a>, a University of Washington geneticist who helped identify the breast cancer genes. \"I do not want to see that happen.\"\u003c/p>\n\u003cp>The company argues that it makes the test's limitations very clear and encourages women to talk to their doctor about the results and possibly seek more extensive genetic testing.\u003c/p>\n\u003cp>For women who discover they have one of the risky gene variants, the information could be crucial, according to \u003ca href=\"https://medical.23andme.com/medical-team/\" target=\"_blank\" rel=\"noopener\">Stacey Detweiller\u003c/a>, a medical affairs associate and genetic counselor at 23andMe.\u003c/p>\n\u003cp>\"Our mission is helping people access, understand and benefit from the human genome,\" Detweiller says. \"There's steps that can be taken from knowing this information that could be life-saving.\"\u003c/p>\n\u003cp>Steyn and the two other women NPR followed through the process of taking the test seemed to understand the test's limitations. They said they knew they couldn't rely on it, but they were curious to see the results.\u003c/p>\n\u003cp>But Steyn admits that she felt somewhat less urgency to get a mammogram or additional testing because of the 23andMe test results, especially since she doesn't have health insurance at the moment.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I'm glad I did it, especially in light of the fact that I find myself in a position where I do have to wait to see a doctor now because of the insurance situation I find myself in,\" Steyn says. \"Now I feel a little bit better about waiting. Beforehand, I probably would have not waited and figure out a way to afford this.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Results+Of+At-Home+Genetic+Tests+For+Health+Can+Be+Hard+To+Interpret+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"As home genetic testing continues to boom, more people are getting their DNA tested for health reasons. The tests may signal future disease, but there are many limitations that might falsely reassure.","status":"publish","parent":0,"modified":1529343416,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1690},"headData":{"title":"Results Of At-Home Genetic Tests For Health Can Be Hard To Interpret | KQED","description":"As home genetic testing continues to boom, more people are getting their DNA tested for health reasons. The tests may signal future disease, but there are many limitations that might falsely reassure.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Results Of At-Home Genetic Tests For Health Can Be Hard To Interpret","datePublished":"2018-06-18T15:30:10.000Z","dateModified":"2018-06-18T17:36:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442808 https://ww2.kqed.org/futureofyou/?p=442808","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/18/results-of-at-home-genetic-tests-for-health-can-be-hard-to-interpret/","disqusTitle":"Results Of At-Home Genetic Tests For Health Can Be Hard To Interpret","nprByline":"Rob Stein, NPR","nprImageAgency":"Courtesy of Rita Steyn","nprStoryId":"609750963","nprApiLink":"http://api.npr.org/query?id=609750963&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/18/609750963/results-of-at-home-genetic-tests-for-health-can-be-hard-to-interpret?ft=nprml&f=609750963","nprRetrievedStory":"1","nprPubDate":"Mon, 18 Jun 2018 11:03:00 -0400","nprStoryDate":"Mon, 18 Jun 2018 04:58:00 -0400","nprLastModifiedDate":"Mon, 18 Jun 2018 09:47:12 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180618_me_results_of_at-home_genetic_tests_for_health_can_be_hard_to_interpret_.mp3?orgId=1&topicId=1128&d=384&p=3&story=609750963&ft=nprml&f=609750963","nprAudioM3u":"http://api.npr.org/m3u/1620939204-ba3905.m3u?orgId=1&topicId=1128&d=384&p=3&story=609750963&ft=nprml&f=609750963","path":"/futureofyou/442808/results-of-at-home-genetic-tests-for-health-can-be-hard-to-interpret","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180618_me_results_of_at-home_genetic_tests_for_health_can_be_hard_to_interpret_.mp3?orgId=1&topicId=1128&d=384&p=3&story=609750963&ft=nprml&f=609750963","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Rita Adele Steyn's mother had a double mastectomy in her 40s because she had so many lumps in her breasts. Her first cousin died of breast cancer. And Steyn's sister is going through chemotherapy for the disease now. Steyn worries she might be next.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Sometimes you feel like you beat the odds. And sometimes you feel like the odds are against you,\" said Steyn, 42, who lives in Tampa, Fla. \"And right now I feel like the odds are against me.\"\u003c/p>\n\u003cp>So Steyn jumped at the chance when she heard about a company offering an inexpensive and easy new way to get her DNA tested for genetic mutations that sharply increase the risk for \u003ca href=\"https://www.cancer.org/cancer/breast-cancer.html\" target=\"_blank\" rel=\"noopener\">breast cancer\u003c/a>.\u003c/p>\n\u003cp>\"I thought it would be good to get tested,\" says Steyn. \"I thought this is something I should know.\"\u003c/p>\n\u003cp>She ordered a $200 testing kit from the company, 23andme, spit into a small plastic tube, sent it back and waited for the results.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Genetic testing used to be uncommon and ordered only by doctors. They used it mainly to diagnose rare conditions, to find out whether prospective parents are carrying genetic diseases, or to determine whether patients are at risk for diseases in the future.\u003c/p>\n\u003cp>Now, more people are getting their DNA analyzed for health reasons, in the comfort of their own homes. As genetic testing has gotten easier, faster and more affordable, it has become a multimillion-dollar industry, with many companies aggressively marketing convenient, inexpensive tests directly to consumers. About one-third of Americans say they or a family member have considered getting a genetic test, \u003ca href=\"https://www.npr.org/sections/health-shots/2018/06/01/616126056/poll-genealogical-curiosity-is-a-top-reason-for-dna-tests-privacy-a-concern\" target=\"_blank\" rel=\"noopener\">according to a recent NPR-IBM Watson Health Poll\u003c/a>. And millions of people have gotten them, for a variety of reasons.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"This health-related testing is probably the next big step in using genomic information in our lives,\" says \u003ca href=\"https://isearch.asu.edu/profile/2783639\" target=\"_blank\" rel=\"noopener\">Robert Cook-Deegan\u003c/a>, who studies health policy at Arizona State University.\u003c/p>\n\u003cp>But others find the trend troubling. The tests have limitations and can be hard to interpret without a doctor or genetic counselor to weigh in.\u003c/p>\n\u003cp>\u003cstrong>Pros and Cons\u003c/strong>\u003c/p>\n\u003cp>The company Steyn used, \u003ca href=\"https://www.23andme.com/\" target=\"_blank\" rel=\"noopener\">23andMe\u003c/a>, recently \u003ca href=\"https://www.npr.org/2018/03/07/591423146/test-for-breast-cancer-gene-will-be-available-in-weeks\" target=\"_blank\" rel=\"noopener\">became the first to win approval\u003c/a> from the Food and Drug Administration to market a genetic test for cancer directly to consumers without a doctor's order. It spent $27.9 million on advertising in the first quarter of 2018, according to the tracking firm Kantar Media. (NPR receives financial support from 23andMe.)\u003c/p>\n\u003cp>The industry is set to grow even more as restrictions on the medical uses of these tests are eased. The Food and Drug Administration recently \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm583885.htm\">announced\u003c/a> plans to make it easier for these kinds of tests to win approval.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Many physicians welcome the trend, saying it's giving people valuable information. Consumers can find out early whether they are at increased risk for cancer, Alzheimer's and other diseases — and take steps to protect themselves. The testing can also sometimes help identify the safest and most effective medications to use.\u003c/p>\n\u003cp>\"Direct-to-consumer genetics companies are leading the way toward democratizing genetics and making it available to more and more people to learn about their risks and intervene in ways to keep themselves healthy,\" says \u003ca href=\"http://personalizedmedicine.partners.org/About/Leadership-Team/Robert%20Green.aspx\" target=\"_blank\" rel=\"noopener\">Robert Green\u003c/a>, a medical geneticist at Harvard.\u003c/p>\n\u003cp>But other genetic specialists, including \u003ca href=\"https://www.med.unc.edu/im/patients/general-medicine-internal-medicine-clinic/james-evans-md-phd\" target=\"_blank\" rel=\"noopener\">James Evans\u003c/a>, a professor of genetics and medicine at the University of North Carolina, Chapel Hill, argue genetic testing is still in its infancy and that the results are often inconclusive and confusing.\u003c/p>\n\u003cp>\"I think that it's an unfortunate development that will likely cause considerable mischief,\" Evans says.\u003c/p>\n\u003cp>One problem is that patients can be easily overwhelmed when results are misleading or murky. Genetic testing is still best done through doctors, he says, working with specially trained genetic counselors who can guide patients every step of the way.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"What people deserve is well-thought-out information,\" Evans says. \"The only people who will really benefit are the investors in these companies that market these incomplete and misleading tests.\"\u003c/p>\n\u003cp>Some companies are offering newer forms of genetic testing that decipher and analyze every gene known to carry instructions for producing proteins that might reveal mutations — a process called \u003ca href=\"https://ghr.nlm.nih.gov/primer/testing/sequencing\" target=\"_blank\" rel=\"noopener\">whole exome sequencing\u003c/a>. Still others analyze the entire genetic code, which is called \u003ca href=\"https://www.fda.gov/Food/FoodScienceResearch/WholeGenomeSequencingProgramWGS/\" target=\"_blank\" rel=\"noopener\">whole genome sequencing\u003c/a>, which may find additional clues to disease. They will then analyze customers' genomes for any variations known to be associated with diseases.\u003c/p>\n\u003cp>The approach 23andMe takes is a rapid, but older, process. It analyzes short pieces of DNA for genetic variations known as \u003ca href=\"https://ghr.nlm.nih.gov/primer/genomicresearch/snp\" target=\"_blank\" rel=\"noopener\">single nucleotide variations (SNPs)\u003c/a> associated with specific diseases.\u003c/p>\n\u003cp>Except for 23andMe, all of the companies still require a doctor's order to get this testing. But an increasing number of these companies will find a physician to sign off on that for customers.\u003c/p>\n\u003cp>\"We're all about empowering consumers and making it as easy as possible for people to get these insights,\" says \u003ca href=\"https://www.helix.com/blog/author/elissa-levin/\" target=\"_blank\" rel=\"noopener\">Elissa Levin\u003c/a>, director of policy and clinical services at \u003ca href=\"https://www.helix.com/\">Helix\u003c/a>, a genetic testing company.\u003c/p>\n\u003cp>Dr. \u003ca href=\"https://profiles.stanford.edu/louanne-hudgins\" target=\"_blank\" rel=\"noopener\">Louanne Hudgins\u003c/a>, president of the \u003ca href=\"https://www.acmg.net/\" target=\"_blank\" rel=\"noopener\">American College of Medical Genetics and Genomics\u003c/a>, says she's \"very concerned\" about this.\u003c/p>\n\u003cp>\"Individuals should be evaluated by medical professionals who are not conflicted, meaning they do not somehow work for a company,\" Hudgins says. \"Doctors who are contracted by companies are going to say, 'Do the test' no matter what, even if the test may not be indicated.\"\u003c/p>\n\u003cp>The companies defend the practice, saying the doctors they find for customers may be better suited than the average physician.\u003c/p>\n\u003cp>\"The majority of doctors have had maybe one class in genetics,\" says \u003ca href=\"https://www.color.com/team\" target=\"_blank\" rel=\"noopener\">Othman Laraki\u003c/a>, CEO of Color Genomics, another genetic testing company. \"I think it's much more important to have someone who has a background in genetics than just simply have someone who you can physically meet with.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Privacy is another concern. Genetic testing companies say they have strict policies and procedures to protect customers' information. But some firms provide access to the genetic information they collect on an anonymous basis to drug companies and others to use for research.\u003c/p>\n\u003cp>Recent breaches of privacy by companies that collect information about people, such as Facebook, have underscored the risks of electronic data.\u003c/p>\n\u003cp>\"I'm really hoping that the security practices associated with genetic information are quite strong,\" says Cook-Deegan. \"The companies say they're strong. Time will tell if that's true.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://www.eeoc.gov/laws/statutes/gina.cfm\">federal law\u003c/a> prohibits the use of genetic information to discriminate against the people for health insurance or jobs. But that law does not protect against the use of genetic information in making decisions about other things, such as life and long-term care insurance.\u003c/p>\n\u003cp>\"These are the types of things you really ought to consider when thinking about doing this kind of genetic testing — not whether there's a special on the testing this week,\" says \u003ca href=\"https://louisville.edu/bioethics/directory/mark-a.-rothstein\" target=\"_blank\" rel=\"noopener\">Mark Rothstein\u003c/a>, a professor of medicine and a bioethicist at the University of Louisville School of Medicine.\u003c/p>\n\u003cp>\u003cstrong>Results — With Limitations\u003c/strong>\u003c/p>\n\u003cp>About a month after sending in her sample, Steyn got a notice that the results of her breast cancer test were ready.\u003c/p>\n\u003cp>\"I'm really nervous,\" she said as she read through the company's explanation of what her results do and do not mean.\u003c/p>\n\u003cp>She paused in silence after she clicked to get the results.\u003c/p>\n\u003cp>\"It says zero variants detected,\" Steyn finally said, meaning the test had not found any mutations that would increase her risk.\u003c/p>\n\u003cp>\"I guess I do feel really relieved. It does make me feel better,\" she said, her voice cracking. \"I guess I just feel my chances are better now, you know?\"\u003c/p>\n\u003cp>Critics worry the testing is misleading — and relying on it could be dangerous. It tests for only three mutations in two genes known as \u003ca href=\"https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet\" target=\"_blank\" rel=\"noopener\">BRCA1 and BRCA2\u003c/a> that can increase the risk for breast and \u003ca href=\"https://www.cancer.org/cancer/ovarian-cancer.html\" target=\"_blank\" rel=\"noopener\">ovarian cancer\u003c/a>. Women could still have one of the thousands of other mutations that increase the risk, or be at risk for other, nongenetic reasons.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The concern is that if a woman's 23andMe test shows she's free of the risky mutations, she may think she's in the clear and not do things she should do, such as get regular mammograms or undergo more thorough genetic testing.\u003c/p>\n\u003cp>\"To be very blunt, I worry that women who undertake testing from 23andMe could believe that they do not carry a mutation when in fact they do, and as a consequence could die of breast or ovarian cancer,\" says \u003ca href=\"http://www.gs.washington.edu/faculty/king.htm\" target=\"_blank\" rel=\"noopener\">Mary-Claire King\u003c/a>, a University of Washington geneticist who helped identify the breast cancer genes. \"I do not want to see that happen.\"\u003c/p>\n\u003cp>The company argues that it makes the test's limitations very clear and encourages women to talk to their doctor about the results and possibly seek more extensive genetic testing.\u003c/p>\n\u003cp>For women who discover they have one of the risky gene variants, the information could be crucial, according to \u003ca href=\"https://medical.23andme.com/medical-team/\" target=\"_blank\" rel=\"noopener\">Stacey Detweiller\u003c/a>, a medical affairs associate and genetic counselor at 23andMe.\u003c/p>\n\u003cp>\"Our mission is helping people access, understand and benefit from the human genome,\" Detweiller says. \"There's steps that can be taken from knowing this information that could be life-saving.\"\u003c/p>\n\u003cp>Steyn and the two other women NPR followed through the process of taking the test seemed to understand the test's limitations. They said they knew they couldn't rely on it, but they were curious to see the results.\u003c/p>\n\u003cp>But Steyn admits that she felt somewhat less urgency to get a mammogram or additional testing because of the 23andMe test results, especially since she doesn't have health insurance at the moment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I'm glad I did it, especially in light of the fact that I find myself in a position where I do have to wait to see a doctor now because of the insurance situation I find myself in,\" Steyn says. \"Now I feel a little bit better about waiting. Beforehand, I probably would have not waited and figure out a way to afford this.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Results+Of+At-Home+Genetic+Tests+For+Health+Can+Be+Hard+To+Interpret+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442808/results-of-at-home-genetic-tests-for-health-can-be-hard-to-interpret","authors":["byline_futureofyou_442808"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73","futureofyou_1064"],"tags":["futureofyou_141","futureofyou_17","futureofyou_266","futureofyou_61"],"collections":["futureofyou_1093","futureofyou_1097","futureofyou_1094"],"featImg":"futureofyou_442809","label":"futureofyou_1094"},"futureofyou_442563":{"type":"posts","id":"futureofyou_442563","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442563","score":null,"sort":[1528822829000]},"guestAuthors":[],"slug":"simple-saliva-test-could-identify-men-at-greatest-risk-of-prostate-cancer","title":"Simple Saliva Test Could Identify Men at Greatest Risk of Prostate Cancer","publishDate":1528822829,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>A team of scientists at London's\u003ca href=\"https://www.icr.ac.uk/\" target=\"_blank\" rel=\"noopener\"> Institute of Cancer Research\u003c/a> have developed a \"spit test\" that can be used to identify men most likely to develop prostate cancer, the second leading cause of cancer death in U.S. men.[contextly_sidebar id=\"KO4wdzhP8pt1tRs02KEaCVL4V511U4Nk\"]\u003c/p>\n\u003cp>About 1 in 9 men are diagnosed with prostate cancer at some point, according to the \u003ca href=\"https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html\" target=\"_blank\" rel=\"noopener\">American Cancer Society. \u003c/a>\u003c/p>\n\u003cp>The study, \u003ca href=\"https://www.nature.com/articles/s41588-018-0142-8\" target=\"_blank\" rel=\"noopener\">published \u003c/a>Monday in the journal Nature Genetics, identified the 1 percent of men with the highest genetic risk for prostate cancer. This group is nearly six times more likely to develop prostate cancer than the general population, according to\u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\"> the study.\u003c/a>\u003c/p>\n\u003cp>Researchers, funded in part by the National Institutes of Health, utilized a new DNA analysis method to study the genes of more than 70,000 people. They looked at 150 DNA markers and found that the top 10 percent of men at highest risk for prostate cancer were found to nearly three times the risk of developing the disease. From Gizmodo:\u003c/p>\n\u003cblockquote>\u003cp>Some 45,000 of the subjects had already developed prostate cancer, while 25,000 hadn’t. So the researchers compared the two groups, singling out any inherited genetic variations that might have contributed to their cancer risk.\u003c/p>\u003c/blockquote>\n\u003cp>Based on this data, the study said that researchers discovered 63 new variants that have previously not been associated with prostate cancer. Rosalind Eeles, a geneticist and co-author of the study, said those men found to be at greater genetic risk can receive proper screenings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The reason we are particularly excited by the test is that this can be offered in general practice as a spit test to really try and identify who is most at risk of prostate cancer so we can offer them targeted screening,” Eeles \u003ca href=\"https://www.theguardian.com/science/2018/jun/11/trials-begin-of-a-saliva-test-for-prostate-cancer\" target=\"_blank\" rel=\"noopener\">told T\u003c/a>\u003ca href=\"https://www.theguardian.com/science/2018/jun/11/trials-begin-of-a-saliva-test-for-prostate-cancer\" target=\"_blank\" rel=\"noopener\">he Guardian.\u003c/a>\u003c/p>\n\u003cp>Most men diagnosed with the disease do not die from it, according to the American Cancer Society. Risk factors include family history, advanced age, and those of African descent.[contextly_sidebar id=\"go4zed6vsFCKAoaAAycufIdrqinev6En\"]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>About 6 in 10 cases of prostate cancer are diagnosed in men aged 65 or older. From Gizmodo:\u003c/p>\n\u003cblockquote>\u003cp>In the US, people over the age of 50 are \u003ca href=\"https://www.cancer.org/cancer/prostate-cancer/early-detection/acs-recommendations.html\" target=\"_blank\" rel=\"noopener\">generally screened\u003c/a> for prostate cancer via the prostate-specific antigen (PSA) blood test...But the saliva test could reveal especially high-risk people who need annual screening regardless of their PSA level.\u003c/p>\u003c/blockquote>\n\u003cdiv id=\"dfp-ad--inline2\" class=\"js-ad-slot ad-slot ad-slot--inline ad-slot--offset-right ad-slot--inline2 ad-slot--rendered\">\n\u003cdiv class=\"ad-slot__label\">\n\u003cp>Researchers\u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\"> now plan a trial\u003c/a> run of the new test at a limited number of clinics to help devise treatments that could reduce cases of prostate cancer among this high-risk group.\u003c/p>\n\u003c/div>\n\u003cdiv>\"We are on the cusp of moving from theory to practice -- from explaining how genetics affect prostate cancer risk, to testing for genetic risk and attempting to prevent the disease,\" Paul Workman, chief executive at The Institute of Cancer Research, said in a \u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. \"This study also gives us important information about the causes of prostate cancer and the potential role of the immune system, which could ultimately be employed in the design of new treatments.\"\u003c/div>\n\u003c/div>\n\u003cdiv id=\"dfp-ad--inline2\" class=\"js-ad-slot ad-slot ad-slot--inline ad-slot--offset-right ad-slot--inline2 ad-slot--rendered\">\n\u003cdiv id=\"google_ads_iframe_/59666047/theguardian.com/science/article/ng_7__container__\" class=\"ad-slot__content\">\u003c/div>\n\u003c/div>\n\n","blocks":[],"excerpt":"Researchers say a promising new saliva test can identify the top 10 percent of men at greatest risk of developing prostate cancer, a leading cause of cancer death in men.","status":"publish","parent":0,"modified":1528762105,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":516},"headData":{"title":"Simple Saliva Test Could Identify Men at Greatest Risk of Prostate Cancer | KQED","description":"Researchers say a promising new saliva test can identify the top 10 percent of men at greatest risk of developing prostate cancer, a leading cause of cancer death in men.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Simple Saliva Test Could Identify Men at Greatest Risk of Prostate Cancer","datePublished":"2018-06-12T17:00:29.000Z","dateModified":"2018-06-12T00:08:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442563 https://ww2.kqed.org/futureofyou/?p=442563","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/12/simple-saliva-test-could-identify-men-at-greatest-risk-of-prostate-cancer/","disqusTitle":"Simple Saliva Test Could Identify Men at Greatest Risk of Prostate Cancer","source":"Health","path":"/futureofyou/442563/simple-saliva-test-could-identify-men-at-greatest-risk-of-prostate-cancer","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A team of scientists at London's\u003ca href=\"https://www.icr.ac.uk/\" target=\"_blank\" rel=\"noopener\"> Institute of Cancer Research\u003c/a> have developed a \"spit test\" that can be used to identify men most likely to develop prostate cancer, the second leading cause of cancer death in U.S. men.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>About 1 in 9 men are diagnosed with prostate cancer at some point, according to the \u003ca href=\"https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html\" target=\"_blank\" rel=\"noopener\">American Cancer Society. \u003c/a>\u003c/p>\n\u003cp>The study, \u003ca href=\"https://www.nature.com/articles/s41588-018-0142-8\" target=\"_blank\" rel=\"noopener\">published \u003c/a>Monday in the journal Nature Genetics, identified the 1 percent of men with the highest genetic risk for prostate cancer. This group is nearly six times more likely to develop prostate cancer than the general population, according to\u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\"> the study.\u003c/a>\u003c/p>\n\u003cp>Researchers, funded in part by the National Institutes of Health, utilized a new DNA analysis method to study the genes of more than 70,000 people. They looked at 150 DNA markers and found that the top 10 percent of men at highest risk for prostate cancer were found to nearly three times the risk of developing the disease. From Gizmodo:\u003c/p>\n\u003cblockquote>\u003cp>Some 45,000 of the subjects had already developed prostate cancer, while 25,000 hadn’t. So the researchers compared the two groups, singling out any inherited genetic variations that might have contributed to their cancer risk.\u003c/p>\u003c/blockquote>\n\u003cp>Based on this data, the study said that researchers discovered 63 new variants that have previously not been associated with prostate cancer. Rosalind Eeles, a geneticist and co-author of the study, said those men found to be at greater genetic risk can receive proper screenings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The reason we are particularly excited by the test is that this can be offered in general practice as a spit test to really try and identify who is most at risk of prostate cancer so we can offer them targeted screening,” Eeles \u003ca href=\"https://www.theguardian.com/science/2018/jun/11/trials-begin-of-a-saliva-test-for-prostate-cancer\" target=\"_blank\" rel=\"noopener\">told T\u003c/a>\u003ca href=\"https://www.theguardian.com/science/2018/jun/11/trials-begin-of-a-saliva-test-for-prostate-cancer\" target=\"_blank\" rel=\"noopener\">he Guardian.\u003c/a>\u003c/p>\n\u003cp>Most men diagnosed with the disease do not die from it, according to the American Cancer Society. Risk factors include family history, advanced age, and those of African descent.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>About 6 in 10 cases of prostate cancer are diagnosed in men aged 65 or older. From Gizmodo:\u003c/p>\n\u003cblockquote>\u003cp>In the US, people over the age of 50 are \u003ca href=\"https://www.cancer.org/cancer/prostate-cancer/early-detection/acs-recommendations.html\" target=\"_blank\" rel=\"noopener\">generally screened\u003c/a> for prostate cancer via the prostate-specific antigen (PSA) blood test...But the saliva test could reveal especially high-risk people who need annual screening regardless of their PSA level.\u003c/p>\u003c/blockquote>\n\u003cdiv id=\"dfp-ad--inline2\" class=\"js-ad-slot ad-slot ad-slot--inline ad-slot--offset-right ad-slot--inline2 ad-slot--rendered\">\n\u003cdiv class=\"ad-slot__label\">\n\u003cp>Researchers\u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\"> now plan a trial\u003c/a> run of the new test at a limited number of clinics to help devise treatments that could reduce cases of prostate cancer among this high-risk group.\u003c/p>\n\u003c/div>\n\u003cdiv>\"We are on the cusp of moving from theory to practice -- from explaining how genetics affect prostate cancer risk, to testing for genetic risk and attempting to prevent the disease,\" Paul Workman, chief executive at The Institute of Cancer Research, said in a \u003ca href=\"https://www.eurekalert.org/pub_releases/2018-06/iocr-pcd060818.php\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. \"This study also gives us important information about the causes of prostate cancer and the potential role of the immune system, which could ultimately be employed in the design of new treatments.\"\u003c/div>\n\u003c/div>\n\u003cdiv id=\"dfp-ad--inline2\" class=\"js-ad-slot ad-slot ad-slot--inline ad-slot--offset-right ad-slot--inline2 ad-slot--rendered\">\n\u003cdiv id=\"google_ads_iframe_/59666047/theguardian.com/science/article/ng_7__container__\" class=\"ad-slot__content\">\u003c/div>\n\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442563/simple-saliva-test-could-identify-men-at-greatest-risk-of-prostate-cancer","authors":["11428"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73","futureofyou_1064"],"tags":["futureofyou_103","futureofyou_1077","futureofyou_17","futureofyou_830","futureofyou_369"],"collections":["futureofyou_1093","futureofyou_1094"],"featImg":"futureofyou_442565","label":"source_futureofyou_442563"},"futureofyou_442583":{"type":"posts","id":"futureofyou_442583","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442583","score":null,"sort":[1528820134000]},"guestAuthors":[],"slug":"a-science-writer-explores-the-perversions-and-potential-of-genetic-tests","title":"A Science Writer Explores The 'Perversions And Potential' Of Genetic Tests","publishDate":1528820134,"format":"audio","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/618870881/618969757\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>As a science columnist for\u003cem> The New York Times, \u003c/em>Carl Zimmer had reported extensively about genetics and the role gene mutations play in various ailments. After a while, he got to wondering about what secrets his own genetic code holds.[contextly_sidebar id=\"AyWMyOjcCCjd9Wr45bM9omzK5fGeueow\"]\u003c/p>\n\u003cp>\"I wanted to know if there was anything I needed to worry about,\" Zimmer says. \"We all think back to our relatives who got sick and then wonder, 'Is that in me?'\"\u003c/p>\n\u003cp>So Zimmer worked with a genetics counselor to get his entire genome sequenced — an experience he describes as \"very nerve-wracking.\" He worried that he would discover a mutation that would put him on the path for a particular disease.\u003c/p>\n\u003cp>As it turned out, the counselor told Zimmer he has a \"boring genome.\" Though Zimmer initially hoped for a more \"exciting and exotic\" assessment, the counselor reminded him \"A boring genome is a really good genome.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Zimmer writes about the broader implications of genetic research and testing in his new book, \u003cem>She Has Her Mother's Laugh: The Powers, Perversions and Potential of Heredity\u003c/em>.[contextly_sidebar id=\"YtqF4uhyPE2pCelB55bttG0XpqJfRSq3\"]\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>Interview Highlights\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>On how the new genetic editing technology known as \u003ca href=\"https://www.npr.org/tags/419142387/crispr\" target=\"_blank\" rel=\"noopener\">CRISPR\u003c/a> works\u003c/strong>\u003c/p>\n\u003cp>What happens with CRISPR is that scientists will design a molecule — think of it as a probe — and it will search around in the DNA in a cell until if finds a very specific short sequence. And it will grab onto it, and it brings on with it basically molecular scissors, which will then cut the DNA at that spot — kind of like cutting tape. And you can cut out a segment of DNA. And if you just do that, DNA will heal itself. Basically the two loose ends will stitch themselves together, and now that piece is just missing. Or you can add in a little piece of different DNA, and you can actually get the cell to put in that new piece of DNA where you just cut out the old one.\u003c/p>\n\u003cp>\u003cstrong>On whether CRISPR technology could be used to treat diseases in humans\u003c/strong>\u003c/p>\n\u003cp>We're just on the verge of human trials. They will be starting, hopefully very soon, for diseases like sickle-cell anemia. There's actually a lot of research on muscular dystrophy as well. There are a few key diseases where scientists think these would be the best places to start. To basically inject CRISPR molecules into people's bodies; these CRISPR molecules would then go to certain kinds of cells and repair one particular spot in their DNA. And that treats the disease.\u003c/p>\n\u003cp>We shouldn't look at this as a panacea. ... There have been earlier kinds of treatments known as gene therapy, where you basically try to add an extra gene into someone's cells. And that [seemed] like it was just a slam dunk, but then it turned out to not work very well for years and years. ... So CRISPR could be even more exciting and truly revolutionary. We just have to wait and see what this first generation of human clinical trials show us.\u003c/p>\n\u003cp>\u003cstrong>On his visit to an insectarium where a scientist is breeding genetically modified mosquitoes that are resistant to malaria\u003c/strong>\u003c/p>\n\u003cp>First of all, you have to gown up before you go in there. ... And then you go through an air lock, and then you're in this room where there are mosquitoes living in all their different life cycles.\u003c/p>\n\u003cp>So there's a dark room where the female mosquitoes are laying their eggs, because they like to do it in the dark. And then the scientists pull the eggs out from these rooms and they inject DNA into them and then they put them in water, because that's where mosquito larvae like to develop.\u003c/p>\n\u003cp>And so you go into this other room where there are these tubs of water, and these snake-like things are slithering around in there and then they develop into adults. And the females need to drink blood; so [researchers] found that the containers for movie popcorn work really well. What they do is, they basically clamp a warm container of calves' blood on top of them, and then the mosquitoes are underneath — on the underside of the plastic lid — basically poking through and drinking the blood and fattening themselves up. ...\u003c/p>\n\u003cp>You can tell that they've been genetically altered because they have red eyes, which is kind of spooky. But you look at that and you say, well, that means that these could be the cure for malaria. It really could happen. And hundreds of thousands of people die every year of malaria. We've thrown everything we can at it and this parasite is still knocking us down worldwide. So, maybe this could be it – so, that's actually quite exciting.\u003c/p>\n\u003cp>\u003cstrong>On how genetic testing was used in the Golden State Killer case\u003c/strong>\u003c/p>\n\u003cp>For the \u003ca href=\"https://www.npr.org/sections/thetwo-way/2018/04/27/606624218/in-hunt-for-golden-state-killer-investigators-uploaded-his-dna-to-genealogy-site\" target=\"_blank\" rel=\"noopener\">Golden State Killer case\u003c/a>, what somebody decided to do was take the DNA that they had from these crime scenes, and upload it to one of these open-access sites — not a commercial site — and then see if they could find any close matches. And they found that there were some people that looked like they were distant cousins of this person. And they went and did the genealogical research to figure out \"Well, how would they be related?\" And then said \"OK, who are the possible relatives that this person could be, and where do they live?\" And that actually helped narrow down their search until they made an arrest.\u003c/p>\n\u003cp>\u003cstrong>On whether genetic testing companies will protect user privacy\u003c/strong>\u003c/p>\n\u003cp>You can choose different levels of privacy with a lot of these services. So, for example, some people will say \"I want you to look at my DNA. I want you to tell me about my ancestry.\" ... For 23 and Me they'll give you a few bits of information about your medical conditions, and that's it. But they will try to get you to opt in to sharing your data for their own basic research. At 23 and Me, for example, there's a whole team of researchers who are studying all sorts of ... diseases, sleep patterns and so on. And then they will also go into partnerships with drug development companies who will take their data, looking at, say, 50,000 people with lupus and 50,000 people who don't have lupus, and try to look for the genetic differences. Those could point the way toward possible drugs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Phyllis Myers and Seth Kelley produced and edited the audio of this interview. Bridget Bentz and Seth Kelley adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+Science+Writer+Explores+The+%27Perversions+And+Potential%27+Of+Genetic+Tests&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Carl Zimmer wondered what secrets lurked in his genetic code — so he decided to have his genome sequenced. He writes about the implications of the study of genetics in \u003cem>She Has Her Mother's Laugh.\u003c/em>","status":"publish","parent":0,"modified":1528822199,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":1128},"headData":{"title":"A Science Writer Explores The 'Perversions And Potential' Of Genetic Tests | KQED","description":"Carl Zimmer wondered what secrets lurked in his genetic code — so he decided to have his genome sequenced. He writes about the implications of the study of genetics in She Has Her Mother's Laugh.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"A Science Writer Explores The 'Perversions And Potential' Of Genetic Tests","datePublished":"2018-06-12T16:15:34.000Z","dateModified":"2018-06-12T16:49:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442583 https://ww2.kqed.org/futureofyou/?p=442583","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/12/a-science-writer-explores-the-perversions-and-potential-of-genetic-tests/","disqusTitle":"A Science Writer Explores The 'Perversions And Potential' Of Genetic Tests","source":"Future of You","nprImageCredit":"Westend61","nprByline":"Terry Gross, NPR","nprImageAgency":"Getty Images","nprStoryId":"618870881","nprApiLink":"http://api.npr.org/query?id=618870881&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/11/618870881/a-science-writer-explores-the-perversions-and-potential-of-genetic-tests?ft=nprml&f=618870881","nprRetrievedStory":"1","nprPubDate":"Mon, 11 Jun 2018 16:05:00 -0400","nprStoryDate":"Mon, 11 Jun 2018 14:43:00 -0400","nprLastModifiedDate":"Mon, 11 Jun 2018 15:07:30 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/fa/2018/06/20180611_fa_01.mp3?orgId=427869011&topicId=1128&d=2169&p=13&story=618870881&ft=nprml&f=618870881","nprAudioM3u":"http://api.npr.org/m3u/1618969757-dcc7b4.m3u?orgId=427869011&topicId=1128&d=2169&p=13&story=618870881&ft=nprml&f=618870881","path":"/futureofyou/442583/a-science-writer-explores-the-perversions-and-potential-of-genetic-tests","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/fa/2018/06/20180611_fa_01.mp3?orgId=427869011&topicId=1128&d=2169&p=13&story=618870881&ft=nprml&f=618870881","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/618870881/618969757\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>As a science columnist for\u003cem> The New York Times, \u003c/em>Carl Zimmer had reported extensively about genetics and the role gene mutations play in various ailments. After a while, he got to wondering about what secrets his own genetic code holds.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"I wanted to know if there was anything I needed to worry about,\" Zimmer says. \"We all think back to our relatives who got sick and then wonder, 'Is that in me?'\"\u003c/p>\n\u003cp>So Zimmer worked with a genetics counselor to get his entire genome sequenced — an experience he describes as \"very nerve-wracking.\" He worried that he would discover a mutation that would put him on the path for a particular disease.\u003c/p>\n\u003cp>As it turned out, the counselor told Zimmer he has a \"boring genome.\" Though Zimmer initially hoped for a more \"exciting and exotic\" assessment, the counselor reminded him \"A boring genome is a really good genome.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zimmer writes about the broader implications of genetic research and testing in his new book, \u003cem>She Has Her Mother's Laugh: The Powers, Perversions and Potential of Heredity\u003c/em>.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>Interview Highlights\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>On how the new genetic editing technology known as \u003ca href=\"https://www.npr.org/tags/419142387/crispr\" target=\"_blank\" rel=\"noopener\">CRISPR\u003c/a> works\u003c/strong>\u003c/p>\n\u003cp>What happens with CRISPR is that scientists will design a molecule — think of it as a probe — and it will search around in the DNA in a cell until if finds a very specific short sequence. And it will grab onto it, and it brings on with it basically molecular scissors, which will then cut the DNA at that spot — kind of like cutting tape. And you can cut out a segment of DNA. And if you just do that, DNA will heal itself. Basically the two loose ends will stitch themselves together, and now that piece is just missing. Or you can add in a little piece of different DNA, and you can actually get the cell to put in that new piece of DNA where you just cut out the old one.\u003c/p>\n\u003cp>\u003cstrong>On whether CRISPR technology could be used to treat diseases in humans\u003c/strong>\u003c/p>\n\u003cp>We're just on the verge of human trials. They will be starting, hopefully very soon, for diseases like sickle-cell anemia. There's actually a lot of research on muscular dystrophy as well. There are a few key diseases where scientists think these would be the best places to start. To basically inject CRISPR molecules into people's bodies; these CRISPR molecules would then go to certain kinds of cells and repair one particular spot in their DNA. And that treats the disease.\u003c/p>\n\u003cp>We shouldn't look at this as a panacea. ... There have been earlier kinds of treatments known as gene therapy, where you basically try to add an extra gene into someone's cells. And that [seemed] like it was just a slam dunk, but then it turned out to not work very well for years and years. ... So CRISPR could be even more exciting and truly revolutionary. We just have to wait and see what this first generation of human clinical trials show us.\u003c/p>\n\u003cp>\u003cstrong>On his visit to an insectarium where a scientist is breeding genetically modified mosquitoes that are resistant to malaria\u003c/strong>\u003c/p>\n\u003cp>First of all, you have to gown up before you go in there. ... And then you go through an air lock, and then you're in this room where there are mosquitoes living in all their different life cycles.\u003c/p>\n\u003cp>So there's a dark room where the female mosquitoes are laying their eggs, because they like to do it in the dark. And then the scientists pull the eggs out from these rooms and they inject DNA into them and then they put them in water, because that's where mosquito larvae like to develop.\u003c/p>\n\u003cp>And so you go into this other room where there are these tubs of water, and these snake-like things are slithering around in there and then they develop into adults. And the females need to drink blood; so [researchers] found that the containers for movie popcorn work really well. What they do is, they basically clamp a warm container of calves' blood on top of them, and then the mosquitoes are underneath — on the underside of the plastic lid — basically poking through and drinking the blood and fattening themselves up. ...\u003c/p>\n\u003cp>You can tell that they've been genetically altered because they have red eyes, which is kind of spooky. But you look at that and you say, well, that means that these could be the cure for malaria. It really could happen. And hundreds of thousands of people die every year of malaria. We've thrown everything we can at it and this parasite is still knocking us down worldwide. So, maybe this could be it – so, that's actually quite exciting.\u003c/p>\n\u003cp>\u003cstrong>On how genetic testing was used in the Golden State Killer case\u003c/strong>\u003c/p>\n\u003cp>For the \u003ca href=\"https://www.npr.org/sections/thetwo-way/2018/04/27/606624218/in-hunt-for-golden-state-killer-investigators-uploaded-his-dna-to-genealogy-site\" target=\"_blank\" rel=\"noopener\">Golden State Killer case\u003c/a>, what somebody decided to do was take the DNA that they had from these crime scenes, and upload it to one of these open-access sites — not a commercial site — and then see if they could find any close matches. And they found that there were some people that looked like they were distant cousins of this person. And they went and did the genealogical research to figure out \"Well, how would they be related?\" And then said \"OK, who are the possible relatives that this person could be, and where do they live?\" And that actually helped narrow down their search until they made an arrest.\u003c/p>\n\u003cp>\u003cstrong>On whether genetic testing companies will protect user privacy\u003c/strong>\u003c/p>\n\u003cp>You can choose different levels of privacy with a lot of these services. So, for example, some people will say \"I want you to look at my DNA. I want you to tell me about my ancestry.\" ... For 23 and Me they'll give you a few bits of information about your medical conditions, and that's it. But they will try to get you to opt in to sharing your data for their own basic research. At 23 and Me, for example, there's a whole team of researchers who are studying all sorts of ... diseases, sleep patterns and so on. And then they will also go into partnerships with drug development companies who will take their data, looking at, say, 50,000 people with lupus and 50,000 people who don't have lupus, and try to look for the genetic differences. Those could point the way toward possible drugs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Phyllis Myers and Seth Kelley produced and edited the audio of this interview. Bridget Bentz and Seth Kelley adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+Science+Writer+Explores+The+%27Perversions+And+Potential%27+Of+Genetic+Tests&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442583/a-science-writer-explores-the-perversions-and-potential-of-genetic-tests","authors":["byline_futureofyou_442583"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1"],"tags":["futureofyou_17","futureofyou_1015","futureofyou_271"],"collections":["futureofyou_1093","futureofyou_1097","futureofyou_1094"],"featImg":"futureofyou_442584","label":"source_futureofyou_442583"},"futureofyou_442526":{"type":"posts","id":"futureofyou_442526","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442526","score":null,"sort":[1528743626000]},"guestAuthors":[],"slug":"major-hurdle-for-crispr-edited-cells-might-cause-cancer-find-two-studies","title":"Major CRISPR Hurdle: Edited Cells Might Cause Cancer, Find Studies","publishDate":1528743626,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Editing cells’ genomes with CRISPR-Cas9 might increase the risk that the altered cells, intended to treat disease, will trigger cancer, two studies published on Monday warn — a potential game-changer for the companies developing CRISPR-based therapies.[contextly_sidebar id=\"Pbm72hAOjQOHNUgNeQaKv0l2d5rX0APO\"]\u003c/p>\n\u003cp>In the studies, published in Nature Medicine, scientists found that cells whose genomes are successfully edited by CRISPR-Cas9 have the potential to seed tumors inside a patient. That could make some CRISPR’d cells ticking time bombs, according to researchers from Sweden’s Karolinska Institute and, separately, Novartis.\u003c/p>\n\u003cp class=\"danger-zone\">\u003ca href=\"https://www.statnews.com/feature/crispr/tracker/\">CRISPR\u003c/a> has already dodged two potentially fatal bullets — a 2017 \u003ca href=\"https://www.nature.com/articles/nmeth.4293.epdf\" target=\"_blank\" rel=\"noopener\">claim\u003c/a> that it causes sky-high numbers of off-target effects was \u003ca href=\"https://www.nature.com/articles/nmeth.4664\" target=\"_blank\" rel=\"noopener\">retracted\u003c/a> in March, and a \u003ca href=\"https://www.biorxiv.org/content/early/2018/01/05/243345\" target=\"_blank\" rel=\"noopener\">report \u003c/a>of human immunity to Cas9 was largely shrugged off as \u003ca href=\"https://www.statnews.com/2018/01/08/immunity-crispr-cas9/\">solvable\u003c/a>. But experts are taking the cancer-risk finding seriously.\u003c/p>\n\u003cp class=\"danger-zone\">The CEO of CRISPR Therapeutics, Sam Kulkarni, told STAT the results are “plausible.” Although they likely apply to one of the main ways that CRISPR edits genomes (replacing disease-causing DNA with healthy versions) more than another (just excising DNA), he said, “it’s something we need to pay attention to, especially as CRISPR expands to more diseases. We need to do the work and make sure edited cells returned to patients don’t become cancerous.”\u003c/p>\n\u003cp class=\"\">Another leading CRISPR scientist, who asked not to be named because of involvement with genome-editing companies, called the new data “pretty striking,” and raised concerns that a potential fatal flaw in some uses of CRISPR had “been missed.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On the other hand, the Novartis paper has been \u003ca href=\"https://www.biorxiv.org/content/early/2017/07/26/168443\" target=\"_blank\" rel=\"noopener\">available\u003c/a> in preliminary form since last summer, and CRISPR experts “haven’t freaked out,” said Erik Sontheimer of the University of Massachusetts Medical School, whose CRISPR research \u003ca href=\"https://www.statnews.com/2018/03/05/crispr-off-target-editing/\">centers\u003c/a> on novel enzymes and off-target effects. “This is something that bears paying attention to, but I don’t think it’s a deal-breaker” for CRISPR therapies.\u003c/p>\n\u003cp>The Karolinska and Novartis groups tested CRISPR on different kinds of human cells — retinal cells and pluripotent stem cells, respectively. But they found essentially the same phenomenon. Standard CRISPR-Cas9 works by cutting both strands of the DNA double helix. That injury causes a cell to activate a biochemical first-aid kit orchestrated by a gene called \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235614/\" target=\"_blank\" rel=\"noopener\">p53,\u003c/a> which either mends the DNA break or makes the cell self-destruct.[contextly_sidebar id=\"X1qu0ifjesXey9YHHpOinoS4KNdNuyur\"]\u003c/p>\n\u003cp>Whichever action p53 takes, the consequence is the same: CRISPR doesn’t work, either because the genome edit is stitched up or the cell is dead. (The Novartis team calculated that p53 reduces CRISPR efficiency in pluripotent stem cells seventeenfold.) That might explain something found over and over: CRISPR is woefully inefficient, with only a small minority of cells into which CRISPR is introduced, usually by a virus, actually having their genomes edited as intended.\u003c/p>\n\u003cp>“We found that cutting the genome with CRISPR-Cas9 induced the activation of … p53,” said Emma Haapaniemi, the lead author of the \u003ca href=\"https://www.nature.com/articles/s41591-018-0049-z\" target=\"_blank\" rel=\"noopener\">Karolinska study\u003c/a>. That “makes editing much more difficult.”\u003c/p>\n\u003cp>The flip side of p53 repairing CRISPR edits, or killing cells that accept the edits, is that cells that survive with the edits do so precisely because they have a dysfunctional p53 and therefore lack this fix-it-or-kill-it mechanism.\u003c/p>\n\u003cp>The reason why that could be a problem is that p53 dysfunction can cause cancer. And not just occasionally. P53 mutations are \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827900/figure/A001008F1/\" target=\"_blank\" rel=\"noopener\">responsible for\u003c/a> nearly half of ovarian cancers; 43 percent of colorectal cancers; 38 percent of lung cancers; nearly one-third of pancreatic, stomach, and liver cancers; and one-quarter of breast cancers, among others.\u003c/p>\n\u003cp>The Novartis team was trying to see how it could increase the efficiency of CRISPR editing of pluripotent stem cells. Because this kind of stem cell can morph into virtually any kind of cell, it might be able to treat a variety of diseases. Neuroscientist Ajamete Kaykas of the company’s Institutes for BioMedical Research in Cambridge, Mass., got CRISPR’s efficiency at inserting or deleting chunks of DNA up to 80 percent. Unfortunately, when CRISPR worked, it was because p53 didn’t, which raises cancer concerns.\u003c/p>\n\u003cp>As a result, the Novartis \u003ca href=\"https://www.nature.com/articles/s41591-018-0050-6\" target=\"_blank\" rel=\"noopener\">paper\u003c/a> concludes that “it will be critical to ensure that [genome-edited cells] have a functional p53 before and after [genome] engineering.” The Karolinska team warns that p53 and related genes “should be monitored when developing cell-based therapies utilizing CRISPR-Cas9.”[contextly_sidebar id=\"f80ZxqMXgIrsBguckwJZNJRkL6wI6fMd\"]\u003c/p>\n\u003cp>The p53 finding doesn’t mean CRISPR is toast. For one thing, “the two papers present preliminary results,” biochemist Bernhard Schmierer of the Karolinska, co-leader of its study, told STAT. “It is unclear if the findings translate into cells actually used in current clinical studies.”\u003c/p>\n\u003cp>For another, the p53 problem might be worse with Cas9 than with other DNA-cutting enzymes used in CRISPR. And, crucially, it probably affects only one avenue of genome-editing.\u003c/p>\n\u003cp>CRISPR edits genomes in either of two ways. It slices out a chunk of disease-causing DNA, in a process called non-homologous end joining (NHEJ), or gene disruption. That’s how CRISPR Therapeutics is going after sickle cell disease. Alternatively, CRISPR both cuts out a disease-causing stretch of DNA and replaces it with healthy nucleotides, in homology-directed repair (HDR), or gene correction. Several university labs are investigating HDR to treat Duchenne \u003ca href=\"https://www.nature.com/articles/s41551-017-0137-2\" target=\"_blank\" rel=\"noopener\">muscular dystrophy,\u003c/a> among many other diseases.\u003c/p>\n\u003cp>In the normal, mature cells she and her team studied, Haapaniemi said, gene disruption “can happen even when p53 is activated.”\u003c/p>\n\u003cp>That’s good news for CRISPR Therapeutics’ sickle-cell and thalassemia \u003ca href=\"http://www.crisprtx.com/our-programs/our-pipeline.php\" target=\"_blank\" rel=\"noopener\">programs \u003c/a>as well as for Editas Medicine’s lead product, targeting a form of blindness, and others in its \u003ca href=\"http://www.editasmedicine.com/pipeline\" target=\"_blank\" rel=\"noopener\">pipeline\u003c/a>, all of which use NHEJ gene disruption. It also should not affect the gene-disruption approach that Intellia Therapeutics and Regeneron are \u003ca href=\"https://www.intelliatx.com/pipeline/\" target=\"_blank\" rel=\"noopener\">taking\u003c/a> to \u003ca href=\"https://ghr.nlm.nih.gov/condition/transthyretin-amyloidosis\" target=\"_blank\" rel=\"noopener\">transthyretin amyloidosis\u003c/a>.\u003c/p>\n\u003cp>CRISPR-based editing of T cells to treat cancer, as scientists at the University of Pennsylvania are studying in a \u003ca href=\"https://www.statnews.com/2016/06/21/crispr-human-trials/\">clinical trial,\u003c/a> should also not have a p53 problem. Nor should any therapy developed with CRISPR base editing, which does not make the double-stranded breaks that trigger p53. Developed by Harvard’s David Liu, base editing replaces a wrong DNA “letter” with the right one, without cutting, and is the basis for startup \u003ca href=\"https://www.statnews.com/2018/05/14/crispr-editas-beam-base-editing/\" target=\"_blank\" rel=\"noopener\">Beam Therapeutics\u003c/a>.\u003c/p>\n\u003cp>The p53 problem, however, might affect other products that companies hope to develop via gene correction, including glycogen storage disease, cystic fibrosis, and severe combined immunodeficiency.\u003c/p>\n\u003cp>It’s also a potential problem for stem cells. There, the Novartis team showed, p53 inactivation seems to be necessary for both NHEJ disruption and HDR correction. (Novartis’ Kaykas said he could not speak to a reporter without clearance from the company’s communications office.) That could be an issue for therapies using CRISPR’d stem cells: The same dysfunctional p53 that allows CRISPR to work its magic also makes cells likely to become cancerous.\u003c/p>\n\u003cp>Which raises an obvious question — if successfully CRISPR’d cells can seed cancers, why hasn’t this been seen before, and why haven’t the many CRISPR’d mice developed tumors?\u003c/p>\n\u003cp>Karolinska’s Haapaniemi said the effect shows up in large-scale experiments like hers and Novartis’ “but can be missed in small-scale studies where people only focus on editing one gene in one cell type.” In speaking to other scientists, she said, “it seems that other teams have noticed the effect of p53 on editing,” but have not highlighted it.\u003c/p>\n\u003cp>Jacob Corn of the University of California, Berkeley, said that although his lab has seen evidence of p53 activation in a few cases, they have “looked hard for growth effects after editing in [human stem cells] and found nothing.”\u003c/p>\n\u003cp>As for why no one has reported CRISPR’d mice getting cancer, Haapaniemi said, “This is a good question.” One reason might be that “laboratory mice are killed early,” perhaps leaving too little time for them to develop cancer.\u003c/p>\n\u003cp>But Corn said he and others “have all been looking for the possibility of cancer. So far, no one has seen evidence of [it] based on p53 status or induced by editing.”\u003c/p>\n\u003cp>Nevertheless, he called the two papers “important, since they remind everyone that genome editing isn’t magic.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/06/11/crispr-hurdle-edited-cells-might-cause-cancer/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1528739244,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1502},"headData":{"title":"Major CRISPR Hurdle: Edited Cells Might Cause Cancer, Find Studies | KQED","description":"Editing cells’ genomes with CRISPR-Cas9 might increase the risk that the altered cells, intended to treat disease, will trigger cancer, two studies published on Monday warn — a potential game-changer for the companies developing CRISPR-based therapies. In the studies, published in Nature Medicine, scientists found that cells whose genomes are successfully edited by CRISPR-Cas9 have the","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Major CRISPR Hurdle: Edited Cells Might Cause Cancer, Find Studies","datePublished":"2018-06-11T19:00:26.000Z","dateModified":"2018-06-11T17:47:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442526 https://ww2.kqed.org/futureofyou/?p=442526","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/11/major-hurdle-for-crispr-edited-cells-might-cause-cancer-find-two-studies/","disqusTitle":"Major CRISPR Hurdle: Edited Cells Might Cause Cancer, Find Studies","source":"Health","nprByline":"Sharon Begley\u003cbr />STAT","path":"/futureofyou/442526/major-hurdle-for-crispr-edited-cells-might-cause-cancer-find-two-studies","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Editing cells’ genomes with CRISPR-Cas9 might increase the risk that the altered cells, intended to treat disease, will trigger cancer, two studies published on Monday warn — a potential game-changer for the companies developing CRISPR-based therapies.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In the studies, published in Nature Medicine, scientists found that cells whose genomes are successfully edited by CRISPR-Cas9 have the potential to seed tumors inside a patient. That could make some CRISPR’d cells ticking time bombs, according to researchers from Sweden’s Karolinska Institute and, separately, Novartis.\u003c/p>\n\u003cp class=\"danger-zone\">\u003ca href=\"https://www.statnews.com/feature/crispr/tracker/\">CRISPR\u003c/a> has already dodged two potentially fatal bullets — a 2017 \u003ca href=\"https://www.nature.com/articles/nmeth.4293.epdf\" target=\"_blank\" rel=\"noopener\">claim\u003c/a> that it causes sky-high numbers of off-target effects was \u003ca href=\"https://www.nature.com/articles/nmeth.4664\" target=\"_blank\" rel=\"noopener\">retracted\u003c/a> in March, and a \u003ca href=\"https://www.biorxiv.org/content/early/2018/01/05/243345\" target=\"_blank\" rel=\"noopener\">report \u003c/a>of human immunity to Cas9 was largely shrugged off as \u003ca href=\"https://www.statnews.com/2018/01/08/immunity-crispr-cas9/\">solvable\u003c/a>. But experts are taking the cancer-risk finding seriously.\u003c/p>\n\u003cp class=\"danger-zone\">The CEO of CRISPR Therapeutics, Sam Kulkarni, told STAT the results are “plausible.” Although they likely apply to one of the main ways that CRISPR edits genomes (replacing disease-causing DNA with healthy versions) more than another (just excising DNA), he said, “it’s something we need to pay attention to, especially as CRISPR expands to more diseases. We need to do the work and make sure edited cells returned to patients don’t become cancerous.”\u003c/p>\n\u003cp class=\"\">Another leading CRISPR scientist, who asked not to be named because of involvement with genome-editing companies, called the new data “pretty striking,” and raised concerns that a potential fatal flaw in some uses of CRISPR had “been missed.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On the other hand, the Novartis paper has been \u003ca href=\"https://www.biorxiv.org/content/early/2017/07/26/168443\" target=\"_blank\" rel=\"noopener\">available\u003c/a> in preliminary form since last summer, and CRISPR experts “haven’t freaked out,” said Erik Sontheimer of the University of Massachusetts Medical School, whose CRISPR research \u003ca href=\"https://www.statnews.com/2018/03/05/crispr-off-target-editing/\">centers\u003c/a> on novel enzymes and off-target effects. “This is something that bears paying attention to, but I don’t think it’s a deal-breaker” for CRISPR therapies.\u003c/p>\n\u003cp>The Karolinska and Novartis groups tested CRISPR on different kinds of human cells — retinal cells and pluripotent stem cells, respectively. But they found essentially the same phenomenon. Standard CRISPR-Cas9 works by cutting both strands of the DNA double helix. That injury causes a cell to activate a biochemical first-aid kit orchestrated by a gene called \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235614/\" target=\"_blank\" rel=\"noopener\">p53,\u003c/a> which either mends the DNA break or makes the cell self-destruct.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Whichever action p53 takes, the consequence is the same: CRISPR doesn’t work, either because the genome edit is stitched up or the cell is dead. (The Novartis team calculated that p53 reduces CRISPR efficiency in pluripotent stem cells seventeenfold.) That might explain something found over and over: CRISPR is woefully inefficient, with only a small minority of cells into which CRISPR is introduced, usually by a virus, actually having their genomes edited as intended.\u003c/p>\n\u003cp>“We found that cutting the genome with CRISPR-Cas9 induced the activation of … p53,” said Emma Haapaniemi, the lead author of the \u003ca href=\"https://www.nature.com/articles/s41591-018-0049-z\" target=\"_blank\" rel=\"noopener\">Karolinska study\u003c/a>. That “makes editing much more difficult.”\u003c/p>\n\u003cp>The flip side of p53 repairing CRISPR edits, or killing cells that accept the edits, is that cells that survive with the edits do so precisely because they have a dysfunctional p53 and therefore lack this fix-it-or-kill-it mechanism.\u003c/p>\n\u003cp>The reason why that could be a problem is that p53 dysfunction can cause cancer. And not just occasionally. P53 mutations are \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827900/figure/A001008F1/\" target=\"_blank\" rel=\"noopener\">responsible for\u003c/a> nearly half of ovarian cancers; 43 percent of colorectal cancers; 38 percent of lung cancers; nearly one-third of pancreatic, stomach, and liver cancers; and one-quarter of breast cancers, among others.\u003c/p>\n\u003cp>The Novartis team was trying to see how it could increase the efficiency of CRISPR editing of pluripotent stem cells. Because this kind of stem cell can morph into virtually any kind of cell, it might be able to treat a variety of diseases. Neuroscientist Ajamete Kaykas of the company’s Institutes for BioMedical Research in Cambridge, Mass., got CRISPR’s efficiency at inserting or deleting chunks of DNA up to 80 percent. Unfortunately, when CRISPR worked, it was because p53 didn’t, which raises cancer concerns.\u003c/p>\n\u003cp>As a result, the Novartis \u003ca href=\"https://www.nature.com/articles/s41591-018-0050-6\" target=\"_blank\" rel=\"noopener\">paper\u003c/a> concludes that “it will be critical to ensure that [genome-edited cells] have a functional p53 before and after [genome] engineering.” The Karolinska team warns that p53 and related genes “should be monitored when developing cell-based therapies utilizing CRISPR-Cas9.”\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The p53 finding doesn’t mean CRISPR is toast. For one thing, “the two papers present preliminary results,” biochemist Bernhard Schmierer of the Karolinska, co-leader of its study, told STAT. “It is unclear if the findings translate into cells actually used in current clinical studies.”\u003c/p>\n\u003cp>For another, the p53 problem might be worse with Cas9 than with other DNA-cutting enzymes used in CRISPR. And, crucially, it probably affects only one avenue of genome-editing.\u003c/p>\n\u003cp>CRISPR edits genomes in either of two ways. It slices out a chunk of disease-causing DNA, in a process called non-homologous end joining (NHEJ), or gene disruption. That’s how CRISPR Therapeutics is going after sickle cell disease. Alternatively, CRISPR both cuts out a disease-causing stretch of DNA and replaces it with healthy nucleotides, in homology-directed repair (HDR), or gene correction. Several university labs are investigating HDR to treat Duchenne \u003ca href=\"https://www.nature.com/articles/s41551-017-0137-2\" target=\"_blank\" rel=\"noopener\">muscular dystrophy,\u003c/a> among many other diseases.\u003c/p>\n\u003cp>In the normal, mature cells she and her team studied, Haapaniemi said, gene disruption “can happen even when p53 is activated.”\u003c/p>\n\u003cp>That’s good news for CRISPR Therapeutics’ sickle-cell and thalassemia \u003ca href=\"http://www.crisprtx.com/our-programs/our-pipeline.php\" target=\"_blank\" rel=\"noopener\">programs \u003c/a>as well as for Editas Medicine’s lead product, targeting a form of blindness, and others in its \u003ca href=\"http://www.editasmedicine.com/pipeline\" target=\"_blank\" rel=\"noopener\">pipeline\u003c/a>, all of which use NHEJ gene disruption. It also should not affect the gene-disruption approach that Intellia Therapeutics and Regeneron are \u003ca href=\"https://www.intelliatx.com/pipeline/\" target=\"_blank\" rel=\"noopener\">taking\u003c/a> to \u003ca href=\"https://ghr.nlm.nih.gov/condition/transthyretin-amyloidosis\" target=\"_blank\" rel=\"noopener\">transthyretin amyloidosis\u003c/a>.\u003c/p>\n\u003cp>CRISPR-based editing of T cells to treat cancer, as scientists at the University of Pennsylvania are studying in a \u003ca href=\"https://www.statnews.com/2016/06/21/crispr-human-trials/\">clinical trial,\u003c/a> should also not have a p53 problem. Nor should any therapy developed with CRISPR base editing, which does not make the double-stranded breaks that trigger p53. Developed by Harvard’s David Liu, base editing replaces a wrong DNA “letter” with the right one, without cutting, and is the basis for startup \u003ca href=\"https://www.statnews.com/2018/05/14/crispr-editas-beam-base-editing/\" target=\"_blank\" rel=\"noopener\">Beam Therapeutics\u003c/a>.\u003c/p>\n\u003cp>The p53 problem, however, might affect other products that companies hope to develop via gene correction, including glycogen storage disease, cystic fibrosis, and severe combined immunodeficiency.\u003c/p>\n\u003cp>It’s also a potential problem for stem cells. There, the Novartis team showed, p53 inactivation seems to be necessary for both NHEJ disruption and HDR correction. (Novartis’ Kaykas said he could not speak to a reporter without clearance from the company’s communications office.) That could be an issue for therapies using CRISPR’d stem cells: The same dysfunctional p53 that allows CRISPR to work its magic also makes cells likely to become cancerous.\u003c/p>\n\u003cp>Which raises an obvious question — if successfully CRISPR’d cells can seed cancers, why hasn’t this been seen before, and why haven’t the many CRISPR’d mice developed tumors?\u003c/p>\n\u003cp>Karolinska’s Haapaniemi said the effect shows up in large-scale experiments like hers and Novartis’ “but can be missed in small-scale studies where people only focus on editing one gene in one cell type.” In speaking to other scientists, she said, “it seems that other teams have noticed the effect of p53 on editing,” but have not highlighted it.\u003c/p>\n\u003cp>Jacob Corn of the University of California, Berkeley, said that although his lab has seen evidence of p53 activation in a few cases, they have “looked hard for growth effects after editing in [human stem cells] and found nothing.”\u003c/p>\n\u003cp>As for why no one has reported CRISPR’d mice getting cancer, Haapaniemi said, “This is a good question.” One reason might be that “laboratory mice are killed early,” perhaps leaving too little time for them to develop cancer.\u003c/p>\n\u003cp>But Corn said he and others “have all been looking for the possibility of cancer. So far, no one has seen evidence of [it] based on p53 status or induced by editing.”\u003c/p>\n\u003cp>Nevertheless, he called the two papers “important, since they remind everyone that genome editing isn’t magic.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/06/11/crispr-hurdle-edited-cells-might-cause-cancer/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442526/major-hurdle-for-crispr-edited-cells-might-cause-cancer-find-two-studies","authors":["byline_futureofyou_442526"],"categories":["futureofyou_1","futureofyou_1064"],"tags":["futureofyou_1521","futureofyou_103","futureofyou_1077","futureofyou_94","futureofyou_17","futureofyou_295"],"collections":["futureofyou_1093","futureofyou_1094"],"featImg":"futureofyou_442536","label":"source_futureofyou_442526"},"futureofyou_442343":{"type":"posts","id":"futureofyou_442343","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442343","score":null,"sort":[1528298279000]},"guestAuthors":[],"slug":"clinic-claims-success-in-making-babies-with-3-parents-dna","title":"Clinic Claims Success In Making Babies With 3 Parents' DNA","publishDate":1528298279,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>In a clinic on a side street in Kiev, the capital of Ukraine, doctors are doing something that, as far as is publicly known, is being done nowhere else in the world: using DNA from three different people to create babies for women who are infertile.[contextly_sidebar id=\"hJp3PK3nX6Xp23jBK7povAqNM584M314\"]\u003c/p>\n\u003cp>\"If you can help these families to achieve their own babies, why it must be forbidden?\" \u003ca href=\"http://nadiyaclinic.com/about-the-clinic/our-team/valery-zukin/\" target=\"_blank\" rel=\"noopener\">Valery Zukin\u003c/a>, director of the \u003ca href=\"http://nadiyaclinic.com/\" target=\"_blank\" rel=\"noopener\">Nadiya Clinic\u003c/a>, asks as he peers over his glasses. \"It is a dream to want to have a genetic connection with a baby.\"\u003c/p>\n\u003cp>I traveled to Ukraine because Zukin promised unusual access to his private fertility clinic, including the first demonstration for a U.S. journalist of how scientists create \"three-parent\" babies — a procedure prohibited by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>Zukin also arranged the first-ever interview with a mother of a 15-month-old boy who is one of the four children he says he has produced this way.\u003c/p>\n\u003cp>Three more of his patients are pregnant, Zukin says, including a woman from Sweden. Women from several other countries including Britain, Brazil and Israel are going through the process, he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Leading ethicists and genetics researchers criticize the clinic for rushing ahead to use this method for infertility. No one knows whether children produced this way will be healthy, they say. And some worry the procedure may open the door to \"designer babies.\"\u003c/p>\n\u003cp>\"This is pretty troubling,\" says \u003ca href=\"https://www.geneticsandsociety.org/user/25\" target=\"_blank\" rel=\"noopener\">Marcy Darnovsky\u003c/a>, who heads the Center for Genetics and Society, a U.S.-based watchdog group.\u003c/p>\n\u003cp>But Zukin dismisses those criticisms.\u003c/p>\n\u003cp>\"As a doctor I understand only one thing: We have parents who couldn't have children and now they have their own biological child. That's all,\" Zukin says.[contextly_sidebar id=\"e9qixdqsJYlqHyn9aCm0jBm9SiC8DfaI\"]\u003c/p>\n\u003cp>Zukin has helped form a \u003ca href=\"http://www.dl-nadiya.com/\" target=\"_blank\" rel=\"noopener\">company\u003c/a>, Darwin Life-Nadiya, with a \u003ca href=\"https://www.newhopefertility.com/\" target=\"_blank\" rel=\"noopener\">New York clinic\u003c/a> to market the service to U.S. women willing to travel to Ukraine. Ukrainian women pay about $8,000 for the procedure; for foreigners, it's about $15,000.\u003c/p>\n\u003cp>\u003cstrong>Transferring DNA From Egg to Egg\u003c/strong>\u003c/p>\n\u003cp>To show how the procedure works, Zukin sends me upstairs to the embryo lab. After putting on a sterile blue gown and booties, I meet Pavlo Mazur, a clinic embryo scientist.\u003c/p>\n\u003cp>\"We will begin,\" Mazur says, as he takes a clear plastic dish out of an incubator.\u003c/p>\n\u003cp>The dish contains a 1-day-old embryo. It was created by fertilizing the egg of a woman with sperm from her male partner.\u003c/p>\n\u003cp>The dish also holds a second embryo. This was made using the same man's sperm to fertilize an egg from another woman, who was paid to donate eggs.\u003c/p>\n\u003cp>After sliding the embryos under a large microscope, Mazur starts a timer. He has only 15 minutes to complete the delicate procedure without risking damage to the embryos.\u003c/p>\n\u003cp>A monitor nearby displays what Mazur sees through the microscope. A round structure comes into focus on the screen. It's one of the embryos.[contextly_sidebar id=\"lH4aHr8bWw920dNDT3zPx9BxxYAHoA23\"]\u003c/p>\n\u003cp>\"You see?\" Mazur says, pointing to two smaller round structures inside. They contain the DNA of the man and woman trying to have a baby.\u003c/p>\n\u003cp>\"One is from sperm. It's paternal,\" Mazur says. \"And the second one is maternal.\"\u003c/p>\n\u003cp>Mazur slowly inserts a tiny, hollow glass needle into the fertilized egg. Even though Mazur is under pressure to work fast, he can't move too quickly.\u003c/p>\n\u003cp>\"Very steady and slow,\" Mazur says. \"We don't want to damage it, right? We want it to survive.\"\u003c/p>\n\u003cp>He uses the needle to extract the would-be parents' DNA. Mazur does the same thing with the second fertilized egg, removing all the DNA — except for 37 genes known as \u003ca href=\"https://ghr.nlm.nih.gov/mitochondrial-dna\" target=\"_blank\" rel=\"noopener\">mitochondrial DNA\u003c/a>.\u003c/p>\n\u003cp>Mitochondria provide energy for eggs. A defect in the patient's mitochondrial DNA might be what's preventing her from getting pregnant. So using the donor's mitochondrial DNA may be what enables the patient to produce healthy embryos and babies.\u003c/p>\n\u003cp>\"It's like an universal currency for a cell,\" Mazur says. \"It helps for all processes within the cell.\"\u003c/p>\n\u003cp>The next step is to transfer the DNA of the woman and man trying to have a child into the donor's mostly gutted embryo — empty except for the other woman's mitochondrial DNA.\u003c/p>\n\u003cp>\"And now we will just try to put the genetic material of our patient inside,\" Mazur says as he gently inserts the needle holding the couple's DNA and injects the genes.\u003c/p>\n\u003cp>\"That's it,\" he says, glancing at his timer to see there are still two minutes left.\u003c/p>\n\u003cp>\"So, you see? It's inside,\" Mazur says, pointing to the couple's DNA. \"It will develop into embryo.\"\u003c/p>\n\u003cp>The Nadiya clinic is transferring embryos reconstructed this way into the wombs of women trying to become pregnant.\u003c/p>\n\u003cp>So far, the clinic has tried the procedure on 21 women. Fourteen attempts failed, probably because the women were older, the clinic staffers say.\u003c/p>\n\u003cp>But the other women either had babies or are pregnant. They were younger, but could never produce viable embryos on their own.\u003c/p>\n\u003cp>\"I adore that such technology exists. I adore that it can help some people,\" says Mazur.\u003c/p>\n\u003cp>These babies end up with DNA from three different people: the woman trying to have a baby; her male partner; and the egg donor who has provided 37 mitochondrial genes. That's why they're called three-parent babies.\u003c/p>\n\u003cp>But Mazur says that label is wrong.\u003c/p>\n\u003cp>\"These babies — they have DNA from mother and from father. So they are genetically related to their parents,\" Mazur says.[contextly_sidebar id=\"epZCsHoOtfaC0xfJUpdgovxcZOsKlTBF\"]\u003c/p>\n\u003cp>The overwhelming majority of the baby's DNA comes from the nucleus of the cell. And those are the genes responsible for the traits that most people consider their genetic inheritance, such as their eye and hair color, height, weight and personality.\u003c/p>\n\u003cp>The bit of mitochondrial DNA is \"incomparable,\" Mazur says. \"These children are more like their parents — not donor.\"\u003c/p>\n\u003cp>Mazur will present the clinic's latest results at the \u003ca href=\"https://www.eshre.eu/\" target=\"_blank\" rel=\"noopener\">European Society of Human Reproduction and Embryology\u003c/a>'s annual meeting in Barcelona in July.\u003c/p>\n\u003cp>\u003cstrong>Moving too fast?\u003c/strong>\u003c/p>\n\u003cp>Some scientists are welcoming this as a potentially exciting new option for some women.\u003c/p>\n\u003cp>\"It is pioneering work,\" says \u003ca href=\"http://cumc.p.cumcweb.org/mdphd/profile/degli\" target=\"_blank\" rel=\"noopener\">Dietrich Egli\u003c/a>, an assistant professor of developmental biology at Columbia University Medical Center in New York. The procedure is technically known as \"pronuclear transfer.\"\u003c/p>\n\u003cp>\"What we can learn from their work is that pronuclear transfer may be useful for some cases of infertility,\" says Egli.\u003c/p>\n\u003cp>But critics say it's far too soon to be attempting this procedure to create children.\u003c/p>\n\u003cp>\"This is really an irresponsible kind of human experimentation,\" Darnovsky of the Center for Genetics and Society says.\u003c/p>\n\u003cp>Not nearly enough laboratory and animal research has been done to know if the procedure is safe, Darnovsky and others say.\u003c/p>\n\u003cp>\"We just don't know what's going to happen to these children,\" Darnovsky says.\u003c/p>\n\u003cp>In the 1990s, a doctor in New Jersey injected fluid from healthy eggs into the eggs of infertile women, and some babies were born with mitochondrial DNA from three people. But that was discontinued after the FDA intervened.\u003c/p>\n\u003cp>Only one other baby is known to have been produced using a technique similar to the one being used by Zukin. \u003ca href=\"https://www.newhopefertility.com/about-us/fertility-doctor/john-zhang/\" target=\"_blank\" rel=\"noopener\">John Zhang\u003c/a> of the \u003ca href=\"https://www.newhopefertility.com/\" target=\"_blank\" rel=\"noopener\">New Hope Fertility Center\u003c/a> in New York performed a related procedure for a Jordanian couple to try to prevent their child from having \u003ca href=\"https://ghr.nlm.nih.gov/condition/leigh-syndrome\" target=\"_blank\" rel=\"noopener\">Leigh syndrome\u003c/a>, a disorder caused by defects in mitochondrial DNA.\u003c/p>\n\u003cp>That's why the procedure was developed — to help women carrying \u003ca href=\"https://medlineplus.gov/mitochondrialdiseases.html\" target=\"_blank\" rel=\"noopener\">mitochondrial disorders\u003c/a> have healthy children. In severe cases, these disorders can be fatal.\u003c/p>\n\u003cp>A U.S. National Academy of Sciences panel \u003ca href=\"https://www.npr.org/sections/health-shots/2016/02/03/465319186/babies-with-genes-from-three-people-could-be-ethical-panel-says\" target=\"_blank\" rel=\"noopener\">concluded\u003c/a> it could be ethical to attempt the procedure for this purpose. But because the FDA \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/CellularGeneTherapyProducts/ucm570185.htm\">won't allow\u003c/a> it at all in the United States, the baby of the Jordanian couple whom \u003ca href=\"https://www.npr.org/sections/thetwo-way/2016/09/27/495668299/new-york-fertility-doctor-says-he-created-baby-with-3-genetic-parents\" target=\"_blank\" rel=\"noopener\">Zhang helped was born in Mexico in 2016.\u003c/a>\u003c/p>\n\u003cp>Doctors in the United Kingdom have started trying the technique to prevent mitochondrial disorders. But the British doctors are being \u003ca href=\"https://www.npr.org/2015/02/03/383578221/u-k-lawmakers-allow-scientists-to-attempt-dna-transplants\">allowed\u003c/a> to try to make only one baby at a time as part of a tightly regulated \u003ca href=\"https://www.npr.org/sections/health-shots/2014/11/10/360342623/combining-the-dna-of-three-people-raises-ethical-questions\" target=\"_blank\" rel=\"noopener\">research program\u003c/a>.[contextly_sidebar id=\"2QVJm0WQxeuB5lotTMLysQyqrPHpvncJ\"]\u003c/p>\n\u003cp>Zukin says he received approval for a five-year research program from the Ukrainian Postgraduate Medical Academy, which is under the auspices of the Ukrainian Ministry of Public Health. But Zukin concedes the procedure is far less regulated in his country. Nevertheless, he makes sure all the women understand they are undergoing an experimental procedure.\u003c/p>\n\u003cp>\"We explain everything to the families. And not all families give permission for providing this experimental procedure,\" he says.\u003c/p>\n\u003cp>Because mitochondrial DNA can be inherited, Darnovsky worries the procedure is crossing a line that long has been considered taboo: making changes in human DNA that can be passed down to future generations. One fear is that a mistake could create a new disease that could be inherited.\u003c/p>\n\u003cp>Mitochondrial DNA is inherited from the mother. Zukin already has used the procedure to produce one baby girl — a girl who could one day pass the mitochondrial DNA to her own children.\u003c/p>\n\u003cp>Darnovsky worries the procedure could also open the door to creating babies who are genetically modified for other reasons.\u003c/p>\n\u003cp>\"What we're seeing is a fast slide down a very slippery slope toward designer babies,\" Darnovsky says. \"We could see parents feeling eager to give their children traits like greater strength, needs less sleep. Some people are saying that, 'Yes, there are genes for IQ and we could have smarter babies.' \"\u003c/p>\n\u003cp>Zukin dismisses speculation about designer babies. He says he's interested only in helping women who are infertile have genetically related children or prevent mitochondrial diseases. And so far, all the babies he has created appear to be perfectly healthy, he says.\u003c/p>\n\u003cp>The only way to know whether the procedure works and is safe is to try it, he argues. He hopes to figure out how to make the procedure work for women suffering from age-related infertility as well, which would help far more women.\u003c/p>\n\u003cp>\"If you would like to swim,\" he says, \"then, first of all, you must jump in the water.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>A second story on Wednesday afternoon features an exclusive interview with a mother and her three-parent son.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Clinic+Claims+Success+In+Making+Babies+With+3+Parents%27+DNA+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"A clinic in Kiev, Ukraine, stirs controversy by making babies with DNA from three different people to help women who are infertile bear children. It's the only clinic known to be doing this right now.","status":"publish","parent":0,"modified":1528298279,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":63,"wordCount":1731},"headData":{"title":"Clinic Claims Success In Making Babies With 3 Parents' DNA | KQED","description":"A clinic in Kiev, Ukraine, stirs controversy by making babies with DNA from three different people to help women who are infertile bear children. It's the only clinic known to be doing this right now.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Clinic Claims Success In Making Babies With 3 Parents' DNA","datePublished":"2018-06-06T15:17:59.000Z","dateModified":"2018-06-06T15:17:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442343 https://ww2.kqed.org/futureofyou/?p=442343","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/06/clinic-claims-success-in-making-babies-with-3-parents-dna/","disqusTitle":"Clinic Claims Success In Making Babies With 3 Parents' DNA","source":"Health","nprByline":"Rob Stein, NPR","nprImageAgency":"Rob Stein/NPR","nprStoryId":"615909572","nprApiLink":"http://api.npr.org/query?id=615909572&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/06/615909572/inside-the-ukrainian-clinic-making-3-parent-babies-for-women-who-are-infertile?ft=nprml&f=615909572","nprRetrievedStory":"1","nprPubDate":"Wed, 06 Jun 2018 11:02:00 -0400","nprStoryDate":"Wed, 06 Jun 2018 05:11:00 -0400","nprLastModifiedDate":"Wed, 06 Jun 2018 11:02:46 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180606_me_inside_the_ukrainian_clinic_making_3-parent_babies_for_women_who_are_infertile.mp3?orgId=1&topicId=1128&d=398&p=3&story=615909572&ft=nprml&f=615909572","nprAudioM3u":"http://api.npr.org/m3u/1617422957-21e5db.m3u?orgId=1&topicId=1128&d=398&p=3&story=615909572&ft=nprml&f=615909572","path":"/futureofyou/442343/clinic-claims-success-in-making-babies-with-3-parents-dna","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/06/20180606_me_inside_the_ukrainian_clinic_making_3-parent_babies_for_women_who_are_infertile.mp3?orgId=1&topicId=1128&d=398&p=3&story=615909572&ft=nprml&f=615909572","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In a clinic on a side street in Kiev, the capital of Ukraine, doctors are doing something that, as far as is publicly known, is being done nowhere else in the world: using DNA from three different people to create babies for women who are infertile.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"If you can help these families to achieve their own babies, why it must be forbidden?\" \u003ca href=\"http://nadiyaclinic.com/about-the-clinic/our-team/valery-zukin/\" target=\"_blank\" rel=\"noopener\">Valery Zukin\u003c/a>, director of the \u003ca href=\"http://nadiyaclinic.com/\" target=\"_blank\" rel=\"noopener\">Nadiya Clinic\u003c/a>, asks as he peers over his glasses. \"It is a dream to want to have a genetic connection with a baby.\"\u003c/p>\n\u003cp>I traveled to Ukraine because Zukin promised unusual access to his private fertility clinic, including the first demonstration for a U.S. journalist of how scientists create \"three-parent\" babies — a procedure prohibited by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>Zukin also arranged the first-ever interview with a mother of a 15-month-old boy who is one of the four children he says he has produced this way.\u003c/p>\n\u003cp>Three more of his patients are pregnant, Zukin says, including a woman from Sweden. Women from several other countries including Britain, Brazil and Israel are going through the process, he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Leading ethicists and genetics researchers criticize the clinic for rushing ahead to use this method for infertility. No one knows whether children produced this way will be healthy, they say. And some worry the procedure may open the door to \"designer babies.\"\u003c/p>\n\u003cp>\"This is pretty troubling,\" says \u003ca href=\"https://www.geneticsandsociety.org/user/25\" target=\"_blank\" rel=\"noopener\">Marcy Darnovsky\u003c/a>, who heads the Center for Genetics and Society, a U.S.-based watchdog group.\u003c/p>\n\u003cp>But Zukin dismisses those criticisms.\u003c/p>\n\u003cp>\"As a doctor I understand only one thing: We have parents who couldn't have children and now they have their own biological child. That's all,\" Zukin says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Zukin has helped form a \u003ca href=\"http://www.dl-nadiya.com/\" target=\"_blank\" rel=\"noopener\">company\u003c/a>, Darwin Life-Nadiya, with a \u003ca href=\"https://www.newhopefertility.com/\" target=\"_blank\" rel=\"noopener\">New York clinic\u003c/a> to market the service to U.S. women willing to travel to Ukraine. Ukrainian women pay about $8,000 for the procedure; for foreigners, it's about $15,000.\u003c/p>\n\u003cp>\u003cstrong>Transferring DNA From Egg to Egg\u003c/strong>\u003c/p>\n\u003cp>To show how the procedure works, Zukin sends me upstairs to the embryo lab. After putting on a sterile blue gown and booties, I meet Pavlo Mazur, a clinic embryo scientist.\u003c/p>\n\u003cp>\"We will begin,\" Mazur says, as he takes a clear plastic dish out of an incubator.\u003c/p>\n\u003cp>The dish contains a 1-day-old embryo. It was created by fertilizing the egg of a woman with sperm from her male partner.\u003c/p>\n\u003cp>The dish also holds a second embryo. This was made using the same man's sperm to fertilize an egg from another woman, who was paid to donate eggs.\u003c/p>\n\u003cp>After sliding the embryos under a large microscope, Mazur starts a timer. He has only 15 minutes to complete the delicate procedure without risking damage to the embryos.\u003c/p>\n\u003cp>A monitor nearby displays what Mazur sees through the microscope. A round structure comes into focus on the screen. It's one of the embryos.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"You see?\" Mazur says, pointing to two smaller round structures inside. They contain the DNA of the man and woman trying to have a baby.\u003c/p>\n\u003cp>\"One is from sperm. It's paternal,\" Mazur says. \"And the second one is maternal.\"\u003c/p>\n\u003cp>Mazur slowly inserts a tiny, hollow glass needle into the fertilized egg. Even though Mazur is under pressure to work fast, he can't move too quickly.\u003c/p>\n\u003cp>\"Very steady and slow,\" Mazur says. \"We don't want to damage it, right? We want it to survive.\"\u003c/p>\n\u003cp>He uses the needle to extract the would-be parents' DNA. Mazur does the same thing with the second fertilized egg, removing all the DNA — except for 37 genes known as \u003ca href=\"https://ghr.nlm.nih.gov/mitochondrial-dna\" target=\"_blank\" rel=\"noopener\">mitochondrial DNA\u003c/a>.\u003c/p>\n\u003cp>Mitochondria provide energy for eggs. A defect in the patient's mitochondrial DNA might be what's preventing her from getting pregnant. So using the donor's mitochondrial DNA may be what enables the patient to produce healthy embryos and babies.\u003c/p>\n\u003cp>\"It's like an universal currency for a cell,\" Mazur says. \"It helps for all processes within the cell.\"\u003c/p>\n\u003cp>The next step is to transfer the DNA of the woman and man trying to have a child into the donor's mostly gutted embryo — empty except for the other woman's mitochondrial DNA.\u003c/p>\n\u003cp>\"And now we will just try to put the genetic material of our patient inside,\" Mazur says as he gently inserts the needle holding the couple's DNA and injects the genes.\u003c/p>\n\u003cp>\"That's it,\" he says, glancing at his timer to see there are still two minutes left.\u003c/p>\n\u003cp>\"So, you see? It's inside,\" Mazur says, pointing to the couple's DNA. \"It will develop into embryo.\"\u003c/p>\n\u003cp>The Nadiya clinic is transferring embryos reconstructed this way into the wombs of women trying to become pregnant.\u003c/p>\n\u003cp>So far, the clinic has tried the procedure on 21 women. Fourteen attempts failed, probably because the women were older, the clinic staffers say.\u003c/p>\n\u003cp>But the other women either had babies or are pregnant. They were younger, but could never produce viable embryos on their own.\u003c/p>\n\u003cp>\"I adore that such technology exists. I adore that it can help some people,\" says Mazur.\u003c/p>\n\u003cp>These babies end up with DNA from three different people: the woman trying to have a baby; her male partner; and the egg donor who has provided 37 mitochondrial genes. That's why they're called three-parent babies.\u003c/p>\n\u003cp>But Mazur says that label is wrong.\u003c/p>\n\u003cp>\"These babies — they have DNA from mother and from father. So they are genetically related to their parents,\" Mazur says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The overwhelming majority of the baby's DNA comes from the nucleus of the cell. And those are the genes responsible for the traits that most people consider their genetic inheritance, such as their eye and hair color, height, weight and personality.\u003c/p>\n\u003cp>The bit of mitochondrial DNA is \"incomparable,\" Mazur says. \"These children are more like their parents — not donor.\"\u003c/p>\n\u003cp>Mazur will present the clinic's latest results at the \u003ca href=\"https://www.eshre.eu/\" target=\"_blank\" rel=\"noopener\">European Society of Human Reproduction and Embryology\u003c/a>'s annual meeting in Barcelona in July.\u003c/p>\n\u003cp>\u003cstrong>Moving too fast?\u003c/strong>\u003c/p>\n\u003cp>Some scientists are welcoming this as a potentially exciting new option for some women.\u003c/p>\n\u003cp>\"It is pioneering work,\" says \u003ca href=\"http://cumc.p.cumcweb.org/mdphd/profile/degli\" target=\"_blank\" rel=\"noopener\">Dietrich Egli\u003c/a>, an assistant professor of developmental biology at Columbia University Medical Center in New York. The procedure is technically known as \"pronuclear transfer.\"\u003c/p>\n\u003cp>\"What we can learn from their work is that pronuclear transfer may be useful for some cases of infertility,\" says Egli.\u003c/p>\n\u003cp>But critics say it's far too soon to be attempting this procedure to create children.\u003c/p>\n\u003cp>\"This is really an irresponsible kind of human experimentation,\" Darnovsky of the Center for Genetics and Society says.\u003c/p>\n\u003cp>Not nearly enough laboratory and animal research has been done to know if the procedure is safe, Darnovsky and others say.\u003c/p>\n\u003cp>\"We just don't know what's going to happen to these children,\" Darnovsky says.\u003c/p>\n\u003cp>In the 1990s, a doctor in New Jersey injected fluid from healthy eggs into the eggs of infertile women, and some babies were born with mitochondrial DNA from three people. But that was discontinued after the FDA intervened.\u003c/p>\n\u003cp>Only one other baby is known to have been produced using a technique similar to the one being used by Zukin. \u003ca href=\"https://www.newhopefertility.com/about-us/fertility-doctor/john-zhang/\" target=\"_blank\" rel=\"noopener\">John Zhang\u003c/a> of the \u003ca href=\"https://www.newhopefertility.com/\" target=\"_blank\" rel=\"noopener\">New Hope Fertility Center\u003c/a> in New York performed a related procedure for a Jordanian couple to try to prevent their child from having \u003ca href=\"https://ghr.nlm.nih.gov/condition/leigh-syndrome\" target=\"_blank\" rel=\"noopener\">Leigh syndrome\u003c/a>, a disorder caused by defects in mitochondrial DNA.\u003c/p>\n\u003cp>That's why the procedure was developed — to help women carrying \u003ca href=\"https://medlineplus.gov/mitochondrialdiseases.html\" target=\"_blank\" rel=\"noopener\">mitochondrial disorders\u003c/a> have healthy children. In severe cases, these disorders can be fatal.\u003c/p>\n\u003cp>A U.S. National Academy of Sciences panel \u003ca href=\"https://www.npr.org/sections/health-shots/2016/02/03/465319186/babies-with-genes-from-three-people-could-be-ethical-panel-says\" target=\"_blank\" rel=\"noopener\">concluded\u003c/a> it could be ethical to attempt the procedure for this purpose. But because the FDA \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/CellularGeneTherapyProducts/ucm570185.htm\">won't allow\u003c/a> it at all in the United States, the baby of the Jordanian couple whom \u003ca href=\"https://www.npr.org/sections/thetwo-way/2016/09/27/495668299/new-york-fertility-doctor-says-he-created-baby-with-3-genetic-parents\" target=\"_blank\" rel=\"noopener\">Zhang helped was born in Mexico in 2016.\u003c/a>\u003c/p>\n\u003cp>Doctors in the United Kingdom have started trying the technique to prevent mitochondrial disorders. But the British doctors are being \u003ca href=\"https://www.npr.org/2015/02/03/383578221/u-k-lawmakers-allow-scientists-to-attempt-dna-transplants\">allowed\u003c/a> to try to make only one baby at a time as part of a tightly regulated \u003ca href=\"https://www.npr.org/sections/health-shots/2014/11/10/360342623/combining-the-dna-of-three-people-raises-ethical-questions\" target=\"_blank\" rel=\"noopener\">research program\u003c/a>.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Zukin says he received approval for a five-year research program from the Ukrainian Postgraduate Medical Academy, which is under the auspices of the Ukrainian Ministry of Public Health. But Zukin concedes the procedure is far less regulated in his country. Nevertheless, he makes sure all the women understand they are undergoing an experimental procedure.\u003c/p>\n\u003cp>\"We explain everything to the families. And not all families give permission for providing this experimental procedure,\" he says.\u003c/p>\n\u003cp>Because mitochondrial DNA can be inherited, Darnovsky worries the procedure is crossing a line that long has been considered taboo: making changes in human DNA that can be passed down to future generations. One fear is that a mistake could create a new disease that could be inherited.\u003c/p>\n\u003cp>Mitochondrial DNA is inherited from the mother. Zukin already has used the procedure to produce one baby girl — a girl who could one day pass the mitochondrial DNA to her own children.\u003c/p>\n\u003cp>Darnovsky worries the procedure could also open the door to creating babies who are genetically modified for other reasons.\u003c/p>\n\u003cp>\"What we're seeing is a fast slide down a very slippery slope toward designer babies,\" Darnovsky says. \"We could see parents feeling eager to give their children traits like greater strength, needs less sleep. Some people are saying that, 'Yes, there are genes for IQ and we could have smarter babies.' \"\u003c/p>\n\u003cp>Zukin dismisses speculation about designer babies. He says he's interested only in helping women who are infertile have genetically related children or prevent mitochondrial diseases. And so far, all the babies he has created appear to be perfectly healthy, he says.\u003c/p>\n\u003cp>The only way to know whether the procedure works and is safe is to try it, he argues. He hopes to figure out how to make the procedure work for women suffering from age-related infertility as well, which would help far more women.\u003c/p>\n\u003cp>\"If you would like to swim,\" he says, \"then, first of all, you must jump in the water.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>A second story on Wednesday afternoon features an exclusive interview with a mother and her three-parent son.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Clinic+Claims+Success+In+Making+Babies+With+3+Parents%27+DNA+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442343/clinic-claims-success-in-making-babies-with-3-parents-dna","authors":["byline_futureofyou_442343"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_631","futureofyou_17","futureofyou_283","futureofyou_347","futureofyou_215"],"collections":["futureofyou_1093","futureofyou_1097"],"featImg":"futureofyou_442344","label":"source_futureofyou_442343"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. 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