


How To Check Yourself For Abnormal Genes 133
AnneWoahHickey writes "While the State of California was harassing personalized genomics companies, and hindering the development of personalized medicine, Wired was preparing a guide to genetic testing. It explains how to make sense of the massive sets of raw data offered by 23andMe or deCODEme, and a way to check yourself for genetic abnormalities that are not covered by microarray tests. Facing a medical community that is fiercely resistant to change, the fate of personalized medicine is truly in the hands of consumers."
Oh Come ON! (Score:2, Funny)
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You up reading Slashdot at this hour.
9:50 PM?
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Come on. You are in the same time zone as San Francisco. You gotta be kidding with that last remark.
don't worry (Score:5, Funny)
Re:don't worry (Score:5, Funny)
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But when people still listened to The Offspring, CDs were popular.
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Normally, yes.. but he's under 18; he won't be doing any time.
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Great News... (Score:1)
How To Check Yourself For Abnormal Genes
I am gonna recommend it to my boss.
Important caveats (Score:5, Informative)
Re:Important caveats (Score:5, Interesting)
Wired kindly point out that to get any ethically sound advice you should go to a genetic counsellor.
Why the rest of the article is there is then a bit bewlidering. It's like they're saying if you want meaningless information and bad or dangerous advice, and you want to pay a lot of money for it, these are the places to go.
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http://www.snpedia.com
is a database of the associations between rs numbers and disease associations.
Re:Important caveats (Score:4, Insightful)
More importantly, if you find out that you do have abnormal genes, and nonetheless say that you are healthy to the medical insurance company, have you just committed a fraud, and can the insurance company deny a claim on that basis ?
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Fortunately not, if you live in the US [genome.gov].
People forget... (Score:3, Insightful)
That's extremely difficult especially for multifactorial maladies which environment plays a major role. If you want serious answers get a professional explain and investigate, don't simply rely on DNA companies.
In
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OK - so first of all 23andme et al do not search for "abnormal genes" - they look for common polymorphisms present in human DNA sequences. These are not abnormal, simply different. Secondly, rs numbers found in association with disease are practically valueless without the underlying functional data, plus replication of the association in different populations.
To be fair, both of those companies do include a panel of custom genetic variants that have actually been found to be associated with various disorders and labs have replicated them and in some cases they've been shown to have function consequences. So it's not like they're just simply running an Illumina 500k SNP-chip with a bunch of random genetic markers on there. Plus even if they did do that, you could still potentially use that data to determine if you're carrying risk alleles when new ones are disc
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No way in hell (Score:5, Informative)
No way in hell anyone who hasn't had massive experience with PCR is going to get results from a DIY PCR. Extracting DNA from a sample is dead easy with the latest generation of kits, and DNA Is fairly stable stuff, but PCR protocols, although simple, are incredibly touchy and take a lot of time to get consistent results from.
The rough equivalent of having a page that says to Joe Public that he can either pay some professional to build a custom database for his companies needs, or he can download OpenOffice and do it himself. It's only cheaper if you don't put a value on time, quality or results.
Re:No way in hell (Score:5, Interesting)
I agree with your basic statement, but I read the article in a different way: "You can ban the labs, but this knowledge wants to be free. Amateurs can step into the vacuum if the pros are kept out."
Just as the early PC's were toys that developed into powerful tools, there is a potential for the interested public to start with haphazard work and, if denied a legitimate source of the information, develop into something usable.
Re:No way in hell (Score:5, Informative)
No way in hell anyone who hasn't had massive experience with PCR is going to get results from a DIY PCR...PCR protocols, although simple, are incredibly touchy and take a lot of time to get consistent results from.
I have to disagree with you here, at least for checking a specific, limited set of loci. IAAMB (molecular biologist) but I don't have "massive" experience with PCR and yet I've never had trouble getting it to work by following standard protocols using quality reagents (e.g. from NEB [neb.com]) and primers (from IDT [idtdna.com]). As long as the DIY guide included directions to use IDT's software to assist them in choosing primers and to determine the annealing temperature to use during the PCR cycle, I don't see why your typical DIYer with access to some old lab equipment wouldn't be able to get it to work as long as the DNA prep was good.
I would imagine a limiting factor to this approach would be the cost of the necessary equipment, with thermocyclers running in the thousands of dollars.
Summary a bit biased? (Score:3, Informative)
Yes, I know, I must be new here...
Re:Summary a bit biased? (Score:5, Informative)
Unless you're posting in the comments, Slashdot is not your pulpit!
Requiring they be sent to a doctor isn't privacy (Score:2, Interesting)
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> a (justified or not) lack of faith in the general public's ability to have access to their own data without turning into raging hypochondriacs.
Maybe it would be good for people to know more about their risks of having certain diseases. It puts other things in perspective. Why worry about terrorists when you are 10.000 times more likely to die in some other way? Why be a hypochondriac when it is X times more likely that you'll die in a car-crash?
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Playing Devil's Advocate here.
The automated process can give you a profile of your genes, and indeed it only takes a lab technician to do it.
However the results need to be interpreted, it is not a straightforward response (except for some very specific mutations for "simple" diseases), hypertension, diabetes, and other complex diseases are not only based on your genotype, but also highly dependent on your environment.
It is not a standardized reading like the pollutants coming out of your exhaust pipe.
Having
Requiring licenses... (Score:2)
On a similar note, New York's government has recently tried to pass a law requiring licensing for the people operating air-quality monitoring devices [nytimes.com]:
See? It is a
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Counseling is the key (Score:3, Insightful)
Why don't you tell me why I need someone with an MD behind their name to tell me what a standard output from a machine which takes a centrifuge of my spit, processes it through a standard chip and pulls out my dna composed against probable issues I could have, which THEN I can do a high-end explicit test from an MD afterwards?
You don't need the MD for the actual processing of the sample. As you put it, a monkey could do it.
You need the MD for the counselling that goes together with the result giving. To avoid people misinterpreting the results, putting wild theories because one test came back as positive, or to notice that the patient is too much distressed after some news and might be at risk of doing something crazy.
You also need an MD to discuss before hand of the utility of the test, their significance, what they are *actual
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In the UK under the National Health Service (NHS) doctors are usually criticised for trying to do less work than they should, rather than for trying to more than they should which seems to be a major criticism of doctors in a commercial health system.
Despite this and the increased cost to the NHS that keeping genetic testing in the medical profession will entail, our government and medical associations are reaching the same conclusions as in the US, even though the political climate here is favouring more a
All my Genes are slightly unusual... (Score:5, Funny)
Re:All my Genes are slightly unusual... (Score:4, Funny)
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Definitely OT, but I'm with ya. Good prices but apparently I'm the only person in the entire country who wears a 30x29 in their 560 line of jeans. In fact, judging by what retail stores carry, I'm just about the only person in the entire country who wears a 30x29 anything.
I guess it's true, America is getting fatter and those of us who are fit and trim are being tossed by the side of the road.
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Your waste is bigger than your length. Stop bitching about those "other" fat guys...
And learn to hem, you lazy bastard.
DIY? Really? (Score:3, Insightful)
"Design and Order PCR primers and controls"
"You'll need a cloning kit"
"Copy the DNA with the PCR reaction"
"Sequence the amplified genetic material."
While going to specialists sounds reasonable, we've only just reached the stage where testing large numbers of people is feasible, and only really through DNA microarrays.
The idea that you could do it yourself using methods invented in the mid-90's methods is just silly.
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D'ya think?
You're Missing the Point (Score:3, Insightful)
You went to hollywood upstairs medical college to? (Score:1)
No I am not willing to learn enough genetics to spot a quack.
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One of the main problems is the education they give you is usually along the lines of 'Well it seems your genes say you and your children will die unless you buy our patented combination of nutritional supplements'.
On a personal note, I'm interested to know if knowing your genotype has changed your life or lifestyle in any way?
Up next. (Score:3, Funny)
Online Genetic Testing = Scam (Score:5, Interesting)
Re:Online Genetic Testing = Scam (Score:5, Informative)
Thanks for the link. Since we're at it, I'll repost a link I posted in response to the thread a couple of weeks ago on the same subject.
The US Government Accountability Office compiled a report of genetic testing that is available here [gao.gov]. I'm not posting any quotes from it but its quite strongly worded conclusions are that these online genetic tests are at best worthless and at worst harmful. Any government that doesn't try to shut them down is being negligent.
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Why shut them down? Why not just license them and inspect them regularly for accuracy?
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Yeah you're right I was being melodramatic. Extremely heavy regulation, similar to that used to assess the safety and efficacy of drugs is probably the best way forward.
At the moment labs are supposed to have a license and they are insepcted for accuracy with respect to the actual genotyping they provide. But there is no regulation of the dubious medical interpretation or cross-selling that goes on top of your results.
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That GAO report is for a different kind of testing, so-called "nutrigenetic" tests. These claim to analyze a few parts of your DNA and come up with customized nutritional recommendations. For example mycellf.com [mycellf.com]. It sounds like these are indeed scams. But sites like 23andMe claim to do something completely different, so this report should not be taken to mean that those kinds of sites are scams too.
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https://www.23andme.com/store/ [23andme.com] ($999)
http://www.decodeme.com/index/about_order [decodeme.com] ($985)
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How to do it the cheap easy way: (Score:2, Funny)
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I still can't for the life of me figure out why some people think that slashdot is populated by elitist snobs and condescending asshats. There's simply no evidence for that. It would be interesting, though, to s
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There we go! That's perfect! I knew I could count on slashdot to come through.
Actually, what I'm really enjoying is the tremendous irony of YOU feeling like my comment hit too close to home, and then acting out
you can get tested, no big deal (Score:5, Interesting)
specialized companies test genes. brac gene (breast cancer), apoe (alzheimer's), fragile x, etc. you can do this by mail even
just make sure to use a name like donald duck or dick johnson. you don't want this info getting to insurance companies
might as well test that little 1 year old (not any older, consider the trauma for the kid) for parentage too. it has been speculated that something like 10% of babies born before the age of genetic testing were raised by fathers oblivious to the fact they were not the real genetic father of the kid
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They sell kits for that at Rite-Aid now.. http://www.medicalnewstoday.com/articles/101986.php [medicalnewstoday.com]
not that i disagree with you (Score:2)
but i am already envisioning the late night infomercials
a little bit of knowledge + a lot of fear = $$$
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Not a potential panic...honest! (Score:2)
Yeah, this is never going to cause huge panics amongst the dumb/easily influenced when they mess their test up and get dodgy results.
Yet another way to part the gullible from his money, I guess.
Superheroes (Score:4, Funny)
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You're thinking of another test entirely.. but I'm going to go ahead and say you should just save your money and stop eating wild mushrooms, especially those found in or around cow pies.
Back to the source (Score:4, Funny)
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"Honey, we'll have to recompile again..."
the article is bullshit (Score:5, Informative)
Mod parent up (Score:1)
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You are right.
Add a set of micropipettes ($300), eppendorf tubes, and primer is $1 per base, so think about $20-30 per SNP. PCR machines are not licensed for clinical diagnostic, so it will cost more (or just buy a PCR machine with standard research license and use it for diagnostic). Most clonning kits assumes you have some basic research equipment like electropheresis cube, shaker, centrifugue and so on.
just laid that out there huh? (Score:5, Insightful)
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Yeah I know! Whoever wrote this needs to try getting a trepanation for ill humors. These days they make you fill out a MILLION forms. Used to be I could get that done at my local barber.
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Since the personalized genome companies were started by people in the medical community, they could just as easily say, "Facing a medical community that will promote anything to the public..."
Or, "Facing an online media that will say anything sensational in a desperate effort to attract readers..."
Next step towards Gattaca (Score:1)
Great for the entire family! (Score:2)
Why you'd want this: Hypochondriasis [wikipedia.org]
Measurement doesn't entail understanding (Score:4, Insightful)
How would you tell a significant other (Score:2)
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about said genetic abnormalities? I have one that caused me(and my brother) to be born with 6 fingers....
I know someone who is looking for you...
From TFA (Score:2)
Can anyone tell me if this is complete hyperbole, or if it's the real deal? For that matter, why does the CA legislature even care about this?
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Having seen the patriot act pass, maybe the CA legislature feels that people are too willing to exchange their rights for percieved security.
An ad like "The government is trying to force you to buy medical insurance! Send us your DNA and you can buy super cheap medical insurance from us and avoid HUGE fines!" would probably work on a lot of idiots out there.
Then of course if you get turned down for that you're flagged as having risky genes and everyone (in the insurance industry) benefits.
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California wants to ban direct-to-consumer genetic testing for several reasons, not the least of which is the fact that they do not want people running to the doctor to obtain unnecessary treatment for a condition they do not have because there might be a statistical correlation between one of their gene sequences and the possibility of having an increased risk for a disease.
Another poster here said it well when he said that it would be imprudent to seek a clinical regimen for a disease one does not have.
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why does the CA legislature even care about this?
Because they trust doctors more then patients apparently.
See here [wired.com]:
Last Monday, the state's laboratory field services group issued thirteen cease-and-desist letters to genetic testing companies including personal genomics companies 23andMe and Navigenics as well as DNATraits.com, which gives would-be parental couples information about genetic disorders their children could inherit...
Health Department spokeswoman Lea Brooks responded to Wired.com's request for
Step 1 (Score:4, Funny)
Step 1: Hold your leftmost tentacle approximately 4-6 inches from your middle eye.
Would you use "alpha" version software? (Score:4, Informative)
Speaking as someone who has done a PhD on genome-wide microarray SNP analysis, I can tell you that we are not yet at a point of maturity where you can simply put a drop of blood in a machine and get reliable prognostic information or lifestyle and treatment recommendations.
The technology is actively researched, i.e. most often we're not looking at the results from a clinical standpoint but as an indicator of the performance of a certain method. Practically speaking, only research centers are interested at the stuff and you would be extremely hard pressed to convince practicing doctors to incorporate current results in their everyday work, even though some studies have appeared in famous medical journals (New England Journal of Medicine, Nature etc). Using software notation, the results are "alpha" grade at the moment.
That being said, there is no harm in knowing that you have an Adenine in position XXXX. Harm comes from acting upon that knowledge without sufficient clinical evidence.
P.
Pre-employment piss test: Part II (Score:1)
We're sorry, but we cannot entertain the possibility of hiring you on the grounds that your genes are far too normal. We have a very strict policy of only hiring miscreants and dead-weight with abnormal genes. This may seem... odd at first glance, however, hiring individuals with clear sense and an overall good mental and physical disposition are counter-intuitive to our mission statements goal of creating an immoral, crooked and inefficient operation. You see, the more problem
Look in the mirror (Score:3, Funny)
If you have a huge proboscis and you're wearing Jordache, you're screwed on both counts.
Problem with simple genetics in article (Score:5, Informative)
Whoever wrote this article shows a gross misunderstanding about how genetics actually works. The central dogma of genetics applies here: DNA is transcribed into mRNA, and translated into proteins, which can then be post-translationally modified.,
First - a single nucleotide change may or may not cause a "genetic defect." Translation involves taking three nucleotides (aka bases) and getting the appropriate amino acid from that. There are 20 common amino acids, and 64 combinations - so there is some overlap. If the changes nucleotide doesn't change the corresponding amino acid, it doesn't matter.
Second - not all mutations are harmful. If a mutation happens in an exon (a piece that is cut out), there may well be no difference if there is a mutation there or not. Even if it' is in a part that is kept, it may not be in a part of the protein that dictates structure or function.
Third - most organisms, including humans, have built in redundancies and backups. Losing a gene doesn't usually mean losing the protein, because often something else will make the product another way, or compensate. In diploid organisms often this can be duplicated genes or the other allele.
In short, in order to truly make sense of the data given by these companies you really need to know at least the basics of genetics and have an understanding of how the gene and protein work. These are no small tasks and, surprise, generally results in getting a degree in some branch of biology.
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1) Silent mutations can still cause problems, such as altering splicing (e.g., HGPS/progeria) so this statement should not be absolute "if the changes nucleotide doesn't change the corresponding amino acid, it doesn't matter"
2)Introns are removed, not exons.
3)Again, your statement is generally true, but some instances exist where loss of 1 copy of a gene can still be detrimental.
I'm not trying to be rude, just commenting. I agree that to interpret the dat
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I think that epidemiologically the results can make sense without a direct biological understanding. You can be pretty sure just by doing enough tests that a certain mutation is linked to a certain disease. The part about protein structure and function necessarily comes after that. For example we still don't really know why APOEe4 leads to an increased dementia risk, despite a lot of competeing hypotheses, although we certainly know that it does.
Also, when doing these sorts of genome wide assessments, th
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Whoever wrote this article shows a gross misunderstanding about how genetics actually works. The central dogma of genetics applies here: DNA is transcribed into mRNA, and translated into proteins, which can then be post-translationally modified.,
Not exactly true. The main concept behind genome-wide microarray analysis is the fact that SNP markers are in linkage disequilibrium with disease-related alleles. Therefore, it is not the presence of a silent "mutation" (the one we detect) that matters. Rather, it is the fact that said mutation usually happens to be associated/correlated with another nearby "mutation" that does affect gene function.
P.
Ok this is awesome!! (Score:1)
Now I just to go thru 10 years of medical training and we'll be good to go!
waste of time and money and psychic energy (Score:3, Insightful)
So I should return the PCR stuff I just bought? (Score:2, Funny)
I wonder if I can by genotyped for free (Score:2, Funny)
by filing a Freedom of Information Act request against the FBI, which has undoubtedly already taken my DNA from some place or another under a secret government civilian spy program...
Easy test (Score:2)
If you're reading slashdot, you can already check off one of the abnormalities...
(grin)
Lots of bashing, but... (Score:2)
There are a lot of people bashing this and I agree, something like what deCODEme and 23andMe provide is probably not for most people.
On the other hand, I could actually use something like this. I have some unusual issues that are very probably genetic in origin. In fact, I have a good idea of one possible genetic cause to 3 major symptoms that I have. I've spent years with various diagnoses and none of them have panned out.
There are no other tests for the particular genetic defect I suspect I have. For $985
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I won't ask what your particular conditions are, but if they are sufficiently badly understood you can probably find a researcher in the field who wants to look at genetic underlying causes and would genotype you for free. But they'll need a lot of similar people to be able to narrow down a genetic cause in this way.
Doing an exploratory genome wide association study on a sample of one (ie yourself) will lead you nowhere, because these sites will only test for relatively common polymorphisms, and the averag
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Actually, the research I'm basing my opinions on is fairly recent. It's a single gene that might be responsible for 3 symptoms I have. By determining the allele that that I have of that gene, I can see if it matches my expectation. If it does, then it's likely that defect is the cause of the symptoms I experience. It's as simple as that.
Consumers and personalized medicine (Score:3, Interesting)
Give me a break - the medical community is enthusiastic to the point being mesmerized by personalized medicine. Consumers need to worry about the "self fulfilling monopoly" aspects of personalized therapy. Once you have spent a lot of time and money diagnosing your unique disorder, the drug company offering you a customized treatment effectively has no competition. There is a good chance that they will charge painfully exorbitant prices. Look at recently released cancer drugs like Avastin, treatment costs $90k per patient per year!
The real issue is demonstrating that these strategies are effective when the specific treatments are only being given to a single patient. Hard to design an objective clinical trial validating efficacy under those conditions. The fate of personalized medicine is truly in the hands of the FDA.
P.S. Agree completely with the comments that this "how to" article is infeasible and written by someone with serious misunderstandings of the technology and underlying science.
most self-genotyping is worthless (Score:2, Interesting)
That is true but we must acknowledge that many if not most such claims have failed to replicate and they are probably mostly statistical errors -- do e
Re:Next up - how to remove your own liver (Score:5, Funny)
Bucket? Stapler?
I think you're talking about the more advanced operation "How to remove your liver and live just long enough to put it in a bucket.
People should start with "Remove your liver" that just requires the knife, and then grow up to more complex things.
If you enjoyed this comment you may also like:
"Replacing your blood with pink lemonade and how to stop the brutal pain".
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