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Shrinking cost of your genome. Million-fold in 6 years. What does $0 to the consumer mean?. Web 2.0, Crowd-sourcing. 2001 Wikipedia 1998 Search, Maps, Translation. But these new technologies (cell phone, fax, PC) are only as good as their communities. 1. Expensive 2. Discriminative

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Shrinking cost of your genome

Shrinking cost of your genome

Million-fold

in 6 years


What does 0 to the consumer mean
What does $0 to the consumer mean?

Web 2.0,

Crowd-sourcing

2001 Wikipedia

1998 Search, Maps, Translation ..

But these new technologies (cell phone, fax, PC) are only as good as their communities.


The personal genome do i want to know

1. Expensive

2. Discriminative

3. Worthless

The Personal Genome: Do I want to know? 

Genetic Information Nondiscrimination Act of 2008

(GINA)

Employment & health insurance


Destigmatization vs enhanced hiding addressing causes vs symptoms

  • Ethnicity

  • Sexuality GLBT

  • Cancer

  • Facebook.com

  • PatientsLikeMe.com

    • - HIV-AIDS

    • - Neurodegenerative Disorders

    • - Psychiatric Meds

Destigmatizationvs enhanced hiding(addressing causes vs symptoms)


Diy bio

DNA Explorer, $80 (Ages 10 and up)

DIY Bio

Genographic $99

23andme $399


Newborns are tested for up to 40 traits e g pku
Newborns are tested for up to 40 traits (e.g. PKU)

1526 Highly Predictable & actionable gene tests (not SNP chips)

As with security/insurance purchases, we are all at risk, even though we don’t expect to see direct payback.


The personal genome do i want to know if there will be no medical action

The Personal Genome: Do I want to know, if there will be no medical action?


Individually rare collectively common breast cancer
Individually rare collectively common: Breast cancer

deCODEme: “does not include the high-risk but rare BRCA1 and BRCA2 breast cancer risk variants”.

Navigenics: “Mutations in BRCA1 or BRCA2 are less common in the population and are only present in approximately 5 – 10% of families with breast and ovarian cancer.”

23andme: “Hundreds of cancer-associated BRCA1 and BRCA2 mutations have been documented, but three specific BRCA mutations are worthy of note because they are responsible for a substantial fraction of hereditary breast cancers and ovarian cancers among women with Ashkenazi Jewish ancestry”.

1M vs 3G


Valuable personal genome sequences
Valuable Personal Genome Sequences

1464 genes are highly predictive & medically actionable (inherited & cancer) at ~$2K per gene.

**Very few of these are on DTC SNP chips.** Why?

PKU, Tay Sachs, Cystic Fibrosis, BRCA1/2, etc.

Pharmacogenomic drug/allele combinations:

Herceptin, Iressa, ..

Also:

Ancestry, Forensics,

Social Networking,

Education, Research



Anonymity vs open access
Anonymity vs Open-access?

Trends in laws to make data public (not just at elite institutions):e.g.H.R. 2764, SEC. 218. 26-Dec-07 open-access publishing for all NIH-funded research.

(12) Identify individual case/control status from pooled SNP data Homer et al PLoS Genetics 2008as this became known, NCBI pulled dbGAP data

(11) Re-identification after “de-identification” using public data. Group Insurance list of birth date, gender, zip code sufficient to re-identify medical records of Governor Weld & family via voter-registration records (1998)

Self identification trend

(10) Unapproved self-identification. e.g. Celera IRB. (Kennedy Science. 2002)

(9) Obtaining data about oneself via FOIA or sympathetic researchers.

(8) DNA data CODIS data in the public domain.

even if acquitted


Anonymity vs open access1
Anonymity vs Open-access?

Accessing “Secure data”

(7) Laptop loss. 26 million Veterans' medical records,

SSN & disabilities stolen Jun 2006.

(6) Hacking. A hacker gained access to confidential medical info at the U. Washington Medical Center -- 4000 files (names, conditions, etc, 2000)

(5) Combination of surnames from genotype with geographical info An anonymous sperm donor traced on the internet 2005 by his 15 year old son who used his own Y chromosome data.

(4) Identification by phenotype. If CT or MR imaging data is part of a study, one could reconstruct a person’s appearance . Even blood chemistry can be identifying in some cases.

(3) Inferring phenotype from genotypeMarkers for eye, skin, and hair color, height, weight, geographical features, dysmorphologies, etc. are known & the list is growing.

(2) “Abandoned DNA bearing samples (e.g. hair, dandruff, hand-prints, etc.)

(1) Government subpoena. False positive IDs and/or family coercion

index


Who can contribute to cures prevention

Motivating, donating, raising consciousness

Who can contribute to cures & prevention?

Huntington'sNancyWexler(psychologist)

HFE Aull

(engineer)

Adrenoleukodystrophy

Odone(World Bank)

ALSJamie Heywood(engineer)

PatientsLikeMe.com

Parkinson’s

Brin family

Hugh Rienhoff, (MD)

MyDaughtersDNA.org

LRRK2 G2019S


Genes environments traits cells
Genesenvironmentstraits, cells

1660

0431

1846

1070

1730

1677

1687

1731

1833

1781

1) First & only open access data

2) Avoid over-promising on de-identification

3) 100% onExam to assure informed consent

(*Educate pre-consent rather than post-discovery*)

4) Low costwhole genome sequences

5) Multiple-traits: images, stem cells, etc.

6) IRB approval for 100,000 diverse volunteers

15,000 since May 2009

501(c)(3)


Generic health advice

  • Exercise

  • Drink your milk

  • Eat your beans

  • & your grains

  • & your iron

  • Get more rest

Generic Health Advice


Unless

  • Exercise HCM

  • Drink your milk MCM6

  • Eat your beans G6PD

  • & your grains HLA-DQ2

  • & your iron HFE

  • Get more rest HLA-DR2

UNLESS …


Diagnostics systems biology challenge
Diagnostics Systems Biology Challenge

NOT going from ONLY Genome Sequence

to Prediction

TRAITS

(Phenome)

Genome

6 Gbp

3M Alleles


Personalgenomes org inherited somatic environmental genomics
PersonalGenomes.orgInherited, Somatic, Environmental Genomics

One in a life-time genome + yearly ( to daily) tests

Public Health Bio-weathermap.org : Allergens, Microbes, Viruses

VDJ-ome

Personal stem-cells

epigenome (RNA,mC)

PERSONAL GENOME

6 Gbp

3M alleles

TRAITS

(Phenome)

Microbiome

~5 new non-synonymous

Alleles per generation


Even far from hospitals farms

Even far from hospitals & farms

Morten

Sommer

Gautam

Dantas


Even far from hospitals farms are multi drug resistant microbes
Even far from hospitals & farmsare multi-drug resistant microbes

Researchers Find Bacteria

That Devour Antibiotics


Microbiome vs vdj ome
Microbiome vsVDJ-ome

Microbe tests: Detect Drug resistance spectrum

Earlier warning (e.g. meningitis)

Immune tests: Focus on response to exposure

Longer times to detect exposure (e.g. HIV, TB)


Microbiomes what limits diagnostics
Microbiomes: What limits diagnostics

  • Standard of practice: skip diagnostics; guess at pathogen & antibiotics

  • If diagnostic is used typically a fingerprint rather than cauastive sequences.

  • Ideally targeted sequencing of pathogenicity and resistance – and broad community updating mechanism.

  • Assay 25 microliters or 6 liters?


Vaccination vdj ome
Vaccination VDJ-ome

HMS/MIT: Francois Vigneault, Uri Laserson, Erez Lieberman-Aiden, George Church

Roche: Michael Egholm, Birgitte Simen


Time series vaccine experiment
Time Series Vaccine Experiment

Tracking human dynamic response to vaccination to 11 strains:

Hepatitis A+B, Flu A/Brisbane/59/2007 (H1N1)-like, 10/2007 (H3N2)-like, B/Florida/4/2006-like virus

Polio, Yellow fever

Meningococcus

Typhoid, Tetanus

Diptheria, Pertussis

Collect samples at

-14d, 0d,

+1d, +3d,

+7d, +14d,

+21d, +28d





Shrinking cost of your genome

Query: FXQ8H8O01DXEUI rank=0514859 x=1493.0 y=2520.0 length=408

Target: I55621 | anti-hepatitis B virus (HBV) surface antigen (HBsAg) (human)

Model: affine:local:dna2dna

Raw score: 1740

Query range: 8 -> 398

Target range: 27 -> 423

9 : CGCGTTGCTCTTTTAAGAGGTGTCCAGTGTCAGGTGCAGCTGGTGGAGTCTGGGGGAGGCGTGG : 72

| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||

28 : CTCGTTGCTCTTTTAAGAGGTGTCCAGTGTCAGGTGCAGCTGGTGGAGTCTGGGGGAGGCGTGG : 91

73 : TCCAGCCTGGGAGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCTTCAGTAGCTATGG : 136

|||||||||||||||||||||||||||||||||||||||||||||||||||||||||| |||||

92 : TCCAGCCTGGGAGGTCCCTGAGACTCTCCTGTGCAGCCTCTGGATTCACCTTCAGTAGGTATGG : 155

137 : CATGCACTGGGTCCGCCAGGCTCCAGGCAAGGGGCTGGAGTGGGTGGCAGTTATATCATATGAT : 200

||||||||||||||||||||||||||||||||||||||||||||||||||| ||||||||||||

156 : CATGCACTGGGTCCGCCAGGCTCCAGGCAAGGGGCTGGAGTGGGTGGCAGTGATATCATATGAT : 219

201 : GGAAGTAATAAATACTATGCAGACTCCGTGAAGGGCCGATTCACCATCTCCAGAGACAATTCCA : 264

||||||||||||| |||||||||||||||||||||||||||||||||||||||||||||||||

220 : GGAAGTAATAAATGGTATGCAGACTCCGTGAAGGGCCGATTCACCATCTCCAGAGACAATTCCA : 283

265 : AGAACACGCTGTATCTGCAAATGAACAGCCTGAGAGCTGAGGACACGGCTGTGTATTACTGTGC : 328

||||||| |||| |||||||||| ||||||||||||||| |||||||| ||| |||||||||||

284 : AGAACACTCTGTTTCTGCAAATGCACAGCCTGAGAGCTGCGGACACGGGTGTATATTACTGTGC : 347

329 : GAGAGA---ACTT-ACTATGGTTCGGGGAGTTCCTG--ACTACTGGGGCCAGGGAACCCTGGTC : 386

|| ||| |||| ||| ||||||| |||| || | ||||||||| ||||||||||||||||

348 : GAAAGATCAACTTTACTTTGGTTCGCAGAGTCCCGGGCACTACTGGGTCCAGGGAACCCTGGTC : 411

387 : ACCGTCTCCTCA : 398

||||||||||||

412 : ACCGTCTCCTCA : 423

aln_summary: FXQ8H8O01DXEUI 408 8 398 + I55621 423 27 423 + 1740 390 372 95.38

UL


21 jan 2010 emphasis on protein cell function integration interpretation
21-Jan-2010 Emphasis on Protein/cell function, Integration & Interpretation

-Personal Genome issues: cost, unfriendly databases,

consent, multiple genes + environmental factors

-Personal stem cells 3 uses: Diagnostic/inheritance,

therapeutic cells, test pharmaceuticals

-Microbiomes: What limits diagnostics

-VDJ-omes: How to generalize immune diagnostics

29


Pgp skin to stem cells to
PGP skin to stem cells to ... & Interpretation

Lee J, Park IH, Gao Y, Li JB, Li Z, Daley G, Zhang K, Church GM (2009) A Robust Approach to Identifying Tissue-specific Gene Expression Regulatory Variants Using Personalized Human Induced Pluripotent Stem Cells. PLoS Genetics Nov 2009



Ipsc derived hepatic proteins activity
iPSC-derived hepatic proteins & activity & Interpretation

Generation of Functional Human Hepatic Endoderm

from Human Induced Pluripotent Stem Cells

Gareth et al Hepatology. 2010 Jan;51:329-35.


The personal genome do i want to know1

1. Expensive: & Interpretation “If you think education is expensive .. try ignorance”

2. Discriminative: Destigmatize,

pass laws, educate

3. Worthless: If we share, .. priceless

The Personal Genome: Do I want to know? 


Four open source resources
Four open-source resources & Interpretation

Polonator.org

snp.med.harvard.edu 

(Genes + Environment = Trait prediction)