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UVM gets $9 million to explore epigenetics of breast cancer – Vermont Biz

Larner College of Medicine faculty Gary and Janet Stein are principal investigators on a new $9 million grant from the National Cancer Institute to explore the epigenetics of breast cancer with the goal of finding new drug targets. (Photos: Sally McCay, Larner College of Medicine)

Vermont Business Magazine A team of University of Vermont scientists and physician investigators at the UVM Cancer Center and the Northern New England Clinical and Translational Research Network has been awarded a $9 million, five-year grant from the National Cancer Institute (NCI) to investigate the underlying causes of breast cancer with the goal of identifying new cellular-level targets that could be treated with drugs to prevent the disease or halt its progression.

The principal investigators for the project are Gary Stein, PhD, Perelman Professor and chair of the UVM Larner College of Medicine Department of Biochemistry and professor of surgery, and Janet Stein, PhD, a professor of biochemistry at the Larner College of Medicine. They lead a large, collaborative team representing scientific expertise across three colleges at the University of Vermont.

The competitive grantabout 5 percent of similar NCI grant proposals are fundedcame to UVM, in part, because of the research teams track record.

The NCI is investing in research groups that have made major, proven contributions, said Gary Stein. There is a high expectation that the progress wont be incremental but will represent a paradigm shift.

Stein and his collaborators have published their earlier findings on the underlying mechanisms of breast cancer in publications ranging from Nature to Cancer Research. The new work will build on the previous research contributions to expand both general understanding of breast cancer dynamics and how that molecular-level knowledge could reveal new potential drug targets leading to novel, more effective treatments.

The research will focus on three interrelated projects to determine what goes awry when cell division in healthy breast tissue becomes defective and produces cancer cells. Its focus will be on epigenetics, the instructions that proteins and nucleic acids within a cells nucleus give to its genetic codeits DNAthat tell genes to turn on or off. When a cell reproduces, these epigenetic instructions are passed on to newly formed cells, along with the parental cell DNA, its genetic blueprint. If the epigenetic instructions dont function precisely, cells can become cancerous.

The goal is understanding cancer-compromised epigenetic control of genes in breast tumors, Janet Stein said.

The first project will examine in detail how instructions for the epigenetic regulation of geneswhether they are turned on or off, or poised to turn onare passed on from a parent cell to its two offspring cells accurately, so there are no defects in the control of its specialized function or its ability to go through cell division in a normal way, Janet Stein said.Were trying to understand, precisely, what are the components, what are the epigenetic factors that remain with the gene during cell division, in order to ensure that you are not going to compromise normal function in the progeny cells.

The second project focuses on the proteins, called histones, that organize the two-and-a-half yards of DNA within a cells nucleus into intricate folds inside a chromosome. If these proteins bind a section of the folded DNA tightly, genes wont be expressed; if the bond is loose, the genes will be expressed or poised to express. In cancer cells, the ability to modify these proteins is undermined. The project will seek both to chart how the DNA organizing process works and identify drug targets that will restore function of cancer-compromised proteins.

In the third project, researchers will examine the functioning of a type of long non-coding RNA found in a cells nucleus that the research team discovered in an earlier project. It is present only when cells divide, the team found, and is associated with breast cancer, especially in its most aggressive forms, and is not responsive to conventional cancer treatments. The earlier work showed that, if the activity of this particular type of RNA is blocked, the cancer cell is unable to reproduce and dies. It is a prime drug target, Gary Stein said.

Technology and Team-based Approach Helped Win the Day

UVM has two other capabilities that helped the Cancer Center team win the grantaccess to advanced technology and the strength of its collaborative scientific team. The Larner College of Medicines advanced genome sequencing, microscopy and bioinformatics core facilities allow researchers to peer into cells and chromosomes and view genes and proteins visually in three dimensions.

We have a saying: Seeing is believing, Gary Stein said. The work would be impossible without this highly advanced instrumentation and the world-class expertise behind that technology, which allow us to identify and visualize modified genes and gene expression in cancer cells. It was definitely a credential that the NCI looked favorably on.

In addition, the NCI places priority on what it calls collaborative team science, an interdisciplinary research approach that is the fabric of the UVM Cancer Center.

Collaboration is the guiding principle for the UVM Cancer Center, Gary Stein said.We engage the complementary perspectives, expertise and experience of clinicians, oncologists, molecular biologists, biochemists, bioinformaticists, pathologists and others. UVMs breadth and culture incentivize partnerships that synergize to accelerate the translation of laboratory discovery to advances in cancer prevention, early detection, treatment and survivorship, he said.

Members of the research team come from the University of Vermonts Larner College of Medicine, College of Nursing and Health Sciences, and College of Engineering and Mathematical Sciences and cover both basic science and clinical departments.Members of the team, in addition to Gary and Janet Stein, are Mark Evans, Seth Frietze, Karen Glass, Jonathan Gordon, Peter Kaufman, Jane Lian, Jason Stumpff, Coralee Tye, Pamela Vacek, Jos Van der Velden, Donald Weaver and Marie Wood. Andrew Fritz and Kirsten Tracy are NCI postdoctoral fellows participating in the project.

Source: University of Vermont 4.6.2021

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UVM gets $9 million to explore epigenetics of breast cancer - Vermont Biz

Burlington High graduate finds the right fit with Westminster volleyball – Burlington Hawk Eye

Edward Everett Hale penned the novel, 'A Man Without A Country' in 1863, a story aboutAmerican Army lieutenant Philip Nolan, who renounces his country during a trial for treason, and is consequently sentenced to spend the rest of his days at sea.

In the summer of 2020, Gretchen Durbala was a college athletewithout a school.

Durbala, a graduate of Burlington High School, was getting ready for her senior year at MacMurray College in Jacksonville, Illinois. But MacMurray shuttered its doors, its financialstruggles pushed over the edge by the COVID-19 pandemic.

Just 18 months before she was supposed to walk across the stage to get her degree in biochemistry and just weeks before the start of her senior season of volleyball was supposed to begin, Durbala was scrambling to find a school.

Up steppedNatalia Koryzna, head volleyball coach at Westminster College in Fulton, Missouri. Koryzna had seen Durbala play, since the schools were in the St. Louis Intercollegiate Athletic Conference together.

One thing led to another, and suddenly Westminster had a setter and Durbala had a new home.

It has been a perfect fit for all involved.

"MacMurray College announced they were not opening up in the fall, they were shutting down. I was a littlebit in shock. I really didn't know what to think," Durbala said. "In a matter of hours I was getting calls asking me ifI wanted to play volleyball for my senior season. (Koryzna) called and asked me if I was interested in playing for her.

"They already knew me and I knew how they played. My parents and I went down on a visit. I had never been there or met any of the girls. But I knew it was the perfect fit for me."

Durbala was actually in the middle of a class when the news broke that MacMurray College was closing its doors forever.

"The kids and teachers didn't know what to do," Durbala said. "The teacher said, 'Okay, I guess we are done with class for the day.'"

Durbala helped the Blue Jays to a 13-3 season, including 11-2 in the SLIAC, where they shared the regular-season title with Greenville. Westminster advanced to the conference championship match this spring before falling to Greenville, which handed the Blue Jays two of their three losses this season.

Durbala made a smoothtransition, helped when the pandemic pushed the start of the season from fall to spring. She got her 1,000th career assist this season and finished 38th in NCAA Division III, averaging 9.19 assists per set. The 5-foot-10 Durbala garnered second team All-SLIAC honors, whileKoryzna was named co-Coach of the Year in the SLIAC.

"It was a pretty smooth transition. It helped that the season was pushed back to the spring, especially with 10 incoming freshman and myself. We had a lot of new people on the team and we all had to get to know each other," Durbala said. "I had a couple extra months to get to know everyone and know how and where they want the ball set. We got it all figured out pretty quickly and had a really good season."

Because of the COVID-19 pandemic, Durbala was granted an extra year of eligibility. She will return to Westminster College for the fall semester and complete work on her biochemistry major. From there, it's probably off to physician's assistant school.

Now, Durbala hopes Westminster will have a volleyball season in the fall.

"I have to go back anyway, so hopefully they get to play in the fall," Durbala said. "It would be really nice to get to play one more year of volleyball."

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Burlington High graduate finds the right fit with Westminster volleyball - Burlington Hawk Eye

Tetrachloropyridine Regional Analysis, Key Players and Forecasts till 2026 Chongqing Huage Biochemistry, Nanjing Red Sun, Jubilant Life Sciences,…

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Penrose TherapeuTx Expands Scientific Advisory Board with Three World-Renowned Oncology Researchers – PharmiWeb.com

Drs. Mircea Ivan, David Rubin and Patrick Farmer join Penroses growing board of experts in latest round of scientific appointees

ANN ARBOR, Mich. & CHICAGO--(BUSINESS WIRE)--Penrose TherapeuTx, a pharmaceutical company focused on developing innovative small-molecule therapies for the treatment of advanced cancers, has welcomed three new leading oncology researchers to serve on the companys advisory board. Penroses deep bench of scientific advisors will now also include Mircea Ivan, M.D., Ph.D., a microbiologist and immunologist whose research contributed to the 2019 Nobel Prize in Medicine or Physiology for the discovery of how cells sense and adapt to oxygen availability, David Rubin, M.D., a gastroenterologist with expertise in high-risk cancer syndromes, inflammatory bowel diseases and clinical trial design, and Patrick Farmer, M.D., a chemical and biochemical expert whose research includes metal-based therapies for melanoma.

Drs. Ivan, Rubin and Farmer all bring world-class experience across the many interconnected fields of oncology research, said Mark de Souza, CEO of Penrose TherapeuTx. With unique backgrounds in microbiology, gastroenterology and chemistry, we believe their expertise will propel and expedite our novel mitochondrial research platform through the next stages of development.

Dr. Mircea Ivan is an Associate Professor of Medicine at the University of Indiana School of Medicine and a leading researcher in hypoxia, having pioneered the study of noncoding RNAs regulated by oxygen deprivation. He is also focused on combinatorial therapeutic approaches in oncology and tumor metabolism. Dr. Ivans research with Dr. William Kaelin (Dana-Farber Cancer Institute) showing how normal oxygen levels control rapid HIF-1 degradation with the help of oxygen-sensitive enzymes contributed to the 2019 Nobel Prize in Medicine or Physiology.

Dr. David Rubin is an international thought leader in the field of gastroenterology and the Joseph B. Kirsner Professor Chair, Chief of the Section of Gastroenterology, Hepatology and Nutrition, and the Co-Director of the Digestive Diseases Center at the University of Chicago Medicine. His 30 plus years of clinical expertise includes high-risk cancer syndromes and inflammatory bowel diseases (Crohns disease and ulcerative colitis) with particular interest in the prevention of cancer associated with these gastrointestinal (GI) diseases, as well as better screening tools for colorectal cancer.

Dr. Patrick Farmer is a Professor and Chair of the Department of Chemistry and Biochemistry at Baylor University who has extensively researched melanoma and brings over 30 years of chemical and biochemical expertise to the scientific advisory board. His research groups early study of the pigment melanin as a means of targeting melanoma led to chelator-based therapies that are currently in clinical trial for several types of cancer.

Drs. Ivan, Rubin and Farmer join current board members Dr. Navdeep Chandel, a Professor of Medicine, Biochemistry and Molecular Genetics at Northwestern University Feinberg School of Medicine with over 25 years of experience focused on understanding mitochondria as signaling organelles, Dr. Bhardwaj Desai, Chief Development Officer at Penrose TherapeuTx and a leader in oncology clinical drug development across all classes of medication and phases of development, and Dr. James Stankiewicz, a Professor of Otolaryngology at the Loyola University Medical Center in Chicago for over four decades.

About Penrose TherapeuTx

Penrose TherapeuTx is a U.S.-based pharmaceutical company focused on developing innovative small-molecule therapies for the treatment of advanced cancers. Penrose has pioneered the development of a novel Mitochondrial Modifying Agent (MMA) therapeutic platform designed to generate therapies for difficult to treat cancers through a unique cooperative mechanism of action. Our approach has potential broad applicability across both hematologic and solid tumors. Learn more at https://penrosetherapeutx.com.

Chad HyettMCS Healthcare917-204-7917chadh@mcspr.com

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Penrose TherapeuTx Expands Scientific Advisory Board with Three World-Renowned Oncology Researchers - PharmiWeb.com

Surprising lung reaction may explain why COVID is hard to treat – Futurity: Research News

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New insights into the immune response to SARS-CoV-2 infections could bring better treatments for COVID-19 cases.

Researchers unexpectedly found that the virus triggers a biochemical pathway, known as the immune complement system, in lung cells. That might explain why the disease is so difficult to treat.

The research appears in the journal Science Immunology.

The researchers propose that the pairing of antiviral drugs with drugs that inhibit this process may be more effective. Using an in vitro model using human lung cells, they found that the antiviral drug Remdesivir, in combination with the drug Ruxolitinib, inhibited this complement response.

This is despite recent evidence that trials of using Ruxolitinib alone to treat COVID-19 have not been promising.

To identify possible drug targets, the research team examined more than 1,600 previously FDA-approved drugs with known targets, says Majid Kazemian, assistant professor in the departments of computer science and biochemistry at Purdue University.

We looked at the genes that are up-regulated by COVID-19 but down-regulated by specific drugs, and Ruxolitinib was the top drug with that property, he says.

Within the last few years, scientists have discovered that the immune complement systema complex system of small proteins produced by the liver that aids, or complements, the bodys antibodies in the fight against blood-borne pathogenscan work inside cells and not just in the bloodstream.

Surprisingly, the study found that this response is triggered in cells of the small structures in the lungs known as alveoli, Kazemian says.

We observed that SARS-CoV2 infection of these lung cells causes expression of an activated complement system in an unprecedented way, Kazemian says. This was completely unexpected to us because we were not thinking about activation of this system inside the cells, or at least not lung cells. We typically think of the complement source as the liver.

Claudia Kemper, senior investigator and chief of the Complement and Inflammation Research Section of the National Institutes of Health, was among the first to characterize novel roles of the complement system in the immune system. She agreed these latest findings are surprising.

The complement system is traditionally considered a liver-derived and blood-circulating sentinel system that protects the host against infections by bacteria, fungi, and viruses, she says. It is unexpected that in the setting of a SARS-CoV2 infection, this system rather turns against the host and contributes to the detrimental tissue inflammation observed in severe COVID-19. We need to think about modulation of this intracellular, local, complement when combating COVID-19.

Ben Afzali, an investigator of the National Institute of Healths National Institute of Diabetes and Digestive and Kidney Diseases, says there are now indications that this has implications for difficulties in treating COVID-19.

These findings provide important evidence showing not only that complement-related genes are amongst the most significant pathways induced by SARS-CoV2 in infected cells, but also that activation of complement occurs inside of lung epithelial cells, i.e., locally where infection is present, he says.

This may explain why targeting the complement system outside of cells and in the circulation has, in general, been disappointing in COVID-19. We should probably consider using inhibitors of complement gene transcription or complement protein activation that are cell permeable and act intracellularly instead.

Afzali cautions that appropriate clinical trials should be conducted to establish whether a combination treatment provides a survival benefit.

The second finding that I think is important is that the data suggest potential benefit for patients with severe COVID-19 from combinatorial use of an antiviral agent together with an agent that broadly targets complement production or activation within infected cells, he says. These data are promising, but it is important to acknowledge that we carried out the drug treatment experiments in cell lines infected with SARS-CoV2. So, in and of themselves they should not be used to direct treatment of patients.

Kemper adds that the unexpected findings bring more questions.

A currently unexplored and possibly therapeutically interesting aspect of our observations is also whether the virus utilizes local complement generation and activation to its benefit, for example, for the processes underlying cell infection and replication, she says.

Source: Purdue University

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Surprising lung reaction may explain why COVID is hard to treat - Futurity: Research News

Growth Drivers of Biochemistry Analyser Market 2020-2027 based on Key Players Like Thermo Fisher Scientific, RMS, HORIBA SoccerNurds – SoccerNurds

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Singapore Precision Medicine Program to Analyze Genetics of 150K Citizens – GenomeWeb

NEW YORK Singapore's National Precision Medicine (NPM) program has kicked off a four-year research initiative to analyze the genetics of 150,000 of its citizens, organizations involved in the effort announced on Wednesday.

The NPM program was launched in 2017 with a 10-year timeline to help establish the frameworks and infrastructure to roll out precision medicine throughout the country. The first phase of the effort focused on building a genetic databank for multi-ethnic Asian populations, which was completed in late 2019 with data on 10,000 healthy Singaporeans.

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Singapore Precision Medicine Program to Analyze Genetics of 150K Citizens - GenomeWeb

Medical schools need to prepare doctors for revolutionary advances in genetics – The Conversation CA

Human diversity did not appear to matter to modern medicine. At the time, the state of medical practice ignored the differences between individuals and between men and women.

This practice was reflected in how doctors were trained. They took courses in basic biology, biochemistry, anatomy and physiology. But genetics, the science of variation, was not a required course until recently.

Advances in genetics research have slowly transformed the practice of medicine. There has been a slow accumulation of a long list of diseases caused by variations in a single gene. Since the disease-causing variants generally occurred with some exception in low frequency, these diseases did not occupy the mainstream concern of the medical profession.

All this changed with the Human Genome Project (HGP). Completed in 2003, the sequencing of human genome pushed us into a new era of how genetic diseases would be defined, and how future health services would be delivered.

Medical schools need to do a lot better preparing future physicians and health professionals if the dreams of personalized medicine are to be realized.

Personalized medicine means treating patients based on the individual characteristics of their DNA. The information can be used either in direct intervention, as in cancer treatment, or in predictive medicine.

Different specializations would require varying levels of proficiency: for example, family physicians would need a sufficient background in genetics, while oncologists would need in-depth education.

The HGP made two big promises. First, it promised personalized predictive medicine based on an individuals genome sequences. Disease-causing mutations at different locations on a gene would be identified, and an overall personalized risk score would be calculated that would tell the individual his or her chances of developing that disease.

The second promise was to develop a better and faster cures for complex diseases such as cancer.

The letdown came when genomic studies showed that genes affecting complex diseases were potentially large in number and individually of small effect, and worse still, only a small number of all potential genes affecting a given disease could be identified.

Even more problematic, it turned out that all individuals sharing the same risk factor for a given disease did not develop the disease. This creates a problem for predictive medicine if scientists cannot link a disease to a gene with any certainty.

The uncovered genomic complexity of diseases was contrary to expectations of the Mendelian model, which did not account for genetic variations beyond one gene one disease.

This is where the work my collaborators and I carried out in our labs comes in. Our work in population genetics and evolutionary genomics relates to how these characteristics are calculated and combined into an overall score used in predictive medicine.

My lab specializes in the evolution of molecular complexity and its impact on precision medicine. We also study variation and evolution of sex and reproduction related genes and their role in the evolution of sexual dimorphism in complex diseases and mental disorders. We reviewed three decades of relevant work in genetics, genomics and molecular evolution and drew the following conclusions.

First, we showed that because of the blind nature of evolutionary forces and the role of chance in evolution in humans, many combinations of genes can lead to the same disease. This implies the existence of a considerable amount of redundancy in the molecular machinery of the organism.

Second, we showed that genes do not work alone: gene-gene and gene-environment interactions are a major part of any organisms functional biology. This would explain, for example, why some women with breast cancer genes develop breast or ovarian cancer and some do not.

Third, we showed that since males fight for mates and early reproduction, this would lead to an evolution of male-benefitting mutations even at the cost of them being harmful later, making males vulnerable to diseases in their old age. Male-benefitting mutations harmful to females would trigger a female-driven response leading to the evolution of increased female immunity, and possibly evolution of higher thresholds for complex diseases and mental disorders.

This would explain why many diseases such as autism are more common in boys than girls. In addition, some differences in disease prevalence, such as depression in women, is theorized to be the result of interaction between hormone fluctuation and social stress factors.

If you have sought medical attention, its likely that your doctor may have asked you about your parents and your siblings. Your physician is interested in knowing if there are any health conditions, such as cardiovascular disease, diabetes or high blood pressure that run in the family and that might affect your health.

Future physicians will need to know a lot more than their patients family history.

The number of situations that involve relevant genetic contributions will continue to increase with advances in molecular insights and precision medication. The medical research establishment is becoming increasingly aware of the importance of individual genetic differences and of sex and gender when assessing diseases and health-care proposals. Health professionals must have sufficient expertise in diversity, genomics and gene-environment (gene-drug) interaction.

Future physicians will be part of health networks involving medical lab technicians, data analysts, disease specialists and the patients and their family members. The physician would need to be knowledgeable about the basic principles of genetics, genomics and evolution to be able to take part in the chain of communication, information sharing and decision-making process.

This would require a more in-depth knowledge of genomics than generally provided in basic genetics courses.

Much has changed in genetics since the discovery of DNA, but much less has changed how genetics and evolution are taught in medical schools.

In 2013-14 a survey of course curriculums in American and Canadian medical schools showed that while most medical schools taught genetics, most respondents felt the amount of time spent was insufficient preparation for clinical practice as it did not provide them with sufficient knowledge base. The survey showed that only 15 per cent of schools covered evolutionary genetics in their programs.

A simple viable solution may require that all medical applicants entering medical schools have completed rigorous courses in genetics and genomics.

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Medical schools need to prepare doctors for revolutionary advances in genetics - The Conversation CA

Genetic testing: Everything you need to know – The Indian Express

As per the Organization of Rare diseases in India (ORDI), 1 in 20 Indians is affected by a rare disorder. More than 7,000 rare diseases are known and reported worldwide; from these approximately 80 per cent are known to have a genetic predisposition. Some of these common rare diseases weve heard of are inherited cancers (eg. breast, ovarian, and colorectal etc.), hemoglobinopathies (hemophilia, thalassemia, and sickle cell anemia etc.), auto-immune deficiencies, and lysosomal storage disorders among others, says Dr Aparna Dhar, head of department: medical genetics and genetic counselling, CRE Diagnostics.

In the year 2020, the world has undergone massive changes. It has made us introspect and re-evaluate our lives. Weve started looking after our wellbeing by addressing issues associated with mental health and physical health. Weve consciously tried to bring about lifestyle changes that have been coupled with teaming up with healthcare/diagnostic providers to give us a more personalised approach. One key way of doing this is by understanding if they have a genetic pre-disposition to a hereditary disorder, she adds.

A global study conducted by the Mayo Clinic, USA stated that 1 in 10 people who underwent predictive genetic testing, learned that they had a hereditary risk for a health condition and could actually benefit from preventive care. While no genetic test can accurately predict the exact date and time a disease may present, it will definitely be able to tell if an individual is at a higher risk vs the general population risk.

However, Dr Dhar says that there is definitely a lack of awareness around these genetic disorders, misconception about genetic diseases and testing, taboo talking about a potential familial disorder, and cost challenges.

Below, she addresses some of these:

What is a genetic test?

Genetic testing is a type of medical test that identifies changes in chromosomes, genes, or proteins. The results of a genetic test can confirm or rule out a suspected genetic condition or help determine a persons chance of developing or passing on a genetic disorder. More than 1,000 genetic tests are currently in use, and more are being developed. Genetic tests are performed on a sample of blood, hair, skin, amniotic fluid (the fluid that surrounds a fetus during pregnancy), or other tissue.

For example, a procedure called a buccal smear uses a small brush or cotton swab to collect a sample of cells from the inside surface of the cheek. The sample is sent to a laboratory where technicians look for specific changes in chromosomes, DNA, or proteins, depending on the suspected disorder. The laboratory reports the test results in writing to a persons doctor or genetic counselor, or directly to the patient if requested.

How should one prepare for genetic testing?

Genetic testing can provide important, life-saving information. Interpreting the results is critical. It can be difficult for a medical doctor to understand the result if they dont have specialized training in genetics. Thats why genetic counselors exist. They are trained in both medical genetics and counseling and work closely with your doctor to provide both clinical and emotional advice. They are available to guide, to make sure if you are a good fit for the test and help interpret results. Whereas for some, they might have second thoughts and might not recommend genetic testing as it is not for everyone. While there is perceived stigma of resulting to some disease or bad gene still lies, a counselor will help you understand what the results mean for you and your family.

What useful information can genetic testing provide?

*Genetic testing can provide clarity on the results, guide therapy selection and monitoring, and allow disease risk profiling*Family health history tells you which diseases run in your family*Identify risks due to shared genes*Understand better what lifestyle and environmental factors you share with your family*Understand how healthy lifestyle choices can reduce your risk of developing a disease

The results of genetic tests are not always straightforward, which often makes them challenging to interpret and explain. Therefore, it is important for patients and their families to ask questions about the potential meaning of genetic test results both before and after the test is performed. When interpreting test results, healthcare professionals consider a persons medical history, family history, and the type of genetic test that was done.

A positive test result means that the laboratory found a change in a particular gene, chromosome, or protein of interest. Depending on the purpose of the test, this result may confirm a diagnosis, indicating that a person is a carrier of a particular genetic mutation, identify an increased risk of developing a disease (such as cancer) in the future or suggest a need for further testing. Because family members have some genetic material in common, a positive test result may also have implications for certain blood relatives of the person undergoing testing. It is important to note that a positive result of a predictive or pre-symptomatic genetic test usually cannot establish the exact risk of developing a disorder. Also, health professionals typically cannot use a positive test result to predict the course or severity of a condition.

A negative test result means that the laboratory did not find a change in the gene, chromosome, or protein under consideration. This result can indicate that a person is not affected by a particular disorder, is not a carrier of a specific genetic mutation, or does not have an increased risk of developing a certain disease. It is possible, however, that the test missed a disease-causing genetic alteration because many tests cannot detect all genetic changes that can cause a particular disorder. Further testing may be required to confirm a negative result.

In some cases, a test result might not give any useful information. This type of result is called uninformative, indeterminate, inconclusive, or ambiguous. Uninformative test results sometimes occur because everyone has common, natural variations in their DNA, called polymorphisms that do not affect health. If a genetic test finds a change in DNA that has not been associated with a disorder in other people, it can be difficult to tell whether it is a natural polymorphism or a disease-causing mutation. An uninformative result cannot confirm or rule out a specific diagnosis, and it cannot indicate whether a person has an increased risk of developing a disorder. In some cases, testing other affected and unaffected family members can help clarify this type of result.

Path to well-being

Genetic testing is not limited to only helping from a preventive and proactive perspective, but for those affected with disease; there is a shift to personalised medicine paradigm of disease modeling and targeted gene therapy which has yielded excellent results. In addition, the data from the Human Genome Project has helped us understand the stratification of genes as per their penetrance levels and in turn, help us give a personalised risk assessment to our patients.

Excerpt from:
Genetic testing: Everything you need to know - The Indian Express