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Food for Thought: Weekly Wrap-Up

Joining the recent denunciation of personalized medicine in Süddeutsche Zeitung (SZ), Der Spiegel this week follows suit. Markus Grill and Veronika Hackenbroch cite Dr. Baerbel Huesing, Coordinator of Business Unit Biotechnology and Life Sciences of Fraunhofer ISI, as saying that the concept of personalized medicine is a “battle cry” of public relations: “Whoever invented it needs to be congratulated.” She added: “It is not a paradigm change. There is not that much in it. However, it is very well suited to justify to Jane Doe the enormous investments made in genomics – similar to the teflon-coated frying pan which was used as an excuse for manned space research.” As an example, Grill and Hackenbroch cite a study from 2009 in colon cancer patients, stating that adding Erbitux to the treatment scheme of patients selected by a concomitant Qiagen test resulted in a survival improvement of 4 months: “Is this a medical breakthrough? Is this what  progress looks like, bought by spending billions?” Instead, Grill and Hackenbroch recommend spending money on better care at home and better palliative treatment. The article ends with a quote from Wolf-Dieter Ludwig, head of the clinic for hematology, oncology and tumor immunology at Robert-Roessle-Klinik in Berlin: “Up to date, the concept of personalized medicine is an empty promise in the first place.”

Harro Albrecht and Sven Stockrahm in Die Zeit feature the suspicion expressed by medical doctors and competent authorities in the EU that the flu vaccine Pandemrix might cause narcolepsy, in particular in children and young adults. Already, EMEA issued a recommendation to use Pandemrix in children and adults under 20 in exceptional cases only. While there were only two reported cases of narcolepsy among children in the US, there were more than 300 in the EU, with 70% of those cases coming from Scandinavia. Narcolepsy is an autoimmune disease, predominantly in humans with a certain genetic modification, and the authors feature the theory that the adjuvant used in the vaccine might have induced the disease in these patients. However, the genetic variant known does not have a bigger frequency in Scandinavia.

Sven Stockrahm, also in Die Zeit, features miniature, flexible electronic devices that stick to the skin by physical means. They can be hid by a tattoo motif and are able to measure and transmit physiological data for medical purposes. One company developing these devices is mc10 Inc. in Cambridge, Mass.

Martina Lenzen-Schulte in Frankfurter Allgemeine Zeitung (FAZ) gives an overview on the arrival of maggot therapy as a means to clean wounds, stating it has become standard therapy in many German clinics already. Maggots not only remove dead tissue and eschar, they also kill bacteria. Therefore, they are increasingly being used in infections with bacteria carrying multiple resistance to antibiotics. However, maggot therapy is not yet approved in Germany (in contrast to the US).

Sebastian Matthes in Wirtschaftswoche interviews Jackie Fenn, analyst at Gartner and co-author of Gartner’s Hype Cycle Report. Fenn forecasts computers with the ability to understand spoken questions and to put out spoken answers as well as printing of organs and arteries.

Roland Fischer in Neue Zürcher Zeitung (NZZ) looks back at 50 years of the influential Science Citation Index SCI. Originally founded to make the identification of relevant scientific papers easier, it soon became a tool for sociologists of science and led to the birth of scientometry as a new discipline. However, SCI also was used to take quantity for quality, measuring quality of science as number of citations, and it is a well-known episode that in the UK funding of clinical research was cut because preclinical research generates more citations. While this controversy is still ongoing, the taking of quantity for quality is already spilling over into search engines, Fischer describes.

Alex Knapp in Forbes describes a novel approach to broad spectrum antivirals. It is based on a bi-specific drug: one arm binds to double-stranded RNA which is specific for viruses. Once bound, a second arm triggers a mechanism that leads to the destruction of the cell it is in. The experimental drug named DRACO has been successful at eliminating cells infected by 15 different viruses from the common cold to polio in vitro and in vivo (mice).

Food for Thought: Weekly Wrap-Up

Does Germany need more than 500 cancer centers? After attending a meeting of representatives from 10 university cancer centers and the National Center for Tumor Diseases (NCT), Rainer Flöhl in Frankfurter Allgemeine Zeitung (FAZ) is skeptical. While the university cancer centers are similar to the successful Comprehensive Cancer Centers in the US – linking basic and clinical research (which is called “translational research” nowadays), they do not yet provide nationwide cancer care. Therefore, the German Cancer Society supported the adding of further centers: “clinical oncology centers” and “organ centers”. At present, Flöhl writes, the landscape is dominated by organ centers (e.g., 200 each for breast and colon cancer), however they lack a multidisciplinary approach and are hampered by poor documentation standards and poor financing. As a result, patients do not get optimum treatment and many cancer centers may have to close sooner or later.

In Die Zeit, Gianna-Carina Grün is dealing with the aftermaths of the German EHEC epidemic. Not only modern sequencing technology but also a collection of strains played a crucial role in the rapid identification of the EHEC strain. However, Europe does not have comprehensive collections of microbial strains – building such databases is tedious and does not provide for scientific glory in terms of publications and inventions. Grün explains that not lack of funding, but structural deficits in academic and public institutions have prohibited the building of valuable databases so far.

Gert Antes, director of the German Cochrane Center in Freiburg, in Süddeutsche Zeitung (SZ) introduces the Cochrane library which meanwhile lists 600,000 randomized, controlled clinical studies from all over the world. He also features efforts by the US, Canada and various European countries to provide patients and health care professionals with reliable information distilled from the library. Germany, Antes states, does not invest in any attempts to turn research results into practice and to find what really works in health care. He is also disappointed by the German government´s plans to cut funding of clinical research. Antes’ conclusion: “Germany has never had a role as trailblazer in patient-oriented research, and now it seems it is heralding the end of it.”

Ulrike Gebhardt in Neue Zürcher Zeitung (NZZ) provides an overview on how immune cells cooperate with cancer cells. As an example, she mentions M2 macrophages which are tricked by a tumor so that they mistake it for a wound. As a result, they start a support program to direct blood vessels and nutrients into the area. In addition, they support cancer cells in forming metastases. The findings, Gebhardt states, may lead to novel ways to cure cancer and to prevent metastasis.

Farhad Manjoo in The New York Times (NYT) introduces the latest health-related Apps and gadgets to monitor activities and body functions such as heart rate, blood pressure and temperature. Joshua Brustein, also in NYT, introduces the latest internet startup prone to change our way of life: Taskrabbit, a market where busy people can hire others to help them with everyday tasks such as picking up groceries, making reservations and assembling IKEA furniture.

Finally, for people who always wanted to know whether they are descendants of Tut Ankh Amon, Swiss iGenea offers an answer. Turn in a swab of your DNA, and if your genes are the closest match to the pharao’s DNA, you get your money back. iGenea’s regular business is genealogical DNA analysis, and the company promises to provide its customers with insights about origins and migrations of their ancestors and information on whether they stem from ancient tribes suchs as vikings, celts or jews. However, as Matthias Glaubrecht explains at length in Die Welt, it is far from being clear that iGenea has obtained the mummy’s full DNA profile, let alone that the DNA derived from the mummy is indeed DNA from the pharaoh and not a contamination. In addition, as Eva Zimmerhof writes in Focus, preliminary tests demonstrate that about 45% of German, 50% off Swiss, and up to 80% of Spanish males are descendants of Tut Ankh Amon.

Company News: SuppreMol Employs Protagen Biomarkers in SLE Study

SuppreMol GmbH, a privately held biopharmaceutical company developing innovative therapeutics for the treatment of autoimmune diseases and allergies, and Protagen AG, a specialist in in-vitro diagnostics and GMP-compliant protein analysis, today announced a collaboration to identify therapy-related biomarkers in patients with Systemic Lupus Erythematosus (SLE).

SuppreMol will use the biomarkers for the rapid identification of autoantibody signatures in the serum of SLE patients enrolled in the current phase IIa study of its lead product SM101. Thereby, the company hopes to identify patients who are most likely to respond favorable to SM101. Since SLE is a disease with very diverse manifestations, the findings may also allow for the classification of patients into subgroups .

Financial details of the collaboration are not disclosed. The cooperation as well as SuppreMol’s phase IIa SLE study are supported by the German Federal Ministry for Education and Research (BMBF) as part of the Leading Edge Cluster m4.

Food for Thought: Weekly Wrap-Up

The EHEC epidemic in Germany with 4,300 patients and 50 deaths has changed the way public health institutions will deal with future epidemics, writes Christina Hucklenbroich in Frankfurter Allgemeine Zeitung (FAZ). She cites microbiologists involved in the rapid sequencing of the EHEC strain who think that the epidemic gave birth to the new discipline of “prospective genomic epidemiology”. To date, sequencing has been performed retrospectively only. However, using the novel Ion Torrent PGM HGS platform, scientists from the University of Münster were able to sequence the EHEC strain responsible for the outbreak within 62 hours. The scientists now think of a software generating a plain language report interpreting the genome and analyzing for toxins and antibiotics resistances of the germ in question so that immediate therapeutic and prophylactic consequences are possible.

Gas, electricity and hydrogen from algae are in the focus of a story by Susanne Kutter in Wirtschaftswoche. She features Sven Kerzenmacher and Johannes Gescher from the University of Freiburg and their efforts to produce electrical current directly from bacteria. The technology is based on the Shewanella bacterium which can transfer electrons generated by breakdown of sugar or other nutrients from the cell surface to conductive materials. Shewanella lives in fresh-, brack- and seawater and thrives on organic waste. The researchers are now trying to design a Shewanella-based mini-powerplant the size of a refrigerator which is able to produce 5-10 Watts of electricity per day – sufficient to meet the demand of a four-person household. Among others, Kutter also features a dual-chamber solar module developed by researchers from Leipzig, Karlsruhe and Bremen. In the first chamber, algae are forced by an excess of oxygen to produce hydrocarbons (“photorespiration”). The hydrocarbons enter the second chamber via a membrane and are used by bacteria to produce methane under anaerobic conditions. Readers interested in learning more about Shewanella may find regular updates on Shewanella Blogger.

While algae seem to be an ideal biofuel replacement for gasoline in the first place, it has turned out that the economics is a problem, writes Erica Gies in Forbes. Gies revisits former biofuel-from-algae startups that are now turning to more profitable products, using “green” chemistry to replace petrochemicals or unsustainable bio-based oils.

Also in Forbes, Matthew Herper deals with an op-ed in Nature Reviews Drug Discovery by John L. LaMattina, ex-CEO of Pfizer, Inc. LaMattina writes the pharma’s M&A activities have had a “devastating” effect of research and development efforts which will impact the industry over the next decade. The comment is all the more telling as LaMattina was pivotal in Pfizer’s acquisitions of Warner-Lambert, Pharmacia, Wyeth and many other companies. LaMattina summarizes that the consolidation by M&A led to fewer companies pursuing novel ideas and disruptions in research processes. Friction is caused, among others, by the need to streamline computer systems, procedures to track side-effects and others. Usually, a merger delays the start of any new research project by nine months. LaMattina’s comment can be accessed here.

Brandon Keim in Wired explains that most genetic differences in people are not caused by mutations but by variations in the genome’s architecture. At present, sequencing is designed to identify SNPs and as every sequencing method is breaking down the DNA in smaller pieces most genomic studies a blind to larger variations. First sequencing studies looking at larger DNA pieces now revealed that individuals seem to be distinguished less by their SNPs than by their structural variations, i.e. wholesale duplications and reversals, or unexpected additions and omissions of long DNA sequences.

Finally, Catherine de Lange in the New Scientist features the first car plugging into the driver’s brain to cut response times in case the car needs to stop suddenly. The invention of Stefan Haufe from the Berlin Institute of Technology uses an EEG headset and sensors on the leg to detect neuronal patterns and muscle tension to find out that the driver intends to apply the brakes. The system improves response times by 130 milliseconds which translates into the length of a small car when stopping from a speed of 100 km/h.

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