Tag: Personalized Medicine

Food for Thought: Weekly Wrap-Up

Andreas Sentker in Die ZEIT takes up the issue of rising eco-terrorism in Germany directed against field trials of genetically modified plants. These plants are an easy target as trial sites have to be disclosed to the public in registers following legislation initiated by the former red-green coalition in Germany. While in the past years opponents of genetically modified plants only targeted the plants they dub as “Gen-Dreck”, violence is now also directed against security firms and guards watching the fields. Last week, a masked gang assaulted security guards, looted their mobile phones and destroyed different plants of research projects from the University of Rostock. The plants were carrying genes for the production of biopolymers and for a vaccine against viral diseases.

In Süddeutsche Zeitung (SZ), Hanno Charisius introduces efforts to create artificial leaves mimicking photosynthesis to create hydrogen which can be used as fuel or energy source. Daniel Nocera from the Massachusetts Institute of Technology (MIT) is just using the principle: water molecules are split using electrical current produced by solar cells – an ages-old principle. Noceras new twist, however, is the use of a mix of cobalt and phosphate as a catalyst. The mix is accumulating at the electrodes, but after a while it is crumbling and thereby regenerating. The reaction is not the most effective one, but prototypes are already running for months without efficiency drop. First machines will now be installed in India for tests in realistic  conditions; the goal is to meet the daily power demand of an Indian family by using just 4 liters of water and sunlight. Nocera is now trying to combine his catalyst with solar cells to a single device.

Katrin Blawat, also in SZ, in a somewhat pessimistic article deals with the many failures to develop a drug to combat Alzheimer’s disease. Given that there are neither cures nor effective therapies to prevent or delay the onset of AD, she cautions against tests for early diagnosis.

Another negative outlook is given by Werner Bartens in the same paper. Bartens deals with personalized medicine, calling the concept a “set phrase” invented to disguise that personalized medicine is a mere “PR strategy by the pharma industry and stakeholders from academia” invented to lay a smoke screen on the failure to develop new blockbuster drugs. For Bartens, the “niche buster concept” is “science fiction” allowing the pharma industry to obtain approval without any proof of patient benefit. As an example, Bartens interestingly mentions the introduction of personalized cancer drugs of which only a fraction of the patients is benefitting.

In contrast, Ronald D. Gerste in Neue Zürcher Zeitung (NZZ) writes about how cancer patients have profited from targeted therapies, e.g. in terms of decreasing cancer mortality and improved survival. Gerste features a trial by the MD Anderson Center in Houston/Texas in which 460 cancer patients underwent detailed molecular genetic analysis. Subsequently, they were treated by a matching therapy addressing the most promising molecular mechanism. Without applying any experimental drugs, this procedure increased survival from 9 to 13.4 months on average.

Also in NZZ, Stefan Betschon makes the case for better science communication, introducing an article by Dirk Helbing and Stefano Bialetti on “how to create an innovation accelerator“. They propose to improve the academic publication system by publishing articles ahead of peer review finalization and call for review by crowd sourcing. Rejected publications should also be made public, alongside with comments.

The Economist this week casts doubt on whether the goal to eradicate polio by the end of 2012 can be met. The disease is still endemic in four countries (Afghanistan, Pakistan, India and Nigeria), however re-emerged in African and Asian countries in recent years. Reasons are political (war, refugees, etc.), socioeconomic (poor sanitation) and medical (vaccines needs cold chain, virus can hide in asymptomatic carriers) factors.

Another article in The Economist deals with epigenetics findings by a German research group from the University of Konstanz. The team found that stress during pregnancy (abuse, violence, famine, death of a relative etc.) can lead to a change in the DNA methylation patterns of the unborn child, e.g. of the gene coding for glucocorticoid receptors which relay signals from stress hormones in the blood to cells of the brain regions controlling behavior. The findings may explain why children of stressed mothers show higher-than-normal rates of psychological and behavioral disorders and may lead to insights about how and when interventions are possible and promising.

Andrew Pollack in the New York Times features discussions on changing the rules for research in human subjects. The US government claims that changes are needed in the light of genomics studies using patients’ DNA samples, the use of the Internet and a growing reliance on studies that take place at many sites at once. Among the proposed changes are adding informed consent rules to donors of blood, DNA or tissue samples and allowing a single institutional review board for multiple-site clinical studies.

And finally, for all of us struggling daily with the touchscreen keyboards of our iPads and iPhones, IBM comes with a solution: a keyboard that morphs to fit an individual’s finger anatomy and typing style. Paul Marks in Wired dug out an IBM patent describing keyboards in which buttons are automatically resized, reshaped and repositioned according to the users typing style.

 

Food for Thought: In Search of Faster Cures

Last month, The Wharton School of the University of Pennsilvania dedicated a special edition of their prestigious Knowledge@Wharton newsletter to the biopharmaceutical industry. Most importantly, the authors dealt with the pressing question how the industry may continue to develop innovative drugs – and get them approved faster.

Summarizing the current challenges, the report states that “no one doubts that the drug industry’s traditional model for developing new cures is badly broken. Fewer exciting new medicines are reaching patients these days, even as spending on research and development has risen and blockbuster drugs that have long been the backbone of pharmaceutical profits have lost their patent protection. A widening gap divides the discovery of promising new laboratory compounds from the ability to turn them into innovative therapies. A similar gap separates recent scientific gains in understanding genes from the creation of new drugs that use this knowledge to fight disease.”

The report tackles key elements of the ongoing transformation of the biopharmaceutical industry, ranging from novel drug development approaches such as personalized medicine, open-source research, pricing policies, and the latest efforts at the U.S. Food and Drug Administration (FDA) to speed up regulatory processes. One of the most conclusive observations is that partnering and strategic alliances are becoming more important than ever to meet the requirements of the changing pharma industry. However, despite identifying the crucial pieces of the puzzle, it remains to be seen how both established and new biopharmaceutical companies can cope with the challenges of a transforming industry.

Food for Thought: Weekly Wrap-Up

Matthew Herper of Forbes this week takes up the issue whether a DNA sequencer can get FDA approval and quotes Jay Flatley, president and CEO of Illumina as saying the company is in talks with FDA to get regulatory clearance to use its technology for medical diagnostics. He also writes about the late Adriana Jenkins, who worked for Celgene and Third Rock Ventures, among others, and died of breast cancer earlier this month. Having been treated as one of the first patients with one of the first personalized drugs, Herceptin, which gave her a decade of life, she calls for a new law that would give drug companies extended monopolies for developing personalized medicines. Her  own last article explaining her plea for supporting personalized medicine by a legislation similar to the Orphan Drug Act  is featured in Forbes, too.

Also in Forbes, Robert Langreth explains  why Novo Nordisk decided to abandon development of diabetes pills and to ramp up insulin production instead – a move highly successful so far.

Dealing with green energy, the Economist reports on the latest efforts to develop artificial leaves for the synthesis of carbohydrate fuels directly from sunlight, carbon dioxide and water. The article features efforts by the Joint Centre for Artificial Photosynthesis (JCAP) in California, Massachusetts-based Sun Catalyx and a group at Massey University in New Zealand lead by Wayne Campbell.
For those of us who already are short-sighted and need reading glasses on top, the New York Times has good news about a new gadget that already hit the US market. Anne Eisenberg reports that with the new device the days of bifocal spectacles may be over soon. The new emPower electronic spectacles have liquid crystals inserted at the bottom of the lens which change refraction by simply touching the frame. As a result, reading power can be easily switched on and off.

Hannah Waters in The Scientist features a new pathway that may be used to develop novel antibiotics, e.g. to combat Staphylococcus infections.  The trick is done by blocking RNA degradation via a small molecule inhibiting the enzyme RNAse P found in gram-positive bacteria. This leads to accumulation of RNA transcripts and their encoded proteins so that the bugs die from chaos.

In Frankfurter Allgemeine Zeitung (FAZ), Jörg Altwegg reports about a baby that opened up a fierce ethical debate in France. The boy was conceived after preimplantation diagnosis made clear that he not only did not carry beta thalassemia but that he also was suited as a blood donor for his older sister suffering from the disease. Another ethical debate around human genetics is taken up by  Volker Stollorz in a Frankfurter Allgemeine Sonntagszeitung (FAS) article not yet online. In the US, researchers have developed a universal gene test able to uncover the genes for hundreds of severe, rare genetic diseases. The test is going to be used for family planning, and couples at risk of conceiving a child with one of those conditions can opt to perform preimplantation diagnosis. However, while some human geneticists warn that the results might overstrain the expertise of human genetic councelors, others already are crazy about using such tests to eliminate all recessive alleles for genetic diseases from the human gene pool.

Finally, Alison McCook in The Scientist claims researchers are punks, because just like in punk music, as they are typified “by a passionate adherence to individualism, creativity and freedom of expression with no regard to established opinions.” To get a taste, she recommends listening to Minor Threat and Nomeansno for a start.

Food for Thought: Weekly Wrap-Up

MacGregor Campbell reports in the New Scientist that DNA can stretch to nearly twice its length without breaking and explains how this feature can lead to the development of new drugs to fight cancer. Ferris Jabr in the same magazine reports about the first discovery of a virus infecting nematode Caenorhabdis elegans, a workhorse of developmental biology. The discovery will now enable biologists to study virus-host interactions in this model organism.

The Economist introduces a technology developed by Planar Energy (Orlando, Florida) which turns rechargeable batteries into thin, solid devices by printing lithium-ion batteries onto sheets of metal or plastic. The magazine quotes the company by saying the cells will be more reliable than conventional lithium-ion cells, will be able to store two to three times more energy in the same weight and will last for tens of thousands of recharging cycles. They could also be made for a third of the cost. The trick is done by using a ceramic electrolyte which can be printed and appears solid while it allows free passage to lithium ions.

Matthew Herper in Forbes reports on PerkinElmer’s entry into the DNA sequencing market by creating a service business. Researchers can send in DNA for sequencing by PerkinElmer and subsequently access and analyze the genetic data in a computer cloud. Focus will be on human exam sequencing. Matthew also features a video interview with Mischa Angrist, author of “Here is a Human Being: At the dawn of personal genomics” about what it means to look at one’s own sequence data and whether these data should be private or be available for science.

Also in Forbes, Robert Langreth introduces research by William DeGrado, of the University of Pennsylvania trying to breath new life in peptide drugs to fight infectious diseases. DeGrado uses supercomputer simulation to create antibiotics that mimic natural ones but are far simpler to produce and more stable. The first drug designed by DeGrado, PMX-30063 by PolyMedix to treat staphylococcus skin infections is now in clinical trials.

The New York Times also deals with infectious diseases. Sindya N. Bhanoo outlines efforts of researchers from seven countries to analyze how a single strain of Streptococcus pneumoniae bacteria has morphed over 30 years and spread across the world, as a result of evolutionary pressure by antibiotics and vaccines. Within three decades, the strain turned over about 75% of its genome by recombination and mutation. The study appeared in Science.

German papers feature two stories on drugs that surprisingly show efficacy in indications they have not been developed for: Cinthia Briseno in Der Spiegel reports on a study featured in Science on cancer drug Taxol paclitaxel which is able to stimulate the growth of nerve fibers that have been cut in two. The researchers are now planning clinical studies in paraplegics. Nicola von Lutterotti in Frankfurter Allgemeine Zeitung reports a Lancet Neurology study on Prozac fluxetin which is able support the recovery from palsy in stroke patients.

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