Testing Children for “Sports Genes”

Lori Andrews by Lori Andrews

While some of us might be heading to the gym as we start the new year, certain parents are making another sort of resolution.  They are dialing up Atlas Sports Genetics and plunking down their credit cards to have their infants and toddlers tested for genes supposedly related to sports ability.  One woman who was considering such a test told The New York Times, “What if my son could be a pro football player and I don’t know it?”

As the denizen of a city famous for sports highs (Michael Jordan’s Bulls) and lows (the Chicago Cubs’ near misses), I am cautious about making predictions about a current team, let alone betting my hopes that a three year old will grow up to be the next Tom Brady or Peyton Manning.  And caution in this field should be the word of the day.  The proposed test raises both scientific and social issues.

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NIH Pulls Genetic Information from Internet after Research Shows Info Can Be Linked to Individuals

JulieBergerBy Julie Burger

For years, scientists have raced to unlock the mysteries hidden in the human genome. Relatively recent research methodologies, used in genome wide association studies (GWAS), are allowing scientists to much more rapidly uncover genes that may be linked to diseases. In GWAS, genetic and health information from thousands of people is compared to locate mutations or gene variants for diseases like breast cancer, diabetes and heart disease.  (For a scientific viewpoint as to why this research theory might not be successful, click here.)  Because this type of research calls for genetic and other information from thousands, or even tens of thousands of people, researchers are increasingly trying to tap into existing bodily tissue samples and private medical data from blood or biopsy samples taken at a physician’s office or hospital.  Researchers are also asking to share information from other researchers’ studies.  What many people don’t realize is that information about them and their genes could be taken and shared among researchers or even posted on the internet.

Researchers’ quest to correlate genes with disease has encouraged government agencies to implement policies to increase the sharing of genetic samples and genetic and health information even where the individual has not explicitly consented to the secondary use. The National Institutes of Health (NIH) has implemented a plan to increase access to genetic and associated health information. Starting in January 2008, researchers who received government funding for GWAS were required at the end of the study to submit the genetic profile and associated information about the health of the people whose tissue was used. The health information might be blood pressure or weight, or it might be information about drug use, mental health, and it could include information about family relationships.

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Holiday Gift Giving: Should You Give Your Loved One A Genome Scan?

Lori Andrews by Lori Andrews

With TIME Magazine dubbing the 23andme personalized genome scan the “2008 Invention of the Year,” you might be tempted to give your loved one his or her genetic profile for the holidays.  After all, what says I love you more than letting that special someone peek inside their own genome?  Or what about setting aside your usual New Years Eve revelry and sponsoring a spit party—where your guests can get an on-the-spot genetic tests?

The initial idea for a genetic profile as a gift did not originate with an entrepreneur or scientist, but with an artist. When the wife of a patron of arts asked Iñigo Manglano Ovalle to create a surprise portrait of her husband for his birthday, Ovalle conspired with the patron’s barber to pluck some hair from the man’s head and test it genetically.  Ovalle’s painted bands, based on the test results, looked like the forensic profiles used at the time in law enforcement and revealed no health information.  But the testing techniques used to produce the $399 genome scan offered by 23andme, as well as the tests offered by its competitors deCODE Genetics and Navigenics, do reveal potential future conditions including blindness, cancer, and risks of mental illness.

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Millionaire MD Consultants? – Big Pharma Promises Better Disclosure

JulieBergerBy Julie Burger

University medical centers are cutting down on relationships with drug and device manufacturers.  Less free pizza, less free pens.  That’s great, since studies show that even nominal gifts can influence prescribing and practice habits.  But it turns out that cold hard cash rather than trinkets might be the real culprit.

Conflict of interest and government grant funding rules say that investigators on federally funded studies must report whether they receive $10,000 or more a year from, for example, the drug company which makes the drug being studied.  A Congressional investigation spearheaded by Sen. Charles Grassley (R, IA) has highlighted several troublesome alleged undisclosed conflicts of interest incidents: psychiatrist Dr. Charles B. Nemeroff of Emory University reportedly failed to disclose $1.2 million in outside income from drug makers (including money from GlaxoSmithKline) while running a $3.9 million taxpayer-funded study to test GlaxoSmithKline drugs; Drs. Joseph Biederman and Timothy Wilens of Harvard each earned at least $1.6 million in consulting fees from drug makers but reportedly stated they earned only several hundred thousand dollars; Dr. Melissa DelBello of Univ. of Cincinnati allegedly reported around $100,000 from 8 drug companies over two years, while one alone had paid her $238,000.

I don’t know about you, but I would sure notice an extra million dollars in my bank account.  Even a cool hundred K would make a noticeable impact.

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An Antibiotic a Day … Keeps the Patient Away? Use of Placebos Raises Health Concerns and Ethical Questions

JulieBergerBy Julie Burger

A recent survey of American physicians found that nearly half routinely prescribe placebo treatments—treatments that do not have a physiological mechanism of working but might make the patient feel better because of the patient’s belief the treatment will work.  The most commonly reported prescribed “placebos” were pain relievers, vitamins, antibiotics and sedatives. 

Though they are being described as “placebos,” these are hardly the sugar pills envisioned by most people when placebos are mentioned.  Given recent concerns of superbugs and drug resistant bacteria, prescribing antibiotics when the patient doesn’t actually have an infection seems, at the least, counterproductive.  Antibiotics also kill beneficial bacterial naturally found in the body which can trigger other health problems.  Pain killers might mask symptoms, leading the patient to fail to recognize a problem.  The over prescription of sedatives seems even more dangerous.  All medications have side effects and some people prefer to minimize their exposure to these potentially harmful substances.  Prescribing medication knowing that it isn’t necessary but hoping that the patient’s expectations will help their condition takes away the patient’s right a choice about ingesting medication.

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Can Genetic Technology Finger Errant Dog Owners?

Tim WelchBy Tim Welch

To scoop, or not to scoop?  That is the question.  Residents of two towns in Italy and Israel may be facing potential fines if they opt for the latter.  City officials in Vercelli and Petah Tikva are taking advantage of genetic testing technology to promote cleanliness in their municipalities.  They are creating DNA databases of all registered dogs and testing droppings left behind on the streets.  Finally fed up with owners who carelessly leave behind their puppies’ poop in public areas, these two cities will hand out fines to any citizen whose dog is identified as a match in the database.  The Israeli program also offers incentives to pet owners who place their dogs’ waste into special municipal bins.  Incentives include dog toys and pet food coupons.

In Vercelli, a small northern Italian city of 45,000 residents, the lack of attention to current laws regarding cleaning up after pets prompted the idea for a doggy DNA database.  “If signs and invitations aren’t enough, we’ll try genetics.  I want a clean city,” said Antonio Prencipe, a city councilor.

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