Slashdot Mirror
Geneticists Push For Databases Over Journals As Main Source of Information (theatlantic.com)
neoritter writes: The issues of reproducibility in journals continues to present problems. This time in the world of clinical geneticists where a misleading or incorrect journal on the effect of a gene variant can affect the decisions made by doctors and patients alike; from heart monitoring implants to abortions. Poor sampling and low thresholds for evidence have led some clinical geneticists to work towards an open database of genetic information. Scientists and doctors would go to a "one-stop shop for disease genes" to check and share information with each other under the strictest of standards.
The main person quoted in the article, Heidi Rehm, is 100% right about the need for a central open database of known genetic disease variants. And, just to get the Slashdot crowd interested, she also has a bit of the sexy librarian look going on.
But, as far as I can tell, she really hasn't been able to get much funding to be allocated for such databases (e.g. ClinVar and ClinGen). A couple years back, she got a grant for a few million dollars. But in a world where the USA thinks a long running war in Iraq is so wonderful that it's worth spending trillions on it, a few million is absolute peanuts. And Obama has made some worthless speeches about a "Prescision Medicine" initiative but hasn't actually ponied up any real cash.
Personal/clinical genomics today is like personal computers in the1980s. Personal computers didn't give us self-aware AI and personal/clinical genome sequencing isn't going to make us live forever (i.e. cure aging). But personal/clinical genome sequencing is one of the biggest revolutions in the history of medicine - right up there with aseptic surgery and antibiotics. Back in the 1980s there were networked computers and limited forms of email that were available in very limited and specialized contexts. But now everyone has a (networked) computer and all kinds of electronic communication that goes far beyond email. In the last decade, a relatively small number of people have had their genomes sequenced - and obtained useful clinical information. But that's going to explode. In a decade or two pretty much everyone in the developed world will have their genome sequenced.
I know that there's a lot of anger and cynicism about medical care in countries like the USA. There are some obvious market failures in the form of monopolies that limit the availability and dramatically increase the cost of access to medical doctors and medicines. And the USA has responded by layering on additional bureaucracy in the form of mandatory health insurance.
But there's also hope. A lot of lives are going to be saved and a lot of disability and suffering is going to be prevented by wide-spread personal/clinical genome sequencing. Let me give just one example. There are certain drugs that are known to either be ineffective or toxic to people with certain rare genetic variants. As it is, everyone is given the drugs and the doctors hope that they can detect the problem before the patient ends up dead (sometimes they do detect it in time and sometimes they don't and the patient ends up dead). With personal genome sequencing, people will know ahead of time which drugs to avoid - and won't end up dead from being given the wrong drug (i.e. wrong for their particular genetics).