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Monthly Archives: April 2022
Penn researchers discover new cell type in human lung with regenerative properties – EurekAlert
Posted: April 6, 2022 at 2:20 am
image:Human ES cell derived RASC (respiratory airway secretory cell transitioning to an Alveolar type 2 cell over time in culture view more
Credit: Penn Medicine
PHILADELPHIA A new type of cell that resides deep within human lungs and may play a key role in human lung diseases has been discovered by researchers at the Perelman School of Medicine at the University of Pennsylvania.
The researchers, who report their findings today in Nature, analyzed human lung tissue to identify the new cells, which they call respiratory airway secretory cells (RASCs). The cells line tiny airway branches, deep in the lungs, near the alveoli structures where oxygen is exchanged for carbon dioxide. The scientists showed that RASCs have stem-cell-like properties enabling them to regenerate other cells that are essential for the normal functioning of alveoli. They also found evidence that cigarette smoking and the common smoking-related ailment called chronic obstructive pulmonary disease (COPD) can disrupt the regenerative functions of RASCshinting that correcting this disruption could be a good way to treat COPD.
COPD is a devastating and common disease, yet we really dont understand the cellular biology of why or how some patients develop it. Identifying new cell types, in particular new progenitor cells, that are injured in COPD could really accelerate the development of new treatments, said study first author Maria Basil, MD, PhD, an instructor of Pulmonary Medicine.
COPD typically features progressive damage to and loss of alveoli, exacerbated by chronic inflammation. It is estimated to affect approximately 10 percent of people in some parts of the United States and causes about 3 million deaths every year around the world. Patients often are prescribed steroid anti-inflammatory drugs and/or oxygen therapy, but these treatments can only slow the disease process rather than stop or reverse it. Progress in understanding COPD has been gradual in part because micethe standard lab animalhave lungs that lack key features of human lungs.
In the new study, Morrisey and his team uncovered evidence of RASCs while examining gene-activity signatures of lung cells sampled from healthy human donors. They soon recognized that RASCs, which dont exist in mouse lungs, are secretory cells that reside near alveoli and produce proteins needed for the fluid lining of the airway.
With studies like this were starting to get a sense, at the cell-biology level, of what is really happening in this very prevalent disease, said senior author Edward Morrisey, PhD, the Robinette Foundation Professor of Medicine, a professor of Cell and Developmental Biology, and director of the Penn-CHOP Lung Biology Institute at Penn Medicine.
Observations of gene-activity similarities between RASCs and an important progenitor cell in alveoli called AT2 cells led the team to a further discovery: RASCs, in addition to their secretory function, serve as predecessors for AT2 cellsregenerating them to maintain the AT2 population and keep alveoli healthy.
AT2 cells are known to become abnormal in COPD and other lung diseases, and the researchers found evidence that defects in RASCs might be an upstream cause of those abnormalities. In lung tissue from people with COPD, as well as from people without COPD who have a history of smoking, they observed many AT2 cells that were altered in a way that hinted at a faulty RASC-to-AT2 transformation.
More research is needed, Morrisey said, but the findings point to the possibility of future COPD treatments that work by restoring the normal RASC-to-AT2 differentiation processor even by replenishing the normal RASC population in damaged lungs.
The research was supported by the National Institutes of Health (HL148857, HL087825, HL134745, HL132999, 5T32HL007586-35, 5R03HL135227-02, K23 HL121406, K08 HL150226, DK047967, HL152960, R35HL135816, P30DK072482, U01HL152978), the BREATH Consortium/Longfunds of the Netherlands, the Parker B. Francis Foundation, and GlaxoSmithKline.
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Penn Medicineis one of the worlds leading academic medical centers, dedicated to the related missions of medical education, biomedical research, and excellence in patient care. Penn Medicine consists of theRaymond and Ruth Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the nations first medical school) and theUniversity of Pennsylvania Health System, which together form a $8.9 billion enterprise.
The Perelman School of Medicine has been ranked among the top medical schools in the United States for more than 20 years, according toU.S. News & World Report's survey of research-oriented medical schools. The School is consistently among the nation's top recipients of funding from the National Institutes of Health, with $496 million awarded in the 2020 fiscal year.
The University of Pennsylvania Health Systems patient care facilities include: the Hospital of the University of Pennsylvania and Penn Presbyterian Medical Centerwhich are recognized as one of the nations top Honor Roll hospitals byU.S. News & World ReportChester County Hospital; Lancaster General Health; Penn Medicine Princeton Health; and Pennsylvania Hospital, the nations first hospital, founded in 1751. Additional facilities and enterprises include Good Shepherd Penn Partners, Penn Medicine at Home, Lancaster Behavioral Health Hospital, and Princeton House Behavioral Health, among others.
Penn Medicine is powered by a talented and dedicated workforce of more than 44,000 people. The organization also has alliances with top community health systems across both Southeastern Pennsylvania and Southern New Jersey, creating more options for patients no matter where they live.
Penn Medicine is committed to improving lives and health through a variety of community-based programs and activities. In fiscal year 2020, Penn Medicine provided more than $563 million to benefit our community.
Cells
Human distal airways contain a multipotent secretory cell that can regenerate alveoli
30-Mar-2022
Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.
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Nano Products Online Store | Nanoproducts, Nanoparticles …
Posted: April 6, 2022 at 2:12 am
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Margaret McGovern, MD, PhD, Appointed YSM Deputy Dean and CEO of Yale Medicine – Yale School of Medicine
Posted: April 6, 2022 at 2:09 am
Margaret McGovern, MD, PhD, has been appointed deputy dean for clinical affairs at Yale School of Medicine and chief executive officer of Yale Medicine, effective July 1, 2022.
McGovern is currently Knapp Professor of Pediatrics and dean for clinical affairs at Renaissance School of Medicine at Stony Brook University and vice president of Stony Brook Medicine (SBM) Health System clinical programs and strategy. Prior to assuming these roles in 2018, she was chair of Pediatrics and physician-in-chief at Stony Brook Childrens Hospital. She led the development and planning of Stony Brook Childrens Hospital and markedly expanded its pediatric clinical research and education programs. McGovern also led the Stony Brook faculty practice plan for six years during her tenure as chair of Pediatrics. In 2019, she led the formation of the SBM Clinically Integrated Network, which is engaged in delivering high-quality, high value care by building a population health platform. She serves as the physician executive leader for the initiative.
She received her PhD in genetics from the Mount Sinai Graduate School of Biomedical Sciences and her MD from Mount Sinai School of Medicine (now called Icahn School of Medicine at Mount Sinai). She completed her residency training in pediatrics and fellowships in clinical and molecular genetics at Mount Sinai Hospital before joining the faculty. At Icahn, she was vice chair of the Department of Genetics and Molecular Medicine and professor of human genetics, and of oncological sciences and obstetrics and gynecology. She was the program director for the NIH-funded General Clinical Research Center (GCRC) and carried out CDC- and NIH-funded research focused primarily on the integration of molecular genetic diagnostic testing into clinical practice and inborn errors of metabolism. She is considered a world authority on sphingolipidoses.
At Yale, McGovern will play an essential role in the development of clinical strategy for the School of Medicine at an important juncture in the relationship between YSM and Yale New Haven Health System. She will provide strategic counsel and otherwise work to realize YSMs vision for its clinical enterprise. As CEO of YM, she will participate actively in the senior leadership group of the medical schools academic health system and play a key role in setting and realizing strategic goals. As deputy dean for clinical affairs, she will serve as the physician leader who represents the clinical mission of the School of Medicine in all venues. In this role, she will work closely with the clinical chairs in the recruitment of clinical faculty, mentor the next generation of clinical leaders, and collaborate with the deputy deans of research and education to balance the needs for enhancing the academic and educational missions of YSM with clinical ambulatory operational efficiencies, quality improvement, and sound clinical finances.
Submitted by Robert Forman on April 05, 2022
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Uncovering a cooperation between RNA decay and chromatin regulating complexes that keep transposable element RNAs under control – EurekAlert
Posted: April 6, 2022 at 2:09 am
image:The HUSH and NEXT complexes function to control expression of TE transcripts at either the transcriptional or post-transcriptional level, respectively. HUSH is recruited to TE loci decorated with H3K9me3 histone marks and is required for transcriptional (txn) suppression. NEXT is recruited to HUSH-bound loci through a physical connection that requires ZCCHC8 and MPP8 and functions to decay pA- RNAs produced at TE loci view more
Credit: William Garland, Aarhus University
Mammalian genomes have been colonised by transposable elements (TEs), so called genetic parasites, which occupy ~ 50% of genomic DNA and harbour the potential to propagate, resulting in genetic instability. These elements are therefore subjected to tight cellular control. Whilst our understanding of TE regulation has been dominated by transcriptional and epigenetic models, the role of post-transcriptional RNA decay regulation has until now been unexplored.
A Danish team has identified a connection between the mouse orthologous nuclear exosome targeting (NEXT) and the human silencing hub (HUSH) complexes, involved in nuclear RNA decay and epigenetic silencing of TEs respectively. The researchers show that NEXT globally supresses TE RNA levels in mouse embryonic stem (ES) cells, and that this is aided by a recruitment to TE loci via the HUSH complex. This reveals an unprecedented collaborative mechanism of transcriptional and post-transcriptional control to limit the genotoxic activity of TE RNAs.
Previously, the Torben Heick Jensen laboratory identified and characterised the NEXT complex that target non-adenylated (pA-) RNAs to the nuclear exosome complex for decay. Upon depletion of NEXT, cells stabilise and accumulate such RNAs, but a putative role of NEXT in the regulation of TE RNAs had remained unexplored.
To investigate this, the NEXT component ZCCHC8 was knocked out (KO) in ES cells using CRISPR/Cas9 followed by high-throughput RNA sequencing and a focussed analysis of TE RNAs. Interestingly, this showed that TE RNAs were stabilised in NEXT KO conditions.
Upon further examination, it was shown that NEXT physically interact with HUSH via ZCCHC8 and that this connection provides a method of recruitment to target NEXT to DNA to degrade pA- TE RNAs whilst HUSH functions to regulate pA+ TE RNAs. This combinatorial mechanism ensures that TEs remain restricted by the collaborative functions of NEXT and HUSH.
These findings are a result of a collaborative project between the laboratories of Torben Heick Jensen at the Department of Molecular Biology and Genetics, Aarhus University, Kristian Helin at the Center for Epigenetics, Memorial Sloan Kettering Cancer Center and Albin Sandelin at the Biotech Relearch and Innovation Centre (BRIC), Copenhagen University. The studies were spearheaded by postdoc Will Garland from Aarhus University.
This study was published in the internationally recognised journalMolecular Cell.
Chromatin modifier HUSH co-operates with RNA decay factor NEXT to restrict transposable element expression.William Garland, Iris Mller, Mengjun Wu, Manfred Schmid, Katsutoshi Imamura, Leonor Rib, Albin Sandelin, Kristian Helin and Torben Heick Jensen.Molecular Cell(2022) doi:10.1016/j.molcel.2022.03.004.
Assistant ProfessorWill Garland-garland@mbg.au.dkProfessorTorben Heick Jensen-thj@mbg.au.dkDepartment of Molecular Biology and Genetics, Aarhus University, Denmark
Experimental study
Cells
Chromatin modifier HUSH co-operates with RNA decay factor NEXT to restrict transposable element expression
28-Mar-2022
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Mutations in Noncoding DNA Are Found to Protect the Brain From ALS – Neuroscience News
Posted: April 6, 2022 at 2:09 am
Summary: Mutations in the IL18RAP gene reduce inflammation and appear to protect the brain against ALS.
Source: Weizmann Institute of Science
Genetic mutations linked to a disease often spell bad news. Mutations in over 25 genes, for example, are associated with amyotrophic lateral sclerosis, or ALS, and they all increase the risk of developing this incurable disorder.
Now, a research team headed by Prof. Eran Hornstein of the Weizmann Institute of Science has linked a new gene to ALS, but this one contains mutations of a different sort: They seem to play a defensive rather than an offensive role in the disease.
The gene newly linked to ALS is located in the part of our genome once called junk DNA. This DNA makes up over 97 percent of the genome, but because it does not encode proteins, it used to be considered junk.
Today, though this noncoding DNA is still regarded as biological dark matter, its already known to serve as a crucial instruction manual. Among other things, it determines whengeneswithin the coding DNAthe ones that do encode proteinsare turned on and off.
Hornsteins lab in Weizmanns Molecular Neuroscience and Molecular Genetics Departments studies neurodegenerative diseasesthat is, diseases in which neurons degenerate and die. The team is focusing on our noncoding DNA.
This massive, noncoding part of the genome has been overlooked in the search for the genetic origins of neurodegenerative diseases like ALS, Hornstein explains.
This is despite the fact that for most ALS cases, proteins cannot explain the emergence of the disease.
Many people know about ALS thanks to the Ice Bucket Challenge that went viral a few years ago. This rare neurological disease attacks motor neurons, the nerve cells responsible for controlling voluntary muscle movement involved in everything from walking to talking and breathing.
The neurons gradually die off, ultimately causing respiratory failure and death. One of the symptoms of ALS is inflammation in the brain regions connected to the dying neurons, caused by immune mechanisms in the brain.
Our brain has an immune system, explains Dr. Chen Eitan, who led the study in Hornsteins lab together with Aviad Siany. If you have a degenerative disease, your brains immune cells, calledmicroglia, will try to protect you, attacking the cause of the neurodegeneration.
The problem is that in ALS, the neurodegeneration becomes so severe that the chronic microglial activation in the brain rises to extremely high levels, turning toxic. The immune system thus ends up causing damage to thebrainit set out to protect, leading to the death of more motor neurons.
Thats where the new findings, published today inNature Neuroscience, come in. The Weizmann scientists focused on a gene called IL18RAP, long known to affect microglia, and found that it can contain mutations that mitigate the microglias toxic effects. We have identified mutations in this gene that reduce inflammation, Eitan says.
After analyzing the genomes of more than 6,000 ALS patients and of more than 70,000 people who do not have ALS, the researchers concluded that the newly identified mutations reduce the risk of developing ALS nearly fivefold.
It is therefore extremely rare for ALS patients to have these protective mutations, and those rare patients who do harbor them tend to develop the disease roughly six years later, on average, than those without the mutations. In other words, the mutations seem to be linked to a core ALS process, slowing the disease down.
To confirm the findings, the researchers used gene-editing technology to introduce the protective mutations into stem cells from patients with ALS, causing these cells to mature into microglia in a laboratory dish.
They then cultured microglia, with or without the protective mutations, in the same dishes with motor neurons. Microglia harboring the protective mutations were found to be less aggressive towardmotor neuronsthan microglia that did not have themutations.
Motor neurons survived significantly longer when cultured with protective microglia, rather than with regular ones, Siany says.
Eitan notes that the findings have potential implications for ALS research and beyond. Weve found a new neuroprotective pathway, she says.
Future studies can check whether modulating this pathway may have a positive effect on patients. On a more general level, our findings indicate that scientists should not ignore noncoding regions of DNAnot just in ALS research, but in studying other diseases with a genetic component as well.
Author: Press OfficeSource: Weizmann Institute of ScienceContact: Press Office Weizmann Institute of ScienceImage: The image is in the public domain
Original Research: Closed access.Whole-genome sequencing reveals that variants in the Interleukin 18 Receptor Accessory Protein 3UTR protect against ALS by Chen Eitan et al. Nature Neuroscience
Abstract
Whole-genome sequencing reveals that variants in the Interleukin 18 Receptor Accessory Protein 3UTR protect against ALS
The noncoding genome is substantially larger than the protein-coding genome but has been largely unexplored by genetic association studies.
Here, we performed region-based rare variant association analysis of >25,000 variants in untranslated regions of 6,139 amyotrophic lateral sclerosis (ALS) whole genomes and the whole genomes of 70,403 non-ALS controls.
We identified interleukin-18 receptor accessory protein (IL18RAP) 3 untranslated region (3UTR) variants as significantly enriched in non-ALS genomes and associated with a fivefold reduced risk of developing ALS, and this was replicated in an independent cohort. These variants in theIL18RAP3UTR reduce mRNA stability and the binding of double-stranded RNA (dsRNA)-binding proteins.
Finally, the variants of theIL18RAP3UTR confer a survival advantage for motor neurons because they dampen neurotoxicity of human induced pluripotent stem cell (iPSC)-derived microglia bearing an ALS-associated expansion inC9orf72, and this depends on NF-B signaling.
This study reveals genetic variants that protect against ALS by reducing neuroinflammation and emphasizes the importance of noncoding genetic association studies.
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Alzheimers Disease: The Identification of 75 Genetic Risk Factors Brings New Insights – Neuroscience News
Posted: April 6, 2022 at 2:09 am
Summary: Researchers have identified 75 regions of the genome associated with Alzheimers disease, including 42 novel regions. The findings shed new light on the biological mechanisms of Alzheimers and provide a new avenue for the treatment of this neurodegenerative disorder.
Source: INSERM
Identifying genetic risk factors for Alzheimers disease is essential if we are to improve our understanding and treatment of it. Progress in human genome analysis along with genome-wide association studies [1]are now leading to major advances in the field.
Researchers in Europe, the US and Australia have identified 75regions of the genome that are associated with Alzheimers disease. Forty-two of these regions are novel, meaning that they have never before been implicated in the disease.
The findings, published inNature Genetics, bring new knowledge of the biological mechanisms at play and open up new avenues for treatment and diagnosis.
Alzheimers disease is the most common form of dementia, affecting around 1,200,000 people in France. This complex, multifactorial disease, which usually develops after the age of 65, has a strong genetic component. The majority of cases are thought to be caused by the interaction of different genetic predisposition factors with environmental factors.
Although our understanding of the disease continues to improve, there is no cure at this time. The medications available are mainly aimed at slowing cognitive decline and reducing certain behavioral disorders.
In order to better understand the origins of the disease, one of the major challenges of research is to better characterize its genetic risk factors by identifying the pathophysiological processes at play [2], and thereby propose novel therapeutic targets.
As part of an international collaboration, researchers from Inserm, Institut Pasteur de Lille, Lille University Hospital and Universit de Lille conducted a genome-wide association study (GWAS) on the largest Alzheimers patient group set up until now [3], under the coordination of Inserm Research Director Jean-Charles Lambert.
Encouraged by advances in genome analysis, these studies consist of analyzing the entire genome of tens of thousands or hundreds of thousands of individuals, whether healthy or sick, with the aim of identifying genetic risk factors associated with specific aspects of the disease.
Using this method, the scientists were able to identify 75regions (loci) of the genome associated with Alzheimers, 42of which had never previously been implicated in the disease.
Following this major discovery, we characterized these regions in order to give them meaning in relation to our clinical and biological knowledge, and thereby gain a better understanding of the cellular mechanisms and pathological processes at play, explains Lambert.
Highlighting pathological phenomena
In Alzheimers disease, two pathological brain phenomena are already well documented: namely, the accumulation of amyloid-beta peptides and the modification of the protein Tau, aggregates of which are found in the neurons.
Here, the scientists confirmed the importance of these pathological processes. Their analyses of the various genome regions confirm that some are implicated in amyloid peptide production and Tau protein function.
Furthermore, these analyses also reveal that a dysfunction of innate immunity and of the action of the microglia (immune cells present in the central nervous system that play a trash collector role by eliminating toxic substances) is at play in Alzheimers disease.
Finally, this study shows for the first time that the tumor necrosis factor alpha (TNF-alpha)-dependent signaling pathway is involved in disease [4].
These findings confirm and add to our knowledge of the pathological processes involved in the disease and open up new avenues for therapeutic research. For example, they confirm the utility of the following: the conduct of clinical trials of therapies targeting the amyloid precursor protein, the continuation of microglial cell research that was initiated a few years ago, and the targeting of the TNF-alpha signaling pathway.
Risk score
Based on their findings, the researchers also devised a genetic risk score in order to better evaluate which patients with cognitive impairment will, within three years of its clinical manifestation, go on to develop Alzheimers disease.
While this tool is not at all intended for use in clinical practice at present, it could be very useful when setting up therapeutic trials in order to categorize participants according to their risk and improve the evaluation of the medications being tested,explains Lambert.
In order to validate and expand their findings, the team would now like to continue its research in an even broader group. Beyond this exhaustive characterization of the genetic factors of Alzheimers disease, the team is also developing numerous cellular and molecular biology approaches to determine their roles in its development.
Furthermore, with the genetic research having been conducted primarily on Caucasian populations, one of the considerations for the future will be to carry out the same type of studies in other groups in order to determine whether the risk factors are the same from one population to the next, which would reinforce their importance in the pathophysiological process.
Notes
[1]These studies consist of analyzing the entire genome of thousands or tens of thousands of people, whether healthy or sick, to identify genetic risk factors associated with specific aspects of the disease.
[2]All functional problems caused by a particular disease or condition.
[3]Here, the researchers were interested in the genetic data of 111,326 people who were diagnosed with Alzheimers disease or had close relatives with the condition, and 677,663 healthy controls. These data are derived from several large European cohorts grouped within the EuropeanAlzheimer & DementiaBioBank(EADB) consortium.
[4] Tumor necrosis factor alpha is a cytokine: an immune system protein implicated in the inflammation cascade, particularly in tissue lesion mechanisms.
Author: Priscille RiviereSource: INSERMContact: Priscille Riviere INSERMImage: The image is in the public domain
Original Research: Open access.New insights into the genetic etiology of Alzheimers disease and related Dementias by Jean-Charles Lambert et al. Nature Genetics
Abstract
New insights into the genetic etiology of Alzheimers disease and related Dementias
Characterization of the genetic landscape of Alzheimers disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes.
We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/proxy AD cases and 677,663 controls.
We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication.
Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex.
We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia.
The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and theAPOE4 allele.
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Association for Molecular Pathology Hosted a Congressional Briefing to Urge Lawmakers to Consider the VALID Act of 2021 Separately from the Medical…
Posted: April 6, 2022 at 2:09 am
ROCKVILLE, Md. Apr. 5, 2022 The Association for Molecular Pathology (AMP), the premier global, molecular diagnostic professional society, called on Congress to allow for a thorough evaluation of the Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021, or any other legislation to change regulations for laboratory developed testing procedures (LDPs). Representatives from AMP, the American Association for Clinical Chemistry (AACC), the American College of Medical Genetics and Genomics (ACMG), and the Association of Pathology Chairs (APC) hosted a congressional briefing yesterday to educate lawmakers about how diagnostic tests are currently regulated and the substantial impact the VALID Act would have on clinical testing laboratories, healthcare providers, and patients throughout the U.S.
The VALID Act is a complex bill proposing dramatic modifications to current oversight mechanisms and a wide range of stakeholders have expressed significant concerns with the current draft. In February, AMP joined a number of other organizations asking that Congress consider the VALID Act separately from the must-pass Medical Device User Fee Agreement (MDUFA V) legislative process. To allow for thorough discussions and appropriate stakeholder engagement, it is important that this legislation goes through regular order with its own independent hearing, mark-up, and scheduled votes. More time and diverse stakeholder agreement are needed to ensure the policy is sound and in the best interest of patients and public health.
Congress needs to consider the lessons learned during the COVID-19 pandemic about how over burdensome and unnecessary regulation of laboratory testing affects testing capacity within the U.S. In February 2020, the U.S. declared a public health emergency and in turn, the U.S. Food and Drug Administration (FDA) began requiring emergency use authorization of all countermeasures used for clinical care. Subsequently, the FDA asserted authority to require regulatory review of COVID-19 tests before they could be offered to patients, halting the development and deployment of these tests, and leaving laboratory professionals paralyzed and unable to provide the care they are trained to do. As a result, this country went weeks without access to these critical public health tools while COVID-19 spread undetected throughout our communities.
AMP remains committed to working with and educating members of Congress and other key stakeholders to create an appropriate LDP oversight framework that modernizes the current regulatory system, demonstrates quality, enhances transparency, and fosters the rapid innovation and promise of new diagnostic technologies and tests, said Mary Steele Williams, AMP Executive Director. The current COVID-19 public health emergency highlights the critical need for laboratories to be allowed to respond quickly, and to continue advancing and offering the tens of thousands of high-quality, validated LDPs that benefit patients each and every day.
ABOUT AMP
The Association for Molecular Pathology (AMP) was founded in 1995 to provide structure and leadership to the emerging field of molecular diagnostics. AMP's 2,500+ members practice various disciplines of molecular diagnostics, including bioinformatics, infectious diseases, inherited conditions, and oncology. Our members are pathologists, clinical laboratory directors, basic and translational scientists, technologists, and trainees that practice in a variety of settings, including academic and community medical centers, government, and industry. Through the efforts of its Board of Directors, Committees, Working Groups, and Members, AMP is the primary resource for expertise, education, and collaboration in one of the fastest growing fields in healthcare. AMP members influence policy and regulation on the national and international levels, ultimately serving to advance innovation in the field and protect patient access to high-quality, appropriate testing. For more information, visit http://www.amp.org and follow AMP on Twitter: @AMPath.
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Mainz Biomed Completes Successful Pre-Submission Process with the U.S FDA for ColoAlert’s … – KULR-TV
Posted: April 6, 2022 at 2:09 am
Multi-Center Study on Track to Commence in Late 2022Initiated Reimbursement Process with The Centers for Medicare and Medicaid Services
BERKELEY, Calif. and MAINZ, Germany, March 31, 2022 (GLOBE NEWSWIRE) -- Mainz Biomed N.V. (NASDAQ:MYNZ) (Mainz Biomed or the Company), a molecular genetics diagnostic company specializing in the early detection of cancer, announced today that it has received supportive feedback from the U.S. Food & Drug Administration (FDA) on the Companys pre-submission package profiling the potential pivotal clinical trial design for ColoAlert, its highly efficacious, and easy-to-use detection test for colorectal cancer (CRC). As Mainz prepares to launch ColoAlerts pivotal clinical trial, the Company is also pleased to announce the formal commencement of its reimbursement process for ColoAlert by scheduling an initial meeting with The Centers for Medicare and Medicaid Services (CMS) in April 2022. The CMS is a federal agency in the U.S. Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
We are encouraged by the FDAs supportive commentary on our proposed pivotal clinical trial design for ColoAlert and will now work with our clinical team to finalize the studys protocols and make the necessary preparations to ensure premier trial execution, commented Guido Baechler, Chief Executive Officer of Mainz Biomed. In concert with final pivotal clinical trial preparations, we are excited to pursue reimbursement for ColoAlert and are looking forward to commencing formal discussions with the CMS.
An integral part of Mainzs clinical execution and medical reimbursement strategies is its partnership with Precision for Medicine, a leading global Clinical Research Organization. Precision for Medicine will continue to work with Mainzs management team to implement the U.S. focused regulatory and market access strategy for ColoAlert by finalizing ColoAlerts clinical development plan to ensure the trial design is cost-effective, robust, and efficient. The Company is planning to integrate CMS guidelines into ColoAlerts pivotal trial design, utilizing currently marketed CRC screening tests as benchmarks to provide the test with an optimal product profile for regulatory approval and success in the marketplace.
Mainz is marketing ColoAlert across Europe through its unique business model of partnering with third-party laboratories for test kit processing versus the traditional methodology of operating a single facility. The Company is also running ColoFuture, an international clinical study evaluating the potential to integrate a portfolio of in-licensed novel mRNA biomarkers into the product which have previously demonstrated the unique ability to identify curable precancerous colonic polyps, as well as treatable early-stage CRC (Herring et al 2021). ColoFuture is evaluating the effectiveness of these biomarkers to enhance ColoAlerts technical profile to extend its capability to include the identification of advanced adenomas (AA), a type of pre-cancerous polyp often attributed to CRC, while increasing ColoAlerts rates of diagnostic sensitivity and specificity. The results of the study will ultimately impact the configuration of ColoAlert prior to commencing the U.S. pivotal study which is on track to begin in late 2022.
About ColoAlert ColoAlert detects colorectal cancer (CRC) via a simple-to-administer test with a sensitivity and specificity nearly as high as the invasive colonoscopy*. The test utilizes proprietary methods to analyze cell DNA for specific tumor markers combined with the fecal immunochemical test (FIT) and is designed to detect tumor DNA and CRC cases in their earliest stages. The product is CE-IVD marked (complying with EU safety, health and environmental requirements) and is transitioning to compliance with IVDR. The product is commercially available in a selection of countries in the European Union. Mainz Biomed currently distributes ColoAlert through a number of clinical affiliates. Once approved in the U.S., the Companys commercial strategy is to establish scalable distribution through a collaborative partner program with regional and national laboratory service providers across the country. * Dollinger MM et al. (2018)
About the ColoFuture Study The ColoFuture study is an international clinical trial evaluating over 600 patients (women or men) in the age range of 40-85 at two participating centers in Norway and two in Germany. Subjects are invited to potentially participate in the trial when referred for a colonoscopy (pre-inclusion) to screen for CRC or an overall diagnostic analysis. Those who agree to provide a stool sample in advance of the procedure will be eligible for participation. Inclusion criteria are based on one of the following diagnostic outcomes: CRC, advanced precancerous lesions in colon, or normal colon. Then, each patient outcome will compare the observations recorded from the colonoscopy to the results from the ColoAlert test that incorporates the novel biomarkers. The primary endpoints of the study are to determine sensitivity and specificity rates for CRC with ColoAlert plus the new mRNA biomarkers. There are multiple secondary endpoints for evaluating the modified ColoAlert test, including, determining sensitivity for AA lesions in colon, specificity for advanced precancerous lesions in colon and, specificity for no colorectal finding (normal colon). The Company is expecting to complete enrollment during the second half of 2022 and is targeting reporting study results in early 2023.
About Colorectal Cancer Colorectal cancer (CRC) is the second most lethal cancer in the U.S. and Europe, but also the most preventable with early detection providing survival rates above 90%. Annual testing costs per patient are minimal, especially when compared to late-stage treatments of CRC which cost patients an average of $38,469 per year. The American Cancer Society estimates that in 2021 there will be approximately 149,500 new cases of colon and rectal cancer in the U.S. with 52,980 resulting in death. Recent FDA decisions suggest that screening with stool DNA tests such as ColoAlert in the US should be conducted once every three years starting at age 45. Currently there are 112 million Americans aged 50+, a total that is expected to increase to 157 million within 10 years. Appropriately testing these US-based 50+ populations every three years as prescribed equates to a US market opportunity of approximately $3.7 Billion per year.
About Mainz Biomed N.V. Mainz Biomed develops market-ready molecular genetic diagnostic solutions for life-threatening conditions. The Companys flagship product is ColoAlert, an accurate, non-invasive, and easy-to-use early detection diagnostic test for colorectal cancer. ColoAlert is currently marketed across Europe with FDA clinical study and submission process intended to be launched in the first half of 2022 for U.S. regulatory approval. Mainz Biomeds product candidate portfolio includes PancAlert, an early-stage pancreatic cancer screening test based on Real-Time Polymerase Chain Reaction-based (PCR) multiplex detection of molecular-genetic biomarkers in stool samples, and the GenoStick technology, a platform being developed to detect pathogens on a molecular genetic basis.
For more information, please visit http://www.mainzbiomed.com
For media enquiries, please contact press@mainzbiomed.com
For investor enquiries, please contact ir@mainzbiomed.com
Forward-Looking Statements Certain statements made in this press release are forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of words such as anticipate, believe, expect, estimate, plan, outlook, and project and other similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements reflect the current analysis of existing information and are subject to various risks and uncertainties. As a result, caution must be exercised in relying on forward-looking statements. Due to known and unknown risks, actual results may differ materially from the Companys expectations or projections. The following factors, among others, could cause actual results to differ materially from those described in these forward-looking statements: (i) the failure to meet projected development and related targets; (ii) changes in applicable laws or regulations; (iii) the effect of the COVID-19 pandemic on the Company and its current or intended markets; and (iv) other risks and uncertainties described herein, as well as those risks and uncertainties discussed from time to time in other reports and other public filings with the Securities and Exchange Commission (the SEC) by the Company. Additional information concerning these and other factors that may impact the Companys expectations and projections can be found in its initial filings with the SEC, including its registration statement on Form F-1 filed on January 21, 2022. The Companys SEC filings are available publicly on the SECs website at http://www.sec.gov. Any forward-looking statement made by us in this press release is based only on information currently available to Mainz Biomed and speaks only as of the date on which it is made. Mainz Biomed undertakes no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise, except as required by law.
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Mainz Biomed Completes Successful Pre-Submission Process with the U.S FDA for ColoAlert's ... - KULR-TV
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New insights into the genetic etiology of Alzheimer’s disease and related dementias – Nature.com
Posted: April 6, 2022 at 2:07 am
Universit de Lille, INSERM, CHU Lille, Institut Pasteur Lille, U1167-RID-AGE, Facteurs de risque et dterminants molculaires des maladies lies au vieillissement, Lille, France
Cline Bellenguez,Benjamin Grenier-Boley,Vincent Damotte,Marcos R. Costa,Julien Chapuis,R. Pineda-Snchez,Nathalie Fievet,Hieab Adams,Philippe Amouyel&Jean-Charles Lambert
Complex Genetics of Alzheimers Disease Group, VIB Center for Molecular Neurology, VIB, Antwerp, Belgium
Fahri Kkali,Christine Van Broeckhoven,Jasper Van Dongen&Kristel Sleegers
Laboratory of Neurogenetics, Institute Born - Bunge, Antwerp, Belgium
Fahri Kkali,Christine Van Broeckhoven,Jasper Van Dongen&Kristel Sleegers
Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium
Fahri Kkali,Jasper Van Dongen&Kristel Sleegers
Alzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands
Iris E. Jansen,Sven J. van der Lee,Henne Holstege,Marc Hulsman,Yolande A. L. Pijnenburg,Philip Scheltens,Niccolo Tes&Wiesje M. van der Flier
Department of Complex Trait Genetics, Center for Neurogenomics and Cognitive Research, Amsterdam Neuroscience, Vrije University, Amsterdam, the Netherlands
Iris E. Jansen,Danielle Posthuma&Tim Lu
Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, Germany
Luca Kleineidam,Victor Andrade,Michael T. Heneka,Wolfgang Maier,Anja Schneider,Michael Wagner,Kayenat Parveen,Frank Jessen&Alfredo Ramirez
Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, University of Cologne, Medical Faculty, Cologne, Germany
Luca Kleineidam,Rafael Campos-Martin,Victor Andrade,Maria Carolina Dalmasso,Klaus Fliebach&Alfredo Ramirez
German Center for Neurodegenerative Diseases (DZNE Bonn), Bonn, Germany
Luca Kleineidam,Klaus Fliebach,Michael T. Heneka,Wolfgang Maier,Matthias Schmid,Anja Schneider,Annika Spottke,Michael Wagner,Henning Boecker,Andr Lacour,Christine Herold,Tim Becker,Ying Wu,Yanbing Wang,Frank Jessen&Alfredo Ramirez
Research Center and Memory Clinic Fundaci ACE, Institut Catal de Neurocincies Aplicades, Universitat Internacional de Catalunya, Barcelona, Spain
Sonia Moreno-Grau,Itziar de Rojas,Pablo Garcia-Gonzalez,Carla Abdelnour,Emilio Alarcn-Martn,Montserrat Alegret,Merc Boada,Miguel Calero,Ana Espinosa,Pablo Garca-Gonzlez,Isabel Hernndez,Marta Marqui,Laura Montrreal,Adelina Orellana,Gemma Ortega,Alba Prez-Cordn,Raquel Puerta,Natalia Roberto,Maite Rosende-Roca,ngela Sanabria,Oscar Sotolongo-Grau,Juan Pablo Tartan,Llus Trraga,Sergi Valero,Ana Maulen,Ana Pancho,Anna Gailhajenet,Asuncin Lafuente,Elvira Martn,Esther Pelej,Liliana Vargas,Mar Buendia,Marina Guitart,Mariona Moreno,Marta Ibarria,Nuria Aguilera,Pilar Caabate,Silvia Preckler,Susana Diego,Nuria Aguilera,Amanda Cano,Pilar Caabate,Ral Nuez-Llaves,Cludia Oliv,Ester Pelej&Agustn Ruiz
CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, National Institute of Health Carlos III, Madrid, Spain
Sonia Moreno-Grau,Itziar de Rojas,Pablo Garcia-Gonzalez,Carla Abdelnour,Daniel Alcolea,Montserrat Alegret,Rafael Blesa,Merc Boada,Dolores Buiza-Rueda,Laura Cervera-Carles,Ana Espinosa,Juan Fortea,Mara J. Bullido,Ana Frank-Garca,Jose Maria Garca-Alberca,Isabel Hernndez,Carmen Lage,Alberto Lle,Adolfo Lopez de Munain,Marta Marqui,Angel Martn Montes,Miguel Medina,Pablo Mir,Fermin Moreno,Adelina Orellana,Gemma Ortega,Jordi Prez-Tur,Alberto Rbano,Eloy Rodriguez-Rodriguez,Maite Rosende-Roca,ngela Sanabria,Pascual Snchez Juan,Llus Trraga,Sergi Valero,Miren Zulaica,Ad Adarmes-Gmez,D. Macias-Garca,F. Carrillo,Isabel Sastre Merln,L. Garrote-Espina,M. Carrion-Claro,Ma Labrador,Mt Perin,P. Gmez-Garre,R. Escuela,R. Vigo-Ortega,S. Jess,Nuria Aguilera,Pilar Caabate,Astrid D. Adarmes-Gmez,Ftima Carrillo,Mario Carrin-Claro,Roco Escuela,Lorena Garrote-Espina,Pilar Gmez-Garre,Silvia Jess,Miguel Angel Labrador Espinosa,Sara Lpez-Garca,Daniel Macias-Garca,Mara Teresa Perin-Tocino,Roco Pineda-Snchez,Isabel Sastre,Rosario Vigo-Ortega,Jordi Clarimon&Agustn Ruiz
Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands
Najaf Amin,Amber Yaqub,Ivana Prokic,Shahzad Ahmad,Hata Comic,Tavia Evans,Maria Knol,William Kremen,Gena Roshchupkin,Dina Vojinovic,Mohsen Ghanbari,M. Arfan Ikram&Cornelia M. van Duijn
Nuffield Department of Population Health, Oxford University, Oxford, UK
Najaf Amin&Cornelia M. van Duijn
Department of Biostatistics, Epidemiology, and Informatics, Penn Neurodegeneration Genomics Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
Adam C. Naj,Jin Sha,Alessandra Chesi,Beth A. Dombroski,Jacob Haut,Pavel P. Kuksa,Chien-Yueh Lee,Edward B. Lee,Yuk Yee Leung,Mingyao Li,John Malamon,Liming Qu,John Q. Trojanowski,Otto Valladares&Vivianna M. Van Deerlin
Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
Adam C. Naj,Valentina Escott-Price,Pavel P. Kuksa,Chien-Yueh Lee,Otto Valladares,Li-San Wang,Yi Zhao&Gerard D. Schellenberg
MRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neuroscience, School of Medicine, Cardiff University, Cardiff, UK
Peter A. Holmans,Catherine Bresner,Janet Harwood,Lauren Luckcuck,Rachel Marshall,Amy Williams,Charlene Thomas,Chloe Davies,William Nash,Kimberley Dowzell,Atahualpa Castillo Morales,Mateus Bernardo-Harrington,Julie Williams&Rebecca Sims
CEA, Centre National de Recherche en Gnomique Humaine, Universit Paris-Saclay, Evry, France
Anne Boland,Cline Besse,Delphine Daian,Bertrand Fin,Robert Olaso&Jean-Franois Deleuze
Section Genomics of Neurodegenerative Diseases and Aging, Department of Human Genetics Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands
Sven J. van der Lee,Henne Holstege,Marc Hulsman,Yiyi Ma&Niccolo Tes
Brain Institute, Federal University of Rio Grande do Norte, Natal, Brazil
Marcos R. Costa&Mikko Hiltunen
Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
Teemu Kuulasmaa,Alexa Beiser,Anita DeStefano,Kathryn L. Lunetta,Gina Peloso,Ruiqi Wang,Neil W. Kowall,Ann C. McKee,Jesse Mez,Robert A. Stern&Lindsay A. Farrer
Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
Qiong Yang,Anita DeStefano,Lena Kilander,Malin Lwemark,Claudia L. Satizabal,Ruiqi Wang,Adrienne L. Cupples,Jose Dupuis,Shuo Li,Xuan Liu&Sudha Seshadri
Framingham Heart Study, Framingham, MA, USA
Qiong Yang,Oscar Lopez&Bruce M. Psaty
Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA
Joshua C. Bis&Alison E. Fohner
LACDR, Leiden, the Netherlands
Shahzad Ahmad
Department of Public Health and Carins Sciences/Geriatrics, Uppsala University, Uppsala, Sweden
Vilmantas Giedraitis&Martin Ingelsson
Centre of Age-Related Medicine, Stavanger University Hospital, Stavanger, Norway
Dag Aarsland
Institute of Psychiatry, Psychology & Neuroscience, London, UK
Dag Aarsland
Department of Surgery, Biochemistry and Molecular Biology, School of Medicine, University of Mlaga, Mlaga, Spain
Emilio Alarcn-Martn
Department of Neurology, II B Sant Pau, Hospital de la Santa Creu i Sant Pau, Universitat Autnoma de Barcelona, Barcelona, Spain
Daniel Alcolea,Rafael Blesa,Laura Cervera-Carles,Juan Fortea,Alberto Lle,Martin Rossor&Jordi Clarimon
Fundaci Docncia i Recerca MtuaTerrassa and Movement Disorders Unit, Department of Neurology, University Hospital MtuaTerrassa, Terrassa, Spain
Ignacio Alvarez,Mnica Diez-Fairen&Pau Pastor
Memory Disorders Unit, Department of Neurology, Hospital Universitari Mutua de Terrassa, Terrassa, Spain
Ignacio Alvarez,Mnica Diez-Fairen&Pau Pastor
Laboratorio de Gentica, Hospital Universitario Central de Asturias, Oviedo, Spain
Victoria lvarez&Irene Rosas Allende
Servicio de Neurologa, Hospital Universitario Central de Asturias- Oviedo and Instituto de Investigacin Biosanitaria del Principado de Asturias, Oviedo, Spain
Victoria lvarez,Carmen Martnez Rodrguez,Manuel Menndez-Gonzlez&Irene Rosas Allende
Centre for Healthy Brain Ageing, School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
Nicola J. Armstrong,Henry Brodaty,Anbupalam Thalamuthu,Perminder Sachdev&Karen Mather
First Department of Neurology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
Anthoula Tsolaki,Tegos Thomas,Anna Anastasiou&Magda Tsolaki
Alzheimer Hellas, Thessaloniki, Greece
Anthoula Tsolaki,Tegos Thomas&Magda Tsolaki
Unidad de Demencias, Hospital Clnico Universitario Virgen de la Arrixaca, Murcia, Spain
Carmen Antnez,Martirio Antequera,Agustina Legaz,Juan Marn-Muoz,Begoa Martnez,Victoriana Martnez,Maria Pilar Vicente&Liliana Vivancos
School of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy
Ildebrando Appollonio,Elisa Conti,Lucio Tremolizzo,Carlo Ferrarese,Simona Andreoni,Gessica Sala&Chiara Paola Zoia
Neurology Unit, San Gerardo Hospital, Monza, Italy
Ildebrando Appollonio,Lucio Tremolizzo&Carlo Ferrarese
Fondazione IRCCS CaGranda, Ospedale Policlinico, Milan, Italy
Marina Arcaro,Daniela Galimberti&Elio Scarpini
Department of Laboratory Diagnostics, III Laboratory of Analysis, Brescia Hospital, Brescia, Italy
Silvana Archetti
Unitat Trastorns Cognitius, Hospital Universitari Santa Maria de Lleida, Lleida, Spain
Alfonso Arias Pastor,Raquel Huerto Vilas&Gerard Piol-Ripoll
Institut de Recerca Biomedica de Lleida (IRBLLeida), Lleida, Spain
Alfonso Arias Pastor,Raquel Huerto Vilas&Gerard Piol-Ripoll
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Beatrice Arosio
Geriatic Unit, Fondazione C Granda, IRCCS Ospedale Maggiore Policlinico, Milan, Italy
Beatrice Arosio,Simona Ciccone,Paolo Dionigi Rossi&Evelyn Ferri
NORMENT Centre, University of Oslo, Oslo, Norway
Lavinia Athanasiu,Srdjan Djurovic,Alexey A. Shadrin,Shahram Bahrami&Ole A. Andreassen
EA 4468, Universit de Paris, APHP, Hpital Broca, Paris, France
Henri Bailly,Emmanuelle Duron,Olivier Hanon&Jean-Sbastien Vidal
Laboratory of Neuropsychiatry, Department of Clinical and Behavioral Neurology, IRCCS Santa Lucia Foundation, Rome, Italy
Nerisa Banaj,Gianfranco Spalletta,Francesca Assogna,Fabrizio Piras,Federica Piras,Valentina Ciullo,Jacob Shofany&Yi Zhao
Servei de Neurologia, Hospital Universitari i Politcnic La Fe, Valencia, Spain
Miquel Baquero&Juan Andrs Burguera
Taub Institute on Alzheimers Disease and the Aging Brain, Department of Neurology, Columbia University, New York, NY, USA
Sandra Barral,Richard Mayeux,Nikolaos Scarmeas,Giuseppe Tosto,Badri N. Vardarajan,Sandra Barral,Lawrence S. Honig,Scott Small,Jean-Paul Vonsattel&Jennifer Williamson
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New insights into the genetic etiology of Alzheimer's disease and related dementias - Nature.com
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General Conference: Two sisters used genealogy, genetics to find their risk of breast cancer – KSL NewsRadio
Posted: April 6, 2022 at 2:07 am
SALT LAKE CITY Theres a 13% chance for any woman to develop breast cancer in the course of their lifetime. But for 24-year-old twins, Emma and Gabriella Friel. theres a much higher chance. An 80% change.
The sisters, from Utah, live together, hike together, snowboard together, travel together and so much more. And recently, they underwent double mastectomies together on the same day, at the same hospital.
In early 2021, Emma, who works in the genetics field, set out to satisfy a nagging worry she had about her genealogy and genetics: Was her family history of breast cancer a sign that she had inherited a gene mutation that put her at a very high risk of developing the disease?
This BRCA gene runs in our family, said Emma. Our cousin had it and her mom, so our aunt had it. It was very off-handed. I got tested, I didnt think anything about it, I figured I would be negative and then it turned out I was positive.
Emmas test result foreshadowed Gabriellas.
I was hoping, by some chance, that I wouldnt have it, said Gabriella. I dont know, by the grace of God or something, but I assumed I did.
The results were back within a month. They both had the BRCA1 gene.And then they had a decision to make.
So, theres a 13% chance for women to get breast cancer in their life. For the Friel sisters, its six times that.
There is about an 85% chance of us developing breast cancer by the time we turn 70, 75, explained Emma. Its not super scientific where they can see, like this is your percentage by the age of 30. And this is your percentage by the age of 50. Its very broad. Theyre doing more research to try and pinpoint it. But science isnt there yet.
Emma decide she would undergo a double mastectomy to significantly cut her odds for developing the disease. Gabriella looked into other options.
Another option is I could get tested every six months for the rest of my life until someday I get breast cancer, said Gabriella. I wasnt keen on that option. It just seemed like a lot of anxiety, and a lot of time.
In February 2022, both admitted themselves to the same hospital, on the same day, to undergo double mastectomies.
Emma and Gabriellas mother, Sandra Garofalo was the first person Emma called after she got her test results.
I just, I immediately felt guilty, said Garofalo. I thought I should have tested myself long ago, like I, I just made a lot of excuses of why not to get tested, you know. I had lost my cousin. And I knew that she was positive. But you know, our parents are half-siblings. And they had breast cancer on the side of the family that was not blood-related to me. So I just always kind of thought, Oh, it must have come from that side of the family. I put it out of my head for a long time.
The irony is, that Garofalo is a nurse practitioner who works with cancer patients.
Heres Emma, the first one positive, and I immediately felt like this should not be on her, I should have done this first, she said. I want them to make the right decision, but I know that it needs to be theirs, and not mine.
She says she would be there to emotionally support them, but not make the decision for them.
Of course, I didnt want them to get it yet, Garofalo said. Theyre really active, and theyre having so much fun. I dont want to interrupt their lives with this mess and thinking about cancer. As I was struggling over that, I met a new patient, literally a week, after all of this kind of hit. And this girl walks in. Shes one year older than my twins. Shes this really dynamic young woman. And shes like the girl she likes to rock climb and snowboard and adventure and do all this stuff. And shes BRACA-1 positive, and she has triple-negative breast cancer, which is traditionally a harder cancer to treat and harder to cure. Ive been going through wrestling with this, that it was this way of saying this is what you need to do. Theyre doing the right thing. Theyre not too young to get surgery.
All the while, Garofalo got tested herself. She was positive for the gene, too.
So while her girls were weighing their options, Garofalo got her double mastectomy in the fall of 2021.
The BRCA-1 and BRCA-2 are genes that women normally have two copies of that help protect them from cancer. If one of the genes we inherit is defective, it puts the bodys ability to fight cancer at a disadvantage.
They are more at risk for getting breast, ovarian cancer, sometimes pancreas, melanoma, and men, of course, are more at risk for getting prostate cancer, said Huntsman Cancer Institutes Dr. Sarah Colonna.
Colonna wasnt involved in the Friel sisters diagnosis.
She recommends speaking to a genetic counselor before making the decision to test for gene mutations and says there are a couple of options: One is an FDA-approved at-home saliva test, and the other is to get tested at your doctors office.
Costs used to be several thousand dollars, its come down. Now its like a couple of hundred dollars.
She warns federal law makes it illegal for health insurance companies to base coverage on a persons DNA but things differ when it comes to life and disability insurance.
And though Colonna urges people to consider the insurance implication before testing themselves, she says that by undergoing double mastectomies Emma and Gabriella significantly dropped their risk of cancer.
Lets say Gabriellas risk was 70%, said. Colonna. A risk-reducing mastectomy would take it from 70% to 7%.
The FDA has approved an at-home test kit, and the genetic testing website 23andMe markets a saliva test, which costs about $200.
We test for the three mutations on the BRCA1 and BRCA2 genes that are some of the most common, the most well-studied and convey the largest risk. We do not test for all possible variants in the BRCA1 and BRCA2 genes, as more than 1,000 variants in these genes are known to increase cancer risk, a spokesperson responded to KSL NewsRadios inquiry.
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