Monthly Archives: July 2022

With Supreme Court Failing California, Is It Time to Go on Our Own? – zocalopublicsquare.org

Posted: July 11, 2022 at 2:10 am

People protest near City Hall in downtown Los Angeles after the U.S. Supreme Court released its decisions regarding Roe v. Wade. With this recent slate of decisions regarding abortion, gun rights, and the environment, columnist Joe Mathews argues that America may be pushing California to leave the nation. Courtesy of AP Images.

by Joe Mathews|July5,2022

To encourage us to think about the unthinkable, the Bulletin of the Atomic Scientists sets a Doomsday Clock, showing how close humanity is (in metaphorical minutes and seconds) to the midnight of the apocalypse (nuclear or otherwise) and human extinction.

California may now need its own Independence Clock, showing how close we are to that seemingly unthinkable moment when our state departs the U.S., to become an independent nation.

In recent weeks, that prospect drew unmistakably closer, courtesy of the U.S. Supreme Court.

First, justices overturned more than a century of legal precedent that had allowed communities in California to limit public gun possessionendangering laws that have spared us from some of the American epidemic of gun deaths by murder, suicide, and accident.

Then, the court reversed Roe v. Wade and eliminated the federal constitutional right to abortiona right enshrined in our state constitution and supported by majorities of Californians of every political party, region, and demographic group.

These decisions were like earthquakesunsettling but unsurprising, given the justices frequent expressions of contempt for California in oral arguments (a bias I wrote about last year). They were enacted by a far-right court majority that exists because Americas anti-democratic constitution gives less representation and less voting power to Californians, both in choosing a president (who nominates justices) and in electing a Senate (which confirms them).

The two decisions follow a fusillade of recent federal failings that have damaged California and harmed our people. These include a pandemic response that cost nearly 100,000 Californian lives; a generation-long war on terror that killed more soldiers from California than from any other state; attacks on our efforts to end the drug war and police abuses; attempts to cancel our environmental laws; denial and delay of disaster aid; accusations that our elections are fraudulent; and the violation of the rights of our immigrants and their families.

Departing the union seems beyond the pale. But so is the behavior of the American government. Thats why, as fanciful as a break-up of the country might still sound, the Independence Clock is ticking closer to midnight.

To cope, California has had to behave more like a separate nation than a state. We have adopted our own immigration policy. We have signed our own environmental treaties with other countries (agreements that are even more important now that the Supreme Court has limited the federal governments ability to regulate climate change). We have funded our own research on subjects from guns to stem cells (in response to federal restrictions on such research). And we have successfully pressured car makers and other corporations to privilege our state regulations over national ones, just to name a few.

But creating a quasi-nation creates costs that are hard on Californians. We werent designed to operate as an island. How much more can a state handle, governmentally, economically, emotionally?

The Supreme Court made clear last week that we can expect no respite in the future.

I say this not just because the court, for the first time, cancelled a constitutional right in the abortion case, or because Clarence Thomas, in his concurrence, declared that the courts should cancel the rights to contraception and same-sex marriage. I say this because the courts method of decision-making does not account for Californians lives or preferences.

Both the guns and abortion decisions rely on peculiar readings of historyfocused on American and English practices of the 18th, 17th, and earlier centuries, generations before womens suffrage, before the end of slavery, before California was even a state. The decisions employ a mode of historical analogy that lacks the rigor of palm reading, much less serious legal analysis.

The troubles will persist beyond this court, which, with the retirement of Stephen Breyer, no longer has a single Californian among its justices. Given our disenfranchisement, what is to stop a future Congress and president from cancelling our abortion laws, our protections for women or gay people or minorities or immigrants, our climate and environmental laws, or even our commitment to making it easier for our people to vote?

As an optimist, Ive previously argued that democratic reforms in California and elsewhere could solve this American crisis. With more and better participatory toolsfrom citizens assemblies to proportional representation to national referendathe U.S. could re-found itself as a modern democracy. But the open hostility to democracy of this court, and among much of the American political elite, suggests that any such reforms do not stand a chance.

Departing the union seems beyond the pale. But so is the behavior of the American government. Thats why, as fanciful as a break-up of the country might still sound, the Independence Clock is ticking closer to midnight.

Polling from last year showed growing support, among Americans of all political persuasions, for removing their own state from the U.S. A University of Virginia poll found 41 percent support among Biden voters and 52 percent support among Trump voters for blue or red states seceding to form their own separate nations. A Bright Line Watch poll found that 47 percent of Democrats in West Coast states favor forming their own nation.

Is it time for California to go? Probably not. But its not too early to pack a bag and make a departure plan. We badly need an open and ongoing statewide conversation, including major media and our elected leaders, about independence.

The day after Roe v. Wade fell, I found myself coaching in a youth sports tournament, which starts every game with the Pledge of Allegiance. I stood and put my hand over my heart, but found that I could no longer bring myself to recite the words.

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Affimed Presents Preclinical Data of Novel Innate Cell Engager AFM28 at the Annual Meeting of the European Hematology Association (EHA) -…

Posted: July 11, 2022 at 2:08 am

HEIDELBERG, Germany, June 10, 2022 (GLOBE NEWSWIRE) -- Affimed N.V. ( AFMD) (Affimed or the Company), a clinical-stage immuno-oncology company committed to giving patients back their innate ability to fight cancer, today presented a poster at the Annual Meeting of the European Hematology Association (EHA) in Vienna, Austria. The data demonstrate the cytotoxic potential of the CD123/CD16A-targeting bispecific innate cell engager (ICE) AFM28 which is in development as a novel treatment for patients with myeloid diseases, e. g. relapsed/refractory (R/R) acute myeloid leukemia (AML). AFM28 binds to natural killer (NK) cells and CD123-positive tumor cells and demonstrated the induction of tumor cell killing in vitro and a good tolerability and strong anti-tumor activity in vivo.

It is widely acknowledged that targeting CD123 holds significant untapped promise in developing better AML therapies. We believe our differentiated approach in targeting CD123 has the potential to provide a novel, innate immune system-engaging therapy to improve clinical outcomes, said Dr. Arndt Schottelius, Chief Scientific Officer at Affimed. Following these encouraging pre-clinical proof-of-concept data and the experience we have gained from our AFM13 studies so far, we will be launching a first-in-human clinical study to investigate the compounds safety, efficacy and biological activity as monotherapy later this year and in combination with adoptive NK cells soon after.

The data presented at EHA today provide validation of the mechanism of action (MoA) as well as preclinical proof-of-concept for AFM28 in a range of in vitro and in vivo assays. AFM28 exhibited high-affinity binding to CD16A expressed on NK cells and high avidity conferring long cell surface retention in comparison to Fc-enhanced anti-CD123 antibody. Moreover, AFM28 demonstrated the ability to destroy CD123-positive tumor cell lines and primary leukemic cells via antibody-dependent cell-mediated cytotoxicity (ADCC).

Importantly, AFM28 was active irrespective of mutational status of tumor cells and also induced depletion when CD123 expression was very low. Strikingly, AFM28 was also active against cells not killed by an Fc-enhanced CD123-targeting comparator antibody suggesting the potential for improved clinical effectiveness. Moreover, AFM28 also depleted leukemic cells from patient bone marrow without destroying CD34-positive/CD123-negative cells, suggesting sparing of hematopoietic stem and progenitor cells.

In vivo studies in an AML murine model demonstrated anti-tumor efficacy, and cynomolgus toxicology models predicted pharmacodynamic activity with a well-tolerated safety profile and low risk of cytokine release syndrome.

Efficient depletion of leukemic blasts and leukemic stem cells is critical for inducing long-term remission in AML patients. As both cell types express CD123, AFM28s ability to redirect NK cells to this target killing both leukemic blasts and leukemic stem cells makes this an attractive treatment strategy. Currently, there are no curative immunotherapies available, the only option is allogenic hematopoietic stem cell transplantation (allo-HSCT).

Affimed plans to initiate clinical development of AFM28 with a first-in-human phase 1 monotherapy trial in adult patients with R/R AML in the second half of 2022. In addition, Affimed plans to investigate AFM28 in combination with allogeneic NK cell therapy after a safe starting dose has been determined.

The full poster is accessible through the following link: Publications and Posters - Affimed

Poster details:

Title: Novel bispecific innate cell engager AFM28 for the treatment of CD123-positive acute myeloid leukemia and myelodysplastic syndrome

Authors: Jana-Julia Siegler, Nanni Schmitt, Jens Pahl, Torsten Haneke, Izabela Kozlowska, Sverine Sarlang, Alexandra Beck, Stefan Knackmuss, Paulien Ravenstijn, Uwe Reusch, Jos Medina-Echeverz, Jan Endell, Thorsten Ross, Daniel Nowak, and Christian Merz

Final abstract code: P482

Session date and time: Poster session on Friday, June 10th, 10:30 11:45 a.m. EDT / 16:30 - 17:45 CEST

About AFM28

AFM28, a tetravalent, bispecific CD123- and CD16A-binding ICE developed on Affimeds ROCK platform, is designed to bring a new immunotherapeutic treatment to patients with CD123+ myeloid malignancies, including acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). It engages NK cells to initiate tumor cell killing via antibody-dependent cellular cytotoxicity (ADCC), even at low CD123 expression levels. Clinical development is planned as both monotherapy and in combination with allogeneic NK cells in patients with relapsed/refractory CD123-positive leukemias.

About Affimed N.V.

Affimed ( AFMD) is a clinical-stage immuno-oncology company committed to give patients back their innate ability to fight cancer by actualizing the untapped potential of the innate immune system. The Companys proprietary ROCK platform enables a tumor-targeted approach to recognize and kill a range of hematologic and solid tumors, enabling a broad pipeline of wholly-owned and partnered single agent and combination therapy programs. The ROCK platform predictably generates customized innate cell engager (ICE) molecules, which use patients immune cells to destroy tumor cells. This innovative approach enabled Affimed to become the first company with a clinical-stage ICE. Headquartered in Heidelberg, Germany, with offices in New York, NY, Affimed is led by an experienced team of biotechnology and pharmaceutical leaders united by a bold vision to stop cancer from ever derailing patients lives. For more about the Companys people, pipeline and partners, please visit: http://www.affimed.com.

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Alexander FudukidisDirector, Investor RelationsE-Mail: [emailprotected]Tel.: +1 (917) 436-8102

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Interferons Market is anticipated to reach US$ 13.8 Bn by 2032, at a CAGR of 3.9% from 2022 to 2032 – Digital Journal

Posted: July 11, 2022 at 2:08 am

[250 Pages Report]As per a latest industry analysis by Future Market Insights, the global interferons market was valued at around US$ 9.1 Bn in 2021 and is anticipated to exhibit a CAGR of 3.9% over the forecast period (2022-2032).

A group of proteins produced by white blood cells, fibroblasts, and T-cells in response to viral infections, bacteria, tumor cells, and other pathogens are known as interferons. These glycoproteins, also known as cytokines, are frequently referred to as the first line of defense against pathogens.

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Interferons have proved to be a cutting-edge and successful treatment option for illnesses such as cancer, hepatitis, and multiple sclerosis. In November 2021, for instance, the FDA approved BESREMi for the treatment of adults living with polycythemia vera, which is a recent advancement in the interferons industry.

Polycythemia vera is a group of rare, chronic, and life-threatening blood cancers caused by a mutation in bone marrow stem cells, which further leads to an abundance of blood cells. When this happens, a person is at high risk of significant health problems such as blood clots, strokes, and heart attacks.

One of the other factors driving the global interferons market is rising focus of key players on the development of innovative interferon-beta medications. Key players are also focusing on expanding their presence with the help of promotions, improved distribution networks, and enhanced customer services related to their products for the betterment of the brand and products.

For instance, in March 2020, Bayer and Curadev signed a research collaboration and license agreement to develop a novel stimulator of interferon genes (STING) antagonists across indications. It is known to help activate the innate immune system in auto-inflammatory diseases. Such breakthroughs in the global market are projected to bode well for the interferons industry in the upcoming decade.

Key Takeaways: Interferons Market

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Growing number of therapeutic interferon approvals and their surging commercial applications in several disease indications are expected to propel the global interferons market, says an analyst of Future Market Insights.

Competitive Landscape: Interferons Market

Leading manufacturers such as Pfizer, Merck & Co., Zydus Cadila, and Novartis AG are focusing on collaborations and acquisitions to enhance their presence in the market and compete with their rivals during the forecast period. Below are some of the latest industry developments by key market participants:

More Valuable Insights on Interferons Market:

Future Market Insights brings a comprehensive research report on projected revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2017 to 2032. The global interferons market is segmented in detail to cover every aspect of the market and present a complete market intelligence approach to the reader. The study provides compelling insights on the interferons market segments based on product (interferon gamma, interferon beta, and interferon alpha), indication (multiple sclerosis, polycythemia vera, hepatitis C, melanoma, chronic granulomatous disease (CGD), and other indications), and end user (hospital pharmacies, retail pharmacies, specialty clinics, and online pharmacies) across seven major regions.

For in-depth insights, Download a PDF [emailprotected] https://www.futuremarketinsights.com/reports/brochure/rep-gb-15158

Interferons Market Outlook by Category

By Product:

By Indication:

By End User:

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About FMI:

Future Market Insights (ESOMAR certified market research organization and a member of Greater New York Chamber of Commerce) provides in-depth insights into governing factors elevating the demand in the market. It discloses opportunities that will favor the market growth in various segments on the basis of Source, Application, Sales Channel and End Use over the next 10-years.

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Master’s Degree in Human Genetics | Human Genetics | Michigan Medicine …

Posted: July 11, 2022 at 2:07 am

The field of Human Genetics has grown dramatically in recent years, in large part due to rapid advances in new technologies for discovery and the explosion of new data and resources. Human Genetics interfaces with multiple research and clinical disciplines, with new opportunities for those with advanced training in basic science, clinical diagnostics and industry. The Master's Degree Program (M.S.) in Human Genetics provides focused graduate training through both coursework and laboratory research. It is designed for individuals seeking advanced training in genetics for employment research opportunities or for matriculation to competitive Ph.D., M.D. or other advanced degree programs. Over the past six years, 100% of our graduates have obtained employment or academic placement in areas of choice. The course of study can be completed in 2-4 semesters.

The Human Genetics MS program includes both Research and Coursework-only tracks.

Research Track: The research track allows graduate students to learn from and contribute to ground-breaking research being performed within the Department of Human Genetics. Students in this track typically matriculate in the summer or fall concurrent with acceptance into the laboratory of a faculty mentor in Human Genetics. Students will take courses and conduct laboratory research during the Fall and Winter terms culminating with acceptance of a written M.S. thesis to be completed in the summer term.

Coursework Track: The coursework-only track is a non-research track most suitable for applicants interested in matriculating to medical, law or other professional programs. Students in this track typically matriculate in the fall and complete course work during Fall and Winter terms.

The course of study in either track supports the development of critical thinkers, as students learn from world-renowned leaders in the field of Human Genetics. Students enjoy multiple opportunities for close mentorship by these experts, as well as the ability to take electives in related departments within the Medical School and elsewhere in the University of Michigan community.

The application deadline for International students is March 15th; April 1st for domestic applicants.

Prerequisites and Admission Requirements:

* Successful applicants for the M.S. Degree Program in Human Genetics will generally have a GPA of 3.0 or higher and competitive standardized test scores, but admission decisions will be based on the total package of GPA, GRE, or MCAT scores, research and other relevant experience, statement of purpose and personal statement.

** Due to difficulties caused by Covid-19 restrictions in taking GRE and MCAT examinations these examinations, while preferred, will not be required for the 2021 or 2022 admissions cycles.

Questions about the program or application process? See our FAQ section.

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Here’s how the $100 Human Genome will Change Medicine – BioSpace

Posted: July 11, 2022 at 2:07 am

Ultima CEO Gilad Almogy, Ph.D./courtesy of Ultima Genomics

The information stored within the confines of the human genome is some of the most important data we can use in the diagnosis of disease, prevention efforts and therapeutics. Despite the fact that the technology to conduct whole genome sequencing (WGS) has been around for decades, financial barriers have stood in the way not just for patients and doctors looking for information, but for researchers as well.

Leveraging over $600 million in funding and five years of hard work, Newark, California-based Ultima Genomics has designed a way to surmount that financial barrier lowering the cost of a human genome from the realm of $1,000 to just $100.

Ultima has achieved this through the use of its sequencing architecture which replaces the traditional flow cell, a channel that contains all of the surfaces where chemistry and imaging occur during sequencing, with a silicon wafer. The technology serves the same function but at a lower cost with larger surface area, allowing for billions of reads. The process is easier to scale, amounting in large volumes of genetic data, and avoids costly and complicated fluidics.

The company also touts novel scalable chemistry, which combines the speed, efficiency and read lengths of natural nucleotides with the accuracy and scalability of endpoint detection. Add machine learning at the genome scale that can deliver accurate results and youve got yourself a cost-effective and useful human genome ready for interpretation.

Why it Matters

The importance of cost goes beyond simply enabling access to a larger quantity of existing genomic solutions. It also enables qualitatively different experiments to be envisioned and executed, not just once, but routinely, Ultima CEO Gilad Almogy, Ph.D. said in an interview with BioSpace. This can enable scientists to ask new questions they previously couldnt answer, and it can change the way genomic information is incorporated into the broader healthcare system.

The $100 genome stands to make genomics research that was once thought of as impossible, possible. In 2020, an article celebrating the 20th anniversary of Nature Reviews Genetics discussed the future of genetics and genomics research. In the piece, Stacey Gabriel, senior director of the genomics platform at the Broad Institute, commented that the real promise of genome sequencing lies in true population-scale sequencing at the scale of tens of millions of individuals that would enable the comprehensive, unbiased study of the human genome and the variations found within it.

Genomic research has provided physicians with a wealth of knowledge about genes that can increase a persons risk of developing a certain condition, such as the BRCA2 gene which is linked to an increased risk of developing breast and ovarian cancer. However, without the ability to conduct large-scale studies, simply understanding the role that one gene or a handful of genetic mutations plays in developing disease is often not enough information to elucidate the genome's full impact. With scalable and cost-effective WGS, it will become much easier for researchers to understand the parties within our genome that contribute to the manifestation of disease, which could ultimately lead to targeted therapeutics.

Genomic Data can Inform Treatment

Gabriel stated that she believes WGS should become a part of the electronic health record. There are plenty of good reasons to collect and include genomic data as it relates to health and disease. Beyond using this data to understand the risk someone is at for a certain condition, genomic information can help direct treatment. For example, some cancer therapies specifically target genetic mutations or alterations that have occurred in the tumor microenvironment. If patients and physicians have access to more affordable genomic testing, they can use the information to choose a targeted therapy that will work best for them.

We envision a future where in nearly every interaction patients have with the healthcare system, their genomic information will be sequenced to reveal not just their inherited DNA, but also what changes in their bodies are encoded into circulating DNA, RNA, methylation and proteomics, Almogy said.

Early Application

The $100 genome is already proving its worth. Researchers from Stanford University utilized the low-cost genomic sequencing to investigate the trajectories in precancerous polyps to early colorectal adenocarcinoma. The paper, not yet peer-reviewed but published on bioRxiv, demonstrated the technologys ability to observe changes in DNA methylation that occur early in the malignant transformation process, providing clues as to what happens at a molecular level when a polyp turns cancerous. This type of research could one day translate into clinical use, where physicians could use genomic sequencing to detect DNA changes in cells that might signal the danger of an impending malignant tumor.

Low-cost genomics helps therapeutic development in a couple of fundamental ways, Almogy said. Firstly, many companies seek to understand the genomic drivers of disease by sequencing populations and looking for associations between variants and disease. This type of work inherently requires large numbers to be useful, and the $100 genome certainly enables larger studies in a wider variety of populations. Second, low-cost genomics enables large-scale experiments to reveal the function of many genes.

Ultima isnt prepared to stop at $100 though. As evidenced by its recent collaboration with Exact Sciences, the goal is to continue driving the price down. The companies entered into a long-term supply agreement in June aimed at lowering the cost of sequencing and improving patient access to genomics-based testing. As part of the alliance, Ultima and Exact will develop one or more of Exacts advanced cancer diagnostic tests that will be developed using Ultimas technology. Earlier in June, Ultima paired with Olink Holding AB to combine the latter's Explore assay with its sequencing system to enable larger-scale projects.

Were currently in early access mode, so were focused on optimizing the platform with our initial customers before making it available for broad commercial launch next year, Almogy explained. "Beyond that, we continue to develop improvements in the architecture, because for us the $100 genome is only the beginning and were committed to continuously [driving] down the cost of genomic information.

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Genomic medicine: the role of the nursing workforce – Nursing Times

Posted: July 11, 2022 at 2:07 am

This article discusses the roles nurses may play in bringing the benefits of genomic medicine to patients

Genomic medicine can improve patient care through supporting quicker diagnoses and enabling more tailored care. In England, genomic testing has already been introduced for patients with some rare conditions and cancers, and, as understanding of the genome increases, it is likely to become part of more care pathways. This article discusses the key roles nurses may play in bringing the benefits of genomics to patients as it becomes part of routine care, including in identifying patients for genomic testing, discussing testing with patients, referring to genetic counselling services or the relevant clinicians for targeted therapies, and personalising care plans. We also explain how the NHS Genomic Medicine Service Alliances will work with nurses to help bring genomics into mainstream healthcare.

Citation: Buaki-Sogo M, Percival N (2022) Genomic medicine: the role of the nursing workforce. Nursing Times [online]; 118: 8.

Authors: Maria Buaki-Sogo is lead nurse, North Thames Genomic Medicine Service Alliance; Natalie Percival was formerly chief nurse, North Thames Genomic Medicine Service Alliance, and is currently director of nursing, systems and professional development at NHS England.

Genomics is the study of all the deoxyribonucleic acid (DNA) the genome of an organism. All living organisms, whether single-celled bacteria, multicellular plants, animals or humans, have DNA, which contains the information needed for an organism to grow, survive and reproduce. DNA is arranged into genes, a sequence of nucleotides which are code for proteins that are essential for building and repairing an organism. There are also non-coding regions, which influence how these genes interact. A genome includes both the genes and the non-coding regions.

Human DNA is made from four separate chemical bases, known as A (adenine), C (cytosine), G (guanine), and T (thymine), with the whole genome made up of more than three billion DNA bases. Every humans genome is around 99.9% the same, but that 0.1% difference equates to around three million differences between one persons DNA and the next persons (Health Education England Genomics Education Programme, nd). Some of these differences in our DNA will have no impact on a persons health, but other variations may cause a genetic condition, influence our predisposition to develop certain conditions, and can even affect how we respond to some drugs.

Over the past decade, transformative advances in DNA sequencing technologies have enabled a vast expansion in human genome analysis for the purpose of diagnosing and managing human diseases. The scope of genetic testing now ranges from analysing a single gene to using multigene panels which can analyse from five to 100 genes known to be associated with the development of a condition or a collection of clinical symptoms through to whole genome sequencing, where it is possible to determine the entire human genome (International Human Genome Sequencing Consortium, 2004).

The use of this more advanced genomic testing has the potential to deliver tangible improvements for patients, including effective and quicker diagnosis of rare conditions, personalised treatment, better care for those with inherited conditions and cancer, and a clearer understanding of the underlying cause of diseases.

The role of the nursing workforce will be to offer genomic testing with confidence

In England, genomic testing, including whole genome sequencing, is now available for patients with certain rare diseases and cancers to enable better prediction, diagnosis and treatment.

In clinical practice, whole genome sequencing still requires the application of virtual panels for the analysis. As understanding of the genome and capacity in the NHS evolves, genomic testing will increasingly become part of routine care pathways for more conditions.

As a nursing community, we must be ready to adapt our current practice to reflect these innovations and ensure that our patients have access to the benefits that genomic testing can offer.

Nurses are often in an ideal position to offer support and advice to patients, whether they are living with cancer, long-term conditions or inherited genetic disorders, which need lifelong care. We work across a broad range of settings on the front line, are committed to our patients, and are typically strong and empathetic communicators, as described in the values set out in The NHS Constitution for England (Department of Health and Social Care, 2021). Nurses are vital to assisting the NHS in offering the latest advances, and it is important that we understand how genomics will affect our practice and the experiences of our patients.

Specialist nurses will work in partnership with the clinical team to offer tailored information and specific genetic testing relevant to the patients condition to inform treatment decisions. Senior nurses will also be able to support junior nurses to gradually acquire knowledge and understanding of genomic medicine to embed in their practice.

For nurses who have a lot of patient contact, gaining knowledge on the core principles of genomics may help them increase uptake of genetic screening, signpost service users to the right place to seek health advice, and could also help to address inequalities in access to genomic medicine services.

Genomic medicine is already embedded in some oncology nursing pathways. At present, genomic testing is available for inherited diseases or forms of cancer included in the National Genomic Test Directory (NHS England, 2022). Use of genomic testing could help the NHS reach its aim of diagnosing 75% of all cancers at stage 1 or 2 by 2028 (NHS England, 2019).

The North Thames Genomic Medicine Service (GMS) Alliance is working in partnership with key stakeholders to support the nursing workforce to acquire the skills and the level of knowledge to accomplish this mission effectively and efficiently. In some places, patients are driving forward conversations and we recognise the importance of patient involvement in establishing the best way to influence care pathways. Patient and public involvement is a key part of the North Thames GMS Alliances strategy, and collaborative work with patient groups is being developed.

With the right level of understanding of genomics, the support of their local trusts and the local systems, the role of the nursing workforce will be to offer genomic testing with confidence, helping to embed routine genetic testing in the NHS. This will mean:

Evidence suggests that continuity of care positively affects health outcomes and patient experience (Lautamatti et al, 2020). Nurses are often well positioned to provide this and to build strong and trusting relationships with patients and their relatives.

Consequently, we can help our patients access better care, understand the impact of inherited disease on their lives, and give them the opportunity to plan for a better quality of life. Patients and their families will have access to more precise medicine that will give clinicians the ability to offer targeted and personalised treatment, based on their unique genome (pharmacogenomics).

As genomic medicine continues to evolve and additional tests become available that can benefit patient care, nurses can also help define how these tests can be brought into practice across their specialities. We are right at the beginning of the use of genomic medicine in the NHS, and there is a real opportunity for nurses to be part of service design. We have the chance to help improve guidelines across many areas of clinical practice and be international leaders (Tonkin et al, 2018).

By embedding genomic medicine in mainstream care and providing nurses (and other practitioners such as midwives) with appropriate training on ordering genomic testing to patients, practitioners will also be able to embrace their autonomy and clinical judgement to provide genomic services to patients more effectively and efficiently.

There are, of course, ethical issues to consider when discussing the widespread use of genomic medicine in the NHS. For example, we know that some patients will not want to know their risk for future conditions or their carrier status. There is also an ongoing national discussion around whether sequencing newborn babies for rare conditions beyond the current heel-prick test should become part of practice, and how this data and consent would be managed. As nurses, it is important that we bring our knowledge and perspectives to these conversations as the genomic medicine system is being designed and embedded in the NHS (Box 1). For now, where genetic tests provide actionable results that can help us improve patient care and outcomes, nurses are vital to making these accessible for patients in an equitable way and supporting them to make informed decisions.

Box 1. Embedding genomics services in the NHS

We believe that nurses are a key element in the implementation of routine genetic testing in the NHS, but for nurses to assist with better use of genomics in mainstream healthcare they will need financial aid for training and support to acquire the appropriate skills and knowledge. Existing workforce pressures, a historical lack of secure funding on education and training, as well as inequalities in health, are all barriers that need to be acknowledged and addressed.

There is some support already being put in place for the nursing community through the establishment of seven regional GMS Alliances established in England in January 2021. One of the main purposes of the GMS Alliances is to provide training and education opportunities, which will help health professionals, including nurses, to increase their knowledge of genomics and keep up to date with how this may affect their clinical practice. There are also several training and education resources provided by Health Education England at national and regional levels, including continuing professional development programmes supported by the educational teams within each GMS Alliance (Health Education England Genomics Education Programme, nd).

At a service development level, nurses are also being consulted on how genomic medicine can work within their organisations (see Box 2 for an example of how this is used in practice). The GMS Alliances are working with healthcare organisations and nurses to improve current frameworks and pathways of care, tackling inequalities in accessing genomic testing, and promoting patient-centred care via the increased presence of patient and public involvement groups.

Box 2. Lynch syndrome: an example of genomic medicine in current practice

There is a need for further training opportunities to help prepare the nursing workforce for the future, and for ongoing consultation to ensure genomics is implemented in the right way. Powerful and influential nursing leadership is required in the UK to embed the genomics framework into nursing education pathways at all levels of practice and make sure the impact of genomics on the nursing workforce is understood and considered in decision making. This is to ensure that nurses can develop the core competencies and confidence in their understanding of genomic medicine required to meet the service users needs.

GMS Alliances are working with nurses, patients and the public to build trust in genomics and to support the multiprofessional workforce to use genomics safely and effectively. By embedding genomics into the mainstream health service, our aim is to deliver improvements for patients, including better and quicker diagnosis of rare conditions, personalised treatment, and care for those with inherited conditions and cancer, as well as building a better understanding of the underlying cause of many diseases. To achieve this, nurses need support to develop genomics literacy and begin to use genetic testing within their care pathways.

Bowel Cancer UK (2018) Testing for Lynch syndrome what you need to know. bowelcanceruk.org.uk, 9 April (accessed 23 June 2022).

Department of Health and Social Care (2021) The NHS Constitution for England. gov.uk , 1 January (accessed 23 June 2022).

Health Education England Genomics Education Programme (nd) What is genomics? genomicseducation.hee.nhs.uk (accessed 27 June 2022).

Hegde M et al (2014) ACMG technical standards and guidelines for genetic testing for inherited colorectal cancer (Lynch syndrome, familial adenomatous polyposis, and MYH-associated polyposis). Genetics in Medicine; 16: 1, 101-116.

International Human Genome Sequencing Consortium (2004) Finishing the euchromatic sequence of the human genome. Nature; 431, 931-945.

Lautamatti E et al (2020) Continuity of care is associated with satisfaction with local are services. BMC Family Practice; 21: 1, 181.

Li X et al (2021) Recent advances in Lynch syndrome. Experimental Haematology and Oncology; 10: 37.

NHS England (2022) National Genomic Test Directory. england.nhs.uk (accesssed 5 July 2022).

NHS England (2019) The NHS Long Term Plan. NHSE.

St Marks Hospital (2019) Lynch Syndrome: Information for Patients. North West Thames Regional Genetics Service.

Tonkin ET et al (2018) The first competency-based framework in genetics/genomics specifically for midwifery education and practice. Nursing Education in Practice; 33: 133-140.

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AbbVie Half Breaks Up with Alector on Alzheimer’s – BioSpace

Posted: July 11, 2022 at 2:07 am

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AbbViehas ended its collaboration deal withAlectorto develop one of two potential Alzheimer's Disease drugs.

The antibody drug in question, AL-003, was designed to target the receptor CD33, a checkpoint receptor found in the brain's immune cells. AbbVie signed a co-development and option agreement with Alector in October 2017. The goal was to tap into the latter's unique approach to utilizing the immune system to fight neurodegeneration. For that deal, Alector received $205 million upfront, with the potential to gain as much as $20 million.

In afilingwith the Securities and Exchange Commission, the decision to terminate came after the two firms jointly conducted a review of their next steps for the drug. On June 30, AbbVie gave written notice that it was no longer interested in pursuing AL-003.

The document does not provide any details on why AbbVie is discontinuing. That company has also yet to make an official statement regarding the matter.

Alector's sharesdropped7 cents to close at $11.49 per share shortly after the SEC filing was made public.

However, the relationship isn't totally severed between the pair as they are still working to develop AL002, which is focused on targeting triggering receptors expressed on myeloid cells 2 (TREM2) also for Alzheimer's Disease. Interest in AL002 is based on positive results from the INVOKE-2 Phase II clinical trial, which looked into the safety and efficacy of the drug in slowing disease progression in people living with Alzheimer's.

AL002 is an investigational, humanized monoclonal antibody whose role in potentially treating Alzheimer's was first identified in large-scale genome-wide association studies. Researchers found that reducing TREM2's functionality may contribute to AD progression and other types of dementia. By increasing TREM2 in the brain, there may be a way to target multiple pathologies linked to the disorder instead of just focusing on one pathology type.

"Loss of TREM2 activity has been shown through human genetics to be one of the notable risk factors for developing Alzheimer's disease. AL002 is a first-in-class TREM2 targeting antibody in Phase 2 clinical development for [the disorder]," Robert Paul, M.D., Ph.D., chief medical officer of Alectorsaidin an earlier statement.

In the same press release, Michael Gold, M.D., vice president of development neurosciences at AbbVie, added, "Alzheimer's is a devastating disease that robs a person of their identity, and a family of their loved one. We are hopeful that AL002 may one day be a treatment option for the millions of people diagnosed with this disease."

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The human identification market size is projected to reach – GlobeNewswire

Posted: July 11, 2022 at 2:07 am

New York, July 04, 2022 (GLOBE NEWSWIRE) -- Reportlinker.com announces the release of the report "Human Identification Market Forecast to 2028 - COVID-19 Impact and Global Analysis By Product and Services, Technology, Application, and End User" - https://www.reportlinker.com/p06289913/?utm_source=GNW

However, high cost of instruments used for genomic studies are expected to hamper the growth of the human identification market.Human Identification is a branch of science that deals with the analysis of genetic materials, helping identify an individual based on genetics. Human identification has various applications in forensics, paternity test, and others.Government entities worldwide have strengthened their support for the field of human identification due to its potential, demand, and varied applications in various industries.Many forensic science disciplines, including DNA analysis, are undergoing a transformation in the US and the world.

New approaches are being created, validated, and implemented to help criminal investigations. Investigators face challenges regarding the validity and accuracy of older and current methods.Forensic DNA analysis can help reunite families, particularly in cases where children separate from their parents at an early age.The Forensic Project, funded by the Bureau of Democracy of the US Department of State, intends to increase the use of this evaluation technique to assist families separated during riots and violent incidents.

The Center for Human Identification (CHI) at the University of North Texas Health Science Center at Fort Worth is a world-renowned hub for forensic DNA testing as it receives funding from the state of Texas and various federal government agencies.The Forensic Unit helps the Texas Department of Public Safety (DPS) reduce the backlog of sexual assaults.In addition, the Forensic Unit gets federal funds from the National Institute of Justice (NIJ) of the US Department of Justice (DOJ) to handle cases in Texas.

These grants allow the unit to provide free DNA testing services (autosomal and Y chromosome STR typing) to many law enforcement agencies in North Texas counties. Thus, increasing government support and initiatives for forensics programs are driving the human identification market.Moreover, many forensic research projects focus on developing novel analytical instruments, assessment techniques for trace amounts of evidence, and proteomic analysis techniques with unique sampling procedures, allowing hair-, skin-, and bone-based identification.Several portable equipment types have been manufactured for extensive analysis in the on-site field.

Portable forensic instruments prove to be useful in transporting unstable, perishable, or hazardous compounds to the laboratory, which are further expected to propel the market during the forecast period.Additionally, scientists sequence a DNA sample and provide investigators information on the probable characteristics of suspects, such as hair, eye, and skin color, to identify them.Age and biological background can also be predicted using newer approaches.

The personnel can also use biosensors to analyze the minute traces of bodily fluids found in fingerprints to identify the suspect. Data detected using such samples include age, medications, gender, and lifestyle.Furthermore, a smartphone-based sensor has been developed to evaluate a saliva sample through immunochromatography; the tests can also be run away from a lab.Geolocating a suspect or victim using stable isotopes of water is another advanced technique in forensic sciences.

Scientists can determine the samples origin by isolating the isotopes in a water sample found on a suspect or victim. Thus, advancements based on modern technologies and smart sampling methods are generating new trends in the market.The global human identification market is analyzed on the basis of products and services, technology, application, and end user.Based on products and services, the market is segmented into consumables, instruments, services, and software.

Further, the consumables segment is classified into electrophoresis kits and reagents, DNA amplification kits and reagents, DNA quantification kits and reagents, DNA extraction kits and reagents, and rapid DNA analysis kits and reagents.The consumables lasers segment led the market in 2021.

It is anticipated to register the highest CAGR during the forecast period.Based on technology, capillary electrophoresis, polymerase chain reaction, nucleic acid purification and extraction, automated liquid handling, microarrays, next-generation sequencing, and rapid DNA analysis.The capillary electrophoresis segment held the largest market share in 2021.

However, the next-generation sequencing segment is anticipated to register the highest CAGR during the forecast period.Based on application, the market is segmented into forensic applications, paternity identification, and other applications.The forensic applications segment held the largest market share in 2021.

It is also expected to register the highest CAGR during the forecast period.Based on end user, the market is segmented into forensic laboratories, research and academic centers, and government institutes.The forensic laboratories segment held the largest market share in 2021.

It is also anticipated to register the highest CAGR during the forecast period.COVID-19 Impact Analysis: Human Identification MarketThe COVID-19 pandemic in the regions had a mixed impact on the growth of the human identification market.Various companies have shut down their productions, hence are unable to manufacture to meet the rising demand.

The COVID19 pandemic has significantly negatively impacted the global economies.Health services are highly prioritized globally to serve patients affected by COVID-19.

The routine health care services have remained suspended. Market players operating in the human identification market were focused on developing and producing COVD-19 testing kits, which reduced the productive utilization of human identification products.Due to the pandemic, many governments-imposed lockdowns to prevent the spread of the virus, which resulted in a significant reduction in crime rates.Additionally, the lack of proper standard operating procedures for criminal investigation during the pandemic has significantly reduced the demand for human identification products.

On the other hand, the shortage of definitive therapy offers significant opportunities for the genome editing-related market as the US FDA has recently approved the use of plasma therapy for critically ill COVID 19 patients. Furthermore, the active involvement of the governments and the associated market players in exploring opportunities for genome editing-related products and services is expected to drive such developments in the human identification market over the next few years.National Institute of Justice (NIJ), Institute Genetics Nantes Atlantique (IGNA), Forensic Capability Network, International Centre for Theoretical Physics (ICTP), and International Atomic Energy Agency (IAEA) are among the primary and secondary sources referred to while preparing the report on the human identification market.Read the full report: https://www.reportlinker.com/p06289913/?utm_source=GNW

About ReportlinkerReportLinker is an award-winning market research solution. Reportlinker finds and organizes the latest industry data so you get all the market research you need - instantly, in one place.

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Global wheat production can be doubled to feed millions and save land, say scientists – Sky News

Posted: July 11, 2022 at 2:07 am

Scientists believe that global wheat production could be doubled by accessing into the crop's "untapped genetic potential".

By using modern techniques such as speed breeding and gene editing, the international team behind the new research say that it would be possible to cultivate new varieties of wheat tailored to each region that they're grown in.

Depending on their genes, different varieties of wheat capture water, sunlight and nutrients in different ways. The scientists propose that with an optimal genome wheat crops would be able to deliver a higher yield of grain per acre.

Read more: Billions of pounds of Ukrainian wheat cannot be exported amid food crisis in developing countries

The study, led by the UK's Rothamsted Research, used existing data on how different genes contribute to individual plant traits "such as size, shape, metabolism and growth".

They ran millions of simulations to effectively design the perfect wheat plants suited to their local environments. Comparing these to locally adapted cultivars, they found in all cases that current wheat varieties were underperforming for grain yield.

Read more: Ukraine war - 'Humanitarian disasters' if wheat exports are stopped, says OECD

Dr Mikhail Semenov, one of the study's leads, said: "Current wheat cultivars are, on average, only at the half-way point with respect to the yields they could produce given the mismatches between their genetics and local wheat growing conditions.

"Global wheat production could be doubled by the genetic improvement of local wheat cultivars - without increasing global wheat area," he added.

Fellow study lead Dr Nimai Senapati said that improving this "genetic yield gap" would both help feed the world's growing population and reduce the pressure to convert wild habitats to farmland.

Humans have farmed wheat for millennia and the impact on our species has been enormous - agriculture is often described as the first revolutionary step in human civilisation as it led to settlements and evolved social structures.

Today wheat is the most widely grown crop in the world and second only to rice in terms of human consumption, with global harvests in the region of 750 million tons.

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The new study published in the journal Nature Food looks at 53 wheat growing regions across 33 countries, covering all of the global wheat growing environments.

The team first calculated the potential yield from 28 commonly grown wheat varieties at each of these sites, assuming the best cultivation conditions were in place for each one.

The harvests this delivered varied enormously, with less than four tons per hectare in Australia and Kazakhstan, with 14 tons per hectare in New Zealand.

But these were improved by replacing the local cultivars with the idealised varieties of wheat favouring particular traits, such as "tolerance and response to drought and heat stresses, the size and orientation of the light-capturing upper leaves, and the timing of key life cycle events".

According to the study, by optimising these key traits, the global average genetic yield gap could be closed by 51% - meaning global wheat production could be doubled.

"Not unsurprisingly, the countries with the lowest current yields could gain the most from closing their genetic yield gaps," said Dr Senapati.

"That said, even improvements in those countries with a medium genetic yield gap of 40 to 50%, but with a large proportion of global wheat harvest area - such as the leading producers India, Russia, China, USA, Canada, and Pakistan - would have a substantial effect on global wheat production due to the larger wheat cultivation areas involved."

According to the researchers, before this study it was not known how large the genetic yield gaps were at a country and global level.

They say this concept of a genetic yield gap contrasts with the existing and more traditional view of a yield gap which compares harvests to how they could have performed under optimal management "as a result of factors such as pest or diseases, lack of nutrients, or sowing or harvesting at the wrong time".

"Our analysis suggests that such genetic yield gaps due to sub-optimal genetic adaptation could, in relative terms, be as large as the traditional yield gap due to imperfect crop and soil management," said Dr Semenov.

"Wheat was first domesticated about 11,000 years ago, but despite this and not to mention the sequencing of its entire genome in 2018 the crop is still some way from being at its 'genetic best'," he added.

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After conquering sickle cell and multiple sclerosis, it was COVID-19 that claimed her – Lynchburg News and Advance

Posted: July 11, 2022 at 2:06 am

Jennifer Nsenkyire had been cured of sickle cell disease via stem cells.

After a lifetime of sickness, Jennifer Nsenkyire was cured of two separate and debilitating diseases with a stem cell transplant, and those who knew her rejoiced.

That included family in West Africa, where she was born, and the friends and support system she found in Fredericksburg, her second home. After the transplant freed her from the pain shed experienced since a toddler with sickle cell disease a hereditary blood disorder Nsenkyire became active with the Fredericksburg Area Sickle Cell Association, or FASCA. She worked to educate others about the ailment and how those with it could find help and support.

She was always so very, very kind and helpful to other clients, those who continued to suffer with the disease and are not eligible for transplant because of age, said Janice Davies, FASCAs co-founder. She had a presence that really resonated with everybody.

Nsenkyire shared her medical story with others through programs and videos to the point National Institutes of Health officials described her experience as one in a million, said FASCA member Myra Dicks. Nsenkyire also had battled multiple sclerosis until her transplant and, as a child, dealt with osteomyelitis, a bone infection that temporarily left her unable to walk.

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Then, in the strange way life sometimes works, it was yet another disease that took the life of the soft-spoken 49-year-old from Ghana. Nsenkyire contracted COVID-19 earlier this year and died on April 25.

The most ironic thing is she had been through all of that, and then to have something like COVID take her away, it was hard, Davies said.

It was heartbreaking, Dicks added.

As is customary in Ghana, family members held several celebrations of her life, culminating with a memorial service at the NIHs offices in Bethesda, Maryland, in late June. While those who knew her mourn her loss, they also celebrate the mark she left on the world.

She had this infectious smile that lit up the room when she walked in, you all know that, Fran Boyle said to the crowd gathered at Strong Tower Church for her funeral service.

Boyle was Nsenkyires host mother when she first arrived in 1995 to attend George Mason University in Fairfax. Boyle wanted to host international students, and Nsenkyire wanted to be paired with a Christian family, and Boyle said she loved her immediately.

There were plenty of ups and downs with her health, Boyle said, as the sickle cell disease caused swelling in her arms and legs, along with numerous pain crises. Thats when red blood cells, which have turned from their normal round shape to something resembling sickles, block blood flow through tiny vessels to the chest, abdomen and joints. A crisis causes varying intensities of pain that can last for hours or days.

Boyle recalled walking the hospital floors with Nsenkyires parents, Edward and Rose Nsenkyire, who divided their time between continents until they eventually settled in the United States, and her sisters, Pamela Asamoah and Clara Nsenkyire, who both live in the Fredericksburg area. Nsenkyire also has a brother, Dennis, in New Jersey.

Shed been through so much, said her sister, Clara Nsenkyire. It was crisis upon crisis.

As Jennifer Nsenkyire was treated at NIH, medical officials mentioned a transplant, using stem cells from family members that most closely matched her own. When the family gathered with NIH doctors for a consultation, they heard about potential side effects and werent sure which way to go, her sister said.

She was so brave, Clara Nsenkyire said. She said, Even if it doesnt help me, it will help somebody else.

Plus, Jennifer Nsenkyire wished she could live one day without the pain of sickle cell disease, her sister said. She opted for the transplant, using her mothers stem cells, and it was successful. After the 2010 operation, she was free of both sickle cell and MS, and she recorded her thoughts and experiences, both in YouTube videos and books she wrote.

She longed for a cure and for others to be free of pain as she was.

A cure would be, being able to live life with no pain, being able to live a productive life, being able to shake off the stigma that people have about sickle cell disease, she said in a video. Being able to live fearlessly, being able to live a normal life, thats all we all want at the end of the day. Its time to rewrite the story of sickle cell. Add your voice.

That she did, said Pastor Jeffrey Smith of Strong Tower Church, who said hers was a life that was lived so well and so elegantly before us.

In spite of the challenges and difficulties she experienced, she always had this strength of spirit, this tenacity, this perseverance, he said. She had this ongoing optimism and faith that would never die.

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