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GENETICS
WE'VE READ THE BOOK,
NOW WHAT DOES IT MEAN?
It was billed as one of those milestone events,biology's version of the moon landing.On june 26, the US goverment and private-sector researcherstold the world that their computers had identified virtually all three billion chemical units that make up the human genome,the collective noun for the complete set of a species's genes.The genetic code had been cracked, the Book of Life revealed.But the gap between scientific breakthroughs and improved health has often been vast. The genome is,after all, just raw data written in DNA.Figuring out how it gets transcribed and translated into proteins,the workhorses of everything biological,is the hard work ahead.Moreover, what has been done so far is only an incomplete,rough draft,the product of a truce between U.S. goverment scientists and celera Genomics,a private company.Meanwhile,major economics, legal and ethical question about genetic testing, privacy, and ownership loom , ominous and unanswered.only two things are certain about what the sequenced genome will mean for medicine.First that it will be important. And second, that nothing is certain. But here are some of the possible implications:
PERSONAL RISK ASSESSMENT
A study of someone's genetic makeup could replace family history and other indirect clues to assess disease risk, allowing people to determine their own,personal risk.Personalizing risk could spell the end of one size fits-all screening recommendations.it could also mean some adjusment of blanket health recommendations.
PERSONAL DRUG THERAPY.
Individual genetic sequence may indicate response time, sucess rates, side effects, and allergic reactions to specific antibiotics,anticancer drugs, or heart medicines.Imagine chemotherapy without hair loss or nausea. The day may come when everyone will have DNA "chips" that the doctor will scan in before ordering a prescription..
MORE RAPID ,LESS COSTLY NEW DRUG DEVELOPMENT.
Bioinformatics_using computers to analyze the moutains of genomic data-could make drug development more predictable,and therefore faster and cheaper. the whole commercial side of the genomics enterprise is banking on huge returns from bioinformatics.
PRENATAL THERAPY.
Insertion of correct genetic material into a foetus found to have a fatal or very serious genetic mutation might allow a pregancy to continue and result in a normal baby. .
INFORMATION OVERLOAD. .
Many diseases aren't going to be caused by one changed or mutated gene, but by the interplay of different genes-10, 15,20, or more- some in the mitochondria, some in the cell nucleus.with so many targets, it's not always going to be clear where to intervene. .
LEGAL PROTECTIONS NEEDED. .
The potential for discrimination or invasion of privacy using genomic information is enormous.without some tough legal protections, genome-based medicine could be more a curse than a blessing.
PROBLEM-PLAGUED GENE THRAPY .
The human genome sequence may open up wonderful new treatments for correcting genetic mutations through the implantation of normal sequence.But so far, gene therapy hasn't lived up to its promise.And its widespread use,especially when it involves the sperm or eggs,would raise profound medical and ethical concerns.Finally, in the never- ending "nature vs. nurture" debate, the genome sequence will likely swing the pendulum to the nature side.But genetic determinism is dangerous and wrong.we are much more than just our genetic code.Even a disease such as schizophrenia, which undoubtedly has a large genetic component, is also shaped by outside factors. sequencing the genome is really just the beginning.How the information gets used and put into action will be the ethical and medical challenge of the century.







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