Leading clinical-grade genomic risk assessments for common diseases allowing patients and providers to proactively manage genetic predispositions

Chicago
Joined October 2022
GenomicMD retweeted
Can the polygenic risk of coronary artery disease identify who should start statins at lower LDL cutoffs? Absolutely. High-risk PRS scores + moderate LDL have CAD event rates similar to those with severe LDL. bit.ly/46JUnhC @pnatarajanmd @ASPCardio #PreventiveCardiology
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The top 10 photos from last night’s solar storm & aurora borealis around the world. 1. Netherlands (@albertdrosphoto)
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GenomicMD retweeted
Invitae Files for Chapter 11 Bankruptcy Protection. In its petition, Invitae said it had assets of between $500 million and $1 billion, along with liabilities of $1 billion to $10 billion. ow.ly/HWm4105gQLc
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As genomics becomes more integrated into clinical care, healthcare practitioners need updated and concise resources to help increase their genomic literacy.
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Evidence from GWAS gets results:
The new CRISPR-based therapy for sickle cell disease & beta-thal is a win for GWAS. The target (BCL11A) for the @VertexPharma @CRISPRTX therapy was first prioritized by GWAS of HbF & disease modification, with subsequent molecular characterization of the prioritized gene. Some key refs 👇: nature.com/articles/ng2108 @NatureGenet (Menzel et al 2007) pnas.org/doi/10.1073/pnas.07… @PNASNews (Uda et al 2008) pnas.org/doi/10.1073/pnas.08… @PNASNews (Lettre et al 2008) science.org/doi/10.1126/scie… @ScienceMagazine (Sankaran et al 2008) @bloodgenes was a @harvardmed student & his paper was published around the time he was my subintern @BrighamWomens while I was an intern @BrighamMedRes! Now I have a lot of pride describing this story to 1st-year @harvardmed students when teaching in the genetics course directed by @joelhirschhorn, another key player in this story. Also, now my wife works closely with my grand-mentor D. Altshuler @VertexPharma to bring this therapy to patients.
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Most genomics studies to date have involved people of European ancestry. The resulting lack of diversity now hinders the ability to fully understand how genomic variants contribute to health and disease in all groups, including non-European populations.
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Here is the link to the research study @GenomicMD: genomes2people.org/wp-conten…
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Is it time for health systems to offer preventive genomic screening? We think so and we are working to help them do it through Precision Population Health (PPH) initiative led by @AriadneLabs and @Genomes2People. Read how in our blog post by @CarrieBlout: bit.ly/3Pi33DM
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Excellent review of using human genetics to inform therapeutic development. Mostly informed by rare loss-of-function alleles to-date with emerging opportunities informed by common variants. nature.com/articles/s41586-0… @Nature
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Great work Amit @GenomicMD
Super proud to share work led by @AniruddhPatelMD + @wallacemwang Substantially improving 2018 polygenic score for heart disease w/ data from more ancestries and related traits 5% of population born with 5x normal risk based on common DNA variations broad.io/heart-disease-risk-…
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Even with proper risk representation, patients & physicians can translate risk estimate into an improved health outcome only if it changes clinical action. Read our @HGGAdvances top-cited paper: PRSs in the clinic: Translating risk into action. ⬇️ 🔗 bit.ly/3JYgLIy
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high genetic risk individuals who look otherwise healthy and would respond well to approved treatments is THE compelling use case for PRS, isn't it?
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Replying to @ShoaClarke
If the argument is that we can't say BRCA screening saves lives until an RCT is read out, that sounds like semantics to me. And in cases where we already have risk-based screening protocols, what is the nuance of incorporating additional risk factors that an RCT would resolve?
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I agree for something like PARPi that target the mechanism. But most ACMG screening is for risk and there's no evidence that I've seen that high-PRS is fundamentally different than other genetic factors in terms of the risk profile.
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This thread is remarkably bleak. We have a cheap, non-invasive screening tool that is shown to save lives across multiple modeling analyses. Yet the public health response is basically "eww, cringe".
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When you are dead, you don't know you are dead. It's pain only for others. It's the same thing when you are stupid.
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Most genomics studies to date have involved people of European ancestry. The resulting lack of diversity involving non-European populations now hinders the ability to fully understand how genomic variants contribute to health and disease in all groups.
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GenomicMD retweeted
Andrew Weissmann (weissmann11 on Threads/Insta)🌻
@AWeissmann_1 Dec 2022
BREAKING: 11th Circuit shoots Cannon down: finding no one is above the law and her decision violated bedrock principles of equal justice and separation of powers. Powerful decision (and rebuke).
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