Lecture 13 2013-01-10 2:29 PM
Personalized)Genomics)&)23andme:$
• The$concept$of$personalized$genomics$is$to$give$physicians$more$information$so$that$
they$can$give$you$better$care$
• Hopefully,$as$the$price$gets$cheaper,$everyone$will$be$able$to$have$it$
• Disease$risk:$
o Start$off$with$bad$news$in$red$
o Confidence:$number$of$stars$out$of$4$
o Shows$your$risk$and$average$risk$
o For$the$professor,$average$risk$is$17.8%$while$his$is$23.1%$
o Decreased$risk$=$green$bar$
o Increased$risk$=$red$bar$
o In$a$different$region,$CC$means$decreased$risk$$
o Then$you$see$good$news$in$green$he$gene$is,$but$only$its$location$
• Carrier$status$
• Drug$response$
o Exploding$area$of$researching$
o Physicians$have$known$for$a$logn$time$that$certain$populations$react$
adversely$to$drugs$
o It$comes$down$to$different$alleles$in$the$population$that$affect$the$
metabolism$of$these$drugs$
o Every$drug$that$we$take,$be$it$caffeine$or$codeine,$gets$broken$down$by$
enzymes$in$our$system$"$metabolism$
o Depending$on$the$various$alleles$of$those$enzymes,$there$will$be$an$impact$
on$your$response$to$that$drug$
o Ex:$Fluorouracil$toxicity$
! The$main$drug$in$chemotherapy$(see$last$lecture)$
! People$can$die$from$a$lethal$dose$of$it$
! DPYD*2A$mutation$causes$you$to$react$adversely$to$it$
o Ex:$caffeine$metabolism$$
! Tells$you$how$fast$you’re$able$to$metabolize$caffeine$$
• Traits:$
o Ex:$muscle$performance$
! Tells$you$if$you’re$a$likely$sprinter$(see$last$lecture)$
! Mutation$in$a$gene$called$alpha$actonin,$which$controls$muscle$fiber$
formation$
! Those$that$have$the$mutation$are$more$likely$to$be$sprinters$or$
athletes$in$short$endurance$types$of$sport$
! However,$if$you$have$the$wild$type$version,$you’re$generally$better$in$
longer$endurance$sports$such$as$cycling$and$long$distance$running$
! Professor$has$CC$genotype,$meaning$2$working$copies$of$alpha[
actinin,$which$is$present$in$most$world[class$sprinters$
o Ex:$malarial$resistance$
o Ex:$lactose$intolerance$
o Ex:$Types$of$ear$wax$(wet$or$dry)$
o Ex:$Asparagus$metabolite$detection$
! When$people$eat$asparagus,$normally$their$pee$smells$
! Some$people$can$smell$it$and$most$others$can’t$$
$
Ancestry:)(continued)from)last)lecture)$
• Where$do$you$(and$your$family)$come$from?$
• Obtain$haplogroup$information$–$how$is$this$obtained?$
o Y$chromosome$(paternal)$ o Mitochondrial$(maternal)$–$women$can$get$the$Y$chromosome$data$from$
their$brother$and$father$
• Ancestry$haplogroups$and$human$evolution:$
o See$23andme$YouTube$video$
o All$humans$are$descended$from$Africa$about$200$000$years$ago$
! Sounds$like$a$long$time,$but$in$evolutionary$terms,$its$not$a$long$time$
at$all$
o Thus,$were$all$connected$and$share$some$genes$to$some$extent$
o Migration$out$of$Africa$50$–$100$000$years$ago$and$displaced$other$human$
species$(Homo$erectus$and$Neanderthals)$
! Some$of$them$mated$with$humans,$which$explains$why$we$share$
some$of$our$genes$with$Neanderthals$
o Humans$migrated$all$over$the$world$–$DNA$changes$over$that$time$were$
conceAncestry haplogroups and human evolution:
o Thus,$when$we$look$at$DNA$now,$we$can$discover$where$those$populations$
came$from$ http://www.youtube.com/watch?v=wZpox7_7k1c>
o Example:$Haplogroup$R$originated$in$Southwest$Asia$about$30$000$years$ago$
and$then$split$over$time$
! It$split$into$different$lineages$
! AlR1$(Europe$and$Asia)$d from Africa about 200,000 years ago
! R2$(Southwest$Asia$and$India)$
! MiIts$like$a$genetic$signature$00 years ago and displaced other
! huBut$then$what$happened,$is$that$the$DNA$changed,$it$mutated$and$
the$populations$became$smaller$and$more$distinct.$The$changes$were$
Humans migrated all over world (DNA changes over that timeult$was$
were concentrated in different populations)
# R1b$(Europe,$Balkans)$
# The$more$specific$R1b1b2$(Western$Europe$–$50%$of$western$
European$men$have$it,$happened$12$000$years$ago)$
$ R1b (Europe-Balkans)
$ R1 (Europe and Asia) R1b1b2 (West Europe-
$
$ 50% men-12000yrs ago)
$ R2 (Southwest Asia and India)
$
o If$you$share$a$genetic$signature$in$your$DNA,$you$can$extrapolate$back$to$
know$where$you$came$from$
• Finding$family$relatives:$
o 23andme$relative$finder$database:$
! Can$find$relatives$connected$via$haplogroups$and$DNA$similarity$
! Haplogroups$only$give$paternal$and$maternal$lineages;$therefore$your$
father’s$mother$would$not$show$a$relationship,$even$though$she$is$
related$to$you$(when$looking$only$at$haplotypes)$
! Thus,$haplogroups$are$good,$but$not$great.$This$is$why$23andme$looks$
at$the$rest$of$your$DNA$(chromosomes$and$SNP$data),$and$matches$it$
to$a$database$to$find$who$is$similar$in$order$to$show$relatives$
! Use$autosomal$genetic$markers$(SNP$sequences$at$certain$
chromosomal$sites)$ rd th
# For$example:$can$find$3 $to$6 $cousins$
! The$databases$are$still$relatively$small,$but$hopefully$by$the$end$of$
this$year$there$will$be$a$million$people$as$a$part$of$the$database$
• See$ancestry$figure$
o In$terms$of$haplotypes,$its$pretty$clear$that$the$professor$has$European$
ancestry$ o His$father:$R1b1b2a1a2f*$"$an$Irish$haplotype$
! Half$of$all$Irish$males$have$this$haplotype$
! Not$found$at$all$in$the$Americas$$
o His$mother:$H1N$"$a$Western$Europe$haplotype$
$
Great- Gr$at- grandfather grandmother grandfather grandmother grandfather grandmother
(British)Xr (British)er (British) X(British) (Swiss) X (Swiss) (German) X (German)
$
Grandfather Grandmother Grandfather Grandmother
(British) X (British) (Swiss) X (German)
$
$
$ Father Mother
$ (British) X (Swiss)
$ R1b1b2a1a2f* H1N
More
Less