Home genetic testing, pros and cons

Recently I have been getting interested in home genetic testing. I have written a few articles about this matter, including a 3 part post on the Bassetti Foundation website about a conference that I attended a couple of weeks ago at Harvard University.

The speaker at the conference was Anne Wojcicki, CEO of the world’s largest commercial genetic company called 23andMe. They offer a kit that you spit into and send back, then they analyze 4 million variables and you check out the results online.

Recent technological advancements have brought the price down beyond belief. What cost $100 000 a few years ago and took months cost $1000 last year and now $300  and can be done while you wait.

What they call Next Generation Genetic Testing has meant that the analysis has become incredibly more intricate, where as a few years ago they analyzed a few thousand proteins, they can now do millions, so if you already had your genome sequenced a few years ago you might want to re-do it to gain ever more information.
A strand of genomeAs I said I went to this conference with the CEO from 23and Me. They are a relatively new company but have the majority of the market share in DNA genetic analysis. The CEO very much presented her organization in business terms, but continuously highlighted the research they conduct in looking for cures for new diseases. They have amassed an enormous database and can conduct statistical analysis on Gene mutations in a few hours that only a few years ago (or without them they argue) would take years.
So what do they actually provide you with for the money?

Results are viewed online, and consist in various types of analysis presented as bar charts, pie charts and statistics. So one line of interest is where your Genes come from, for example how much of you is from Africa, Asia, Europe or elsewhere. How much of you is Neanderthal.

Then we get into the interesting stuff about how your genes relate to your parents, who are you most like.

Carriers and sufferers of diseases learn about their mutations, so if you have or are carrying a genetic disorder this information is also presented.

Then we move onto risks for the future. What percentage rise in risk do you have in your genes for developing certain diseases? Maybe you have a 20% rise in risk of developing Alzheimer’s or getting breast cancer. Here we are moving out of the present and world of scientific analysis and into the world of risk.

A world of interesting information and probably very useful in many cases and just a bit of fun in others, but I would like to raise some issues about the above.

No doctors are involved in giving this information, an individual reads their results online, so one of my reservations is about interpretation. What does a 20% rise in risk of breast cancer mean? How does an individual react to such news? What can or will they do? Also in terms of a negative result what are the effects? I have reduced risk of contracting breast cancer so I skip my mammogram for a few years, after all I am at low risk.

And what if I discover that I have some kind of genetic disorder? Well should I tell my brothers? Maybe they have it too. Do I have the right to tell them? Or am I obliged to tell them? Do they have the right to know or indeed the right not to know?

And ancestry, what if I discover that my father is not the man my mother is married to?

Then as a concerned scientist I start thinking about the data, and discover in the contract I signed (without reading because it is 10 pages long) on the internet gives the company the rights to distribute my genetic information to other research organizations. OK all in a good cause but are they going to make the information non traceable? Is that even possible when such an amount of intricate information is involved? Probably not say the scientists at Harvard.

I am not saying that 23andMe are doing anything wrong at all, their database must be a great resource for science and particularly medicine, possible benefits should not be underestimated and I am sure that their hopes and aims are all pursued in good faith, but I wonder if such a database should not be independently regulated. At present these types of operations are practically unregulated in the US, and maybe this should not be the case. Technology is moving ahead at an incredible rate in this field and nobody can say what this material will reveal, to whom and for which purposes. I note on the video that Christopher linked on his post about Google that they are one of the company’s biggest investors, and as they are a corporation specialized in data collection that does not really surprise me.

Legislation has been passed in the US called GENA, whose aim is to protect individuals from unfair treatment from certain sectors on the grounds of genetic testing. It is not however definitive and as I say only covers specific areas of commerce such as health insurance and employment, but I am dubious about the power of the state to enact laws as quickly as needed. Lawmaking is a slow process in a fast moving world as the genetic testing debate has proved. Equally however we don’t want to slow down the pace of research due to regulation, as that too has serious consequences for individuals who might be looking for breakthroughs in certain treatments.

I fear though that if you pay for such a test and the results show a tendency towards getting a cancer of some sort, a health insurance company might accuse you of hiding or having access to information you should have disclosed, and make life difficult when it comes to paying for the health care you need or for your funeral (I don’t think life insurance is presently covered under the legislation).

Or that one day they might ask you to lick a stick when you go in to the broker to buy your holiday insurance or apply for a job. What do you think?

Good blogging practice – publishing reliable information

The web is massive bank of data, which is far too big to be regulated. Because the web can’t be regulated, it is very easy for false information to spread – fast.

If you are a blogger, it is really important that you publish information which is reliable and trustworthy. Don’t copy what the crowd says unless you know they are right, as this is not only misleading to your readers, but can also see you get penalties dished out from search engines. If you get a reputation for publishing unreliable content, the likelyhood is that your readership will fall.

When you publish something that you have found out elsewhere, you need to make sure that it is accurate and reliable, before you publish it.

How to Mythbust Rumours

When you find information, on the web, in order to ensure that it is reliable, it is always a good idea to check that it appears elsewhere. A general rule of thumb is to check that what you are reading is the same on 3 other sites, one of which is a highly reputable site.

So what is a reputable website?

Government Websites

There are a few way so to identify if a site is reputable or not. One way is to see if it is a government website. Any site which is government run is likely to be very reputable. Government websites usually end in their own unique domain name extension. If you live in the USA, government sites end in .gov or .fed.us, in the UK .gov.uk, in France .gouv.fr, .gc.ca for Canada, India’s extension is .gov.in and the list goes on.

Major News Corporations

Government sites won’t always report things that you want to verify though, so there are other ways to tell a reputable sites. Big news websites like BBC.co.uk/News and Guardian.co.uk will usually only publish information that is factual and accurate, so you can usually trust them.

The Guardian's logoThe information they publish is likely to be accurate, however it may not be impartial, so that is something to watch out for. Often news firms will take a political side, and therefore report news in a certain way – and may only publish part of a story.

High PageRank Sites

Google PageRank is calculated largely by the number of backlinks a page or site has. If a website has a very high PageRank (6+) then it is likely that it has a lot of other sites linking to it, most probably because it publishes a lot of high quality content, which people find useful and therefore link back to. High PageRank sites aren’t always trustworthy, but the higher up the spectrum of PageRank you go, the less likely it is that a site is going to be providing false information.

If a website is a PageRank 8, 9 0r 10, unless they have manipulated Google’s algorithm (through black hat SEO, which will only work for a short while, before Google catches them) then the site is likely to be extremely reliable and reputable, therefore you should be able to trust the information, data and facts that they produce.

1,000,000 to 1

If 1 highly reputable site is saying one thing, but 1 million other (not reputable) sites are saying another another, then the chances are that the 1,000,000 sites are just recycling the same false information, creating a massive bank of false information. This is one reason why you should be really careful who you trust on the web, and also make sure that you verify information with at least one reputable site. Be careful who you trust.

Academic Research

Verifying information with at least 3 sources, one of which is reputable is something which is also advised in academic research. Therefore if you use the same standards on your blog, you can’t go wrong! Search engines and readers alike will respect you for providing good quality, highly reputable content.

Technology Bloggers Policy

Every time I write an article and quote information/statistics etc. I always try to follow the 3 and 1 rule: check the information appears on 3 other sites, at least one of which is ‘reputable’. This means that everything I write should be reputable.

The post guidelines ask all writers to ensure they use the 3 and 1 rule, however we cannot guarantee that all writers do. In our Privacy Policy, we state how we try to ensure all content is true and factual, however it is always advisable to independently verify information for yourself.

Do You Verify Your Content?

Do you always try to ensure that you use the 3 and 1 rule when publishing information? That not only applies to blog posts, but also to comments. If not what measures do you use, or don’t you think it really matters?