david ewing duncan open science 7-30-10

35
Open Science Meets Personalized Health David Ewing Duncan Director, Center for Life Science Policy, UC Berkeley

Upload: open-science-summit

Post on 31-Oct-2014

857 views

Category:

Documents


0 download

DESCRIPTION

 

TRANSCRIPT

Page 1: David ewing duncan   open science 7-30-10

Open Science Meets Personalized Health

David Ewing DuncanDirector, Center for Life

Science Policy, UC Berkeley

Page 2: David ewing duncan   open science 7-30-10

Two Great Movements

Citizen scientists

Citizen patients

Page 3: David ewing duncan   open science 7-30-10

Historical Moment

Page 4: David ewing duncan   open science 7-30-10

People

+ Technology

= Empowerment

Page 5: David ewing duncan   open science 7-30-10

“With great power comes great responsibility...”

- Ben Parker (Spiderman’s Uncle)

Page 6: David ewing duncan   open science 7-30-10

Why DIY?oCuriosity

oFeel it coming: early adopters

oOutmoded paradigms

oTired of hearing no

oBad customer service

oChange the world

Page 7: David ewing duncan   open science 7-30-10

THE EXPERIMENTAL MAN PROJECT

Page 8: David ewing duncan   open science 7-30-10

Age of Personalized Health

Page 9: David ewing duncan   open science 7-30-10

o10 million genetic markers

o9,366 genotypes

o 320 environmental toxins

o 22 hours of MRI brain scans

o ~ 2 liters of blood

o ~ $150,000

The Experiment

Page 10: David ewing duncan   open science 7-30-10

Healthy

Page 11: David ewing duncan   open science 7-30-10

Not Just Genes...

Environment

BrainBody

Page 12: David ewing duncan   open science 7-30-10

Experimental Family

Alzheimer’s (rs4420638)

Father Mother AG

AA

David Brother AA AG

Daughter AA

Heart Attack (rs1075728)

Father Mother AG AG

David Brother GG AA

Daughter AG

Page 13: David ewing duncan   open science 7-30-10

Favorite Genetic Marker

CYP1A2Caffeine Fast Metabolizer

Page 14: David ewing duncan   open science 7-30-10

Mercury and Me

Page 15: David ewing duncan   open science 7-30-10

Mercury and Me

Page 16: David ewing duncan   open science 7-30-10

Halibut (lunch) Swordfish (dinner)

Mercury and Me

Page 17: David ewing duncan   open science 7-30-10

Mercury Before: 4 ppb

Mercury After: 13 ppb

Page 18: David ewing duncan   open science 7-30-10

Chemical Gene Name

My Results

Impact/Disease

Methyl Mercury (MeHg)

GSTP1-125 AA > Risk of asthma, adverse drug response, cancers

MeHg GSTP1-114 CC > Risk of some cancers

Hg CPOX4 AC > Neurotoxic effects

Hg BDNF GG > Effects on cognition, mood, motor function

Hg COMT AA > Effects on confusion, coordination

My genetic sensitivity to mercury(Envirogenomics)

Page 19: David ewing duncan   open science 7-30-10

High Anxiety

Page 20: David ewing duncan   open science 7-30-10

Emotional incongruence (emotional conflict)

Emotional conflict resolution(emotion regulation)

Fear and Anxiety

Page 21: David ewing duncan   open science 7-30-10

(Don’t) Be Still My Beating Heart

Page 22: David ewing duncan   open science 7-30-10

Copyright 2008 Entelos, Inc.

First Add Genomics

Page 23: David ewing duncan   open science 7-30-10

Copyright 2008 Entelos, Inc.

Biomarkers (Chemistry)

Page 24: David ewing duncan   open science 7-30-10

Copyright 2008 Entelos, Inc.

Scans: Ultrasound and CT

Page 25: David ewing duncan   open science 7-30-10

Combine Risk Factors

Genes + Environment +Biomarkers + Ultrasound + CT Scan

Entelos Project

Page 26: David ewing duncan   open science 7-30-10

Copyright 2008 Entelos, Inc.

Prediction of my future… ?

Page 27: David ewing duncan   open science 7-30-10

Lost 10 pounds

Page 28: David ewing duncan   open science 7-30-10

oScience needs validatingoSkeptical public oResistance from traditional

medicineoExpensiveoShift from old to new

Still work to be done

Page 29: David ewing duncan   open science 7-30-10

Orwellian Possibilities

o Big Brother

o The Obama Effect

oDiscrimination

oGenetic thrallism (Gattaca)

oUnleashing monsters

o Fear

Page 30: David ewing duncan   open science 7-30-10

Personalized Health Project

o Coordinated effort to validateo Integration is keyo Get creative with law, policy,

education, ethics, mediao Private sector and early adopters o Encourage (demand?) a paradigm shift

Page 31: David ewing duncan   open science 7-30-10

Thoughts on DIY

o Dangers need to be taken seriously (credo of Ben Parker)

o Be proactive with government and law enforcement

o Work with Big Science – they need you, you need them

o Do something wonderful

Page 32: David ewing duncan   open science 7-30-10

Coming this fall…

The Linkage Project:A Manifesto

Page 33: David ewing duncan   open science 7-30-10

Still going… more tests

Page 34: David ewing duncan   open science 7-30-10
Page 35: David ewing duncan   open science 7-30-10

www.ExperimentalMan.com