Tyrosine kinases are signaling molecules that are frequently mutated as cells become tumorigenic. One of their responsibilities is regulating a cell’s growth based on the extracellular signals they receive. The presence of extracellular growth factors tells them to induce the cell to grow more rapidly, while a lack of oxygen or nutrients tells them to grow more slowly. When these kinases are mutated they make the cell grow uncontrollably, divorcing growth from the conditions outside the cell. In some cases, this mutation is what makes a cell cancerous.
Highlight HEALTH 2.0 Interview: Bertalan Mesko
In 2006, Bertalan Mesko (Berci) started Scienceroll, a blog about genetics and popular medicine. It quickly evolved into a leading source of information following the impact of Web 2.0 on medical education and healthcare. He posts regularly on Twitter (@Berci) about health 2.0, medicine 2.0 and personalized medicine (top five words: rt, ff, medicine, medical, health), and maintains two “microcarnivals” on FriendFeed: Gene Genie and Medicine 2.0.
Over the past four years, Berci has accomplished many things. In 2009, he started a Ph.D. in clinical genomics after graduating with an M.D. from the University of Debrecen in Hungary. From his work at Scienceroll, he has been invited to lecture on medicine in the Web 2.0 era at several clinics and departments at the University of Debrecen, and has presented at several medical conferences around the world.
In 2008, Berci launched the first university credit course for medical students that focuses on Web 2.0 and medicine (med20course.wordpress.com). He also founded Webicina.com, the world’s first medical Web 2.0 guidance service. Webicina aims to ease the work of physicians and scientists by recommending useful tools and sites and by presenting them the new world of Web 2.0. Just last week, Webicina launched its 65th medical topic spanning 15 languages on medicine.
I’ve known Berci Mesko since 2006 and we recently had a chance to talk about Scienceroll, Webicina and his professional path in the Web 2.0 era.
NIH Expands Network Focused On How Genes Affect Drug Responses
The National Institutes of Health plans to spend $161.3 million over the next five years to expand the Pharmacogenomics Research Network (PGRN), a nationwide collaborative of scientists focused on understanding how genes affect a person’s response to medicines.
“Thanks to breakthroughs in genome sequencing technologies and our growing understanding of genetic variation among individuals, there has never been a better time to propel the field of pharmacogenomics,” said NIH Director Francis S. Collins, M.D., Ph.D. “Through these studies, we are moving closer to the goal of using genetic information to help prescribe the safest, most effective medicine for each patient.”
Personalized Medicine Approach Provides More Benefit for Patients with High Cholesterol than Current Guidelines
Statins are a class of drugs that lower cholesterol and thereby reduce the risk of heart disease and stroke. They work by preventing the synthesis of low-density lipoprotein (LDL or “bad cholesterol”) in the liver and promoting its clearance from the blood. They are the most effective cholesterol-lowering drugs currently available and are the cornerstone of the National Heart, Lung, and Blood Institute’s National Cholesterol Education Program (NCEP) treatment guidelines.
The NCEP recommends a “treat-to-target” strategy, in which patients are given specific statin doses to achieve a desired level of LDL cholesterol in the blood. In this case, low LDL cholesterol is the “target.” Yet some physicians are questioning whether treating to any target is the best approach to fighting disease. A recent study in the Annals of Internal Medicine suggests that “tailored treatment”, an approach attempts to practice personalized medicine by estimating three factors, is more effective than a treat-to-target strategy [1].