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Sana Biotechnology Congratulates Senior Vice President and Head of T Cell Therapeutics, Terry Fry, MD, on Additional Role at the University of…

Posted: July 3, 2022 at 1:49 am

SEATTLE, May 12, 2022 (GLOBE NEWSWIRE) -- Sana Biotechnology, Inc. ( SANA), a company focused on creating and delivering engineered cells as medicines, today announced that its Senior Vice President and Head of T Cell Therapeutics, Terry Fry, M.D. will become an executive director at the prestigious University of Colorado Gates Institute. Dr. Fry, a world-renowned expert in chimeric antigen receptor T cell (CAR T) therapies, has devoted part of his time to the University of Colorado as a clinical professor of pediatric oncology since joining Sana. He continues to work in his current Sana role without change while serving as the Institutes Executive Director.

Terry is a leader in the cell and gene therapy space, particularly in developing CAR T therapies for cancer patients. We are proud of Terry and his appointment at the University of Colorado Gates Institute, as his close collaboration with academia will continue to be extremely valuable to the field and to Sana as we explore diverse scientific tools to modify genes and use cells as medicines to change the outcome of many human diseases, said Steve Harr, Sanas President and Chief Executive Officer. Terrys appointment further underscores the high caliber of talent that we have throughout the Sana organization and adds to the number of our team leading institutes in top academic centers.

Dr. Fry added, Bringing innovative therapies to patients remains my first priority, and I am optimistic about the pipeline we are progressing at Sana. My continued involvement in the academic arena fuels greater understanding into novel territories in gene and cell therapy with the goal of bridging and leveraging new insights across industry and academia to propel the field forward.

Yesterday, the University of Colorado announced the creation of the Gates Institute, a state-of-the-art facility that will focus on rapidly translating laboratory findings into regenerative, cellular, and gene therapies for patients. Working in partnership with CU Anschutz, the Gates Institute, fueled by a philanthropic investment from the Gates Frontiers Fund, and an investment by CU Anschutz, is expected to grow to $200 million over the next five years. The institute will build on the success of the Gates Center for Regenerative Medicine and Gates Biomanufacturing Facility, which have conducted groundbreaking stem cell research for cancer and rare diseases, pioneering new therapies in recent years. Dr. Fry will become its Executive Director.

About Sana

Sana Biotechnology, Inc. is focused on creating and delivering engineered cells as medicines for patients. We share a vision of repairing and controlling genes, replacing missing or damaged cells, and making our therapies broadly available to patients. We are a passionate group of people working together to create an enduring company that changes how the world treats disease. Sana has operations in Seattle, Cambridge, South San Francisco, and Rochester.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements about Sana Biotechnology, Inc. (the Company, we, us, or our) within the meaning of the federal securities laws, including those related to the companys vision, progress, and business plans, the scope of Dr. Frys employment with Sana, and the potential value to the Company of Dr. Frys collaboration with academia. All statements other than statements of historical facts contained in this press release, including, among others, statements regarding the Companys strategy, expectations, cash runway and future financial condition, future operations, and prospects, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as aim, anticipate, assume, believe, contemplate, continue, could, design, due, estimate, expect, goal, intend, may, objective, plan, positioned, potential, predict, seek, should, target, will, would and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology. The Company has based these forward-looking statements largely on its current expectations, estimates, forecasts and projections about future events and financial trends that it believes may affect its financial condition, results of operations, business strategy and financial needs. In light of the significant uncertainties in these forward-looking statements, you should not rely upon forward-looking statements as predictions of future events. These statements are subject to risks and uncertainties that could cause the actual results to vary materially, including, among others, the risks inherent in drug development such as those associated with the initiation, cost, timing, progress and results of the Companys current and future research and development programs, preclinical and clinical trials, as well as the economic, market and social disruptions due to the ongoing COVID-19 public health crisis. For a detailed discussion of the risk factors that could affect the Companys actual results, please refer to the risk factors identified in the Companys SEC reports, including but not limited to its Quarterly Report on Form 10-Q dated May 10, 2022. Except as required by law, the Company undertakes no obligation to update publicly any forward-looking statements for any reason.

Investor Relations & Media:Nicole Keith[emailprotected][emailprotected]

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Men’s health and infertility: Is it lifestyle or genetics? Experts answer – Hindustan Times

Posted: July 3, 2022 at 1:48 am

In the modern age, lifestyle plays a very crucial role to keep us mentally and physically healthy and when it comes to mens health, we often talk about cholesterol, diabetes, hypertension, early onset heart attack, life expectancy and so on but when it comes to reproductive health, leading to infertility or reproductive losses, males seem to be less informed. Nowadays, there is a high rise of delayed marriages and couples opting for only one or two children as infertility is now a major concern for such couples.

In about 50% of such cases, infertility is attributable to the male partner, mainly due to a failure in spermatogenesis and according to several studies, a severe decline in the sperm quality has been observed mostly contributed by the lifestyle, including smoking, drinking, long driving hours, stress and pollution. In a study done by Levine H et al., 2017, it was reported that there is a decline of 5060% in sperm counts amongst men from North America, Europe, Australia and New Zealand.

It is important to understand the various factors which impact sperm quality as well as the male fertility. In an interview with HT Lifestyle, Upasana Mukherjee, Senior Genetic Counsellor at Neuberg Center for Genomic Medicine, shared The modern man, during his reproductive period, is exposed to the negative influence of widespread lifestyle-related habits such as smoking, alcohol, recreational drugs, less physical activity etc. Effect of cigarette smoking on male fertility may result from the combined roles of elevated oxidative stress, DNA damage, and cell apoptosis, which could explain not only the reduction in semen quality but also impaired spermatogenesis, sperm maturation, and sperm function reported to be present in smokers compared to non-smokers."

She added, "Smoking is not only associated with decreased sperm quality, it has also been found to be responsible for morphological changes of sperm and also with sperm DNA damage. The high sperm DNA fragmentation rate can contribute to male infertility and has also been associated with multiple miscarriages. It is found that the higher the sperm DNA damage index, the lesser the chances of achieving an ongoing pregnancy. Sperm DNA fragmentation analysis is now offered by many labs to assess the level of damaged sperms. This in turn can help the couple to take alternative reproductive methods (ART) for a successful pregnancy. Chronic alcohol consumption has also been found to have a detrimental effect on both semen quality and the levels of male reproductive hormones.

Gaur D.S et al.,2010 conducted a study on the male partners of couples facing primary infertility and they found that teratozoospermia (abnormal sperm morphology) was present in 63% and 72% of males who drank alcohol moderately (4080g/day) and heavily (>80g/day), respectively. None of the heavy alcohol drinkers were normozoospermic and most were oligozoospermic (64%), which is suggestive of progressive testicular damage in relation to increasing daily alcohol intake. Although the effects of alcohol on male reproductive function are dependent on the intake amount, a threshold amount of alcohol beyond which the risk of male infertility increases has not yet been determined. Several recreational drugs such as marijuana, cocaine, anabolicandrogenic steroids (AAS), opiates (narcotics) and methamphetamines are examples of illicit drugs that exert a negative impact on male fertility.

Upasana Mukherjee highlighted, About 15% of males with infertility have an underlying genetic cause. The genetic landscape of male infertility is highly complex, and at least 200 genes have been implicated in spermatogenesis. Over 25% azoospermic males have genetic causes. These include mostly chromosomal abnormalities (e.g sex chromosome abnormalities, Y chromosome microdeltion) involved in severe spermatogenic impairment and autosome-linked gene variations involved in central hypogonadism, monomorphic teratozoospermia, congenital obstructive azoospermia, and familial cases of quantitative spermatogenic disturbances. Genetic testing is relevant for its diagnostic value, clinical decision making, and appropriate genetic counseling.

According to Dr Sheetal Sharda, Clinical Geneticist and Director- Genomics Development and Implementation, unlike women, men are less aware about their reproductive health and when it comes to being evaluated for infertility or pregnancy loss, often the female is evaluated first but pregnancy and a positive pregnancy outcome are both dependent on both the partners. She revealed, With better understanding and awareness, timely evaluation for a genetic diagnosis and making lifestyle modifications can improve the reproductive health of both the partners.

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Association of genetic variants with patient reported quality of life and pain experience in patients in the UK NCRI Myeloma X Relapse [Intensive])…

Posted: July 3, 2022 at 1:48 am

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Better sheep genetics cheaper than trees to get rid of greenhouse gases – Stuff

Posted: July 3, 2022 at 1:48 am

It would cost less to reduce methane emissions by breeding better sheep, than by offsetting greenhouse gases through carbon forestry, new research shows.

The scientists at AgResearchs Invermay Agriculture Centre who recently made this calculation had already been using portable chambers that could measure the methane sheep belched out for a number of years. This research showed that some sheep emitted less methane than others.

For a recent study by the centres researcher Suzanne Rowe rams that emitted lower levels of methane were bred to low methane-emitting ewes. The study compared the emissions from low emitting sheep to flocks bred from rams and ewes that emitted high levels of methane. The study showed low-methane sheep emitted 10% to 12% less methane than the high-methane animals.

It was calculations from these studies that found it would be cheaper to reduce methane in the agriculture industry through sheep genetics, than through carbon schemes that relied on forestry for offsetting.

READ MORE:* Capturing bulls' breath could help breed lower-methane cows* Lower methane cows... from a catalogue?* Low methane New Zealand sheep coming to a farm near you

John McEwan, animal genomics researcher at AgResearch, said initial calculations showed that the cost to reduce a tonne of methane equivalent through breeding low emitting sheep was $1.72. The calculations were done using conversion factors as used in the emissions trading scheme.

This is markedly less than the $85 per tonne CO2 [equivalent] being paid by the emissions trading scheme currently. It is this $85 per tonne CO2 [equivalent] value in the emission trading scheme which underpins New Zealands forestry conversions and is expected to rise higher in future, McEwan said.

There are limitations to using sheep genetics to lower emissions.

Reduction through better genetics would only mitigate part of the Governments proposed methane emission reductions of 10% by 2030 and 24% to 47% by 2050. Other methods would also be needed and would cost more per tonne of methane emitted, McEwan said.

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A mix of low and high emitting sheep at Leon Black's farm in Southland.

However, forestry also had defined limitations, McEwan said.

Forests could not continuously absorb the extra methane emitted from fossil fuels for many decades. Forests were a limited short-term fix, while the country transitioned to low carbon energy sources, McEwan said.

Similarly, there were practical limits to reducing methane via sheep genetics. New Zealand had to find a manageable path to being net carbon zero by 2050, or more correctly restricting temperature change to a given agreed value. It had to do this at minimal cost to the economy, and avoid rapid swings in prices especially for leveraged asset values like land, McEwan said

There was untapped potential to make faster genetic gains in the sheep industry and there was a compelling case that this method should be aggressively pursued, McEwan said.

According to the study, low-emitting sheep would not find their way into the national flock immediately and there would be no significant reduction of emissions for the first five years in New Zealands commercial flock as there would be genetic lag effects, and because of low adoption rates of new genetic technologies.

In 2007 Southland sheep breeder Leon Black was one of the first to ask if there were differences between the levels of methane that sheep produced.

Black said it made sense, because there were always many variations in any animal population. Some sheep produce more milk than others, or converted feed into meat more efficiently, he said.

There was therefore the possibility that the internal digestive workings of sheep also differed, Black said.

When the question was first asked, the theory needed to be quantified and answer a number of questions. Firstly, was there variation in how much methane different sheep produced? If there was, was it repeatable. If it was repeatable, was that variation consistent? And importantly, would the variation be passed on to the offspring via genetics, Black said.

To all these questions the answer was yes, Black said.

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Sheep breeder Leon Black says he hoped that instead of reducing flocks by 10% to meet the Governments climate target, genetics improvements would mean the flock could stay the same size, but produce less methane and still produce meat and wool for a profit.

For farmers who grow wool and meat another question was also important. Would animals bred for lower methane produce better wool or meat, or less wool or meat? The answer was that lower methane producing sheep converted feed into wool and meat much more efficiently, Black said.

Black had now been involved in measuring his flock since 2008. Low methane-emitting rams from his flocks were already finding their way into the flocks of wool and meat farmers and would produce daughters who inherited lower methane-emitting genetics, Black said.

Progress would take time as offspring got half of their genetic traits from their fathers side and half from the mothers side, Black said.

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Mahesh Bhatt says Alia, Ranbir Kapoor’s ‘child will have genetics of two extraordinary people’ – India Today

Posted: July 3, 2022 at 1:48 am

Mahesh Bhatt is super happy for daughter Alia Bhatt and son-in-law Ranbir Kapoor as they are all set to welcome their first child.

Alia Bhatt and Ranbir Kapoor the good news on June 27.

Father Mahesh Bhatt is over the moon as daughter Alia Bhatt will soon welcome her first child with Ranbir Kapoor. The entire Kapoor-Bhatt clan showed their excitement over the happy news. Mahesh, in an interview, spoke about his to-be-grandchild and said that he would have the genes of two extraordinary kids - Alia and Ranbir.

Mahesh Bhatt is a proud and happy father as daughter Alia Bhatt is all set to welcome her firstborn. Talking to Hindustan Times he said, This is the most challenging role, which life is asking me to play, which is the role of a grandfather. It is a magical moment for the whole family. First of all, Alia has been a magical child since the beginning. She has amazed me with her extraordinary talent, which she has displayed to herself and the world, and then the marriage with Ranbir was a great, high moment, and I love the boy. He is an amazing kid."

He then continued and said that the child would be another universe and would be the best of both worlds. He said, Theres another universe which is going to descend into our backyard and into our lives. It is quite astounding news. I am happy for Alia and Ranbir, and the entire clan. I am certain that the child which is going to be born will have the genetics of these two extraordinary children -- Ranbir and Alia."

While the Kapoor-Bhatt clan celebrate, Alia Bhatt is shooting for her Hollywood film, Heart of Stone, in London. The actress was spotted posing with her friends Manish Malhotra and Karan Johar. What has our attention is her pregnancy glow!

Alia Bhatt and Ranbir Kapoor made the big announcement on Monday, June 27.

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Mahesh Bhatt says Alia, Ranbir Kapoor's 'child will have genetics of two extraordinary people' - India Today

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When ASD Occurs With Intellectual Disability, a Convergent Mechanism for Two Top-Ranking Risk Genes May Be the Cause – Neuroscience News

Posted: July 3, 2022 at 1:48 am

Summary: Mutations in the ASD/intellectual disability genes ADNP and POGZ result in abnormal activation and overexpression of immune response genes and genes for microglia. This results in abnormal brain synaptic function, characteristic of ASD and ID.

Source: University at Buffalo

University at Buffalo scientists have discovered a convergent mechanism that may be responsible for how two top-ranked genetic risk factors for autism spectrum disorder/intellectual disability (ASD/ID) lead to these neurodevelopmental disorders.

While ASD is distinct from ID, a significant proportionapproximately 31%of people with ASD also exhibit ID. Neither condition is well-understood at the molecular level.

Given the vast number of genes known to be involved in ASD/ID and the many potential mechanisms contributing to the disorders, it is exciting to find a shared process between two different genes at the molecular level that could be underlying thebehavioral changes, said Megan Conrow-Graham, Ph.D., first author and an MD/Ph.D. candidate in the Jacobs School of Medicine and Biomedical Sciences at UB.

Published today in the journalBrain, the paper focuses on ADNP and POGZ, the two top-ranked risk factor genes for ASD/ID. The research demonstrates that mutations in these genes result in abnormal activation and overexpression of immune response genes and genes for a type of immune cell in the brain called microglia.

Our finding opens the possibility of targeting microglia and immune genes for treating ASD/ID, but much remains to be studied, given the heterogeneity and complexity of these brain disorders, said Zhen Yan, Ph.D., senior author and SUNY Distinguished Professor in the Department of Physiology and Biophysics in the Jacobs School.

The UB scientists found that mutations in the two genes studied activate microglia and cause immune genes in the brain to be overexpressed. The hypothesized result is the abnormal function of synapses in the brain, a characteristic of ASD/ID.

The research involved studies on postmortem brain tissue from humans with ASD/ID, as well as studies on mice in which ADNP and POGZ were silenced through viral delivery of small interference RNA. These mice exhibited impaired cognitive task performance, such as spatial memory, object recognition memory and long-term memory.

Weakening a repressive function

Under normal conditions, cells in the central nervous system should not express large quantities of genes that activate the immune system, said Conrow-Graham.

ADNP and POGZ both work to repress these genes so that inflammatory pathways are not continuously activated, which could damage surrounding cells. When that repression is weakened, these immune and inflammatory genes are then able to be expressed in large quantities.

The upregulated genes in the mouseprefrontal cortexcaused by the deficiencies in ADNP or POGZ activated the pro-inflammatory response.

This is consistent with what we see in upregulated genes in the prefrontal cortex of humans with ASD/ID, said Conrow-Graham. The prefrontal cortex is the part of the brain responsible for executive function, such as cognition and emotional control.

The mutated genes also activate the glial cells in the brain called microglia, which serve as support cells for neurons and have an immune function in the brain; they comprise 10-15% of all brain cells.

Sensitive microglia

Microglia are very sensitive to pathological changes in the central nervous system and are the main form of active immune defense to maintain brain health, explained Yan. Aberrant activation of microglia, which we demonstrate occurs as a result of deficiency in ADNP or POGZ, could lead to the damage and loss of synapses and neurons.

The researchers are hopeful that future research will determine whether chronic neuroinflammation could be directly contributing to at least some cases of ASD/ID, in which targeting microglia or inflammatory signaling pathways could prove to be a useful treatment.

The researchers pointed out that the clinical presentation of both ASD and ID is incredibly varied. Significant variation also likely is present in the kinds of mechanisms responsible for the symptoms of ASD and/or ID.

We found that changes in two riskgeneslead to a convergent mechanism, likely involving immune activation, said Conrow-Graham. However, this probably isnt the case for all individuals with ASD/ID. When designingclinical trialsto evaluate treatment effectiveness, I think our research underscores the importance of considering the genetic factors involved in an individuals ASD/ID.

The research is the culmination of Conrow-Grahams Ph.D. work; she has now returned to complete the last two years of the MD degree in the Jacobs School. She described her experience pursuing both an MD and a Ph.D. as extremely complementary.

The immune system has a role

My training at each level was super helpful to supplement the other, she said. When I began my Ph.D., I had completed two years of MD training, so I was familiar with the basics of physiology, anatomy and pathology.

Because of this, I was able to bring a broader perspective to my neuroscience research, identifying how the immune system might be playing a role. Prior to this, our lab had not really investigated immunology-related pathways, so having that background insight was really beneficial.

She added that she learned so much from all of her colleagues in Yans lab, including faculty members, lab technicians and other students. I learned so many technical skills that I had never used before joining the lab, thanks to the dedication of lab co-workers for my training, she said.

Her experience at the lab bench working on the basic science underlying neuropsychiatric disorders will definitely influence her work as a clinician.

I plan to pursue a career as a child and adolescent psychiatrist, so I may be able to work directly with this patient population, she said.

Were learning now that better care may be able to be provided by taking a personalized medicine approach, taking into account genetics, psychosocial factors and others. Being able to take a very deep dive into the field of psychiatric genetics was a privilege that I hope will help me to provide the best care for patients.

Author: Ellen GoldbaumSource: University at BuffaloContact: Ellen Goldbaum University at BuffaloImage: The image is in the public domain

Original Research: Closed access.A convergent mechanism of high risk factors ADNP and POGZ in neurodevelopmental disorders by Megan Conrow-Graham et al. Brain

Abstract

A convergent mechanism of high risk factors ADNP and POGZ in neurodevelopmental disorders

ADNPandPOGZare two top-ranking risk factors for autism spectrum disorder and intellectual disability, but how they are linked to these neurodevelopmental disorders is largely unknown. BothADNPandPOGZare chromatin regulators, which could profoundly affect gene transcription and cellular function in the brain.

Using post-mortem tissue from patients with autism spectrum disorder, we found diminished expression ofADNPandPOGZin the prefrontal cortex, a region highly implicated in neurodevelopmental disorders.

To understand the functional role of these neurodevelopmental disorder risk factors, we used viral-based gene transfer to investigate howAdnporPogzdeficiency in mouse prefrontal cortex affects behavioural, transcriptomic and synaptic function. Mice with prefrontal cortex deficiency ofAdnporPogzexhibited specific impairment of cognitive task performance.

RNA-sequencing revealed thatAdnporPogzdeficiency induced prominent upregulation of overlapping genes enriched in neuroinflammation, similar to the elevation of pro-inflammatory genes in humans with neurodevelopmental disorders. Concomitantly,AdnporPogzdeficiency led to the significant increase of pro-phagocytic microglial activation in prefrontal cortex, as well as the significant decrease of glutamatergic transmission and postsynaptic protein expression.

These findings have uncovered the convergent functions of two top risk factors for autism spectrum disorder and intellectual disability in prefrontal cortex, providing a mechanism linking chromatin, transcriptional and synaptic dysregulation to cognitive deficits associated with neurodevelopmental disorders.

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When ASD Occurs With Intellectual Disability, a Convergent Mechanism for Two Top-Ranking Risk Genes May Be the Cause - Neuroscience News

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Preimplantation Genetic Testing – Fertility & Reproductive Medicine Center

Posted: July 3, 2022 at 1:47 am

Preimplantation genetic testing (PGT) is a procedure used to identify genetic abnormalities in embryos created with in vitro fertilization (IVF). PGT is performed before embryos are transferred to the uterus. The goal of PGT is to significantly reduce the chances of transferring an embryo with a specific genetic condition or chromosome abnormality.

Yes. There are three types of PGT:

PGT-A can be performed for any IVF cycle, but the decision to have this testing is complex and should be made after careful discussion with your physician or genetic counselor. PGT-A is most often considered for patients who have had recurrent pregnancy losses (miscarriages), multiple failed IVF cycles, a prior pregnancy or child with certain chromosome abnormalities, or based on maternal age. However, there is notable controversy about the benefits of PGT-A (see questions 14 and 15).

By contrast, PGT-M and PGT-SR are only performed when the patient, their partner and/or their donor have abnormal genetic test results that put the embryos at increased risk for a genetic disorder. PGT-M is an option for patients with an increased risk for a single gene disorder in their embryos such as cystic fibrosis or sickle cell anemia. PGT-SR is an option for patients who have a chromosome translocation or inversion. PGT-M and PGT-SR allow patients the opportunity to reduce the risk of having an affected child prior to becoming pregnant.

All three types of PGT are performed in a similar fashion. The patient goes through their IVF cycle and egg retrieval as recommended by their physician. Their embryo(s) are monitored in our laboratory until day 5 or 6 when they are referred to as blastocysts. At that time, a small number of cells are biopsied (removed) from each embryo and shipped to an outside laboratory for PGT. The cells are taken from a part of the blastocyst called the trophectoderm, which will eventually form the placenta. These cells are expected to be representative of the rest of the embryo; however, this may not always be the case due to circumstances such as mosaicism (see question 13). The embryo(s) must be frozen while PGT is performed. An embryo with normal PGT results would be selected, thawed, and transferred to the uterus at a later date.

In addition to the biopsied cells from the embryo(s), other DNA samples are often required for PGT. In order to perform PGT-A, blood samples from the patient and their partner must be collected in our office prior to the egg retrieval. Please see question 6 if you are using an anonymous donor.

For PGT-M and PGT-SR, the required samples vary. The laboratory performing PGT-M or PGT-SR will evaluate your unique case and determine what samples are needed to develop testing for your embryo(s). This may include blood and/or saliva from the individuals contributing the eggs and sperm as well as from other family members. In some cases, the male partner may also need to provide a sperm sample.

Possibly. For PGT-A, we have laboratory options that do not require additional samples from the sperm or egg donor. For PGT-M or PGT-SR, each case is unique and must be reviewed by a genetic counselor. In some cases, it may not be possible for the laboratory to develop reliable testing for embryos created using an anonymous donor.

Yes. The biopsy process, which removes cells from each embryo for PGT, has a small chance of damaging the embryo. Additionally, since the embryo(s) must be frozen while PGT is performed, they must also undergo a thawing procedure prior to transfer. In our centers experience, the survival rate of embryos that were biopsied and later thawed is 97%.

The decision to have PGT needs to be made well in advance of your IVF cycle. If PGT is part of your plan, our office will open a case with the laboratory. This allows them to check your insurance benefits and confirm payment options.Additionally, blood samples from the patient, their partner and/or donor, and sometimes other family members must be collected in advance (see question 5).

For PGT-M and PGT-SR, there is a test development phase during which the laboratory confirms if they will be able to reliably detect the specific genetic condition in the patients embryo(s). The test development phase can take up to 8-12 weeks after all required DNA samples are received. This process must be fully completed before an IVF cycle (stimulation medications) will be started.

Yes. PGT-A screens for chromosome abnormalities that occur randomlyin a portion of any womans eggs or mans sperm. Chromosome abnormalities are common in embryos and are not usually inherited.Therefore, we do not expect patients to have a family history of any chromosome conditions.

The laboratory we use most often (Natera) uses a single nucleotide polymorphism (SNP) microarray and DNA samples from the individuals who contributed the eggs and sperm to perform PGT-A. Nateras testing can detect three types of chromosome abnormalities.It is primarily designed to ensure an embryo has the correct number of chromosomes (euploidy). PGT-A screens embryos for whole missing chromosomes (monosomy), whole extra chromosomes (trisomy), or an entire extra set of 23 chromosomes (triploidy).Second, PGT-A at Natera screens for missing or extra pieces of chromosomes (deletions or duplications). These deletions and duplications must be large, accounting for 15% of the total length of that chromosome, to potentially be detected. Finally, PGT-A at Natera screens for uniparental disomy (UPD) of chromosomes 6, 7, 11, 14, and 15. UPD occurs when an embryo receives two copies of a chromosome from one biological parent, and no copies from the other. UPD of these five chromosomes can result in poor pregnancy outcomes or a child with serious health issues.

Chromosome abnormalities are common in embryos. Overall, the laboratory we use most often (Natera) reports that 51% of the day 5 embryo biopsies they test have normal chromosomes and 49% have abnormal chromosomes.The percentage of chromosomally normal embryos expected is most strongly influenced by the age of the person providing the egg (see question 12).

Chromosome abnormalities can happen in any embryo or pregnancy simply by chance. However, the chance for missing or extra chromosomes (aneuploidy) does increase with the age of the person providing the egg. For a woman who is less than 30 years old, the laboratory we use most often (Natera) finds that 31% of the day 5 embryos have abnormal PGT-A results. For women ages 30-34, the frequency of abnormal PGT-A results increases slightly to 36%. For women ages 35-39, 50% of day 5 embryos have abnormal PGT-A results. For women ages 40 or older, Natera reports that 68% of day 5 embryos have abnormal PGT-A results.

Please remember these are averages so you may have a greater or smaller percentage of normal embryos than expected based on age. In some IVF cycles, a patient may not have any embryos with normal PGT-A results to transfer. It is also important to keep in mind that the number of embryos a woman will have available to test also tends to decrease with age.

Mosaicism refers to a mixture of two or more types of cells within the same embryo. On day 5, an embryo is made up of approximately 120 cells.The lab will remove 5-10 of these cells for PGT. We expect all of the embryos cells to be identical so testing this small sample will give us accurate information about the whole embryo in most cases. However, if the embryo has mosaicism, the 5-10 cells which are biopsied may not accurately represent all of the cells of the embryo.For instance, the biopsied cells may be chromosomally normal, but other untested cells within the embryo are abnormal.Conversely, the 5-10 biopsied cells may be chromosomally abnormal, but other cells within the embryo are normal.

Sometimes the 5-10 biopsied cells contain a mixture of chromosomally normal and abnormal cells.If mosaicism is reported by the laboratory, those embryos would only be considered for transfer if the patient has no chromosomally normal (euploid) embryos available. The decision to use a mosaic embryo for transfer is complicated and requires careful genetic counseling. Data about the potential of mosaic embryos to result in a healthy pregnancy and child are still being gathered. Multiple studies have found mosaic embryos have poorer outcomes compared to those with normal chromosome results.

There are several potential benefits of PGT-A. For patients with several good quality embryos, PGT-A is an additional tool that may assist in the selection of the best embryo for transfer. For patients whose embryos have PGT-A, a single chromosomally normal embryo is transferred reducing the chance of multiples (e.g. twins or triplets). PGT-A may also be helpful when a patient has excess embryos they plan to store for future use. Since embryos with aneuploidy are more likely to result in a failed IVF cycle or miscarriage, PGT-A provides additional information about the reproductive potential of those embryos. PGT-A also reduces the likelihood of the birth of a child with a detectable chromosome condition like Down syndrome. If you are interested in learning more about PGT-A, we recommend you discuss this test with your physician and our genetic counselor. We can review your individual circumstances to help you determine if PGT-A is right for you.

Yes. First, PGT-A adds significant additional cost that may not be covered by insurance (see question 21). Some patients may have to undergo more than one IVF cycle in order to get a chromosomally normal embryo for transfer, further increasing their costs. Second, the embryo(s) must be frozen while PGT is performed so patients are unable to do a fresh transfer. A frozen embryo transfer will be scheduled after the PGT results are available. Third, the PGT process poses a small risk to the embryo(s) (see question 7). Finally, although uncommon, inaccurate PGT results may lead to the transfer of an embryo with a chromosome abnormality that was not detected or the non-transfer of an embryo with potential to result in a healthy pregnancy.

PGT-M or PGT-SR are options for patients with a personal or family history of a specific genetic condition or chromosome rearrangement who wish to greatly reduce the chance of having a child affected by that condition. If you are interested in PGT-M or PGT-SR, the first step is for our genetic counselor and the laboratory to review your abnormal genetic test results. The laboratory will determine if they can develop a test for your embryos that can reliably identify which are affected. Unfortunately, PGT-M or PGT-SR may not be able to be performed successfully in all cases due to technical limitations.

With the exception of a few chromosome conditions such as Down syndrome, Turner syndrome, Klinefelter syndrome, trisomy 13, trisomy 18, PGT-A does nottest embryos for any specific genetic diseases or syndromes.

In order to perform PGT-M or PGT-SR, you must be able to provide documentation of the specific genetic abnormality. For PGT-M, a copy of the abnormal genetic test results must be submitted to the laboratory. These results must contain the specific gene and the specific variant(s) for which the patient wants to test their embryo(s). For PGT-SR, a copy of the abnormal chromosome study (karyotype) documenting the specific translocation or inversion must be submitted.

The results of PGT are highly accurate; however, it is still considered a screening test. This means false positives and false negatives can occur.If you transfer an embryo that has been tested by PGT, it is recommended you consider confirming the normal results through diagnostic prenatal testing such as chorionic villus sampling (CVS) or amniocentesis. Non-invasive prenatal testing (NIPT) can also be used as a first-line screen for a limited number of chromosome abnormalities during pregnancy. However, NIPT (like PGT) is also a screening test with the potential for false positives or false negatives. Your physician or a genetic counselor can review these options with you in more detail as there are risks and limitations for each test that should be considered carefully.

No.PGT only screens for certain chromosome abnormalities (PGT-A or PGT-SR) or one specific genetic condition (PGT-M).Every pregnancy has a risk of approximately 3-5% to result in a child with a genetic condition or birth defect.There is no genetic test that can eliminate this risk or identify all diseases or birth defects.There is always a risk for a child to have a medical issue, regardless of the screening performed.

PGT is always optional. If PGT is not right for you, there are several genetic testing options that can be performed during a pregnancy. First, non-invasive prenatal testing (NIPT) screens for certain chromosome abnormalities by analyzingfetal DNA in a sample of a pregnant womans blood. It is also sometimes referred to as cell-free fetal DNA testing.NIPT always screens for Down syndrome (trisomy 21), trisomy 18, and trisomy 13. Some versions of NIPT may also screen for the sex chromosomes (X and Y), other trisomies, triploidy (having an extra copy of every chromosome), and certain microdeletions (missing sections of a chromosome that cause known syndromes such as 22q11.2 deletion syndrome). The benefits of NIPT are that it can be doneas early as 9 weeksof pregnancy,and since it is performed on a blood sample from the pregnant woman, there is no risk to the pregnancy. However, NIPT is still a screening test meaning false positives and false negatives can occur. NIPT does not typically screen for single-gene conditions.

Chorionic villus sampling (CVS) and amniocentesis are two additional options for prenatal genetic testing. CVS can be performed in the first trimester between 10-13 weeks gestation, while amniocentesis can be performed in the second trimester between 15-24 weeks gestation. CVS and amniocentesis can be used to test for chromosome abnormalities and/or a specific single-gene condition. Both provide highly accurate genetic results.While CVS and amniocentesis offer advantages over NIPT, both of these tests are invasive so they do pose a risk for miscarriage or other complications.If you are interested in prenatal genetic testing, we recommend you review the benefits and limitations of these options with a physician or genetic counselor.

The cost of PGT depends on many factors including the type of PGT being performed, the number of embryos being tested, and which laboratory is performing the test. Our office and the performing laboratory can assist you in determining your insurance coverage and expected out-of-pocket costs for PGT.

As an example, the laboratory we use most often (Natera) offers self-pay pricing for those without insurance coverage. The self-pay price for PGT-A or PGT-SR for a Robertsonian translocation is $1,795 for up to eight embryos. The self-pay price for PGT-SR for a reciprocal translocation or inversion is $3,675 for up to eight embryos. The self-pay price for PGT-M for one genetic condition is $6,000 for up to sixteen embryos.There is also a $375 fee for shipping the embryo biopsy samples to Natera, which must almost always be paid out-of-pocket.

Once the laboratory receives the embryo biopsy samples and has received payment for the testing, results are expected in approximately 7-10 days.

Your physician or genetic counselor will call you with your PGT results. At that time, we will review how many embryos are appropriate for transfer.

An embryo with normal PGT-A results is predicted to have the correct number of chromosomes and no evidence of large chromosome deletions or duplications or uniparental disomy (see question 10). PGT-A cannot detect all chromosome abnormalities such as small extra or missing pieces of chromosomes (microdeletions and microduplications). PGT-A cannot detect any single-gene disorders. Normal PGT-A results cannot rule out the possibility a child may be born with a birth defect, autism, developmental delay/intellectual disability, or serious health issues that are not caused by detectable chromosome abnormalities. Normal PGT-A results cannot guarantee a successful IVF cycle or prevent miscarriage.

Abnormal PGT-A results mean the laboratory detected a chromosome abnormality.Embryos with abnormal PGT-A results are not recommended for transfer because they are expected to result in a failed IVF cycle, miscarriage, or the birth of a child with serious health issues.

An embryo with normal PGT-M results is predicted to be free of the genetic condition for which it was tested. For autosomal recessive conditions, PGT-M will also identify whether the normal embryo is a carrier or not. Since carriers of autosomal recessive conditions are not expected to have symptoms, those embryos may be transferred if the patient wishes. Abnormal PGT-M results mean the embryo is expected to be affected with the condition for which it was tested. Therefore, those embryos would not be recommended for transfer.

An embryo with normal PGT-SR results is predicted to have the correct amount of each chromosome with no detectable missing or extra pieces. The laboratory will look closely at the chromosomes involved in the translocation or inversion. It is important to know that, at this time, PGT-SR does not distinguish between embryos with normal chromosomes and those with a balanced translocation or inversion.Since carriers of a balanced translocation or chromosome inversion are typically healthy, those embryos are reasonable to transfer. A routine chromosome study (karyotype) can be done through CVS, amniocentesis, or on a blood sample after delivery to determine if the child inherited the balanced translocation or inversion.

We strongly encourage all patients who are interested in PGT to have an appointment with our genetic counselor.This consultation will ensure you fully understand the risks, benefits, and limitations of this testing. The genetic counselor will also determine if there are any additional concerns based on your personal and family history that should be addressed prior to your IVF cycle.

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Genetic Counseling Program | Human Genetics | Michigan Medicine

Posted: July 3, 2022 at 1:47 am

The University of Michigan Genetic Counseling Programis one of the most well-established programs in the country and exemplifies our long history of innovation in clinical service and education in genetics and genomics. Michigan graduates emerge as extremely well-rounded genetic counselors, who are ready to meet the current challenges in clinical genomic medicine and are able to help guide the evolving practice of genetic counseling and genomic medicine.

The vision of the University of Michigan Genetic Counseling Program is to train genetic counselors that are able to meet the current challenges and to help shape the future of genetic counseling and genomic medicine.

Our mission is to provide an individualized, integrated and supportive graduate training environment comprised of:

Most importantly, our graduate training program is responsive to the interests and unique needs of individual students.

Contact us at UMGenetics@med.umich.edu.

Follow us on Instagram! @umgcp

The University of Michigan Masters in Genetic Counseling program is accredited by the Accreditation Council for Genetic Counseling (ACGC), located at 7918 Jones Branch Drive, Suite 300, McLean, VA 22102 USA, web addresswww.gceducation.org. ACGC can be reached by phone at 913.222.8668.Pleaseclick herefor more information regarding professional licensure.

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The Genetic Link to Parkinson’s Disease | Johns Hopkins Medicine

Posted: July 3, 2022 at 1:47 am

If you have family members with Parkinsons disease, or if you yourself have the disease and are concerned about your childrens chances of developing it, youve probably already wondered: Is there a gene that causes Parkinsons disease? How direct is the link?

About 15 percent of people with Parkinsons disease have a family history of the condition, and family-linked cases can result from genetic mutations in a group of genes LRRK2, PARK2, PARK7, PINK1 or the SNCA gene (see below). However, the interaction between genetic changes, or mutations, and an individuals risk of developing the disease is not fully understood, says Ted Dawson, M.D., Ph.D., director of the Institute for Cell Engineering at Johns Hopkins.

Heres what you need to know:

Theres a long list of genes known to contribute to Parkinsons, and there may be many more yet to be discovered. Here are some of the main players:

SNCA: SNCA makes the protein alpha-synuclein. In brain cells of individuals with Parkinsons disease, this protein gathers in clumps called Lewy bodies. Mutations in the SNCA gene occur in early-onset Parkinsons disease.

PARK2: The PARK2 gene makes the protein parkin, which normally helps cells break down and recycle proteins.

PARK7: Mutations in this gene cause a rare form of early-onset Parkinsons disease. The PARK7 gene makes the protein DJ-1, which protects against mitochondrial stress.

PINK1: The protein made by PINK1 is a protein kinase that protects mitochondria (structures inside cells) from stress. PINK1 mutations occur in early-onset Parkinsons disease.

LRRK2: The protein made by LRRK2 is also a protein kinase. Mutations in the LRRK2 gene have been linked to late-onset Parkinsons disease.

Among inherited cases of Parkinsons, the inheritance patterns differ depending on the genes involved. If the LRRK2 or SNCA genes are involved, Parkinsons is likely inherited from just one parent. Thats called an autosomal dominant pattern, which is when you only need one copy of a gene to be altered for the disorder to happen.

If the PARK2, PARK7 or PINK1 gene is involved, its typically in an autosomal recessive pattern, which is when you need two copies of the gene altered for the disorder to happen. That means that two copies of the gene in each cell have been altered. Both parents passed on the altered gene but may not have had any signs of Parkinsons disease themselves.

Our major effort now is understanding how mutations in these genes cause Parkinsons disease, says Dawson. SNCA, the gene responsible for making the protein that clumps in the brain and triggers symptoms, is particularly interesting.

Our research is trying to understand how alpha-synuclein works, how it travels through the brain, says Dawson. The latest theory is that it transfers from cell to cell, and our work supports that idea. Weve identified a protein that lets clumps of alpha-synuclein into cells, and we hope a therapy can be developed that interferes with that process.

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The Genetic Link to Parkinson's Disease | Johns Hopkins Medicine

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Drug reduces mutant protein that can lead to fibrosis in rare genetic liver disease – Reuters

Posted: July 3, 2022 at 1:47 am

(Reuters Health) - The experimental Arrowhead Pharmaceuticals drug fazirsiran can reduce the accumulation of a mutant protein by 83% among people with alpha1-antitrypsin deficiency (AAT) disease, according to results from an open-label phase 2 trial involving 16 volunteers.

The condition is a rare genetic liver disease wherein a mutant protein, known as Z-AAT, accumulates in the liver and can lead to fibrosis, then cirrhosis or portal hypertension, and eventually hepatic decompensation or hepatocellular carcinoma. There is no approved treatment.

Fazirsiran, an RNA interference therapeutic, was given in one of two doses on day 1, week 4, week 16, and then every 12 weeks.

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At week 24 and 48, a median 83% of the Z-AAT in the liver was gone.

"Fibrosis regression was observed in 7 of 15 patients and fibrosis progression in 2 of 15 patients after 24 or 48 weeks," the research team led by Dr. Pavel Strnad of RWTH Aachen University in Germany report in the New England Journal of Medicine.

The team also saw improvements in liver enzyme concentrations.

"Because the liver is a regenerative organ, removal of the Z-AAT hepatic insult is expected to yield clinical benefit," they write.

However, "Despite marked reductions in liver Z-AAT concentrations in all the patients, reductions in mutant protein concentrations did not uniformly translate into regression of fibrosis during the first 24 or 48 weeks of treatment," the authors note.

Although no side effects prompted anyone to leave the trial, there were four serious adverse events coinciding with the treatment: diverticulitis, dyspnea, viral myocarditis, and vestibular neuronitis. The Strnad team said all of those problems resolved and "each of the four patients continues to receive fazirsiran treatment in the extension period."

Milder side effects included arthralgia and increased blood creatinine kinase.

A problem was considered an adverse event if it emerged or worsened after the first dose of the drug.

Arrowhead conducted the trial. The company released topline results of the study in November. The updated results were presented Saturday at the annual meeting of the European Association for the Study of the Liver.

Fazirsiran was previously known as ARO-ATT.

SOURCE: https://bit.ly/3ne0DXV The New England Journal of Medicine, online June 25, 2022.

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