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7/28/2019 45741
1/19
Doug Brutlag 2011
Genomics Bioinformatics & Medicinehttp://biochem158.stanford.edu/
Biochem 158/258 and HumBio 158G
Doug BrutlagProfessor Emeritus
Biochemistry and Medicine (by courtesy)[email protected]
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2/19
Doug Brutlag 2011
Greg Gibson & Spencer V. Muse
A Primer of Genome Science
$62
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3/19
Doug Brutlag 2011
Greg Gibson
It Takes a Genome
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4/19
Doug Brutlag 2011
Course Syllabushttp://biochem158.stanford.edu/
Sept 27 Introduction to Genes, Diseases and Preventive Medicine
Sept 29 Diseases and Disease DatabasesOct 4 Sequencing the Human Genome
Oct 6 Finishing the Human Genome
Oct 11 Next Generation Sequencing Methods
Oct 13 Bioinformatics and Functional Genomics
Oct 18 Sequence Variations in the Human Genome
Oct 20 Structural Variations: Insertions, deletions, transpositions, & copy numbervariations.
Oct 25 Discovering Variations Associated with Disease
Oct 27 Discovering Causal Mutations for Disease
Nov 1 Personal Genomics
Nov 3 Stem CellsNov 8 Stem Cell Therapies
Nov 10 Gene Expression and Cancer Diagnostics
Nov 15 Epigenetics
Nov 17 Drug Development
Nov 29 Pharmacogenomics
Dec 1 Ethical Issues and Genetic Discrimination
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5/19
Doug Brutlag 2011
Course Requirementshttp://biochem158.stanford.edu/
Four research assignments Disease case presentation Bioinformatics analysis of gene function
Description of a genome-wide association study
Final project (paper or presentation) on
The molecular basis of a disease
A novel diagnosis or treatment of a disease
A technological advance in genomics & disease
An ethical, legal or social issue in genomics or medicine
Participation in Class Discussion
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6/19
Doug Brutlag 2011
Research Projects and Grading Policyhttp://biochem158.stanford.edu/
Assignment % of Grade Date Due
Inherited Disease Case Presentation 20% Oct. 11
Functional Analysis of a Human Gene 20% Oct. 25
Review of Genome-Wide Association Studies 20% Nov. 8
Final Project on Genomics and Medicine 40% Dec. 9
Second chance on homework!
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7/19Doug Brutlag 2011
Cognate Courses
Undergraduate Courses
Biochem 118 Genomics and Medicine Sophomore Seminar
Bio 109A and 109B (HumBio 158A and B) The HumanGenome and Disease
HumBio 157 The Biology of Stem Cells
HumBio 159 Genes and Environment in Disease Causation
Graduate Level Courses
Genetics 210 Genomics and Personalized Medicine
Genetics 211 Genomics
CS 262 Computational Genomics
CS 273A A Computational Tour of the Human Genome
Biochem 218/BMI 231 Computational Molecular Biology
BMI 214/CS 274 Representations and Algorithms for
Computational Molecular Biology
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8/19Doug Brutlag 2011
BioMedical SeminarsBiomedical Seminars Calendar
Frontiers in Biology Seminar Series
Atul Butte, StanfordExploring Systems and Personalized Medicine ThroughTranslational Bioinformatics
Sep 28 4:00 PM Clark Center Auditorium
Nick Schork, ScrippsFunctional Genomic Variants and Human Diversity
Oct 26 4:00 PM Clark Center Auditorium
Marisa Bartolomei, U of Pennsylvania
Epigenetic regulation of genomic imprintingNov 16 28 4:00 PM Clark Center Auditorium
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9/19Doug Brutlag 2011
Leveraging Genomic Information
Novel DiagnosticsMicrochips & Microarrays - DNA
Gene Expression - RNA
Proteomics - Protein
Understanding Metabolism
Understanding DiseaseInherited Diseases - OMIMInfectious Diseases
Pathogenic BacteriaViruses
Novel TherapeuticsDrug Target DiscoveryRational Drug DesignMolecular DockingGene TherapyStem Cell Therapy
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10/19Doug Brutlag 2011
Impact of Genomics on MedicineI. Diagnostics
Genomics: Identifying all known human genes Functional Genomics: Functional analysis of genes In what tissues are they important?
When in development are the genes used?
How are they regulated?
Novel diagnostics Linking genes to diseases and to traits
Predisposition to diseases
Expression of genes and disease
Personal Genomics Understanding the link between genomics and
environment
Increased vigilance and taking action to prevent disease
Improving health care
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11/19Doug Brutlag 2011
Impact of Genomics on MedicineII. Therapeutics
Novel Drug Development
Identifying novel drug targets
Validating drug targets
Predicting toxicity and adverse reactions
Improving clinical trials and testing
Gene therapy Replacing the gene rather than the gene product
Stem cells therapies Replacing the entire cell type or tissue to cure a disease
Pharmacogenomics Personalized medicine
Adjusting drug, amounts and delivery to suit patients
Maximize efficacy and minimize side effects
Identify genetics of adverse reactions Identify patients who respond optimally
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12/19Doug Brutlag 2011
Impact of Genomics on MedicineIII. Ethical, Legal and Social Issues
Personal Privacy Insurability
Employability
Discrimination
Genetic selection versus eugenics Cosmetic genetics
Patentability of genes, proteins and other naturalproducts
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13/19Doug Brutlag 2011
Impact of Genomics on MedicineIV. Strategic
Genomics can discover disease associated genes Genomics can discover disease causing genes.
Genomics provides understanding of disease
Genomics and bioinformatics provides basis for
novel drug development Genomics provides basis for novel genetic and stem
cell therapies
Genomics provides the basis for preventive
medicine.
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14/19Doug Brutlag 2011
Preventive Medicine
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15/19Doug Brutlag 2011
Founder of Preventive Medicine:Louis Pasteur
When thinking about diseases, I never thinkabout how to cure them, but instead I think abouthow to prevent them.
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16/19Doug Brutlag 2011
Preventive Medicine
The goal is to prevent disease from occurring.
First one must identify the cause of the disease.
Treat the cause of the disease rather than the symptoms
Example 1: Peptic Ulcers
Example 2: Pyrogens
Genomics identifies genetic causes of inherited disease.
When Paul Wise (a Stanford pediatrician) heard that wemay soon sequence every childs genome at birth, he
stated:
all medicine may soon become pediatrics!
Overlooked accidents, infectious disease, auto immune
disease and aging: environmental or acquired diseases
Genetic penetrance and environment
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17/19Doug Brutlag 2011
Health Care Policy
Current health care treats disease rather thanmaintaining health (Illness care?)
Future health care prevent disease
Reduce need for expensive interventions
Need policies that incentivize patients and doctors toprevent disease.
Need social pressures to control behavior andincrease vigilance.
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18/19Doug Brutlag 2011
Huntington Disease Film
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19/19D B tl 2011
The Inheritance
You are 18 years old.
Your father abandoned you and your mother when you only 2years old.
Your father died this year and left you an inheritance.
He died from an autosomal dominant disease known as
Huntington
s Chorea or Huntington
s Disease. You have a 50% chance of inheriting this invariably fatal
neurodegenerative disease.
But there is a genetic test for this disease that can tell you notonly if you have the disease, and if you do, when you will die
from it. Would you take the genetic test or not?
Why?
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