Just taking some notes here – relates to a discussion going on online. Would love pointers to other references relating to hype and the human genome project (including references that think it was not overhyped). I note – see some of my previous posts about this issue including: Human genome project oversold? sure but lets not undersell basic science and various Overselling Genomics awards.
Here are some things I have found:
White House press conference on announcing completetion of the human genome
Genome science will have a real impact on all our lives — and even more, on the lives of our children. It will revolutionize the diagnosis, prevention and treatment of most, if not all, human diseases. In coming years, doctors increasingly will be able to cure diseases like Alzheimer’s, Parkinson’s, diabetes and cancer by attacking their genetic roots. In fact, it is now conceivable that our children’s children will know the term cancer only as a constellation of stars.
Collins et al. New Goals for the U.S. Human Genome Project: 1998–2003
The Human Genome Project (HGP) is fulfilling its promise as the single most important project in biology and the biomedical sciences— one that will permanently change biology and medicine.
After a decade of hype surrounding the Human Genome Project, punctuated at regular intervals by gaudy headlines proclaiming the discovery of genes for killer diseases and complex traits, this unexpected result led some journalists to a stunning conclusion. The seesaw struggle between our genes (nature) and the environment (nurture) had swung sharply in favor of nurture.
The human genome project, 10 years in: Did they oversell the revolution? in the Globa and Mail by Paul Taylor referring to: “Deflating the Genomic Bubble“
Also see Genomic Medicine: Too Great Expectations? by PP O Rourke
The Medical Revolution in Slate.
A Decade Later, Genetic Map Yields Few New Cures in the New York Times.
In announcing on June 26, 2000, that the first draft of the human genome had been achieved, Mr. Clinton said it would “revolutionize the diagnosis, prevention and treatment of most, if not all, human diseases.”
At a news conference, Francis Collins, then the director of the genome agency at the National Institutes of Health, said that genetic diagnosis of diseases would be accomplished in 10 years and that treatments would start to roll out perhaps five years after that.
NNB report: Ten years later, Harvard assesses the genome map where regarding Eric Lander:
At the same time, , he said genomic research has “gone so much faster than I would have imagined.” He cited ” an explosion of work that will culminate, I think in the next five years, in a pretty comprehensive list of all the target that lead to different kinds of cancers and give us a kind of roadmap for finding the Achilles heel of cancers for therapeutics and diagnostics.”
while at the same time he blamed the press for the hype
From Great 15-Year Project To Decipher Genes Stirs Opposition in the Times June 1990
‘Our project is something that we can do now, and it’s something that we should do now,” said Dr. James D. Watson, a Nobel laureate who heads the National Center for Human Genome Research at the National Institutes of Health. ”It’s essentially immoral not to get it done as fast as possible.”
- Note the article has many complaining about the hype in the genome project even then ..
And, Dr. Collins adds, there is nothing more important in science and medicine than the project he heads
Dr. Collins predicts that within 10 years everyone will have the opportunity to find out his or her own genetic risks, to know if cancer or heart attacks or diabetes or Alzheimer’s disease, for example, lies in the future.
From READING THE BOOK OF LIFE: THE DOCTOR’S WORLD; Genomic Chief Has High Hopes, and Great Fears, for Genetic Testing June 2000 in the NY Times
The story goes through some predictions Francis Collins made for the future in a talk. These included:
- BY 2010, the genome will help identify people at highest risk of particular diseases, so monitoring efforts can focus on them.
- In cancer, genetic tests will identify those at highest risk for lung cancer from smoking. Genetic tests for colon cancer will narrow colonoscopy screening to people who need it most. A genetic test for prostate cancer could lead to more precise use of the prostate specific antigen, or P.S.A., test by identifying those men in whom the cancer is most likely to progress fastest. Additional genetic tests would guide treatment of breast and ovarian cancer.
- Three or four genetic tests will help predict an individual’s risk for developing coronary artery disease, thus helping to determine when to start drugs and other measures to reduce need for bypass operations.
- Tests predicting a high risk for diabetes should help encourage susceptible individuals to exercise and control their weight. Those at higher risk might start taking drugs before they develop symptoms.
- BY 2020, doctors will rely on individual genetic variations in prescribing new and old drugs and choosing the dose. Pharmaceutical companies will take a second look at some drugs that were never marketed, or were taken off the market, because some people who took them suffered adverse reactions. It will take many years to develop such drugs and tests.
- Cancer doctors will use drugs that precisely target a tumor’s molecular fingerprint. One such gene-based designer drug, Herceptin, is already marketed for treating advanced breast cancer.
- The genome project holds promise for the mental health field. ”One of the greatest benefits of genomic medicine will be to unravel some biological contributions to major mental illnesses like schizophrenia and manic depressive disease” and produce new therapies, Dr. Collins said.