Linky and the Brain: mice, allergies, chickens and pee (of mice, for science)

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Hi folks! The theme of my Linky and the Brain this week is: model organisms, a love/hate relationship.

First off, I will direct you to Kelly Zalocusky’s hot-off-the-presses Neuroblog post, Of Mice and Men: On the Validity of Animal Models of Psychiatric Disease. Kelly discusses the difference between homology and analogy, and how the distinction between the two may be at the heart of why the translation between model organism and human disease state is such a difficult one. My newest goal for the Neuroblog is to start getting some conversations going in the comments – can we all meet up at Kelly’s post and chat about evaluating our model systems in terms of homology/analogy? I, for one, think about this question often (read: whenever I’m writing a grant). I’d love to learn where other folks are on the axis of “strive to be as close to the human disease state as possible so as to increase chances of translation” versus “not-strictly homologous/translation-able is fine, as long as we are learning basic things about the brain that will reasonably contribute to our greater understanding of how brains work”.

On the subject of model organisms, and more accurately dissatisfaction with model organisms, I read, with great interest, an article in the New York Times about researchers who develop allergies during the course of their research, to model organisms or common lab substances. Now, this concept is hardly new to me, or likely to anyone who has ever worked in a rodent lab. (I work closely with a postdoc who is so allergic to rodents he wears Teflon-coated gloves when handling them, to prevent contact/scratches.) What I found so interesting, was that the New York Times published the article in the first place; a trend piece about the travails of the common researcher. Awesome.

To read about a researcher who became allergic to cicadas, plus other stories, check out Allergies in the Time of Research, by Hillary Rosner.

One more feature regarding model organisms, this time my own. From the blog Last Word on Nothing, a delightful post describing the glory that is The Art of Chicken Sexing. Go for a description of a process so mysterious, that even the practitioners themselves can’t describe what they are looking for. Stay for the quotes from folks for whom the process of chicken sexing has become either an addiction, or a compulsion (or both).

And lastly, a hysterically funny post by scicurious, over at Scientopia, entitled Mopey Mice Pee Their Feelings. A blog post that is all about a novel method for evaluating the anxiety/depression in rodents. The method: urine tracking. Some of my favorite quotes from the post:

To introduce the concept of rodent urination:

"If you've held a lot of mice, you've been peed on a lot. Everywhere you put a mouse, that mouse WILL pee. It's part of the game and one of the things you get used to (probably one of the things we should warn new grad students about, too. "Congratulations! Be prepared to be peed on!")."

To describe a figure of the urination pattern of a "control" mouse:

"… a mouse I would have nicknamed "the dragger". He doesn't sprinkle it around, he DRAGS it around, and he is letting that lady know that he is HERE and READY."

And finally:

"It's like mousey feelings on paper."

 

Comment

Astra Bryant

Astra Bryant is a graduate of the Stanford Neuroscience PhD program in the labs of Drs. Eric Knudsen and John Huguenard. She used in vitro slice electrophysiology to study the cellular and synaptic mechanisms linking cholinergic signaling and gamma oscillations – two processes critical for the control of gaze and attention, which are disrupted in many psychiatric disorders. She is a senior editor and the webmaster of the NeuWrite West Neuroblog

Of mice and men: on the validity of animal models of psychiatric disease

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As biomedical researchers, we use animal models as a compromise. We hope to understand human disorders and improve human health, but the experiments we do are often too risky for human subjects. One largely unspoken concern about this compromise is the degree to which these animals’ behaviors accurately model the disorder in question. What do we even mean when we say that a particular rodent behavior “models” a human syndrome? And why is it that, very often, treatments that work in animal models fail once they reach the clinical setting (1)?

There is an extensive literature in psychology on the various ways to assess the validity of tests and models (2), and the biomedical research community would do well to consider this long philosophical struggle. But, as a behavioral ecologist and ethologist, there seems to be one potential gold-standard question for animal models that is rarely, if ever, discussed. Are apparent similarities between the human and the animal behavior driven by homology,  or are they analogies, driven  by convergent evolution?

Analogy vs. Homology

As I see it, one major flaw in the design of animal models is in mistaking analogy for homology. That is, neuroscientists often study an animal’s behavior because it resembles an interesting human behavior. Take, for example, mouse models of obsessive-compulsive disorder. The goal is not to understand why some mice groom too much, but instead to understand why some humans wash their hands too much. Mouse grooming is an analogy for hand washing. These studies are only useful, then, if mouse grooming and human hand-washing rely on the same neural circuitry. For these studies to be meaningful, the two behaviors must be homologous.

What does it mean to be homologous?

http://askabiologist.asu.edu/

Homology means evolved from the same ancestral structure or behavior. If, for example, you wanted to understand the structure of bat wings, but could not get the permits to study bats, you could reasonably study bird wings as a model. You could also study human arms, or even whale flippers. The only reason such studies would be useful is that bat wings, bird wings, human arms, and whale flippers have very similar, evolutionarily homologous, structures (see figure). Even though whale flippers are not used for flight (“And the rest, after a sudden wet thud, was silence…”), their structure can tell you a lot about how bat wings are likely put together.

An analogous behavior or structure, on the other hand, is one that looks similar across species but likely occurs for different reasons or through entirely different mechanisms. A bat wing and a butterfly wing are analogous—while they look similar, and evolved to promote the same behavior, they are evolutionarily and structurally distinct. Attempting to learn about the skeletal structure of bats’ wings by studying butterflies would be a largely fruitless endeavor.

The difficulty, of course, in studying psychiatric disease is that most psychiatric diseases are defined by a cluster of symptoms—not by an underlying physiological process. For the researcher, this means that it is challenging to know whether you are studying the right physiological process at all. If a particular assay, based originally on analogy, repeatedly fails to translate in clinical trials—for example, if social behavior assays in mouse autism, or over-grooming in mouse OCD, or refusing to swim in mouse depression repeatedly let clinicians down—perhaps we, as a community, should consider this potential reason why.

Sources

  1. http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000245
  2. Messick, S. (1989). Meaning and Values in Test Validation: The Science and Ethics of Assessment. Educational Researcher, 18, 5-11.

 

Bizarre Side Effects

Why would a drug designed to prevent and treat malaria, a parasitic infection of the blood and liver, also affect the central nervous system? The drug in question is mefloquine, marketed as Lariam, and I first learned about its bizarre side effects, including amnesia, psychosis, and hallucinations, while listening to “Contents Unknown,” an episode of the radio program This American Life. The episode intrigued me because it told the story of David MacLean, who was taking mefloquine while on a Fulbright scholarship in India and one day found himself in a train station in a different city from where he lived with no memory of who he was or how he got there. I went looking for primary scientific literature on how mefloquine affects both the malarial parasite and the human brain, and here is what I found. Before exploring the side effects of mefloquine, let’s tackle a more basic question: why do drugs have side effects? The answer lies in how drugs are discovered. In a perfect world, scientists would know so much about a disease that they would be able to design a precisely targeted drug, highly effective against the cause of the disease and benign for the patient. That is a major goal of biomedical research and highly desirable for malaria, which every year afflicts half a billion people (1) and kills one million children in Africa alone (2), but much more of this research is still needed. For many diseases, sadly including malaria, our knowledge is too limited to allow rational design of drugs, and most drugs are discovered either accidentally, like the first anti-malarial agent quinine (3), or by trial and error, which means taking some chemical compound, using it against the disease in an animal model, and seeing if the animal gets better. Therefore, a chemical compound often becomes a drug not because we understand how it works against the disease but rather because we have observed it to work. For a drug discovered in this way, we do not know whether its desired effect is its only effect until we try it out.

Mefloquine is an example of the trial-and-error approach. In the 1960s and 1970s, the Walter Reed Army Institute of Research tested over 300,000 chemical compounds for their ability to kill Plasmodium falciparum and Plasmodium vivax, the two most common malarial parasites, in owl monkeys, the best animal model at the time (4). Mefloquine showed the most promise and went on to clinical trials in humans that are meant, among other things, to test for side effects. In the case of mefloquine, these initial clinical trials showed no serious side effects, but they were conducted in vulnerable populations unable to give full consent, namely male prisoners, military personnel, and residents of developing countries, and may have been biased (5). More recent epidemiological research has shown that side effects in the central nervous system severe enough to require hospitalization occur in 1:10,000 patients taking mefloquine for malaria prevention and in 1:200 to 1:1200 patients using mefloquine for malaria treatment (6). Though mefloquine is still widely available, medical practitioners have an increased appreciation of its side effects, and it is now the drug of last resort, rather than of choice, for the U.S. military (5).

How does mefloquine act to kill Plasmodium parasites? This turned out to be a hard question to answer. Mefloquine is thought to inhibit growth of Plasmodium inside human red blood cells (7). The Plasmodium parasites have a complicated life cycle, proceeding from the saliva of mosquitoes to penetrate inside human red blood cells and liver cells. One possible target of mefloquine may be the food vacuole, a sort of microscopic stomach inside Plasmodium cells where they digest nutrients obtained from the cytoplasm of red blood cells, because the food vacuole changes shape in response to mefloquine treatment (8). I was unable to find any publications that identified the targets of mefloquine more specifically. This may be because laboratory experiments on Plasmodium species are difficult. My classmate Hao Li, a graduate student in the lab of Professor Matt Bogyo at Stanford, works with Plasmodium falciparum and has often described that the procedure of culturing it in blood cells is laborious, yielding precious little material for experimentation. And that’s the easiest parasite species to cultivate. The only way to obtain Plasmodium vivax for experiments is to let it infect and reproduce inside mice or monkeys (1).

Research on how mefloquine may be causing central nervous system side effects in humans was somewhat easier to find, though it is far from conclusive. Mefloquine doesn’t dissolve well in water but sticks quite well to the outside of blood cells and brain cells (5). Post-mortem examinations of both mice and humans exposed to mefloquine have found it to accumulate in the limbic system, a region of the brain responsible for emotions and memory (5) (for a bit more background on the limbic system, see my post “Linguistic Disconnect between the Brain and Emotions”). There it may be blocking connexins (5), proteins that are components of gap junctions. Gap junctions are channels in neuronal membranes that go from the cytoplasm of one neuron into the cytoplasm of the adjacent one. Thus, gap junctions are responsible for synchronizing the activity of neurons (5). Cap junctions are channels that form direct links between the cytoplasms of neighboring cells. Gap junctions are a critical pathway for direct cell-to-cell communication in both neurons (5) and glia (10). These channels pass both electrical current (in the form of charged ions) and intracellular signaling molecules, playing a role in synchronizing neuronal activity, as well as metabolic coupling and chemical signaling (11).

The blocking effect of mefloquine is strong enough and specific enough to have been used to study the signaling behavior of connexins (9). The blockage of connexins may impede the ability of the brain to control emotional impulses and may interfere with memory formation (5). However, the picture may be more complicated because I also found publications claiming blockage of a different class of proteins, called 5-HT3 receptors (7), and an effect on the ability of rat neurons to control their internal concentration of calcium ions, which is essential for neuronal signaling (6). Hopefully, future research will elucidate the relative importance of these various effects.

Current understanding of both the desired effect and the side effects of mefloquine is incomplete and more research is needed. But mefloquine also is a cautionary tale of pitfalls in the process of drug design that may misrepresent a compound with dangerous side effects as a perfectly safe one. It is an illustration of how much more we still need to understand about the human body and its parasites to be able to effectively treat malaria without driving anyone insane.

 

Sources

  1. Carlton JM et al. “Comparative genomics of the neglected human malaria parasite Plasmodium vivax.” Nature. 455:757, 2008. Paywall.
  2. Gardner MJ et al. “Genome sequence of the human malaria parasite Plasmodium falciparum.” Nature. 419:498, 2002. Paywall.
  3. http://www.cdc.gov/malaria/about/history/
  4. Maugh TH. “Malaria drugs: new ones are available, but little used.” Science. 196:415, 1977. Paywall.
  5. Ritchie EC et al. “Psychiatric Side Effects of Mefloquine: Applications to Forensic Psychiatry.” The Journal of the American Academy of Psychiatry and the Law. 41:224, 2013. Paywall.
  6. Dow GS et al. “The acute neurotoxicity of mefloquine may be mediated through a disruption of calcium homeostasis and ER function in vitro.” Malaria Journal. 2:14, 2003. Open access.
  7. Thompson AJ et al. “The antimalarial drugs quinine, chloroquine and mefloquine are antagonists at 5-HT3 receptors.” British Journal of Pharmacology. 151:666, 2007. Paywall.
  8. Jacobs GH et al. “An ultrastructural study of the effects of mefloquine on malaria parasites.” Am J Trop Med Hyg. 36:9, 1987. Paywall.
  9. Cruikshank SJ et al. “Potent block of Cx36 and Cx50 gap junction channels by mefloquine.” PNAS. 101:12364, 2004.
  10. WIREs Membr Transp Signal 2013, 2:133–142. doi: 10.1002/wmts.87
  11. Bennett and Zukin. Electrical coupling and neuronal synchronization in the mammalian brain. Neuron 2004 Feb 19;41(4):495-511.

Remember My Name: the Rise of the Acronym

I’ve been thinking a lot about acronyms. It seems to me, that an acronym is a super sexy thing to have.

In the past few months, my little corner of Neuroscience has enjoyed the appearance of 4 new acronyms. Now, I’m not talking about the consonant-and-vowel salad used as shorthand for ever-more-sub-classified brain regions. Although, as a side note, I learned last Thursday during a lab meeting presentation that no matter how firm my intentions, I cannot seem to say dlPFC. Instead of a neat word-limit-approved acronym, I find myself pronouncing dorsolateral prefrontal cortex in a burst of desperate enunciation.

But the acronyms that float through my NCBI email alerts are not these brain region shorthands. Rather, they are the badges of newly minted techniques, or ideas, branded with a catchy, sexy acronym to help propel them into the neuroscience community’s awareness.

Remember my Name

(Aside - Attention: D. Bochner.)

There are a lot of neuroscientists out there. And all of us are constantly producing new research, new techniques, new publications. Standing out amongst all this noise can be an imperative; critical for attaining an elusive funding source, or a prized (by some) academic job. So it makes perfect sense to me that a researcher, armed with a novel technique (or combination of ideas) would seek to use a clever acronym as a way to catch the attention of her/his fellow researchers. Can we together admit to a feeling of professional jealous admiration for a colleague armed with an acronym? (Catherine, nicely done with SPLURgE. Casey, TRAP is so delightfully customizable: ArcTRAP, fosTRAP. Excellent work.)

Plus, how thrilling to hear your colleagues utter the creative symbol of your research efforts. The next best thing, perhaps, to the nomenclatural heights enjoyed by Golgi, Nissl, Purkinje, Brodmann; that age of naming, it seems, has passed. (Although vestiges persist; see the newly discovered Dua’s layer, so found and named by Harminder Singh Dua, U. Nottingham).

Acronyms are also clearly useful for condensing a complex technique into an easily stated verbal handle that can be readily passed along to PR departments, or thrown around in scientific discussions. My personal struggles with dlPFC aside, I think we can all agree that including “clear lipid-exchanged acrylamide-hybridized rigid imaging/immunostaining/in situ hybridization-compatible tissue-hydrogel” in a sentence would be a trial. Far easier to say “CLARITY”. And with the added benefit of an evocative name to entice readers, prospective users, and public audiences. Here too we find the BRAIN Initiative (Brain Research through Advancing Innovative Neurotechnologies). Open to some good-natured ribbing for using “Brain” as the B in BRAIN? Sure. But ever so ready for prime-time publicity.

A Final Thought

The other week, during a grant application planning session, I was counseled that using a particular acronym-ed technique (hopefully soon to be published from my lab), could help my grants score. An acronym bringing a sense of the official, the innovative, where a colloquial description of a technique is merely… there. After receiving Summary Statements that praise my scientific questions, only to declaim the innovation of my techniques, I can’t argue with the impulse. Will the technique be critically necessary to answer my scientific questions? Maybe. Nevertheless, as I construct my research strategy, I’ll be spending some quality time considering whether a sexy acronym could catch the attention of that NIH review committee, and secure me the funding I need to help my lab stay in business.

The Acronyms

SPLURgE. From Chrisitan et al (2013). Sniffer Patch Laser Uncaging REsponse (SPLURge): an assay of regional differences in allosteric receptor modulation and neurotransmitter clearance. J Neurophysiol. Epub ahead of print. Link

TRAP. From Guenthner et al (2013). Permanent Genetic Access to Transiently Active Neurons via TRAP: Targeted Recombination in Active Populations. Neuron. 78(5):773-84. See previous blog post.  Or go see the paper directly. 

CLARITY. From Chung et al (2013). Structural and molecular interrogation of intact biological systems. Nature. 497(7449):332-7. Link

BRAIN Initiative. Via the NIH and the White House.

Comment

Astra Bryant

Astra Bryant is a graduate of the Stanford Neuroscience PhD program in the labs of Drs. Eric Knudsen and John Huguenard. She used in vitro slice electrophysiology to study the cellular and synaptic mechanisms linking cholinergic signaling and gamma oscillations – two processes critical for the control of gaze and attention, which are disrupted in many psychiatric disorders. She is a senior editor and the webmaster of the NeuWrite West Neuroblog

PhDs in Press: TRAPing Neurons and Tracking Temporal Lobe Epilepsy

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Part 7 in an occasional feature, highlighting recently published articles featuring an author (or authors) affiliated with the Stanford Neuroscience Ph.D program. This round, we've got two lovely first author papers, by Casey Guenthner and Izumi Toyoda.

Let's begin with my year-mate, Casey Guenthner (Luo Lab), who published his development of a technique, TRAP (Targeted Recombination in Active Populations), that allows genetic targeting of populations of neurons that are defined by whether they were activated in vivo by a set stimulus. For details, check out Casey's abstract, below.

Targeting genetically encoded tools for neural circuit dissection to relevant cellular populations is a major challenge in neurobiology. We developed an approach, targeted recombination in active populations (TRAP), to obtain genetic access to neurons that were activated by defined stimuli. This method utilizes mice in which the tamoxifen-dependent recombinase CreER(T2) is expressed in an activity-dependent manner from the loci of the immediate early genes Arc and Fos. Active cells that express CreER(T2) can only undergo recombination when tamoxifen is present, allowing genetic access to neurons that are active during a time window of less than 12 hr. We show that TRAP can provide selective access to neurons activated by specific somatosensory, visual, and auditory stimuli and by experience in a novel environment. When combined with tools for labeling, tracing, recording, and manipulating neurons, TRAP offers a powerful approach for understanding how the brain processes information and generates behavior.

Guenthner, Miyamichi, Yang, Heller and Luo. Permanent Genetic Access to Transiently Active Neurons via TRAP: Targeted Recombination in Active Populations. Neuron. 2013: 78(5):773-84. doi:10.1016/j.neuron.2013.03.025

I will leave you all with the comment that Casey's cartoon of the mouse whisker pad is glorious in its anatomical accuracy. And it's pretty cute, too. Figure 3b. Check it out below, along with data demonstrating targeting of active neurons in the whisker barrel system.

Figure 3. FosTRAP in the Barrel Cortex of Whisker-Plucked Mice.(A) Experimental scheme: FosTRAP mice had either all whiskers except C2 plucked unilaterally or had only the C2 whisker plucked. After a 2 day recovery period, mice were injected with 150 mg/kg TM, and recombination was examined 7 days later.(B) Tangential views of flattened layer 4 of the primary somatosensory barrel cortex (top) or coronal views through the C2 barrel (bottom). White dots indicate the corners of the C2 barrel on the basis of dense DAPI staining of the barrel walls. Compared with controls (left), removal of only the C2 whisker results in elimination of TRAP signal from the C2 barrel (middle), whereas removal of all whiskers except C2 results in absence of most TRAPed cells in all barrels except C2 (right). The left and middle images are from the same mouse. Images are representative of at least 3–4 mice for each condition. The scale bar represents 250 μm. Guenthner et al 2013.

Just last week, Izumi Toyoda (Buckmaster lab) published her work recording spontaneous seizures in rats with temporal lobe epilepsy. Using 32 recording electrodes per rat, Izumi records from a massive number of brain structures, tracking the spread of seizures within the rodent brain. Her paper compares the propagation of the spontaneous seizures in the rats to known seizure activity in human patients with temporal lobe epilepsy. The results validate the pilocarpine model of temporal lobe epilepsy, showing seizures begin in similar brain locations in human patients and rodent subjects.

Temporal lobe epilepsy is the most common form of epilepsy in adults. The pilocarpine-treated rat model is used frequently to investigate temporal lobe epilepsy. The validity of the pilocarpine model has been challenged based largely on concerns that seizures might initiate in different brain regions in rats than in patients. The present study used 32 recording electrodes per rat to evaluate spontaneous seizures in various brain regions including the septum, dorsomedial thalamus, amygdala, olfactory cortex, dorsal and ventral hippocampus, substantia nigra, entorhinal cortex, and ventral subiculum. Compared with published results from patients, seizures in rats tended to be shorter, spread faster and more extensively, generate behavioral manifestations more quickly, and produce generalized convulsions more frequently. Similarities to patients included electrographic waveform patterns at seizure onset, variability in sites of earliest seizure activity within individuals, and variability in patterns of seizure spread. Like patients, the earliest seizure activity in rats was recorded most frequently within the hippocampal formation. The ventral hippocampus and ventral subiculum displayed the earliest seizure activity. Amygdala, olfactory cortex, and septum occasionally displayed early seizure latencies, but not above chance levels. Substantia nigra and dorsomedial thalamus demonstrated consistently late seizure onsets, suggesting their unlikely involvement in seizure initiation. The results of the present study reveal similarities in onset sites of spontaneous seizures in patients with temporal lobe epilepsy and pilocarpine-treated rats that support the model's validity.

Toyoda, Bower, Leyva, Buckmaster. Early Activation of Ventral Hippocampus and Subiculum during Spontaneous Seizures in a Rat Model of Temporal Lobe Epilepsy. J Neurosci, 3 July 2013, 33(27):11100-11115. doi:10.1523/JNEUROSCI.0472-13.2013

And because I showed a figure from Casey's paper, here is one from Izumi's, highlighting a subset of 16 recording electrodes on which a spontaneous seizure is recorded in an epileptic, pilocarpine-treated rat. Let there be no doubt in your mind - the skill required to implant 32 recording electrodes into a rat is large. I suggest being very impressed with Izumi's surgical skills.

Figure 2. Spontaneous seizures in epileptic pilocarpine-treated rats. A, Seizures spread quickly and extensively. Recordings from a subset of 16/32 electrodes implanted in various brain regions. The approximate seizure offset (arrow) and onset window (bar), bracketed by the latest normal activity and earliest clear seizure activity, are indicated. L indicates left; M, medial; EC, entorhinal cortex; sub, subiculum; R, right; amyg, amygdala; SNpr/c, substantia nigra pars reticulata/compacta; sept, septum; D, dorsal; hipp, hippocampus; olf ctx, olfactory cortex; vdb, ventral diagonal band; dm thal, dorsomedial thalamus; endo n, endopiriform nucleus. B, Precise seizure onsets (arrows) in three regions. C, Seizure durations. Bars represent averages; symbols indicate durations of individual seizures. D, Behavioral seizure onset latencies. Electrographic seizure onset is at 0. Positive (negative) values indicate that behavioral onset followed (preceded) electrographic onset. Bars represent averages; symbols indicate individual seizures. From Toyoda et al, 2013.

1 Comment /Source

Astra Bryant

Astra Bryant is a graduate of the Stanford Neuroscience PhD program in the labs of Drs. Eric Knudsen and John Huguenard. She used in vitro slice electrophysiology to study the cellular and synaptic mechanisms linking cholinergic signaling and gamma oscillations – two processes critical for the control of gaze and attention, which are disrupted in many psychiatric disorders. She is a senior editor and the webmaster of the NeuWrite West Neuroblog

Brains & Bourbon Ep. 3: neuroinflammation, brain parasites, zombie mice, and Sazerac

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A new week, means a new episode of Brains and Bourbon! Our guest this week is Egle Cekanaviciute, a 5th year graduate student in Marion Buckwalter's lab, who teaches us how to make a Sazerac, and talks to us about teaching, neuroinflammation, and brain parasites and zombie mice!

This week, we have two versions: one shorter, one longer (including additional and expanded sections).

The Shorter Version

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The Longer Version

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Download these podcasts or Subscribe via iTunes

You can also stream or download the shorter version of the episode here: Brains & Bourbon Ep3 Neuroinflammation/Sazerac/EgleCekanaviciute SHORT or the longer version of the show here: Brains & Bourbon Ep3 Neuroinflammation/Sazerac/EgleCekanaviciute Full You can subscribe to "Brains and Bourbon," and all of the Neuwrite West podcasts, by searching for "Neuwritewest" at the iTunes store and subscribing to our channel.

Thanks for listening! Erica Seigneur Forrest Collman Nick Weiler

Framing the Debate

As someone on the outside of the connectomics debate looking in, I thought I’d more or less figured out what everyone was talking about, and what the major arguments were. But as it turns out, a recent experience with someone who’s closer to the discussion taught me not to take my assumptions for granted, and got me thinking about why the debate might look the way it does now, and whether it ought to look differently.

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A Myriad of Problems

Human genes can’t be patented. So said the Supreme Court in their June 13 decision in Association for Molecular Pathology v. Myriad Genetics, Inc.  I heard the news that morning on NPR and cheered aloud, even though I was alone. Then I paused. Myriad Genetics had patents on the genes BRCA1 and BRCA2, which are associated with breast and ovarian cancer. The value of these genes, for now at least, rests mostly in the information they contain (that is, they are not drug targets). People with a strong family history of breast or ovarian cancer can have samples of their own DNA tested by Myriad to determine if they have inherited particular mutations in these genes that put them at risk for developing cancer themselves. The stakes of this testing are high: many people who test positive for cancer-causing BRCA mutations opt for radical surgical procedures like double mastectomies and ovariectomies. Yet Myriad’s tests are quite expensive and, until the Supreme Court decision, only Myriad could legally run them – no shopping around, no second opinions.

Myriad Genetics (along with various partners, including, notably, publicly-funded scientists at the University of Utah, the University of Pennsylvania and the National Institute of Environmental Health Sciences) cloned, sequenced, and identified key mutations in BRCA1 and BRCA2 in the 1990s. The research was costly (though again, it is important to note that some of that cost was born by the American taxpayer), so Myriad wanted to patent the BRCA genes in order to profit from their discoveries. Without patent protection, anyone could have come along and provided low-cost BRCA testing. That’s because the techniques involved in BRCA testing are not actually that complicated. The valuable discoveries that Myriad and its collaborators made didn’t have to do with developing the testing process (i.e. gene sequencing), but with telling testers where and what to test for. Once those things were known, anyone could run a test, or rather, anyone could have run a test had Myriad not been granted gene patents.

Depending on your perspective, competition in the BRCA testing market could have been good or bad. Low-cost testing would have been better for patients and insurance companies. But if competition had been allowed, would Myriad have even bothered with the investments necessary to develop the test in the first place? Probably not. Why put in all that money and effort and risk of failure when you won’t be able to reap the profits? Why not wait around and see if some other sucker will try it? In the absence of patent guarantees, the private sector will not make risky investments in nascent biotechnologies. That’s not to say no test would ever have come along. There were probably some selfless science heroes out there who would have done it without a profit motive (Jonas Salk, inventor of the polio vaccine, famously refused to patent his invention, lest that limit its availability), but it would have taken longer. It also would likely have required government funding of the Salk-esque scientists who would be willing to do it.

For a stark illustration of public vs. private approaches to science, look no further than the Human Genome Project. The public Human Genome Project, which officially began in 1990 and was led primarily by the current director of the NIH Francis Collins, was plugging along slowly but surely on sequencing a human genome, dumping its sequences into a giant open-access database called GenBank as it went, every 24 hours. Then, in 1998, along came Celera, Craig Venter’s company, which was using “shotgun sequencing” techniques to piece together genetic information much more rapidly and cheaply than the government project had been doing. Celera’s work on the Human Genome Project accelerated its progress substantially. The final Human Genome Project came in several years ahead of time and under budget. But Celera also changed the nature of the project by delaying the release of its data (it agreed to release data yearly instead of daily), refusing to release data into the government’s open-access database, and seeking to patent the genes it had sequenced first, sometimes without knowing anything about what they did (in total, it filed 6500 preliminary “placeholder” gene patents).

In summary, Celera was good for genomics in that it accelerated progress toward a specific goal, but bad for science in that it impeded the efforts of others to make use of and build on Celera’s achievements. So, the question for us, as citizens, taxpayers, consumers and patients, is this: do you want specific projects done fast and cheap? Or do you want to pay, with your tax dollars, for open academic exchanges of information that will drive further innovation? Do you want the private sector to pay for research to develop new genetic tests and pharmaceuticals, in exchange for which we will grant them temporary monopolies? Or do you want to pay, with your tax dollars, for the research, which will permit the immediate availability of generics from a variety of competing companies?

Perhaps there is a middle ground between these two extremes. For one thing, it is unrealistic to think that all science could be government funded. It’s too expensive and a complete lack of competition would lead to profound inefficiencies. On the other hand, gene patents are too broad and cause too much restriction (thus my happiness and relief on hearing they are gone). A gene is not so much a material thing as it is information, and granting one entity the exclusive legal right to make use of information restricts intellectual freedom and scientific progress. What might make sense is to issue patents only for specific applications. We do currently allow patents on ideas in the form of “inhibit protein X to treat disease Y.” We can do the same for genes, allowing companies to pursue gene therapies under patent protection without allowing them to own the actual genes they’re seeking to manipulate.

Another idea percolating in the background is to offer monetary rewards for specific discoveries. If the rewards offered are sufficient, such a system could provide incentives for individuals or companies to pursue worthy goals independently of offering them patent protection. The XPrize Foundation has incentivized some amazing inventions, including the design of commercially viable passenger space shuttles. A new prize, the Archon Genomics XPrize, is offering $10 million for the complete, accurate whole-genome sequencing of 100 centenarians. The XPrize model is interesting, but there are still issues simmering in the background over the issue of who will retain intellectual property rights on the inventions made by XPrize competitors and how that will affect participation in the competitions. Another issue is the prize money. $10 million is a lot, but probably not enough to cover the costs of the eventual winner of the prize, so the XPrize as it is can’t replace patent rights as the sole incentive to achieve this feat.

As we consider pragmatically what can be done to reform biological patent law, it is impossible to ignore the fact that we are talking about biology, the study of life. The question of whether human genes, or living organisms, or any parts of living organisms are patentable is not just a pragmatic question, but also an ethical one. The Myriad case notwithstanding, we are trending more and more towards granting patents on life.  There are patents on genetically engineered viruses, bacteria, plants, animals, and even human stem cells. It sounds very creepy, but I still can’t help questioning whether some of those patents really are justified in the name of promoting innovation. As scientists develop more and more ways to use biomolecules as machines (e.g. to make computers), we are blurring the lines between invention and discovery, between innovation and information, between synthetic and natural. As a result, we are going to need to think long and hard about how to handle biological patents in the future. Preferably, we would do this as a society, through open debate and clear legislation, rather than waiting for the courts to do it for us.