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Precision Medicine World Conference (PMWC) 2019 Conference in January in Silicon Valley; Q&A Session with Luminary Award Winner & CAR-T Pioneer Carl June, MD, Available Now

The Precision Medicine World Conference (PMWC), celebrating 10 years of operation, will take place at the Santa Clara Convention Center (Silicon Valley, California) January 20-23, 2019. This is expected to be the largest Precision Medicine World Conference ever with 2,500 attendees. This amazing gathering of prestigious experts in multiple inter-related fields and those interested in learning more is co-hosted by UCSF, Stanford Health Care/Stanford Medicine, Duke University, Duke Health, and Johns Hopkins University. The program will cover innovative technologies, thriving initiatives, and clinical case studies that enable the translation of precision medicine into direct improvements in health care. Conference attendees will have an opportunity to learn first-hand about the latest developments and advancements in precision medicine and cutting-edge new strategies and solutions that are changing how patients are treated. The conference’s five-track program will include sessions on the following major topics, among many others: AI & Data Science; Clinical & Research Tools; Clinical Dx; Creating Clinical Value with Liquid Biopsy ctDNA, etc.; Digital Health/Health and Wellness; Pharmacogenomics; Emerging Technologies in Precision Medicine; Immunotherapy; Large-Scale Bio-Data Resources to Support Drug Development; Rare Disease Diagnosis; and Wellness & Aging. Conference organizers have assembled a hugely impressive lineup of 450+ highly regarded speakers, featuring pioneering researchers and authorities across the healthcare and biotechnology sectors (https://www.pmwcintl.com/2019sv/speakers/).

LUMINARY & PIONEER AWARDS

Head of Early-Phase Development & Immuno-Oncology at Eli Lilly Endoses Upcoming Precison Medicine World Conference (PMWC 2019) in January in Silicon Valley

What follows is a note from Kimberly Blackwell, MD, Head of Early-Phase Development & Immuno-Oncology at Eli Lilly & Co., endorsing attendance/participation in the upcoming Precision Medicine World Conference 2019 (PMWC 2019), January 20-23 in Silicon Valley, California (venue: Santa Clara Convention Center (https://www.pmwcintl.com/2019sv/). Dr. Blackwell is the Immunotherapy Track Chair for PMWC 2019. Prior to joining Eli Lilly, Dr. Blackwell was a Professor of Medicine and Assistant Professor of Radiation Oncology at Duke University Medical Center, and she was also Co-Director of the Duke Women’s Cancer Program and Associate Director for Strategic Relations for the Duke Cancer Institute.Following is the message from Dr.Blackwell: “The Nobel Prize in Medicine was awarded on October 1, 2018 to Dr. James Allison (MD Anderson) and Dr. Tasuku Honjo (Kyoto University) for their work on unleashing the body’s immune system to attack cancer, a breakthrough that has led to an entirely new class of drugs and brought lasting remissions to many patients who had run out of options. Given these recent high-impact developments and success stories, PMWC 2019 Silicon Valley has dedicated an entire track of its program to Immunotherapy, with ten individual sessions and a fully dedicated technology showcase of companies developing products in the field. I am pleased to announce that Dr. Carl June will join me in a Fireside Chat at the opening of the Track. Dr. June was the driving force behind the first FDA-approved gene therapy – Kymriah, a chimeric antigen receptor (CAR) T cell therapy for B-cell acute lymphoblastic leukemia. See Dr. June's interview (https://www.pmwcintl.com/carl-june-2019sv-qa/).

Patient-Customized Anti-Sense Therapy Possibly Successful for Young Girl with MFSD8/CLN7 Batten Disease, an Ultra-Rare and Generally Fatal Genetic Disease

On October19 at that 2018 ASHG Annual Meeting in San Diego, scientists from Boston Children’s Hospital & collaborating institutions reported apparently successful treatment of a six-year-old girl’s (Mila) Batten disease with an antisense oligonucleotide customized to the girl’s specific disease-causing alteration in the intron of the MFSD8/CLN7 gene, a key lysosomal gene. The alteration was due to the insertion of a retrotranspon into the intron. The text of ASHG presentation abstract is given below. Links to articles on work are provided at the end. The ASHG abstract was titled “Patient-Customized Oligonucleotide Therapy for an Ultra-Rare Genetic Disease” And was #3570 in the ASHG’s meeting program. The presentation was given in the ASHG’s Late-Breaking Abstract Session. Here is the text of the presentation abstract: “Next generation sequencing has revolutionized the diagnosis of rare genetic diseases. However, many patients still suffer from a lack of therapeutic options for most of these conditions, which in aggregate impact tens of millions of individuals globally. Here, we demonstrate a dramatically new pathway for the treatment of even ultra-rare genetic diseases. A six year old girl (Mila) developed progressive blindness, epilepsy, and neurocognitive regression. Whole-genome sequencing and RNA-seq revealed a maternally inherited retrotransposon inserted into an intron of MFSD8/CLN7, a key lysosomal gene. The insertion was found to cause exon trapping, leading to gene inactivation. This mutation, in combination with a paternal missense mutation in the same gene, caused Batten Disease, a rare, recessive disorder of neuronal lysosomal storage. No treatments exist for CLN7 Batten disease. Unchecked, it is rapidly progressive and ultimately fatal.

Conference on ARPKD/CHF Features Eminent Speakers from Children’s Hospital of Philadelphia (CHOP) and NIH

The ARPKD/CHF Alliance (autosomal recessive polycystic kidney disease/congenital hepatic fibrosis) held a major conference "Empowering the Patient" on Saturday, November 3, at world-renowned Children's Hospital of Philadelphia (CHOP). The all-day conference, which was attended by ARPKD/CHF families from around the country, featured lectures by world-class kidney and liver disease experts from CHOP, an update on the clinical drug trial of tesevatinib (https://en.wikipedia.org/wiki/Tesevatinib), a moving personal story from a mother of a child with ARPKD, and closed with the keynote address by Theo Heller, MD, Chief of the Translational Hepatology Section, Liver Disease Branch, NIDDK, NIH, who provided an update on a 10-year NIH research project on ARPKD/CHF. Dr. Heller noted that this research project would never have taken place if not for the herculean lobbying efforts of Colleen Zak, MSN, CRNP, President & Founder of the ARPKD/CHF Alliance. David Piccoli, MD, Chief, Division of Gastroenterology, Hepatology and Nutrition, CHOP, and Susan Furth, MD, PhD, Chief, Divison of Nephrology, CHOP, introduce the day's meeting.

STUNNER: Appendix Identified As Potential Starting Point for Parkinson's Disease

Removing the appendix early in life reduces the risk of developing Parkinson's disease by 19 to 25 percent, according to the largest and most comprehensive study of its kind, published in the October 31, 2018 issue of Science Translational Medicine. The open-access article is titled “The Vermiform Appendix Impacts the Risk of Developing Parkinson’s Disease.” The findings also solidify the role of the gut and immune system in the genesis of the disease, and reveal that the appendix acts as a major reservoir for abnormally folded alpha-synuclein proteins, which are closely linked to Parkinson's onset and progression. "Our results point to the appendix as a site of origin for Parkinson's and provide a path forward for devising new treatment strategies that leverage the gastrointestinal tract's role in the development of the disease," said Viviane Labrie, PhD, an Assistant Professor at Van Andel Research Institute (VARI) and senior author of the study. "Despite having a reputation as largely unnecessary, the appendix actually plays a major part in our immune systems, in regulating the makeup of our gut bacteria and now, as shown by our work, in Parkinson's disease." The reduced risk for Parkinson's was only apparent when the appendix and the alpha-synuclein contained within it were removed early in life, years before the onset of Parkinson's, suggesting that the appendix may be involved in disease initiation. Removal of the appendix after the disease process starts, however, had no effect on disease progression. In a general population, people who had an appendectomy were 19 percent less likely to develop Parkinson's. This effect was magnified in people who live in rural areas, with appendectomies resulting in a 25 percent reduction in disease risk.

Barn Owls Help Hopkins Scientists Unlock Secret of How Brain Pays Attention; Cover Article Provides “Beautiful Answer” to How Brain Determines Where to Focus

By studying barn owls, scientists at Johns Hopkins University believe they've taken an important step toward solving the long-standing mystery of how the brain chooses what most deserves attention. The finding, which is the subject of the cover article of the October 30, 2018 issue of the journal Cell Reports, likely applies to all animals, including humans, and offers new insight into what goes wrong in the brain with diseases like attention-deficit disorder (ADD). The open-acces article is titled “Combinatorial Neural Inhibition for Stimulation Across Space.” "There are a million things out there in the world bombarding our eyes, our ears, our skin, and other sensory organs. Of all of those things, what particular piece of information do we most need to pay attention to at any instant to drive our behavior?" said co-author Shreesh Mysore, PhD, a Johns Hopkins University neuroscientist. "Our work provides a really beautiful answer to how the brain solves a key component of that problem." Despite studying the forebrain of animals for decades, scientists haven't found a good answer to the question of how the brain decides what to pay attention to. The researchers decided instead to look at the midbrain, an evolutionarily older part of the brain found in everything from fish and mammals to birds and humans. "All animals have a need to pay attention to the thing that might impact our survival, but we don't all have a highly developed forebrain," said Dr. Mysore, who is also an Assistant Professor of Psychological and Brain Sciences.

GangSTR—New Algorithm Applied to Genome-Wide Genotyping of Short Tandem Repeat (STR) Expansions, Such As Those Implicated in Huntington’s Disease, Fragile X Syndrome, & Myotonic Dystrophy

(BY SALLY G. PASION, PhD, Associate Professor of Biology, San Francisco State University). On October 18, at the 2018 American Society for Human Genetics (ASHG) Annual Meeting in San Diego, California (http://www.ashg.org/2018meeting/) (October 16-20), software engineer Nima Mousavi, PhD (@nmmsv), in the Electrical and Computer Engineering Department, University of California San Diego (UCSD), in the laboratory of Dr. Melissa Gymrek (https://gymreklab.github.io/), highlighted GangSTR, a novel algorithm for genome-wide profiling of both normal and expanded tandem repeats (TRs). GangSTR provides a new way to identify short tandem repeats (STRs) from next-generation sequencing (NGS) data. STRs are 1-6 base-pair (bp) sequences, repeated in tandem in the genome. Dr. Mousavi’s presentation was one of six that were delivered in a late-morning meeting session (#51) titled ““What Are We Missing? Identification of Previously Underappreciated Mendelian Variants.” The session is described at the following link: http://www.ashg.org/2018meeting/listing/NumberedSessions.shtml#sess51. Dr. Mousavi’s presentation (#188) was titled “GangSTR: Genome-Wide Genotyping Short Tandem Repeat Expansions” (https://eventpilot.us/web/page.php?page=IntHtml&project=ASHG18&id=180122313). STRs exhibit a higher mutation rate compared to insertion-deletions (indels) or single nucleotide polymorphisms (SNPs). Three percent of the human genome contains STRs, and the presence of the repeats may affect the coding region and thus the protein sequence, or it may occur in the non-coding region and affect gene expression. There are STRs that are implicated in trinucleotide repeat diseases such as Huntington’s disease (HD), fragile X syndrome, Friedreich ataxia, spinocerebellar ataxia, and myotonic dystrophy.

From Pond Hockey to Top of Scientific World--U Minnesota Honors Distinguished Alumnus, World-Class Immunologist Dr. Ronald Faanes

On October 11, 2018, the University of Minnesota College of Biological Sciences (CBS) honored one of its own—eminent immunologist Ronald Faanes, PhD—at the College’s annual Recognition and Appreciation Dinner at Memorial Hall in the McNamara Alumni Center. Dr. Faanes, who received his BS (chemistry) and PhD (microbiology) from U Minnesota, was the keynote speaker at this year’s dinner, which drew a crowd of 300 donors, faculty, and student scholarship winners. Ron was introduced by CBS Dean Dr. Valery Forbes (https://cbs.umn.edu/contacts/valery-forbes), who noted that as a pupil and mentee of longtime CBS faculty member Dr. Palmer Rogers, “Ron brings a wealth of insight, and some really great stories, about the revered scientist and teacher for whom the Palmer Rogers Microbiology Scholar ship is named.” Some of Dr. Rogers family were in the audience and they could not help being moved by the poignant memories of Palmer that Ron would recount in his address. Ron, who had also played hockey for the Gophers, had moved on from U Minnesota to work first as a tumor immunologist at the Sloan-Kettering Institute, the research arm of the renowned Memorial Sloan Kettering Cancer Center, in New York. Legendary U Minnesota physician/scientist Dr. Robert Good, who had led the team that performed the world’s first successful human bone marrow transplant between persons who were not identical twins and is regarded as a founder of modern immunology, had just been named Director of Sloan-Kettering and he brought many of his best scientists, including Ron, along with him to New York.

The Scents of Action—GABAergic Circuitry of Olfactory Bulb Acts As Gatekeeper of Hard-Wired Neural Pathway Connecing Olfactory & Motor Centers of the Brain

In all animals, including humans, smell - the oldest of the five senses - plays a predominant role in many behaviors essential for survival and reproduction. It has been known since ancient times that animals react to odours. Yet researchers are just beginning to elucidate the neural pathways and mechanisms responsible for odour-induced behavior. A first step has recently beenm made by showing the existence of a neural pathway connecting the olfactory and motor centers of the brain in invertebrates with the worm C. elegans and in vertebrates with the lamprey (photo), a primitive, eel-like fish native to the Atlantic Ocean. In a new study published online on October 4, 2018 in PLoS Biology, scientists at Université de Montréal (UdeM), in Quebec, and the University of Windsor, in Ontario, show that an inhibitory circuit that releases the neurotransmitter GABA into the olfactory bulb strongly modulates behaviouralresponses to odors in lampreys. The study of these modulatory mechanisms allowed the researchers to discover a new pathway linking together olfactory and motor centers in the brain. This discovery demonstrates that odourscan activate locomotor centers via two distinct brain pathways," said lead author Gheylen Daghfous, PhD, a researcher in the laboratory of UdeM Neuroscience Associate Professor Réjean Dubuc, PhD, also a Professor at Université du Québec à Montréal. "This work sheds new light on the evolution of the olfactory systems in vertebrates." He added: "It is well-known that animals are attracted to odors, whether it be a dog tracking its prey or a shark attracted to blood. On the other hand, we are only beginning to understand how the brain uses odors to produce behavior. Our study revealed a new brain highway dedicated to transmitting smell information to the regions controlling movements."

American Society for Exosomes and Microvesicles (ASEMV) Holds 2018 Annual Meeting in Baltimore

The 2018 annual meeting of the American Society for Exosomes and Microvesicles was held October 20-24 in Baltimore, hard by the water’s edge in the Baltimore Marriott Waterfront Conference Center. ASEMV president, Stephen Gould, PhD, Professor of Biological Chemistry & Co-Director, Graduate Program in Biological Chemistry, Johns Hopkins, reported a record attendance of 250 scientists from the United States and around the world (Korea, Norway, Sweden, Canada, Australia, Japan, UK, Italy, Portugal, The Netherlands) at this historically intimate and highly interactive meeting that benefits greatly from having communal meals and no overlapping sessions. The five-day meeting featured over 100 podium presentations and myriad posters. The daily consecutive sessions typically ran from 8.30 in the morning to 9.30 in the evening, and were followed by two hours of poster viewing and interaction among researchers and with sponsors. The communal meals and poster sessions offered excellent opportunities for significant interaction amongst conference participants and also for interaction between attendees and the over 20 companies (see below) that were sponsors of the meeting. Dr. Gould highlighted the key role of these sponsors in enabling this very special meeting, and noted that this year featured record sponsorship, with almost triple the number of sponsors relative to the number for last year’s meeting at Asilomar in California. This impressive increase in sponsorship is a reflection of the recent explosion of research and interest in exosomes from many quarters of medicine and science.

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