Posted on 02/23/2019 7:22:17 AM PST by SeekAndFind
Grace Wilsey couldnt cry.
As a baby, she would lie limp in her parents arms, staring blankly into the distance. Her seizures wouldnt stop and medical tests showed signs of liver damage. This was all before her second birthday.
Graces parents were beside themselves, as any parent would be. They traveled the country visiting specialists. They ran numerous tests, but no one could diagnose Graces condition.
Weve probably seen over 100 doctors, Graces father said in 2014 when Graces symptoms were discovered.
None of them could provide an explanation.
Then, when their daughter turned two years old, the Wilseys tried something else. They had Graces entire genome sequenced.
A genome is an organisms complete set of DNA, including all of its genes. Genome sequencing is the process of determining the complete DNA sequence. Think of it like creating a genetic roadmap, a complete blueprint of an organisms genetic material.
What the genetic sequencing uncovered was astounding.
Grace Wilsey had a condition known as NGLY1 Deficiency. In short, the little girls NGLY1 genes were mutated. They were like typos in her genetic makeup.
One of the gene mutations prevented the little girl from producing tears. At the time, the disorder was so rare that only six people in the entire world had been diagnosed with it.
Now that the underlying cause is well understood, no time is wasted. Specific therapies can be developed to deal with this unusual genetic mutation.
Rewriting the Rules of Medicine
The story I told you above is just one of millions. It is estimated that some 280 million people suffer from a rare genetic disease. Many of them often live their lives undiagnosed.
But there is hope on the horizon. The method used by the Wilsey family, genome sequencing, is experiencing exponential growth.
The cost of sequencing a human genome has plummeted. The speed of the sequencing technology has grown exponentially. And, thanks to breakthroughs in genetic editing technology, we are on the verge of a complete transformation in medical care.
Soon, well be able to identify genetic diseases like cystic fibrosis or sickle cell anemia years before symptoms present themselves.
Millions of lives will be saved. Hundreds of billions of dollars typically spent on chronic medical care will be eliminated. And investors in a few key companies at the heart of this revolution stand to profit immensely.
Genome Sequencing for $100
The story of how rapid the improvements in genomic sequencing have been is one of the greatest examples of exponential growth, and exponential reduction in costs, in the history of technology.
One simple chart from the National Human Genome Research Institute explains it all. We can see the progression in reducing the cost of sequencing a human genome from $100 million in 2001 all the way down to less than $1,000 in 2016.
Overall, this progression is far faster than that of Moores Law, which accurately predicted that the processing power of microprocessors (semiconductors) would roughly double every two years.
From 2001 to 2007, the speed and reduction in costs of genetic sequencing had been moving as fast as Moores Law roughly doubling in speed and halving in cost every 18 months.
But something amazing happened in 2008 Genetic sequencing began accelerating at a speed five times that of Moores Law.
Now, unless youve been working in the technology sector for a few decades, it might be hard to grasp the significance of this. But Ive worked as a high-technology executive for 25 years. So take my word for it, nothing in the world of technology to date has developed this quickly. It makes the developments in semiconductors during the last decade actually look slow.
At this rate, the cost to sequence a human genome will drop to only $100 in the near future.
And that changes everything.
We are already starting to see early signs of engagement from the insurance industry at current price points, which are approaching $500.
As of November 1, UnitedHealthcare began covering whole exome sequencing for patients where clinical presentation is non-specific and does not fit a well-defined syndrome.
In other words, if a physician knows something is wrong, but cant figure out what it is, UnitedHealthcare will pay to have the patients whole exome sequenced. This will positively impact more than 100 million Americans by providing coverage for this sequencing of rare or undiagnosed conditions.
Think of how much time and pain can be saved when a genetic sequence can tell us almost immediately what is wrong rather than spending years and potentially millions of dollars pursuing ineffective or sometimes lethal therapies.
Genetic sequencing can often immediately identify the genetic cause of a disease so that physicians can focus on providing the most appropriate therapeutic regimen for the patient.
Almost Endless Applications
The world is just starting to scratch the surface of the kinds of applications that are possible using genetic sequencing. This includes genotyping, sequencing exomes, cancer screening, and whole human genomic sequencing; but what about
* Screening parents before conception to ensure there are no genetic diseases that might be transferred to the child
* Replacing amniocentesis for a pre-natal test Immuno-oncology
* Therapeutic selection
* Data storage yes, you can use techniques to store data on DNA
* Diagnosis of rare genetic diseases
* Embryo selection in in vitro fertilization
* Even oil and gas exploration
Because of this rapid increase in the speed of sequencing and the dramatic drop in the cost per sequence, we are going to see explosive growth in these new applications.
Current estimates put the global market for genetic sequencing at $5.1 billion. But by 2023, that market is expected to expand to $18.2 billion. Thats a compounded annual growth rate of almost 20% over the next seven years.
For investors, this is an opportunity that cant be ignored. One way you could play this emerging trend is by looking at life sciences giant Thermo Fisher Scientific (TMO). It is one of the leading companies for genetic testing equipment.
Or for a more speculative play, Pacific Biosciences (PACB) is worth investigating. PACB specializes in genomic analysis systems and would likely profit as genome sequencing becomes a standard part of healthcare. But treat PACB as a speculation, and be sure to conduct your own research first.
And remember, we are still in the early days. There will be even more exciting ways to profit as genetic sequencing rewrites the rules of medicine.
Regards,
Jeff Brown Editor, Exponential Tech Investor
And Official Wealth Creation Expert to Townhall Media
P.S. Another breakthrough medical technology Im following is genetic editing. It may sound like science fiction, but its giving doctors the power to cure diseases like cystic fibrosis and Huntingtons permanently. And thats going to make early investors very rich.
Will it be allowed to distinguish male from female?
I noted on your chart 2008 the cost started huge down trend...From the article:
From 2001 to 2007, the speed and reduction in costs of genetic sequencing had been moving as fast as Moores Law roughly doubling in speed and halving in cost every 18 months.
But something amazing happened in 2008 Genetic sequencing began accelerating at a speed five times that of Moores Law.
~~~~~~~~~~~~~~~~~~~~~~~~~~
No explanation for the accelerating price decreases...
Wonder if it has anything/something to do w/Obama...
Nothing will ever be the same again...the genie is out of the bottle.
The sequencing alone only deciphers the DNA code, then it must be carefully read to find anomalies and if found they must be edited (corrected) and then injected into the body.
Still a ways to go. I doubt very much the little girl has been cured yet.
Waddya bet they never find the "Gay" gene.
Identifying immunity genes could spell an end to vaccines.
It's one thing to identify what I'll call 'sick' genes and another thing to repair the gene or cure the disease. E.g., if a gene is identified that shows the person will have a propensity to get cancer, unless that gene can be repairer the benefit becomes early diagnosis and managing the disease in its earliest stage. This is not curing the disease.
Would it be cynical to believe that modern medicine is more interested in managing disease as opposed to permanent cures because great fortune is made in a lifetime of disease management??
I agree with other posters that making our gene data public will serve insurance company underwriters to the hurt of those with 'risky' genes.
nice this to some degree helped Grace, but maybe I’m behind the times - i thought they could only map/decifer a portion of all a person’s DNA not full DNA?
No. We already know a lot about genes involved in immunity. Knowing how the immune system works does not eliminate the need for vaccines. It does allow us to design vaccines that are more immunogenic with fewer side effects.
Only for Mohammedans.
“Screening parents.”
“Therapeutic selection.”
Denial of right to reproduce?
Compulsory sterilization?
Anyone who thinks I am alarmist, pay heed:
In Upper-Division Genetics Lab - circa 1978 - I was a captive audience to students openly proclaiming that the Federal government would have to use force to sterilize genetically inferior persons who carried the potential for recognized genetic diseases - in order to preserve the sanctity of the gene pool.
The teacher listened with a beatific smile to all of this. I felt like I was in a classroom full of future Frankensteins.
Read that date again: 1978. Some of those have been medical doctors for decades now.
I left pre-med on account of that horror.
P.S.
The most vociferous advocates for forced sterilization were... women.
give the gift to your loved ones that keeps on giving: one hundred bucks for genome on ancestery.com and five bucks to feed the text file into promethease.com for analysis ... many diseases pointed to with high probability so medical testing can be focused instead of shotgunned ...
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