g., hemochromatosis, thrombophilia, or obesity), compliance attained in persons tested as positive was considerably higher than in persons with a negative test result. Women at increased genetic risk who underwent genetic testing for BRCA1/2 mutations subjected themselves more frequently to follow-up surveillance after having received a positive test result compared to those in whom a mutation could not be
detected. Risk information based on blood tests or physical examinations appeared as effective as positive genetic test results with regard to participants’ intention to undertake behavioral changes. The major result is that overall compliance of patients after receiving a high-risk estimate from genetic testing for a given condition is high. However, significant behavior change does not take place just Epigenetics Compound Library order because the analyte is “genetic.” Many more factors selleck chemicals llc play a role in the complex process of behavioral tuning. The last two talks presented by Cinnamon Bloss (Scripps Translational Science Institute, USA) and Andreas Baxevanis (National Human Genome Research Institute, NIH, USA) presented data from ongoing studies—the Scripps Genomic Health Initiative (in cooperation with Navigenics) and the Multiplex Initiative, respectively. Both studies assessed
pre- and posttest individuals’ attitudes with regard to the personal impact of susceptibility genetic testing for various common health conditions. The studies only included low penetrance genetic risk markers such as common single-nucleotide variants (SNVs). Dr. Bloss’s study enrolled 4,891 adults, who received a personal genomic risk assessment for 23 health conditions as well as ancestry information; of those, 2,240 completed long-term follow-up (>12 month) through web-based questionnaires. Findings showed no measurable impact on the degree of anxiety or change in lifestyle habits. Approximately one third of all follow-up participants shared the results with their physicians (recently
published in Darst et al. 2013). A proportionately higher number of participants in this group acknowledged genetic testing as “very valuable” as compared to the L-NAME HCl group of those who did not share results with their physician. Privacy concerns and overall concern about genomic testing were more p38 inhibitors clinical trials prevalent in non-sharers. Taken together, the study results suggest minimal impact—positive or negative—on primary disease prevention in adult individuals. Dr. Bloss finalized with an outlook on future risk assessments in younger individuals (e.g., high school students), who may be more amenable to adopting a healthy lifestyle or to giving up potentially health damaging lifestyle habits when presented with their genomic risk profile. The Multiplex Initiative developed its own web-based survey tool and results display which differed slightly from that used by Navigenetics. Genetic risk profiles for eight health conditions based on selected common SNVs with strong replication evidence and odds ratios between 1.25 and 2.