The Daily Dose – Embryos and Abe

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— The Bill and Melinda Gates Foundation announced that it is putting $10 billion toward vaccine development and delivery over the next 10 years, up from $4.5 billion in the previous decade. Apple’s Steve Jobs may be touting the iPad, but Gates is heavily padding the funds for global health. (Reuters)

— Pregnancy is up for debate—and delay—in the UK: A prescription-only morning-after pill, ulipristal, may work up to five mornings after, according to a Scottish study (BBC). Also, the UK’s Human Fertilisation and Embryology Authority has approved a list of more than 100 inherited diseases for which fertility clinics can destroy embryos without special permission. Causing controversy, however, is the inclusion of non-life-threatening diseases, including Marfan syndrome, which is thought to have afflicted Abraham Lincoln. (London Times)

— The genetic testing of Gattaca is getting closer, and cheaper. Silicon Valley-based Counsyl has a test for more than 100 disease markers available for $698 per couple. The screening reportedly can help them evaluate the risk of children inheriting Pompe, sickle cell and other diseases. (NYTimes)

— Minnesota’s RX Connect—the first and last state-run drug importation program—will shut down this March after six years. In its time, the Web site filled 25,000 prescriptions through Canadian suppliers, but sales have dropped from over 1,000 in January 2005 to an average of just 57 per month; organizers say the drop is due to more competitive pricing in the US (AMNews). Last month, the US Senate struck down bills that would have allowed drug importation and reversed the federal ban, which Minnesota and other states have ignored in recent years.

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Show me the money, Mr. President

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Despite President Obama’s promise to freeze discretionary spending in his State of the Union speech last night, research advocacy organizations called on the White House today to increase the US National Institutes of Health’s 2011 budget by billions of dollars.

The NIH’s current budget sits at $31 billion — a 1.4% increase from last year. But that’s doesn’t count the $10.4 billion in stimulus money that Congress appropriated over two years, which will add another $4 billion into 2010 research grants plus more funds for infrastructure.

Research!America urged the president to keep the NIH budget at that post-stimulus level, and recommended that $35 billion be set aside for the 2011 budget — a 13% increase from 2010.

The Federation of American Societies for Experimental Biology (FASEB) is calling for an even bigger shot in the arm — a 19% increase, to $37 billion. FASEB president Mark Lively told reporters that this represented a much more modest boost, only a couple percentage points above biomedical inflation, if you take into account the stimulus windfall.

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The Daily Dose – Predicting the next blockbusters

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— After two and a half years of hearings, the UK General Medical Council ruled today that Andrew Wakefield, the lead author on a study alleging a link between MMR vaccination and autism, “failed in his duties as a responsible consultant.” Wakefield faces removal from the medical register, as well as other punishment, which will be determined at a later date. (The Guardian)

— Researchers have turned mouse skin cells directly into functional neurons, skipping the induced pluripotent stem cell (iPSC) intermediate step. The work holds promise for treating nervous disorders like Alzheimer’s, as well as for converting skin cells into other helpful cell types. (Reuters)

— Forget Avatar and its record gross at the box office. According to research by Barron’s, the blockbusters of tomorrow could be these five drugs: Novo Norodisk’s Victoza for diabetes, Vivus’ Qnexa for obesity, Amgen’s Prolia for osteoporosis, Dendreon’s Provenge for prostate cancer, and Xarelto, a blood thinner by Johnson & Johnson and Bayer.

— The prognosis for prostate cancer is looking better with new research: One study found that magnetic resonance spectroscopy could be used to locate the cancer based on chemical markers, rather than through biopsy (Reuters; for more on PSA testing, another detection method, check out our December feature). Another study recommends analyzing cancer samples for three specific gene mutations to determine how aggressive treatment should be (Reuters). And lastly, in a small trial an experimental therapeutic vaccine extended the lives of men with prostate cancer by about eight and a half months compared to a placebo. (The Guardian)

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The Daily Dose – Made to extraordinary measure

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— The World Health Organization is continuing to come under fire for its handling of the swine flu pandemic last year and its links to drug companies. Facing a panel of the Council of Europe’s health committee, WHO flu expert Keiji Fukuda said: “Let me state clearly for the record — the influenza pandemic policies and responses recommended and taken by WHO were not improperly influenced by the pharmaceutical industry.” (BBC)

— Researchers have developed an extraordinary gene therapy treatment for the Extraordinary Measures disease. A University of Florida team targeted the gene therapy to the diaphragm of mice with Pompe disease and found significant improvements in breathing. A clinical trial involving six infants is planned for this summer. (LA Times)

— The Burnham Institute for Medical Research is getting a makeover. Flush with a $50 million dollar gift from South Dakota billionaire T. Denny Sanford, the La Jolla, California–based center is changing its name to the Sanford-Burnham Medical Research Institute. (San Diego Union Tribune)

— Leading cancer epidemiologist Lawrence Garfinkel, who first linked cigarette smoking to lung cancer, died last week at the age of 88. In the 1950s, Garfinkel led a study that tracked nearly 200,000 men for more than three and a half years to provide the first concrete evidence that smokers had increased risks of cancer. (NY Times)

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The Daily Dose – Look further for disease

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— Things have looked a bit shaky for stem cell research in New Jersey over the past year, but the state got a boost yesterday with the announcement of a $27 million contract from US National Institutes of Health for the Coriell Institute for Medical Research. The five-year contract is designed, among other things, to help the institute introduce induced pluripotent stem cells (iPS cells) into a national biobank. (Philadelphia Business Journal)

— The AIDS Healthcare Foundation, which runs free clinics around the world, has announced that it will no longer allow sales representatives from Merck to visit its sites because of what it views as unreasonable drug pricing by the pharmaceutical giant. The dispute focuses specifically around the drug Isentress, which costs about $13,000 a year for each patient. (Pharmalot)

— Following moves by politicians in other states, New York governor David Patterson has proposed to ban drug companies for giving gifts such as flowers and sporting event tickets to doctors. However, under Patterson’s plan there is still such a thing as ‘free lunch’: docs can still share sandwiches with sales reps. (WSJ)

— Genome Wide Association studies (GWAS) often point to small changes in the DNA thought to be associated with disease. But experts have voiced increasing concern that such changes, known as single nucleotide polymorphisms (SNPs), are red herrings. Now, a new study in PLoS Biology suggests that researchers should consider looking up to two million units of DNA beyond these SNPs to find the real genetic culprits behind disease. Far out! (NYTimes)

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European research chief takes his leave

Molecular biologist Fotis Kafatos is stepping down as president of the European Research Council (ERC) to focus more on his research. After three years at the helm, Kafatos announced on Friday that he plans to leave his post on 1 March — a year earlier than expected — to spend more time devoted to malaria research at his Imperial College London lab.

Kafatos, who cofounded the ERC, will remain a member of the ERC’s 22 member scientific council, which will elect a new leader among its ranks next month.

Nature Medicine interviewed Kafatos in September 2008 about the ERC’s early years. Here’s a brief excerpt from that discussion:

The ERC wants to make Europe an outstanding place to do science, a magnet essentially for talent—both homespun talent and talent from everywhere in the world, male or female, nationality of any kind. We want the very best people to [aim for] a good life in Europe, which is really a pretty good place to live and to work, and to utilize their abilities to build up European science.

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The Daily Dose – An allergic reaction to hospital rules

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— New numbers suggest that only a fraction of the 300,000 conflict-related deaths in Darfur dating back to 2003 were directly caused by violence. An analysis of these deaths published in the Lancet suggests that 80% were due to diseases such as diarrhea, driving home the devastation caused by lost health infrastructure. (WaPo)

— Tightening purse strings in Canada might translate into a shoestring budget for a proposed Alzheimer’s initiative. As a result of the government’s financial woes, the initiative, championed by Canadian Institutes of Health Research president Alain Beaudet, may get far less money than some had envisaged. (ScienceInsider)

Bill Gates is letting off some steam about funding going toward climate aid. Spending for the climate cause could detract from money put forth to fight disease, and subsequently lead to many thousands of deaths, he wrote in his annual Gates Foundation letter. (The Great Beyond)

— According to the Boston Globe, the Brigham and Women’s Hospital has said that allergy and asthma specialist Lawrence M. DuBuske will step down from his post at the end of the month. DuBuske reportedly earned nearly $100,000 from GlaxoSmithKline for giving talks last spring. Brigham and Women’s Hospital recently set forth strict rules regarding such outside pay, which some say go too far (and others not far enough). (Boston Globe via Pharmalot)

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Cancer drugs can cost an arm and a leg… or a car

A Health Affairs study that made news this week notes the increasing cost of cancer drugs, as well as the effect rising prices have on prescribing practices. A survey of nearly 1,400 oncologists in the US found 84% say treatments are influenced by their patients’ out-of-pocket spending. While the vast majority supported further research into comparative and cost effectiveness, nearly half of oncologists believed a drug was of good value for $50,001-$100,000 per life-year gained.

The New York Times also recently took a look at high-price cancer drugs. When it comes to drugs like Folotyn — for which a month’s worth of treatment costs up to $37,000 — pharmaceutical companies point out the funds needed for research and development.

But the current system is one of heartbreak: It’s not unheard of for individuals to mortgage their house or even file for bankruptcy due to the high cost of their cancer medications. To put into perspective just how much some cancer patients have to spend, it might be useful to compare these drug prices to a well-known commodity; and please know that, in doing so, we in no way mean to imply that the medicines are not worth the cost. Here are the cars you could afford with the same amount of money as a month’s worth of some cutting-edge cancer drugs (below the fold):

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GSK on a power trip?

Facing a rising energy bill from the South African power utility, GlaxoSmithKline is threatening to relocate its facilities to somewhere where costs are lower.

Public hearings are now underway to consider whether the South African energy regulatory agency should approve the request made by state-owned Eskom Holdings Ltd. to increase electricity prices by 35% a year over the next three years.

Such a move would raise production costs at GSK’s Cape Town plant by more than 2%, Glaxo’s head of engineering in Africa Devan Pillay said at a hearing this week. Pillay urged the energy regulator to keep price rises in line with inflation to avoid creating a recession, and suggested tax increases as a viable alternative to raise revenue.

Some have estimated that the price hike could cost the country as many as 200,000 jobs.

Beware of footnotes on stem cells

Humanstemcell.JPGThe US National Institutes of Health this week added three more human embryonic stem cell lines to its registry of lines eligible for federal funding. But be sure to read the fine print before you start ordering these cells for your own experiments.

Following the agency’s policy decision to honor any restrictive language included in informed consent forms, NIH director Francis Collins ruled that one of the newly approved cells lines — called H1 — cannot be used for research that mixes the cells with any intact embryos, human or otherwise. The stem cell line also cannot contribute to making whole embryos by any method.

“This goes farther than the current NIH policy,” which restricts mixing human embryonic stem cells with primate embryos but not other animals, Lana Skirboll, director of policy at NIH, said today at a press conference. The two other cell lines were given the go-ahead without any catches.

In December, Collins approved the first 40 lines on the list, but 27 of these also came with the limitation that they could only be used to study diabetes-related pancreatic cells. Now, researchers will have to be especially prudent that they don’t carry out the wrong experiments with the wrong cells.

The H1 cell line, which was derived by the University of Wisconsin–Madison’s James Thomson, is one of the most widely used in the field. It is also the first line to be approved under the NIH’s new guidelines that was also eligible for funding under former President George W. Bush’s administration.

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