BANKING OF FAMILY DNA
THE TIME HAS COME
July 17, 2000
Henry T. Lynch, M.D.
Professor of Medicine
Professor and Chairman, Department of Preventive Medicine Creighton University
School of Medicine
Banked family DNA can be of essential value, especially in situations
where there is a concern about hereditary transmission of a disease. When
a genetic disease, e.g. colon or breast cancer, is suspected of being transmitted
in a family, the availability of DNA from affected family members is of
paramount importance because it serves as reference DNA.
If and when the physician and genetic counselor indicate genetic
testing, the reference DNA contains information which can establish
if the disease has been transmitted. When an affected family member
is no longer alive, the availability of their banked DNA fulfills
the crucial need for reference DNA.
While genetic testing is often done without reference DNA, as in
the relatively simple case of the cystic fibrosis gene, more complicated
genetic detection becomes plausible only when the reference DNA is
accessible.
In such cases, negative genetic test results can be declared true
and definite ONLY when there are no identical structural relationships
between the gene of the affected family member and the correlating
piece of DNA belonging to the at-risk living family member.
DNA extraction and proper storage should be left only to DNA banking
companies that have received clearance by the FDA, and laboratories
that are certified (CLIA approved). In addition, such DNA banks need
to guarantee mechanisms that ensure quantifiably sufficient results
and confidentiality.
This decade will see the completion of the human genome project,
a great increase in the number of genetic tests, the placement of
DNA gene chip readers in physicians' offices, and an increase in
the number of pharmogenetic drugs that target specific diseases.
Banking of family DNA will play a pivotal role in this new era of
modern medicine. Simply, the availability of banked DNA will allow
the physician to move from Diagnosis and Prognosis to Prediction
and Prevention.
SOURCE:GeneLink BioSciences, Inc.
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