Since risk from individual SNP's 'should' not be aggregated to indicate an individual's risk based on multiple sources of evidence, how are the magnitudes for genosets determined?. Can bayes or another method be used to interpret a promethease report?
Even genetic epidemiology textbooks seem pessimistic: about the usefulness of the genetic research underpinning precision medicine:
‘...for the repeated failure to replicate positive findings in genetic epidemiology (102; 103) and remains the subejct of an important ongoing debate (101-105)’ -pg. 26 on chapter 1. An Introduction to Genetic Epidemiology
The references in question are about the impact of population stratification on genetic association studies. That doesn’t seem to substantiate such a broad stroke about the non-replicability of genetic epidemiology. I don't know what to make of these findings.
Here is a link to a screenshot of those references
It suprises me that entrepreneurial machine learning analysts don’t beg for genetic research to identify how combinatorial patterns of genes to be able to characterise individual risk. It seems like if/once they can get hold of that information, the sequence from genetic science to consumer actionable health information is bridged. So where are the 'lean gene learning machine' startups? I certainly don’t have the lean gene to do it myself. I don’t know machine learning.
Regulatory issues seems like the biggest hurdle. To the best of my google-fu, 23andme doesn't even disclose what it's 'Established Research' genes are. So, once regulatory hurdles are surmounted, lots of useful research will flood out.
Hmmmm. I'm shamefully ignorant about prices, but I would estimate such an effort would be in the tens of millions, if you wanted it done quickly (and it will still take a while). As far as I'm aware we haven't developed methods for transgenesis in Tetse flies, having only gotten the genome sequenced in 2014 (priorities people?!), and setting it up in a new organism in a new organism with an unusual life cycle can be surprisingly difficult. The link below describes techniques for manipulating gut microbes in the flies, which I don't think would suffice.
In drosophila you can't go from cell culture to an embryo easily like in mammals, you have to inject stuff into embryos and then breed from those embryos and hope some of your vector got into the germ line. In Tetse flies, I am now aware, the mother keeps the embryo until it's quite developed, meaning the techniques used in Drosophila wouldn't work, and we certainly don't have any tetse cell lines, which I doubt would be of use anyway. So you'd be looking at developing a novel means of transgenesis. (Viral vector targetting the germ line maybe?? ) Which is a task that, while no doubt solvable, inevitably has big uncertainties in it.
So yes, tens of millions, give or take an order of magnitude, plus years and years of work. Well worth doing though. In my opinion the potential gains far outweigh the risks.
P.S. The link to 'relevant risks' you posted is broken, I'd be interested in seeing it.
I really appreciate the explanations in this thread. I was wondering if anyone had an update regarding recent developments in this space. Specifically, using big data to solve for genetic / protein links to phenotypes. I have also been struggling to find more recent information regarding genosets.
Apologies if any of that is unclear, I am still relatively new to this.