Let’s do the numbers
- A friend emailed me yesterday, referenced this article on how Knome will offer complete personal genome sequencing for $350,000 and asked, “And you get yours for free??” (Alas no!)
- And last week, The Economist (still unencumbered by bylines) wrote, “Two firms have unveiled products that allow the ordinary punter to get his genome decoded [emphasis mine] for about $1000.” (The article also says, “All people are 99.9% identical, genetically speaking.” Come on, mates–you’re better than that!)
What we have here, I think, is a failure to communicate. According to the New York Times, for a thousand bucks deCODEme will test about a million DNA variants or SNPs, while 23andMe will test about 650,000 SNPs. That’s 0.033% and 0.022% of the haploid human genome, respectively. These “variome” analyses may prove to be incredibly useful and perhaps even a terrific bargain for punters of all stripes, but is it accurate to call them “getting one’s genome decoded?”
What PGPers will get — we think:) — are our complete exomes, that is, the entire protein-coding portion of our 20,000+ genes*. This, I’m told (anybody have a reference?) works out to about 60 million base pairs or roughly 1% of the diploid human genome. George (who, it should be noted, co-founded Knome) has told us our exomes will cost…drum roll please…about $1000. Do I sometimes tell people I’m getting my genome sequenced? As a shorthand, yes, but I shouldn’t. It’s an exome, not a genome.
For their $350k, Knome customers, I presume, will get something like 6 billion base pairs, that is, essentially complete diploid genome sequences just like Venter and presumably, Watson, received. (Read Hsien’s interview with the Knome CEO.)
Are any or all of these services worth it? I have no idea and I’m not sure anyone else does, either. This issue — a genome: what is it good for? — is at the heart of what the PGP is all about. It’s partly a matter of personal taste, of course: is an incomplete and often inscrutable translation of the Rosetta Stone at whatever resolution still worth some amount of money and the space it takes on your bookshelf? I’m inclined to say yes, but I can’t say until I’ve seen mine and lived with it for a while. I have no sense about how the rest of the world feels; however, I will say that in contrast to the enthusiasm I see in the blogosphere, a fair number of my colleagues at Duke, to say nothing of people I’ve talked to at the NIH, tend to roll their eyes when I start yammering on about personal genomics.
Can these companies make meaning out of this stuff? What are customers’ expectations and what should they be? Will new information bring clarity or confusion?
I hope to find out. Next week I will be in the Bay Area visiting some of these folks, asking questions, learning more about what they do, and eating obscene quantities of Asian food.
*Behold, the incredible shrinking genome!
UPDATE: I should add that we will also get our variomes typed via Affymetrix Genome-Wide Human SNP Arrays (don’t quote me on the version).
I work as an Assistant Professor in the Duke University Institute for Genome Sciences & Policy (although this site and its content are my own).
In 2007 I became the fourth subject in Harvard geneticist George Church's Personal Genome Project. As the PGP moves forward, I am chronicling the dawn of personal genomics, that is, people obtaining their genomic information for whatever reason(s) and figuring out what to do with it. I am interested in the relevant technologies and especially the attendant privacy and other ethical/legal/social issues.
This blog may also discuss some of my non-genome interests or, to paraphrase Dwight Yoakam, "Guitars, Cadillacs, hillbilly music, etc etc."
The header image comes from the Liz Lerman Dance Exchange's multimedia performance piece, "Ferocious Beauty: Genome."
December 1st, 2007 at 1:55 am
Loved the Post!
-Steve
www.thegenesherpa.blogspot.com
December 1st, 2007 at 7:50 pm
[…] Angrist at genomeboy.com compares the service of Knome with the Personal Genome […]
December 3rd, 2007 at 5:43 pm
Great commentary and clarification for those not fully understanding the truth behind the hype.
To your point about many in the various ivory-ish towers and their mostly dissenting opinions, I think they will be surprised to see increasingly progressive and more rapid changes that will move towards implementation of PM utilizing PGP/PGI.
DJ
(See you in Palo Alto at PMC reception?).
December 3rd, 2007 at 6:12 pm
Thanks Steve and David. David: I’m sorry I didn’t know about the PMC event–I will already be back home by then. But perhaps I’ll crash the East Coast one in Boston on January 17…
http://www.personalizedmedicinecoalition.org/emedia/email/BiCoastalEvent/invite_register.php
December 3rd, 2007 at 8:56 pm
Hello ‘genomeboy’,
Did you see this?
http://biz.yahoo.com/bw/071127/20071127006263.html?.v=1
I thought you might be interested….
Thanks,
Heather
December 4th, 2007 at 5:25 am
Hi,
This hype about PGP and people wanting to sequence thier genome etc would lead to problems like high cost of health insurance . Insurance companies would ask a higher premium from people with predisposition to certain diseases. And I am sure that each one of us has potential disease causing SNP’s in our genes which have not manifested yet.
Personally I wouldnt want to sequence my genome and show it others. I predict that it would also lead to a new kind of social bias against people with potential diseases.
I may be wrong but this could happen.
Amit