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Rare mutation prompts race for cholesterol drug
NY Times via Columbus Dispatch (OH) ^ | July 14, 2013 | Gina Kolata

Posted on 07/15/2013 12:16:26 AM PDT by neverdem

She was a 32-year-old aerobics instructor from a Dallas suburb — healthy, college-educated, with two young children. Nothing out of the ordinary, except one thing.

Her cholesterol was astoundingly low. Her low-density lipoprotein, or LDL, the form that promotes heart disease, was 14, a level unheard-of in healthy adults, whose normal level is over 100.

The reason: a rare gene mutation she had inherited from both parents. Only one other person, a young, healthy Zimbabwean woman whose LDL cholesterol was 15, has ever been found with the same mutation.

The discovery of the mutation and of the two women with their dazzlingly low LDL levels has set off one of the greatest medical chases ever. It is a fevered race among three pharmaceutical companies, Amgen, Pfizer and Sanofi, to test and win approval for a drug that mimics the effects of the mutation, drives LDL levels to new lows and prevents heart attacks. All three companies have drugs in clinical trials and report that their results, so far, are exciting.

“This is our top priority,” said Dr. Andrew Plump, the head of translational medicine at Sanofi. “Nothing else we are doing has the same public-health impact.”

Dr. Gary H. Gibbons, the director of the National Heart, Lung, and Blood Institute, estimates that even if the drugs were expensive and injected, as many as 2 million Americans might be candidates. But if they could eventually be made affordable and in pill form — two very big...

--snip--

And there is another concern: cost. Each company’s drug is a biologic, a so-called monoclonal antibody made in living cells at an enormous expense, like some new cancer drugs that are already straining the medical system...

(Excerpt) Read more at dispatch.com ...


TOPICS: Business/Economy; Culture/Society; News/Current Events; Testing
KEYWORDS: anthonyfauci; cad; chd; covidstooges; immunology; ldl; ldlcholesterol; ldlcholesterolmab; ldlmab; monoclonalantibodies; monoclonalantibody
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1 posted on 07/15/2013 12:16:26 AM PDT by neverdem
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To: neverdem

I wonder if down the road there might be a gene therapy treatment.


2 posted on 07/15/2013 12:18:26 AM PDT by taxcontrol
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To: neverdem

Leave it to the ignorant NY Slimes to confuse latent genes with genetic mutations...


3 posted on 07/15/2013 12:24:08 AM PDT by Southack (Media Bias means that Castro won't be punished for Cuban war crimes against Black Angolans in Africa)
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To: neverdem

BUMP!


4 posted on 07/15/2013 12:26:48 AM PDT by Lancey Howard
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To: neverdem

The brain needs cholesterol to function properly.

One would think that if this gene was so wonderful, it would be more common just through natural selection.


5 posted on 07/15/2013 1:23:35 AM PDT by DB
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To: Southack

So you’re saying redheads aren’t mutants?


6 posted on 07/15/2013 1:36:32 AM PDT by Telepathic Intruder (The only thing the Left has learned from the failures of socialism is not to call it that)
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To: Southack
Leave it to the ignorant NY Slimes to confuse latent genes with genetic mutations...

Huh? It's apparently a single nucleotide polymorphism in the PCSK9 gene -- a textbook mutation. Go back to biology class.

7 posted on 07/15/2013 1:39:05 AM PDT by Alter Kaker (Gravitation is a theory, not a fact. It should be approached with an open mind...)
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To: DB
Very close.

It would be interesting to see a long term study on these individuals to see what health issues they have from such low levels of cholesterols. For instance, do they have a high risk of hemorrhagic stroke?

Cholesterol is not just needed by the brain but is an important component in cell membranes of all tissues. It is used in hormone production, digestion, water and salt balance, reproduction, and maintaining bone density.

8 posted on 07/15/2013 2:05:24 AM PDT by Ophiucus
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To: Telepathic Intruder
So you’re saying redheads aren’t mutants?

9 posted on 07/15/2013 2:26:33 AM PDT by Bratch
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To: neverdem

My understanding is that low LDL is also associated with serious health problems.


10 posted on 07/15/2013 3:31:19 AM PDT by fso301
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To: Southack

What on earth is a “latent gene”?

Every single one of us has DNA mutations, about 200 of them, that do not exist in our parents.


11 posted on 07/15/2013 3:38:06 AM PDT by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: neverdem

I wonder what this woman’s health is like.

At first, I thought the article was about trying to find a treatment for that abnormally low LDL. But no, it’s about drug companies trying to duplicate the effects of the mutation.

I’ll have to recheck—I seem to recall having read somewhere that meta-analyses of studies do not support the belief that lowering cholesterol actually decreases heart disease deaths.


12 posted on 07/15/2013 3:41:41 AM PDT by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: exDemMom
I wonder what this woman’s health is like.

The article writes of her in the past tense. Perhaps that's a clue.

Unfortunately, no further information as to her fate is provided. (Another one for the annals of journalism greatness.)

13 posted on 07/15/2013 6:02:44 AM PDT by Moltke (Sapere aude!)
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To: Alter Kaker

I don’t care who you are, that’s funny right there


14 posted on 07/15/2013 7:03:47 AM PDT by i_robot73 (We hold that all individuals have the Right to exercise sole dominion over their own lives - LP.org)
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To: neverdem

So, due to the recent supreme court case, who owns the patent on the mutation?

If the drug company creates a process for advancing this gene, will the people they gleaned the gene mutation from own the mutation or does the drug company? Or nobody?


15 posted on 07/15/2013 7:58:44 AM PDT by Only1choice____Freedom (As long as America's tolerence of failure is not overwhelmed by a desire to succeed, we will fail.)
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To: exDemMom; taxcontrol; Southack; Lancey Howard; DB; Telepathic Intruder; Alter Kaker; Ophiucus; ...
I wonder what this woman’s health is like.

Me too!

"Dr. Barry Gumbiner, who is directing Pfizer’s studies, said the company had to decide whether to set a floor for patients’ LDL levels. Pfizer is interrupting treatment when LDL levels reach 25 or lower. The people seemed fine, but the company got nervous."

“'There is not a lot of experience treating people to LDL levels this low,' Gumbiner said."

It's going to be an interesting story to follow. Every story about a monoclonal antibody that I have seen, names the particular entity whatever and tags it with the suffix "mab," presumably from monoclonal antibody. So I made the keywords ldlcholesterolmab and ldlmab to follow these FDA trials. The unintended consequences should be interesting.

16 posted on 07/15/2013 9:59:20 AM PDT by neverdem (Register pressure cookers! /s)
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To: Only1choice____Freedom
So, due to the recent supreme court case, who owns the patent on the mutation?

I think they got the patent on the testing procedure, not the gene, but I could be wrong.

17 posted on 07/15/2013 10:03:15 AM PDT by neverdem (Register pressure cookers! /s)
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To: Alter Kaker

“The reason: a rare gene mutation she had inherited from both parents.”


18 posted on 07/15/2013 12:51:05 PM PDT by Southack (Media Bias means that Castro won't be punished for Cuban war crimes against Black Angolans in Africa)
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To: Southack

You’re obviously under the misimpression that a recessive gene is the same thing as a latent gene. It isn’t. Yes, the mutation is recessive, but it’s clearly a mutation. You should take a high school biology class or two before you start calling people idiots on a public forum — doesn’t reflect too well on your judgement or character.


19 posted on 07/15/2013 12:58:27 PM PDT by Alter Kaker (Gravitation is a theory, not a fact. It should be approached with an open mind...)
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To: Alter Kaker

When the mutation is in both parents, we call it xxx when found in the child.

When the mutation is not in both parents, we call it yyy when found in the child.

When the mutation is in neither parent, we call it zzz when found in the child.

There will be a test.


20 posted on 07/15/2013 1:05:06 PM PDT by Southack (Media Bias means that Castro won't be punished for Cuban war crimes against Black Angolans in Africa)
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