Unlock the secrets of your genes – for £31,000

Scientists’ breakthrough raises prospect of personalised medicine affordable for all
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The Independent Online

A scientist has deciphered his entire genetic code for the price of a sports car in a development that could soon lead to the development of even cheaper genome sequences which will revolutionise medical treatment.

The cost of sequencing the three billion letters of the human genome was only a few years ago priced in the region of many tens of millions of pounds but Professor Stephen Quake of Stanford University in Palo Alto, California has done it for less than $50,000 (£31,000).

Using a revolutionary technique that he helped to pioneer six years ago, Professor Quake has produced a "working draft" of his own genome that medical scientists can now analyse for genetic predispositions to physical and mental disorders and traits, as well as possible adverse reactions to certain drugs.

Fewer than a dozen people have had their entire genomes sequenced but all of these DNA blueprints have, until now, cost many hundreds of thousands of dollars and many hundreds of hours of expert labour and costly laboratory time, putting the practice well out of reach of ordinary citizens and the National Health Service.

However, Professor Quake said that there was nothing to stop advances in genetics refining the technique still further to make it cheap enough for ordinary people to use as an aid to medical diagnosis and treatment. Proponents of such genetic screening believe it will lead to the development of "personalised medicine", when treatment is decided on the basis of a person's individual genetic make-up, rather than a "one size fits all" approach.

When the Human Genome Project – the international effort to decipher the entire DNA of all human chromosomes – was established in 1990, the cost of working out the full genetic blueprint of a typical genome was estimated to be about $3bn (£1.8bn). By the time the first draft of a composite genome made from many different people was published in 2001 the cost had fallen dramatically.

Last year, James Watson, who in 1953 co-discovered the double helix structure of DNA with Cambridge colleague Francis Crick, had his own genome sequenced for less than $1m, but it still entailed of army of technicians and a massive investment in expensive laboratory equipment. Professor Quake said that he managed to sequence his own genome in two months with the help of just two colleagues.

"This is the first demonstration that you don't need a genome centre to sequence a human genome. It's really democratising the fruits of the genome revolution and saying that anybody can play this game," Professor Quake said.

"This can now be done in one lab, with one machine, at a modest cost. It's going to unleash an enormous amount of creativity and really broaden the field. Some of the doctors are starting to poke and prod me to see how they can couple by genome with medicine," he said.

One of the earliest findings from his own genome sequence is that Professor Quake has inherited a rare mutation associated with an increased risk of developing heart disease, which could explain observations he and other of his family members have made about the health of prior generations.

"If you know your uncle had something, you kind of discount that you can get it, but to see you've inherited the mutation for that is another matter altogether," he said.

Genome sequencing usually involves making many copies of a person's DNA before the detailed breakdown of each letter of the four-letter code can be done. However, Professor Quake's invention – published in the journal Nature Biotechnology – can carry out the sequencing on a single DNA molecule from an individual, making it far simpler and cheaper than the standard method.

One of the reasons why the method is so cheap is that it could use the information gleaned by the Human Genome Project on what a typical genome looks like. This enabled the scientists to compare the individual sequences from Professor Quake's fragmented pieces of DNA to build up a picture of his overall genetic code.

But Professor Quake warned that the advent of cheap genome sequences – a central feature of the cult 1997 film Gattaca, set in a fictional future when everyone is judged on their genetic makeup – could lead to a new set of ethical problems that have yet to be addressed by society.

"The $1,000 genome is just around the corner, and when everybody will be able to have their genome sequenced, what's it going to mean for privacy, health insurance and decisions about human health? The technology is not going to let people escape these ethics and policy questions," Professor Quake said.

"Are we going to require people, based on their genetic inheritance, to modify their behaviour, or just suggest it? Your insurance company could ask you to have a certain diet or they're not going to cover you. Is that what we want?" he said.

The DNA revolution

*1953 James Watson and Francis Crick at the Cavendish Laboratory in Cambridge unravel the double helix structure of the DNA molecule and so open the doors to the age of modern genetics.

*1977 Fred Sanger of the Laboratory of Molecular Biology in Cambridge devises a method of "sequencing" the four-letter genetic code of DNA, thereby laying the foundations for deciphering the human genome.

*1990 The Human Genome Project is launched with the aim of sequencing the entire 3 billion letters on the DNA within each of the 23 pairs of human chromosomes. Estimated cost: $3bn (£1.8bn).

*1991 J Craig Venter, then at the US National Institutes of Health, demonstrates a new method of identifying genes quickly and easily. Venter went on to establish the privately-financed initiatives to sequence the human genome using an alternative "shotgun" method.

*2000 First "working draft" of the human genome is announced by President Bill Clinton at the White House with Craig Venter and Francis Collins, right, leaders of the rival private and public initiatives, publicly shaking hands after years of sometimes bitter wrangling between the two sides.

*2008 James Watson has his genome decoded for less than $1m (£600,000)

*2009 Stephen Quake decodes his own genome with two colleagues at a cost of $50,000. He predicts that the $1,000 genome is just around the corner.