�Inappropriate profitability of the industry as a whole.��The only hope for survival,� says the brochure, �is a new and improved
[cooperative] business model for this great and important industry.� It seems to
us that these same factors, and the same conclusion, can be applied to the
healthcare industry.
Reference: Unknown (2004). �Automotive: The Perfect
Storm.� Brochure description of a Management Briefing Seminars conference
session, August 2-6.
Superhumans
What the Christian Science Monitor�s Gregory Lamb calls the �emerging
science [of] gene modification or gene enhancement� is �going to turn sports
into a . . . freak show,� said a sports doping researcher. DNA injections would
replace training, producing the muscle without the sweat. �Somebody who�s not
athletic at all could be transformed into something superhuman,� said a trainer.
The same technology could also, of course, transform someone with muscular
dystrophy into someone without muscular dystrophy, or a frail elder into a
frisky kid.
How far has the science emerged? More than enough to make the leap from
animal lab to human bodies, it seems. H. Lee Sweeney, a University of
Pennsylvania researcher, reported in March this year that mice injected with a
gene gained up to 50 percent muscle growth. More recently, writes Kristen
Philipkoski in Wired, �marathon mice� genetically modified by Howard
Hughes Medical Institute researchers were able to run twice the distance of an
unmodified control group.
While these respectable scientists would not dream of moving from mice to men
without following scientific process�not to mention the law�others probably not
only will make the move, but may already be doing so. �The technology is
available now for athletes to use,� according to a bioethicist who has written a
book on the topic, and in light of its illegal, underground, and dangerous but
inevitable application in sports, on the one hand, and its promise for helping
humanity, on the other, he proposes that its use in sports be legalized and
regulated, rather than banned.
The problem, as one of Lamb�s other expert sources put it, is that �All bets
are off when you start playing with genetic engineering … in terms of system
function, organ function, and long-term effects. If you put in superfast muscle,
are you going to alter function in a way that the tendons and the bones might
not be able to support the loads?… You might start to snap tendons and bones.
There might be deleterious health effects. We really don�t know.�
We do know, however, that the genetic modifications are transgenic�they
become part of the organism�s genome and are passed on to future generations,
says Philipkoski. We also know, in the case of the marathon mice, that they
became more resistant to weight gain, �even when fed a high-fat diet that caused
obesity in other mice.�
In fact, above-board science may not be all that far behind the underground.
According to Philipkoski, GlaxoSmithKline is developing an oral drug that
activates the same protein in humans (called PPAR-delta) that was stimulated in
the marathon mice, and has already completed phase I clinical trials of the drug
for use as a good cholesterol, or HDL, booster. The company was apparently
surprised�but elated�to discover from the Hughes research that its drug might
also combat obesity and work as an insulin sensitizer (by lowering levels of the
intramuscular triglycerides associated with insulin resistance and diabetes in
obese people), not to mention improve muscle performance. The fact that multiple
outcomes were effected by altering just one gene was the biggest surprise of
all. �The world,� said one of Philipkoski�s sources, �is about to change
dramatically.�
Reference: Lamb, Gregory M. (2004). �Will gene-altered
athletes kill sport? Soon, animal DNA could make us faster and stronger – no
training needed.� Christian Science Monitor, August 23.
Reference: Philipkoski, Kristen (2004). �Scientists Breed a
Tougher Mouse.� Wired News, August 23.
Anti-angiogenic Hits a Speed Bump
It has been discovered that Avastin, the first approved angiogenesis
inhibitor used to treat colorectal cancer, increases the risk of stroke and
heart attacks. A Genentech spokeswoman said some patients who took the drug had
died from heart ailments, and that a single fatality during the drug�s clinical
trials had not been enough to establish a clear relationship between the drug
and the fatality. The company is informing health care providers by letter and
is adding warning information to the drug�s label. The clinical trials showed
that the sickest colon-cancer patients taking Avastin survived on average
five months longer than those receiving standard care. The problem, said one
expert, is that the targets of biologic drugs such as Avastin could be
present in tissues or organs besides the one being treated.
Reference: Henderson, Diedtra (2004). �FDA,
Genentech Warn Doctors About Avastin.� Associated Press via Yahoo News,
August 13.
Joining Forces to Fight Cancer
Four leading, and hitherto competitive, cancer centers are now coordinating
clinical trials and sharing resources and findings on multiple myeloma.
Participants in the Multiple Myeloma Research Consortium are the Mayo Clinic,
the Dana Farber Cancer Institute, the H. Lee Moffitt Cancer Center and Research
Institute, and the Ontario Cancer Institute.
�Progress against the disease has been slow because researchers studying the
disease rarely communicated, often duplicating each other�s findings and hitting
dead ends,� writes Anahad O�Connor in the New York Times.
Reference: O�Connor, Anahad (2004). �Joining
Forces to Combat Multiple Myeloma.� New York Times, August 17.
Toward the Home Manufactory
�The Internet Revolution meets the Industrial Revolution� is how the AP�s
Peter Svensson concisely captures the significance of eMachineShop, a free
program that lets even non-engineers design �car parts and door knobs . . . door
signs, motorcycle seats, robot frames, car engine covers, guitar plates and
camera parts��and other small objects�on the Web, to then be manufactured by a
�real world� machine shop.
Key to eMachineShop�s success is that it incorporates �the knowledge of a
machinist,� which prevents the designer from designing things a machinist would
know to be impossible or inadvisable.
Ten sandblasted copper door knobs of your design will cost you US$143. The
most expensive item made since beta testing began last year is a $4,011 aluminum
part for a laboratory magnet. The customers range from large companies that make
prototypes, to hobbyists; one of whom told Svensson: �Being able to sit at you
home computer, draw up some parts, submit them and 30 days later they are on
your doorstep, all without human contact, is mind-blowing.�
Reference: Svensson, Peter (2004). �Program
Lets People Design 3-D Objects.� AP via Yahoo News, August 18.
Understanding Viral Processes
Using crystallography, cryoelectron microscopy, and imaging software, Purdue
University researchers have made detailed pictures of a common bacteriophage
(bacteria-eating virus) called T4, and a video showing how it attaches to a cell
surface, infects it, and replicates. The work, reports Kristen Philipkoski in
Wired, could �elucidate the secrets of viral infection and possibly
improve gene-therapy techniques.� For instance, said one of the researchers: �By
changing the receptor molecule at the ends of the long tail fibers, you may be
able to target specific cells or add to the genome of the virus to get it to
insert additional genes into target cells.�
Bacteriophages have long been used in Eastern Europe in place of antibiotics,
and given the problem of growing antibiotic resistance, could have important
significance in the West.
Reference: Philipkoski, Kristen (2004). �When
Viruses Attack.� Wired News, August 30.
Solar Sails Into the Sunset of Science
Fiction
The Japanese Institute of Space Astronautical Science has tested two solar
sails aboard a rocket in space. The idea (popular in science fiction) is that
photons from the Sun impart a small force when they strike the sail, giving the
spacecraft to which the sail is attached increasing momentum. Though it starts
off slowly, the cumulative acceleration leads, in theory, to astronomical speed
and enables travel to distant planets.
Reference: Unknown (2004). �Japan
unfurls solar sail in space.� BBC News, August 11.