| BIOINFORMATICS, BIO - MEDICINE, AND GENE | | | | more rational approach in drug discovery and clinical |
| MANIPULATIONS IN DRUG DEVELOPMENT AND | | | | application. In future it is possible to target the |
| FUTURE MEDICAL CARE. | | | | diseases like Diabetes and Cancer before the onset |
| Dr.T.V.Rao, MD | | | | of physical disease (phenotypic expression). The |
| Bioinformatics is an emerging science which brings | | | | scientific visions include interfering with the sick cell, |
| together the fields of Microbiology, Molecular Biology, | | | | sparing the healthy cells, making the therapy least |
| Bio Technology and Genetics under the fold of | | | | toxic and harmful. The discovery in this direction lead |
| computers and Software Advances in Computer | | | | to discovery of Monoclonal antibodies, choosing the |
| Technology. Thanks to James Watson - Crick in basic | | | | particular receptor on the cancer cell responsible for |
| understanding of the Bacterial DNA (genome). The | | | | propagation of disease. Already 12 such drugs are |
| coding of Chromosomes through the Super | | | | available in developed countries prominent being |
| Computers; Databases and Software Technology | | | | Herceptin, if blocks the HE-2/neu receptor, which is |
| perfecting the code of life, now Bioinformatics has | | | | prominent on some breast cancer cells. Tepper’s |
| become a big enterprise. Research reports, from all | | | | group is on the way to find a Monoclonal which can |
| round the world (300 Laboratories) presented | | | | block the common receptor for cancers like breast, |
| recently during a major genome conference at Cold | | | | prostate, lung and colon to create a super drug for |
| spring harbor laboratory showed clearly that an | | | | many cancers. With better understanding on |
| exciting technology is born. We doctors in the past | | | | Bioinformatics Anti Cancer Drug discoveries will be |
| looking the problems of life and disease through | | | | target oriented with least toxic effects. |
| clinical medicine, few laboratory tests and other | | | | 6. Genomic Based Drug Discovery: Alfred Gilman, a |
| technical advances. The Bioinformatics is changing the | | | | pharmacologist and winner of 1994 noble prize for his |
| entire concept, in future we may be compelled to | | | | work on Cellular Signaling Mechanism, is now working |
| view life and disease through the Chemistry of | | | | with goal to trace the map of chemical pathways in |
| Genes. The facts about the human genome project | | | | the cells and use the knowledge to create virtual cell |
| were made public on the Internet by US department | | | | with all the pathways in a computer. Now the drug |
| of energy and National Institute of Health, making the | | | | companies are using the Bioinformatics algorithms to |
| approach easier to any scientist or Doctor to learn | | | | predict the functions of proteins encoded by newly |
| the genomic science to utmost detail. | | | | discovered genes. Many drugs discovers are moving |
| 1. Basic findings of Genome Project: a) Basis of life is | | | | to fast growing new area of Computer Science to |
| equal between two individuals upto 99.9% extent, | | | | fuel their endless quest for newer drugs and better |
| secret of difference lies in only 0.1%, contributing to | | | | targets. |
| our individuality. b) There are approximately 30,000 | | | | 7. Major Diseases on the List of Pharmaceutical |
| Genes. c) Genetic Mutations are common in males, so | | | | Industry |
| men are agents of change. d) so Genetic diseases | | | | The following diseases are being targeted by many |
| are common in men. | | | | drug firms with Bioinformatics include: AIDS, Mental |
| 2. Computer Speaks (Bio information): With feeding | | | | Illnesses, Auto Immune Disease, Obesity, Alzheimer |
| of complicated information to a computer, it speaks | | | | ’s disease, Heart Disease and Parkinson’s |
| that life is a pack of information with a clear | | | | Disease. |
| message that book of the life written in the complex | | | | From Experiments to Reality |
| DNA consisting of four letters. A.T.G.C. | | | | The sequence of events from Discovery of Noble |
| A = Adenine; T =Thymine; G = Guanine; C = | | | | Laureate Joshua Lederberg (1958) on exchange of |
| Cytosine. | | | | DNA within such chromosome pairs leads to process |
| At present we have > 85% of information on 23 | | | | of homology recombination expressing in Genetic |
| pairs of Human Chromosomes. In future science | | | | variation in the population. The present events of |
| expects that Physician can solve many mysteries of | | | | discovery by Mario Capecchi and Oliver Smithies |
| disease just looking into a computer and the greatest | | | | applied the homology recombination in mammalian cell. |
| advantage lies in detection of most of the Genetic | | | | The homologues recombination could take place |
| disorders. In future many diagnostic tests may be | | | | between introduced DNA the cell Chromosome may |
| done by Bioinformed computers, the chip locating | | | | even repair with the help of induced genes and |
| abnormal base pairs at different gene locations. Now | | | | awarded the Nobel Prize in 2007. The present study |
| in many Nations scientific organizations of repute are | | | | by them has targeted role of Genes involved in |
| on a path to Bioinformatics with aim to make the | | | | Mammalian organ development. Several human inborn |
| recent science available to many. | | | | errors an be targeted in events of malformation. If |
| 3. Bioinformatics and Gene Therapy: Gene therapy | | | | the future experiments are successful mouse models |
| suffered with many problems in the past will have a | | | | will be used for gene targeting The art of Medicine |
| greater revival with better understanding of human | | | | will be enriched with biology as source of future |
| genome. Many gene therapy trails will become virtual | | | | developments in Medicine. |
| realities. | | | | Changing Role of Biology on Medicine: We are |
| 4. Bioinformatics and Proteomics: The knowledge of | | | | understanding more of Genes and inheretence.The |
| information about the Genes and Science of | | | | quest to discover disease linked genes reaches all |
| Genomics lead to science of proteomics To catalogue | | | | time high. Now it is understood the 3 million DNA |
| and analyse every protein in human system. The | | | | bases in the Human genome have identified that |
| science of proteomics (Structural Genomics) will | | | | about only one tenth, of one percent (Million) differ |
| revolutionise the understanding of Hormones, | | | | from one person to another. Variation in these |
| Immunoglobulins targeting infections and Enzymes | | | | particular letters called SNIPS or SNP’s, for single |
| that build or break down energy reserves. We are | | | | nucleotide polymorphisms have replaced genes as unit |
| aware now, that there are too, many proteins which | | | | of heredity. |
| guide our life (50,000 to about 2 millions). But few | | | | Role of Bioinformatics and Bio-Medicine on the Medical |
| Proteins play the real orchestra, modifying different | | | | Profession: In the near future, every standard text |
| actions. Already many Bio Technology firms have | | | | book on Medicine, articles, journals published from |
| started proteomics programme, if the events | | | | reputed medical institutions emphasize the origin of |
| succeed to desired expectations there will be better | | | | disease on Genetic basis locating, few base pairs of |
| quality of life serving to minute details. | | | | Genes responsible for any complicated disease. The |
| 5. Human Genome Project - Drugs of Future: At | | | | treatment approaches will be on targets of |
| present we use certain drugs with a broad | | | | pathological process rather than vague remedies. We |
| understanding to target only 500 proteins in the | | | | teachers in medicine should concentrate in |
| body, out of the 30,000 proteins already known to | | | | understanding the role of Genes in disease and |
| us. Because of the better understanding of Genome, | | | | spread the message to our students. Let us learn to |
| Scientists have a good understanding on what | | | | understand many diseases have a genetic basis and |
| happens if drug acting down to molecular level. Till | | | | unlock the problem with a right key. Let there be |
| now many drugs are experimented on trial and error | | | | more workshops, CME’s & Seminars on |
| basis mainly intervening at the level of signs and | | | | orientation of Bioinformatics and Biomedicine to our |
| symptoms, and few at cellular levels. | | | | Doctors, so that we do not remain as Apes in front |
| With advances in Genomic Medicine there will be | | | | of a Bioinformed Computer. |