The Language of Life: DNA and the Revolution in Personalized Medicine
The Language of Life: DNA and the Revolution in Personalized Medicine book cover

The Language of Life: DNA and the Revolution in Personalized Medicine

Hardcover – January 5, 2010

Price
$29.07
Format
Hardcover
Pages
332
Publisher
Harper
Publication Date
ISBN-13
978-0061733178
Dimensions
6 x 1.17 x 9 inches
Weight
1.15 pounds

Description

From Publishers Weekly Starred Review. A medical revolution is upon us and bestselling author Collins ( The Language of God ), director of the National Institutes of Health, does a fabulous job of explaining its dimensions. Our knowledge of the genetic basis for disease has increased exponentially in recent years, and we are now able to understand and treat diseases at the molecular level with personalized medicine—care based on an individual's genetic makeup. Collins presents cutting-edge science for lay readers who want to take control of their medical lives. In an enjoyable form, he discusses cancer, obesity, aging, racial differences, and a host of other concerns. Most fascinating is the way Collins discusses the medical advances currently in place and those soon to come that are directly attributable to the federal government's Human Genome Project, headed by Collins, and which mapped the entire human genome. Collins is also not shy about taking on large political issues. He points out problems with our current health-care system, discusses stem-cell research, and in a cogent commentary, recommends—with caveats—direct-to-consumer DNA testing. By using case studies throughout, he does a superb job of humanizing a complex scientific and medical subject. Illus. (Jan.) Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. From Booklist Currently chief of the National Institutes of Health, Collins directs this work to those considering researching their double helix to assess their risk for hereditary diseases. Providing an idea of how risks are reckoned, ranging from certainty to probabilities, Collins gives a general explanation of both the Mendelian idea of dominant and recessive genes and the molecular biology of DNA. Collins’ work is then organized by various diseases such as cancer, on which a vista of diagnostic opportunity has opened due to the decoding of the human genome (Collins was the leader of the government’s decoding effort). With his prose reflecting a palpable excitement at the prospects of this new form of medicine, which he rates as nothing less than a revolution in human health, Collins combines uplifting cases of direly afflicted people who benefited from knowledge gained by genetic screening, with exhortation of the reader to learn about and take advantage of existing and developing techniques of genetic screening. Expect significant patron interest in Collins’ combination of science and practical information. --Gilbert Taylor “His groundbreaking work has changed the very ways we consider our health and examine disease.” — President Barack Obama “The future of customized medicine is in your DNA; don’t wait until you are sick to learn why.” — Dr. Mehmet Oz, author of You: The Owner's Manual “With fluid prose and compelling narratives, Francis Collins makes modern medical science vivid and accessible. This book sets out hope without hype, and will enrich the mind and uplift the heart.” — Jerome Groopman, M.D., Recanati Professor, Harvard Medical School, Author of How Doctors Think “Man’s knowledge of man is undergoing the greatest revolution since Leonardo, and Francis Collins is at the leading edge of it. I am a better doctor today because Dr. Collins was my genetics professor in medical school, and now, the world gets to benefit from his wisdom by reading The Language of Life.” — Dr. Sanjay Gupta, Neurosurgeon at Emory University and Chief Medical Correspondent for CNN From New York Times bestselling author and world-renowned doctor and geneticist Francis Collins, a book that will forever change how you think about your body, your health, and the future of medicine. A scientific and medical revolution has crept up on us, based on study after study, from hundreds of laboratories around the world. It is no longer just a theoretical shift: every one of us will be touched by it, and many of us already have been. The meaning of disease, our understanding of the human body, and crucial decisions about what we all need to know and what choices we make about our health are at stake. Welcome to the new world of personalized medicine. Twenty-one million Americans are affected by 6,000 so-called rare and orphan diseases, many of which are primarily attributable to misspelled genes. And virtually all diseases have a significant hereditary component. There have been many stories in the media about women who are testing to see if they have a mutation that leads to breast cancer, or family members who are strongly at risk for heart disease or Huntington's disease. Yet the revolution is much more fundamental than this: diabetes, heart disease, the common cancers, mental illness, asthma, arthritis, Alzheimer's disease, and more—all of these diseases are having their secrets unlocked. Now, with a simple home test, costing a few hundred dollars, you can learn the secrets of your own DNA. Francis Collins has been at the forefront of this revolution. He was, for fifteen years, the head of the international Human Genome Project, and he now serves as the Director of the National Institutes of Health. He knows, better than anyone, how widespread are the misperceptions about human genetics. Just in the past decade, most of what you think you know about DNA has been overturned. Much of the advice given routinely by health care providers is ill informed, so you need to educate yourself about this rapidly moving area of medicine. You are guaranteed to face some surprises, and some difficult choices about personal knowledge, treatment, and family risk. Yet this book is overwhelmingly hopeful and inspiring, offering helpful advice in every chapter. Nearly every day, diseases that were barely understood, or completely misunderstood, are being redefined. Families that faced common problems, without hope, are now discovering a new world of understanding, treatment, and prevention. You owe it to yourself to learn about your DNA: how it works, what it reveals, and the benefits and limits of this new knowledge. Francis S. Collins, M.D., Ph.D., is a pioneer gene hunter. He spent fifteen years as director of the National Human Genome Research Institute, where he led the international Human Genome Project to a successful completion. For his revolutionary contributions to genetic research he was awarded the Presidential Medal of Freedom in 2007, and the National Medal of Science in 2009. He is the Director of the National Institutes of Health. Read more

Features & Highlights

  • "His groundbreaking work has changed the very ways we consider our health and examine disease.” —Barack Obama
  • From Dr. Francis Collins, director of the National Institute of Health, 2007 recipient of the Presidential Medal of Freedom, and 15-year head of the Human Genome Project, comes one of the most important medical books of the year:
  • The Language of Life
  • . With accessible, insightful prose, Dr. Collins describes the medical, scientific, and genetic revolution that is currently unlocking the secrets of “personalized medicine,” and offers practical advice on how to utilize these discoveries for you and your family’s current and future health and well-being. In the words of Dr. Jerome Groopman (
  • How Doctors Think
  • ),
  • The Language of Life
  • “sets out hope without hype, and will enrich the mind and uplift the heart.”

Customer Reviews

Rating Breakdown

★★★★★
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Most Helpful Reviews

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This Book Could Save Your Life

This book provides both academic and practical information about the latest developments in DNA research. Some of the practical advice could help you reach educated decisions about what medical treatments to pursue. It's likely that even many doctors aren't yet aware of certain kinds of DNA tests that can be crucial indicators about which treatments might be effective and which ones might actually be lethal.

For example, any woman contemplating having a prophylactic mastectomy might want to read this book first to learn about how new BRCA tests could more accurately predict her chances of eventually getting many forms of cancer. DNA tests available now can help a woman who has already been diagnosed with cancer determine whether certain forms of chemotherapy would help her, or whether they would just be needlessly, and perhaps fatally, debilitating.

There is also a DNA test that would alert doctors that certain people might have a special sensitivity to coumadin, a drug widely used as a blood thinner. Many medical centers don't perform this test before coumadin is prescribed, and excessive bleeding and even lethal hemorrhaging can be the result.

A small percentage of people have a toxic reaction to statins, the drugs now commonly prescribed to lower cholesterol. A DNA test now available could identify those people for whom the drugs might pose dangerous problems.

But DNA analysis doesn't have to be limited to the human's normal genome. By analyzing the genome of the cancer cells themselves, doctors can now refine their treatments.

Collins covers a variety of such topics that it would really benefit any urgent consumers of medical care to educate themselves about before proceeding with treatment. However, he also gives advice about how the average person can make use of the latest developments in DNA research.

In the field of crime detection, it might soon be possible, not only to match a perpetrator's DNA with a suspect's DNA, as we commonly see on CSI series. It might also be possible to describe what a perpetrator looks like from their DNA. That is, DNA analysis of crime scene DNA might lead the police to a blue-eyed, red-headed, freckled male who is 5'10" tall. This sort of analysis is controversial though and might be restricted. On the other hand, the DNA research going on now into stem cells might enable doctors to proceed without violating any ethical principles.

Collins goes on to summarize the results you can expect to get from the three leading on-line companies offering personal DNA analyses after you send them a saliva swab. Collins includes checklists in the book, tallying up which disease susceptibilities, which pharmaceutical effects, and which other life trajectory likelihoods, each Company can reasonably predict for you. In addition, he tells the extent to which these DNA analyses can currently help you trace your ancestral roots. (Right now, DNA yields only very general results along these lines.)

However DNA research is proceeding at a gallop, and predictions that can only be made in the form of vague generalizations today, might be much more pinpointing tomorrow. So again, women contemplating prophylactic mastectomies because current BRCA tests can't make very accurate predictions about their probability of developing breast cancer - might want to consider holding off a little after reading this book.

The author of this book was himself on the cutting edge of DNA research, leading one of the teams racing to sequence the entire human genome. He has continued to be in the forefront of DNA investigations, so most of the information here comes across as being authoritative and reliable. However, there are a few paragraphs that might strike the reader as being lapses from this standard.

For example, Collins entertains the idea that some (presumably male) homosexuality might be a matter of choice or will rather than innate orientation. He also rather astonishingly pronounces that 70% of one's adult weight is dictated by one's genes. Well, that would be nice to believe, but I don't think a lot of the research backs him up on that, or at least such an assured percentage would not be applicable to a majority of us.

On the whole though, this book provides very readable insights into what those at the forefront of DNA research are discovering, and how such studies already are and soon will be having major effects on all our lives.
36 people found this helpful
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The language of life

This is an excellent book which explains in easy terms the importance of the DNA and the double elix in any living creature, of the genes connected with it and the possibility that they represent for the future of medicine. A future which is already developing and creating a medical revolution.
9 people found this helpful
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Is Breathless Enthusiasm Warranted?

I cannot speak for the book contents, as it has not come out yet, but as the former editor of [...], the first editor at [...] (the first direct to consumer genetic testing company) and the editor who launched two channels on genetics on WebMD (one for consumers and one for physicians- alas neither is still available online), the front flap copy was absolutely inaccurate, misleading and sensationalistic in the extreme.

It is not possible to get a simple home genetic test to find out if one has a susceptibility to all genetic diseases. Testing costs hundreds to thousands of dollars per disease. While getting tested is relatively simple - i.e. you need to submit some saliva or blook - the outcomes of results often have complex psychological implications. There is an entire profession that helps people make decision about genetic testing - genetic counselors - and their help and support should be sought before making a testing decision for most (but not all) people.

I also recommend reading Doris T. Zallen's balanced and research-based book, [[ASIN:0813543789 To Test or Not To Test: A Guide to Genetic Screening and Risk]]t. The book is based on interviews with 100 people who received genetic testing. Half of the people interviewed received genetic testing. Half did not. The differences in their responses is quite interesting. Zallen provides people with four simple questions to answer before getting tested.

Research on the [...] indicates that 1 in 5 genetic tests is already ordered inappr [...] page also states that one in three genetic tests is misinterpreted. I believe this data is quoting professional treatment sources - i.e. not even including home genetic testing.

One wonders if we substitute the word blood for genetic testing - i.e. blood testing - if everyone will feel this is the latest fashion and one simply must have a genetic test to be au courant. Medical testing is a serious matter. Genetic testing in most cases will only tell you if you have a higher than average risk for one of the following diseases: hemochromatosis, blood clotting disorders, breast cancer, colon cancer, Alzheimer's and a few other diseases. There are also tests to determine which drug will work better than others or if at all (examples: Tamoxifen, Warfarin, and others) for your particular genetic type.

We need to be responsible in the ways we communicate about genetic testing - instead of having 23andme fly zeppelins over Nob Hill in SF and appear on Oprah and at NY Fashion Week creating the impression that genetic testing is a socially trendy, faddy and cool thing to do. Nothing could be further from the truth. Families have come apart when they've discovered who the carrier in a family is, on occasion. Opening Pandora's box - even for small number of diseases for which tests exist - is not a simple, breathlessly enthusiastic decision to make. We should stop acting like teenagers about genetic testing when we talk about it in the media.

If a genetic test is indicated, consider the pros and cons of getting a test. Get the help of a genetic counselor to help you - or at the very least, read To Test or Not to Test as a first step.
6 people found this helpful
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very interesting reading

so far love reading it. have not finished it yet but am enjoying it and sharing the information with others.
2 people found this helpful
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Explains Science Well

You don't need to be a science major to read this one. Mr Collins clearly explains his points in a highly informative and highly readable book. A great read for anyone wanting to learn about the connection between genetics and medicine.
1 people found this helpful
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Thoughts on Collins' Language of Life

The Language of Life was one of the best-written books I've read on personal genomics and the future of genetic medicine. It is written by Francis Collins, an obvious pioneer in the field, who now has an extremely influential position in American science. The book gives an overview of many of the important genomic advances through Collins' eyes, giving a personal touch on the science. It is very interesting how Collins describes how he has subjected himself to various personal genomic tests and he explains in simple language what they meant to him. In particular, Collins relates many examples of where genetic knowledge is powerful in terms of individual people's livelihood. For instance, he tells the story a woman finding out that her family was afflicted by long Qt interval, which causes sudden death and the way they tried to watch for this (eg home defibrillator) . He tells how genomics is redefining ancestry with a story about a prominent individual that thought he was black but didn't turn out to have much African DNA. There is one small sloppiness that I uncovered in the book: Collin's saying that John Nash won a Nobel for mathematics. (He actually won the prize in economics.)
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I love it!

I love this book and would recommend it to anyone!
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I'm interested in spiritual things as well as science related

sons
I would recommend this to anyone I thought might be interested but mainly to my sons and family. ok