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From: <[EMAIL PROTECTED]>
To: <undisclosed-recipients:>
Subject: "...replacing prisons with pills." (Genome Map; Assoc. Press 2/10/01)
Date: Sunday, February 11, 2001 5:51 AM

Genome Map Could Change Mental Care

By PAUL RECER
.c The Associated Press


WASHINGTON (AP) - The genetic revolution made possible by mapping the human
genome may include new cures for drug addictions, restoring health to the
mentally ill and, perhaps, one day replacing prisons with pills, experts say.

``Ultimately, the human genome sequence will revolutionize psychology and
psychiatry,'' says Dr. Peter McGuffin, co-author of an analysis in the
upcoming edition of the journal Science.

McGuffin, a researcher at the Institute of Psychiatry, Kings College London,
England, and other experts believe that finding genes which influence
behavior may lead to drugs that treat or prevent some of the major problems
that confront society.

``The sequencing of the human genome will improve our ability to identify the
genetic risk factors genes for a whole variety of conditions, from addiction
to criminality to anti-social personality,'' said Dr. Eric J. Nestler,
chairman of the department of psychiatry, University of Texas, Southwest
Medical Center in Dallas. ``This is going to be an enormous advance for this
field.''

McGuffin said that many forms of mental illness are only poorly controlled
with the current medications, many of which have side effects that limit
their usefulness.

``When we treat depression, for instance, we have only a limited number of
medications and these have uneven results,'' he said. ``We can probably get
resolution of symptoms in perhaps 70 percent of the cases of depression.''

The variability of results are even worse for some other forms of mental
illness, say experts. Some patients enjoy perfect control, while others,
taking the same medication, have repeated and often unmanageable relapses.
The different reaction to the drugs could be caused by the difference in
genes.

Identifying the genes that put people at risk of mental illness, said
McGuffin, ``would be a big advance in understanding things like personality
and what makes us susceptible to depression and schizophrenia and so on.''

Once those differences - the genetic twists and turns unique in each person -
are understood, ``pharmaceutical companies could use this information to find
novel drugs to alter behaviors.''

It is possible, McGuffin said, that drugs could be specifically tailored to
fit the unique pattern of genes in an individual patient instead of the
current one-size-for-all pharmaceuticals.

Nestler, co-author of an analysis in the journal Nature, said genetic therapy
could be a key advance in treating drug addiction, a complex syndrome that is
a mix of social and biological factors.

``At its core, addiction involves a biological process,'' said Nestler. ``The
ability of a drug to change the brain and cause addiction is, in part,
determined by genetic factors.''

Mapping the human genome may enable researchers to identify genes that
predispose some people to quickly become alcoholics or cocaine or heroin
addicts.

``There is very good evidence that about 50 percent of a person's risk to
become addicted is genetic,'' said Nestler. ``Finding those genes means we
will be able to identify people who are at risk of addiction and target them
for more intensive prevention intervention.''

Finding genes for addiction is unlikely to be the final answer for the use of
illegal drugs, he added. Genes may be only half the problem.

But it could make the difference between a cure and a failure.

``When a person with an addiction is recovering, he is struggling to combat
incredibly strong biological factors,'' said Nestler. Medication that blocks
the action of addiction-prompting genes ``could make therapy more
effective.''

Experts believe there may even be genes that help explain why some people
become violent criminals while others, living in the same conditions, do not.

``Some physicians already regard criminality as a disease while others hotly
dispute that,'' said McGuffin. Mapping the human genome may help settle that
debate and, perhaps, lead to medical treatments that correct criminal
behavior.

Treating crime with pills, ``is a possibility'' if researchers can find a
genetic basis for some the human impulses that underlie some crimes, said
McGuffin.

``I don't think we can say that there will be a genetic panacea for all of
crime,'' he said. ``I suspect not. But we might be able to tease out some
genetic aspects of criminal behavior and target those with drugs.''

For instance, there are research suggestions that genes may play a role in
poor impulse control and in inappropriate aggression, both factors in many
violent crimes, said McGuffin.

If such genes could be found and drugs developed to control their action,
then people at risk of becoming criminals could end up taking pills instead
of going to prison.

AP-NY-02-10-01 2040EST


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