Projects and Publications
Projects:
- Public Population Project in Genomics (P3G)
- Pilot assessment of germline genomic profiling as adjunct to other methods of population-based screening for colorectal cancer
Project Title |
Public Population Project in Genomics (P3G) |
|---|---|
Lay Summary |
Comparability of exposure information is of central importance to the assessment of gene-environment interaction studies. Given that a central goal of the Public Population Project in Genomics (P3G) is the promotion of collaboration between researchers in the field of population genomics through harmonization of biobanks, the development of methods to calibrate measures of exposure is essential. Principal Activities:
|
Principal Investigators |
Julian Little, Muin Khoury, Paul Burton, Isabel Fortier |
Collaborators |
Members of P3G; HuGENet Network of Networks |
Project Staff |
|
Year |
03/2007-03/2010 |
Granting Agency |
Genome Canada |
Project Title |
Pilot assessment of germline genomic profiling as adjunct to other methods of population-based screening for colorectal cancer |
|---|---|
Lay Summary |
Quantitative This research project focuses on the investigation of the utility of germline genomic profiling in cancer screening, using a candidate gene approach. Our aims include evaluation of the predictive power and clinical validity of genetic profiling as a component of a population based cancer screening program. The focus of our work to this point has been a pilot (funded through a CIHR Pilot Project Grant) aimed at evaluating the utility of germline genetic information as an adjunct to population-based colorectal cancer (CRC) screening, through theoretical work, through statistical analysis of a population-based case-control study of CRC, and through focus groups conducted with health professionals and potential screenees. As evidence is accruing from genome-wide association studies and other studies that at least some risk loci confer elevated risk for more than one type of cancer, we believe that it is timely to expand upon this pilot work in CRC, and extend our scope to include other common cancers. In addition to simulation studies, extensive reviews of published evidence, as well as the qualitative components, we are currently collaborating with investigators from the ARCTIC case control study. The ARCTIC study looked at risk factors for colorectal cancer in population-based CRC cases and healthy controls from Ontario, with additional validation samples from Newfoundland and Seattle. The ARCTIC study has genotyped >600,000 SNPs in the Ontario subjects, as well as collecting detailed questionnaire data. We plan to perform additional genotyping where justified and feasible, in the ARCTIC data and in additional data from both prospective and retrospective studies, though our expanding network of collaborators. Any additional genotyping will be guided largely through systematic reviews of evidence. Qualitative This project is investigating the public and professional perceptions of genomic profiling as a population-based strategy for CRC screening, with an eye to identifying concerns as well as assessing the general acceptability of such an approach. By interviewing key informants (family physicians and specialists) and conducting focus groups with health professionals (nurse practitioners) and members of the Anglophone and Francophone communities, we hope to better understand the issues involved with the current screening approaches and to explore opinions and attitudes toward genomic-based testing as a tool for stratifying risk. This use of genetic testing in more mainstream, population-based screening represents a shift in public health practice that may have implications for many common diseases. Specifically, it may have the potential to customize screening protocol according to evidence of genetic risk factors and thereby enhance our ability to detect pre-cancerous polyps and impact the high rate of idiopathic colorectal cancer in the over-50 population. This project explores how the public and professional communities react to this prospect. (Completion of the qualitative component of the pilot project, March 2008.) |
Principal Investigator |
Julian Little |
Co-Applicants |
Nick Birkett, Brenda Wilson, John McLaughlin, Samual Lunenberg, Brent Zanke, Tom Hudson, Quanhe Yang, and Muin Khoury |
Project Staff |
Steven Hawkin; Alex Demarsh; Denise Jillions |
Year |
01/2007-03/2008, quantitative project on-going |
Granting Agency |
Canadian Institutes of Health Research (CIHR) |
Publications
Click here to see a list of publications from PHGARO members:
