By Kevin E. Noonan

Newsweek Newsweek has always been Avis to Time Magazine's
Hertz — evidenced by an increasing difference in subscriptions (3.3 million versus
1.97 million on 2009).  So it isn't
surprising that the magazine needs to do something to tweak its readership, even
if that something is to distort its reporting on an important issue.  Which is, of course, what Newsweek has
done on its science news page in the February 15th issue, in an
article cleverly entitled "Who Owns Your DNA?"

Begley, Sharon The article, by "Science Editor" Susan
Begley (at left), is of course not a science story but a legal one.  This is something Ms.
Begley expressly acknowledges ("I defer to others on the legal merits here").  But that, of course, doesn't stop her
from repeating many of the most egregious falsehoods in the debate, starting
with the first sentence:

Ever since the first human gene was
patented in 1982, there's been a near-universal "What??!!"
when people hear that it's legal for someone to own the rights to our DNA.

Of course, no one owns anyone's DNA (something even
the most vociferous participants in the debate acknowledge except, of course,
the ACLU who use the lie emblazoned on buttons to inflame the passions of their
constituents).  And Ms.
Begley is careful to acknowledge the source of the lie, the late author Michael
Crichton who (in)famously expressed these views on the Op-Ed page of the New
York Times at the same time he was selling a book about the evils of gene
patenting (perhaps Ms. Begley was concerned about infringing Mr. Crichton's
copyright).

But she is not done, however, next reporting that
the "scientific issues . . . have become serious enough in the past few
years to call into question whether gene patents, meant to promote research,
instead impede it, with no offsetting benefits."  Ms. Begley, unlike the rest of the news industry, seems not
to have lost the "Search" button on her computer — she acknowledges
that
"[t]housands of
BRCA papers have been published, and in surveys few scientists say patents are
an obstacle to research."  But
she has an answer for that:  "But
few isn't none."  And who
are those none that she quotes?  None
other than the plaintiffs in the ACLU suit.  Now, since Ms. Begley isn't a lawyer she can't be held to
legal standards, but even a reporter should realize that the plaintiffs are not
particularly reliable for refuting the overwhelming evidence that scientific
research has not been impeded, such as
the hundreds of
researchers who have published thousands of research papers on the BRCA1 and
BRCA2 genes since the patents at issue in the ACLU suit were granted.

Being
facially even-handed, Ms. Begley quotes Rick Marsh, Myriad's general counsel
that "Myriad 'has never told someone they cannot do [noncommercial] research
on BRCA,'" and that "'[t]he notion that Myriad has hindered research
is incorrect.'"  But rather
than exploring whether two of the plaintiffs, Arupa Ganguly and Haig Kazazian,
may have been performing research directed towards commercial applications
(thus explaining why they, and they alone, have received a "cease and
desist" letter from Myriad, and what may make them different from those
hundreds of other BRCA1 and BRCA2 researchers), she reports that Dr. Ganguly
was "scared off" from doing research by the letter and that Dr.
Kazazian thinks gene patents "inhibit biomedical research."  That's their position and they're
sticking to it, of course, but while understandable in a brief, only a writer
with an unstated bias would report these sentiments uncritically.

The same
could be said for a quote from another plaintiff, Dr. Wendy Chung of Columbia University,
who alleges that there has been no testing to study the "normal variation"
of mutations in the population.  That
would come as quite a surprise to the research
group (Haffty et al.) at the Department of Radiation
Oncology at the Cancer Institute of New Jersey, whose paper "Breast cancer
in young women (YBC): prevalence of BRCA1/2 mutations and risk of secondary
malignancies across diverse racial groups" reported (in the October 2009
issue of the Annals of Oncology):

BACKGROUND: Despite significant
differences in age of onset and incidence of breast cancer between Caucasian
(CA), African-American (AA) and Korean (KO) women, little is known about
differences in BRCA1/2 mutations in these populations.  The purpose of this
study is to evaluate the prevalence of BRCA1/2 mutations and the association
between BRCA1/2 mutation status and secondary malignancies among young women
with breast cancer in these three racially diverse groups.  METHODS:  Patients
presenting to our breast cancer follow-up clinics selected solely on having a
known breast cancer diagnosis at a young age (YBC defined as age <45 years
at diagnosis) were invited to participate in this study.  A total of 333
eligible women, 166 CA, 66 AA and 101 KO underwent complete sequencing of
BRCA1/2 genes.  Family history (FH) was classified as negative, moderate or
strong.  BRCA1/2 status was classified as wild type (WT), variant of uncertain
significance (VUS) or deleterious (DEL).  RESULTS:  DEL across these three
racially diverse populations of YBC were nearly identical:  CA 17%, AA 14% and
KO 14%. The type of DEL differed with AA having more frequent mutations in
BRCA2, compared with CA and KO.  VUS were predominantly in BRCA2 and AA had
markedly higher frequency of VUS (38%) compared with CA (10%) and KO (12%).  At
10-year follow-up from the time of initial diagnosis of breast cancer, the risk
of secondary malignancies was similar among WT (14%) and VUS (16%), but
markedly higher among DEL (39%).  CONCLUSIONS:  In these YBC, the frequency of
DEL in BRCA1/2 is remarkably similar among the racially diverse groups at
14%-17%.  VUS is more common in AA, but aligns closely with WT in risk of second
cancers, age of onset and FH.

Perhaps
someone should
explain the inhibitory
effects on breast cancer research occasioned by the Myriad patents to these
researchers
.  Ms.
Begley's bias is revealed at the end of the article:

The justification for patents is that
they encourage innovation: make a discovery, reap the financial rewards.  But I
have real doubts that this applies in genetics.  Discoveries, not dollars, are
what motivate most geneticists.  (I have criticized that before: because
scientists care so little about turning basic discoveries into useful
treatments, they have dropped the ball when it comes to helping patients.)  If
being first, not being rich, is what drives gene researchers, it is hard to see
why society should tolerate patents on human genes that act as even the
slightest brake on discovery.

Ms. Begley should realize that she, and society,
can't have it both ways — either we want treatments and diagnostic testing for
diseases or we don't.  These
treatments and tests are developed by companies, not universities, and
companies require investment, if only to maximize the likelihood that the
treatments will work and the diagnoses will be reliable.  While discoveries would still occur in
the absence of patents, commercialization would not, and Ms. Begley should consider
those realities if she thinks scientists have "dropped the ball" when
it comes to helping patients.  She says her goal is for basic research to help patients; if so, Ms.
Begley should think long and hard about whether that aim is consistent with
stories like hers directed instead to selling more copies of Newsweek.

Posted in ,

9 responses to “Newsweek = Newspeak on Gene Patenting”

  1. EG Avatar
    EG

    Kevin,
    There’s an expression (apparently misattributed to the Nazi Minister of Propaganda, Joseph Goebbels) that: “If you repeat a lie often enough, it becomes the truth.” That expression seems to apply in spades to how the media is treating (or more appropriately distorting) the debate on gene patenting. I have no problem with an informed and reasoned debate on this subject. But I do have a big problem with inaccuracy, misinformation, rhetorical nonsense, and downright falsehood that is being presented as supposed “truth” on this subject. This Newsweek story just reaffirms my cynical view that journalism is dead in the media.

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  2. Bob Cook-Deegan Avatar

    Kevin,
    Don’t know about others, but I think there may be some flaws in your arguments.
    1. How odd to be condoning massive widespread infringement as a defense of patenting. Myriad deserves credit for sharing mutation data and permitting research. They note 7,000 papers on BRCA have been published. What is perhaps less obvious is most of those papers–any that involved BRCA DNA manipulations in the US, Canada, Australia or New Zealand–infringe one or more Myriad patents unless the DNA analysis was done by Myriad or covered by the 1999 NCI Memorandum of Understanding. Myriad has never said it will not sue, it has merely stated the fact that it has not sued–except twice (once against U Penn for “non-research commercial testing” of just the type you cite as research in your blog, and once against Oncormed). Post Madey, Myriad clearly retains the right to sue BRCA researchers, and it has never put in writing that it won’t. If this is good policy, which we seem to agree, then it should be real policy.
    2. It’s simply false that universities don’t develop genetic tests. There were already multiple labs offering BRCA testing when Myriad introduced its BRCAnalysis. We can argue about the merits of testing methods and other aspects, but it’s simply wrong to assert that introducing these tests depends on exclusivity.
    3. This is not unique to BRCA. In ten clinical conditions studied for SACGHS, three had nonexclusive or no licensing. Seven had exclusive licensing in one or more genes. In no such case was the exclusive licensee first to market; in some cases, they “cleared the market” of university and reference labs whose tests were already available. There may be cases where exclusive rights are needed to get to market, but it is clearly not historically the norm in Mendelian conditions.

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  3. Kevin E. Noonan Avatar
    Kevin E. Noonan

    Dear Bob:
    With regard to your last point, please see the Nature Biotech article from a few months ago showing that gene patenting is not a barrier to genetic testing. The SACHGS report is seriously flawed by the pre-determined outcome imposed by its members – see Brian Stanton for more on that, and our coverage of Birch Bayh et al. last week. We will be providing more coverage over the next week or so.
    I didn’t say that universities don’t develop genetic tests, just that they don’t develop commercial embodiments of those tests. And frankly, I don’t think universities are the best sources of reliable, large-scale testing – they have neither the time nor the resources to do the kind of widespread validation studies that are (or should be) required, and frankly that isn’t the best use of their time – if they make the best discovery and license the rights to companies in the business of commercialization, they can go back to what they do best – discovery. And licensing provides economic support for further university research.
    I agree that Mendelian-inherited diseases are less susceptible than most diseases (which are multivariate) to being difficult to reverse engineer. But I disagree that such diseases should be the norm, since they are (relatively) rare. As a representative of a breast cancer group said to me (on a panel organized last fall by Dan Ravicher), the overwhelming majority of women don’t carry BRCA mutations, but 9% of women will get breast cancer. We should be adjusting the incentive system for most cancers (and other diseases like diabetes and heart disease), where reverse-engineering diagnostic tests will be difficult.
    As I’ve said before, a legislative “fix” to Madey v. Duke is something worth considering, provided that it made clear that any commercialization stemming from such research was subordinate to patent-holder rights.
    Finally, the article is about banning gene patents, not genetic diagnostic method patents. We can argue the policy pros and cons of alternatives – nonexclusive licensing, Bayh-Dole march-in rights, physician exemptions to infringement liability, etc. – but only when the issue isn’t “gene patents, yes or no?” So long as that is the debate, I can’t see any reason to credit arguments like the ones in Ms. Begley’s article.
    Thanks for the comment.

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  4. Dylan Wilson Avatar
    Dylan Wilson

    “These treatments and tests are developed by companies, not universities, and companies require investment, if only to maximize the likelihood that the treatments will work and the diagnoses will be reliable. While discoveries would still occur in the absence of patents, commercialization would not[…]”
    So we need allow patents on products of nature to allow for the commercialization of therapies developed from those products? Is our patent law outdated or is having a private pharmaceutical industry? Should we allow the invisible hand of the market determine what therapies we develop? I increasingly find myself questioning whether some public services should not be left to companies.

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  5. Kevin E. Noonan Avatar
    Kevin E. Noonan

    Dear Dylan:
    “Products of nature” have always been patent-eligible, provided that what is patented a) isn’t already in the prior art (on the principle that a new method of making an old article doesn’t make the old article patentable) and b) that it shows “the hand of man” (i.e., that it has been changed in some way). Claims to “homogeneous preparations of X” are such claims, and can be directed to antibiotics (lincomycin), anticancer drugs (taxol) etc. So there is no a priori prohibition against “product of nature” claims, even if there are allusions to such a ban in patent law textbooks. Sloppy scholarship doesn’t make it so.
    Now, a therapy without a therapeutic isn’t worth much, so there should be claims to the therapeutic agent per se. Diagnostic testing claims are a different matter, and there is a lot of room for debate on those (as well as proposals for exempting basic research and physicians (but not big diagnostics companies) from infringement liability). Tough to have a rational discussion in a climate where “gene patents are just wrong” is the level of debate, however.
    The market question can be answered by making sure there are sufficient incentives to develop new diagnostics and therapeutics. These incentives include, for example, orphan drug protection. It is far from perfect, but there has yet to be a different system that is better (or as good).
    Thanks for the comment.

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  6. Keep It Real Avatar
    Keep It Real

    While discoveries would still occur in the absence of patents, commercialization would not
    Millions of non-patented commercial items and compositions for sale, including medical items, prove this statement false.

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  7. Kevin E. Noonan Avatar
    Kevin E. Noonan

    Dear Keep:
    Context, context, context – the discussion is about patenting genes used to make therapeutic drugs and diagnostics. The point is whether something can be reverse-engineered, and for pharma (as one example), patents are vital. So insofar as we are talking about biologic drugs, the existence of millions of unpatented items is irrelevant.
    Context is also relevant to industries selling products that can be easily reverse-engineered and then made more cheaply abroad. I think patents that keep some goods “expensive” are overall good for the country because 1) they keep jobs here 2) they help our foreign trade balance and 3) they provide for future investment (either in promoting design-arounds or the next generation of technology).
    And, of course, the added benefit that after a relatively short time, the information (including the best mode of practicing an invention) goes into the public domain, where cheaper knockoffs are a benefit without most of the attendant negatives caused by early, unrestricted copying.
    Thanks for the comment.

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  8. 7 Avatar

    You can read my published law review article on why gene patents should inspire legislative reform at : http://omnilegalgroup.com/publications.html

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  9. zubair Avatar

    That was very informative and well written. Mentioned below is an article on gene patent debate:
    “The amicus brief submitted by the Department of Justice (DOJ) in the Breast Cancer Gene patent appeal before the Federal Circuit has drawn great attention during the last week. A US District Court had earlier rejected isolated gene sequence claims in Myriad’s patent stating that they do not satisfy the patentable subject matter requirement because they are products of nature. Aggrieved by the decision of the District Court, Myriad appealed to the Federal Circuit. The Department of Justice has filed an amicus brief before the Federal Circuit stating that the District Court’s opinion was right with respect to genomic DNA sequences. As the DOJ’s opinion is very persuasive, it has once again brought the gene patent debate to life.”……read more at http://www.patentpill.com/2010/11/gene-patent-debate-is-alive-again.html

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