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Consumers, Genomes, &
      Research 	


       Anne Wojcicki	

        Co-Founder
The Evolution of 23andMe	

The Consumer	

       $100 Genomes!	





                  +
SNP-disease associations	


       23andMe
       founded	

                                        2.5 years ago,	

                                         fewer than 	

                                                                           Today, over 	

                                       100 associations	

                                                                        2000 associations	





Copyright © 2010 23andMe, Inc. All rights reserved.	

       source: http://www.genome.gov/GWAStudies
What is 23andMe?	


•  A service to provide consumers access
  to their genetic data (+ features and tools
  to make that data useful and interesting)	

•  A platform for genetic research
What is 23andMe?	




Order a kit via	

   CLIA lab extracts DNA from your                                   Log in and explore	

our web site.	

      sample and analyzes it at about                                  your genetic data.	

                            600,000 locations.	





                              Copyright © 2010 23andMe, Inc. All rights reserved.
What is 23andMe?	




$399-	

Order a kit via	

    The accuracy of
                      Lab extracts DNA from your                                        > 35,000	

                                                                                       Log in and explore	

 our web site.	

    sample and analyzes it at about                                   your genetic data.	

$499	

               the600,000 locations.	

                            chip is rated                                             individuals in
                          at >99.9%	

                                                the database	



                             Copyright © 2010 23andMe, Inc. All rights reserved.
Monica	

                                                     Jewish?	


                                                         African-American?	


                                                             Hispanic?	


                                                         Native American?	



                                                              Macular
                                                            Degeneration?	


                                                              Sickle Cell?	


                                                                Plavix?	


                                                            Breast Cancer?	



Copyright © 2010 23andMe, Inc. All rights reserved.
European Descent	

                                          Asian & European Descent	





                      Copyright © 2010 23andMe, Inc. All rights reserved.
Monica meet Monica	




BRCA2	



 BRCA1	





                  Copyright © 2010 23andMe, Inc. All rights reserved.
Warfarin	





Copyright © 2010 23andMe, Inc. All rights reserved.
Health information	

140 reports on health and traits 	

  •    61 are of high confidence (and
                                                                                    drug	

       growing) 	

                                                               response	

  •    24 carrier status (recessive disease)
                                                                                                   disease 	

       reports 	

                                                                                   risk	

  •    8 drug response reports 	

                                                    carrier	

  •    12 disease risk reports	

                                                                                      status	

  •    10 traits	




                             Copyright © 2010 23andMe, Inc. All rights reserved.
New associations published every week	





              Copyright © 2010 23andMe, Inc. All rights reserved.
Research 2.0	





  Copyright © 2010 23andMe, Inc. All rights reserved.
Survey infrastructure	

•  35+ surveys online, from
  exercise and lifestyle to
  Parkinson’s disease	

•  A dedicated survey team	

•  Interactive, web-based
  tools allow us to develop
  ongoing relationships	

•  We can recontact easily	

                       Copyright © 2010 23andMe, Inc. All rights reserved.
The 23andMe Database	


      Over 35,000 Genomes	

70% Users Have Taken at Least 1 Survey	


               In less than 2 years…	

 One of the largest genetic databases in the world	



                  Copyright © 2010 23andMe, Inc. All rights reserved.
23andWe	

 Web-based, participant-driven studies yield novel genetic
 associations for common traits. N. Eriksson1, J. M. Macpherson1, J.
Tung1, L. Hon1, B. Naughton1, S. Saxonov1, L. Avey1, A. Wojcicki1, I. Pe'er2, J.
   Mountain1,3 1) 23andMe, Inc., Mountain View, CA; 2) Department of
 Computer Science, Columbia University, New York, NY; 3) Department of
             Anthropology, Stanford University, Stanford, CA.	





 Results on 22 Common Traits 	


                            Copyright © 2010 23andMe, Inc. All rights reserved.
Research 2.0	


Parkinson’s	



Healthy Aging
The Parkinson’s Project	

January 09: 	

      	

Received Funding	

February:      	

   	

Teamed up with MJ Fox Foundation &           	

   	

 	

     	

   	

    	

 Parkinson’s Institute	


March: 	

     	

   	

Launched Program	


April:   	

   	

   	

First 2,000 people 	


November: 	

        	

Preliminary results yielding a number of 	

   	

 	

 	

       	

     	

 novel genes associated with Parkinson’s
The Parkinson’s Project: April 2010	


   World's largest database of individuals with the LRRK2
   genotype	


   ~4000 participants 	


   Over 75% have completed the Parkinson’s surveys	





                       Copyright © 2010 23andMe, Inc. All rights reserved.
GBA Mutations & Parkinson’s	





         Copyright © 2010 23andMe, Inc. All rights reserved.
GBA & Parkinson’s
                            	

•    Sidransky et al (NEJM 2009)	

     •    16 centers	


     •    5691 patients, 4898 controls	

                            	

     •            COST: +5M	

          Odds ratio for any GBA mutation (patients vs. controls): 5.34 	


•  Neumann et al (Brain 2009)	

 3+ YRS	

                  TIME:
     •    Clinically and pathologically diagnosed cases from UK 	


     •    790 patients and 257 controls (14 GBA mutations)	


     •    Odds ratio: 3.7	




                                 Copyright © 2010 23andMe, Inc. All rights reserved.
Community	

“As for this site, it makes me feel like I am not alone,
there is someone out there I can talk to, even if it is
just to compare symptoms. Even though I have
become actively involved in 2 PD groups, these
conversions really help. 	


Thank you to everyone who takes the time to read
and reply.”	




                    Copyright © 2010 23andMe, Inc. All rights reserved.
Introducing Relative Finder	





         Copyright © 2010 23andMe, Inc. All rights reserved.
Paternal
Maternal                                                              Lineage	

Lineage	



             Copyright © 2010 23andMe, Inc. All rights reserved.
Copyright © 2010 23andMe, Inc. All rights reserved.
Perspec'ves	
  for	
  building	
  a	
  Community	
  where	
  	
  
    disease	
  data	
  and	
  models	
  are	
  shared	
  

Lessons	
  Learned:	
  

           	
  1-­‐	
  

           	
  2-­‐	
  


Challenges	
  Ahead:	
  

           	
  1-­‐	
  

           	
  2-­‐	
  

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23and me

  • 1. Consumers, Genomes, & Research Anne Wojcicki Co-Founder
  • 2. The Evolution of 23andMe The Consumer $100 Genomes! +
  • 3. SNP-disease associations 23andMe founded 2.5 years ago, fewer than Today, over 100 associations 2000 associations Copyright © 2010 23andMe, Inc. All rights reserved. source: http://www.genome.gov/GWAStudies
  • 4. What is 23andMe? •  A service to provide consumers access to their genetic data (+ features and tools to make that data useful and interesting) •  A platform for genetic research
  • 5. What is 23andMe? Order a kit via CLIA lab extracts DNA from your Log in and explore our web site. sample and analyzes it at about your genetic data. 600,000 locations. Copyright © 2010 23andMe, Inc. All rights reserved.
  • 6. What is 23andMe? $399- Order a kit via The accuracy of Lab extracts DNA from your > 35,000 Log in and explore our web site. sample and analyzes it at about your genetic data. $499 the600,000 locations. chip is rated individuals in at >99.9% the database Copyright © 2010 23andMe, Inc. All rights reserved.
  • 7. Monica Jewish? African-American? Hispanic? Native American? Macular Degeneration? Sickle Cell? Plavix? Breast Cancer? Copyright © 2010 23andMe, Inc. All rights reserved.
  • 8. European Descent Asian & European Descent Copyright © 2010 23andMe, Inc. All rights reserved.
  • 9. Monica meet Monica BRCA2 BRCA1 Copyright © 2010 23andMe, Inc. All rights reserved.
  • 10. Warfarin Copyright © 2010 23andMe, Inc. All rights reserved.
  • 11. Health information 140 reports on health and traits •  61 are of high confidence (and drug growing) response •  24 carrier status (recessive disease) disease reports risk •  8 drug response reports carrier •  12 disease risk reports status •  10 traits Copyright © 2010 23andMe, Inc. All rights reserved.
  • 12. New associations published every week Copyright © 2010 23andMe, Inc. All rights reserved.
  • 13. Research 2.0 Copyright © 2010 23andMe, Inc. All rights reserved.
  • 14. Survey infrastructure •  35+ surveys online, from exercise and lifestyle to Parkinson’s disease •  A dedicated survey team •  Interactive, web-based tools allow us to develop ongoing relationships •  We can recontact easily Copyright © 2010 23andMe, Inc. All rights reserved.
  • 15. The 23andMe Database Over 35,000 Genomes 70% Users Have Taken at Least 1 Survey In less than 2 years… One of the largest genetic databases in the world Copyright © 2010 23andMe, Inc. All rights reserved.
  • 16. 23andWe Web-based, participant-driven studies yield novel genetic associations for common traits. N. Eriksson1, J. M. Macpherson1, J. Tung1, L. Hon1, B. Naughton1, S. Saxonov1, L. Avey1, A. Wojcicki1, I. Pe'er2, J. Mountain1,3 1) 23andMe, Inc., Mountain View, CA; 2) Department of Computer Science, Columbia University, New York, NY; 3) Department of Anthropology, Stanford University, Stanford, CA. Results on 22 Common Traits Copyright © 2010 23andMe, Inc. All rights reserved.
  • 18. The Parkinson’s Project January 09: Received Funding February: Teamed up with MJ Fox Foundation & Parkinson’s Institute March: Launched Program April: First 2,000 people November: Preliminary results yielding a number of novel genes associated with Parkinson’s
  • 19. The Parkinson’s Project: April 2010 World's largest database of individuals with the LRRK2 genotype ~4000 participants Over 75% have completed the Parkinson’s surveys Copyright © 2010 23andMe, Inc. All rights reserved.
  • 20. GBA Mutations & Parkinson’s Copyright © 2010 23andMe, Inc. All rights reserved.
  • 21. GBA & Parkinson’s •  Sidransky et al (NEJM 2009) •  16 centers •  5691 patients, 4898 controls •  COST: +5M Odds ratio for any GBA mutation (patients vs. controls): 5.34 •  Neumann et al (Brain 2009) 3+ YRS TIME: •  Clinically and pathologically diagnosed cases from UK •  790 patients and 257 controls (14 GBA mutations) •  Odds ratio: 3.7 Copyright © 2010 23andMe, Inc. All rights reserved.
  • 22. Community “As for this site, it makes me feel like I am not alone, there is someone out there I can talk to, even if it is just to compare symptoms. Even though I have become actively involved in 2 PD groups, these conversions really help. Thank you to everyone who takes the time to read and reply.” Copyright © 2010 23andMe, Inc. All rights reserved.
  • 23. Introducing Relative Finder Copyright © 2010 23andMe, Inc. All rights reserved.
  • 24. Paternal Maternal Lineage Lineage Copyright © 2010 23andMe, Inc. All rights reserved.
  • 25. Copyright © 2010 23andMe, Inc. All rights reserved.
  • 26. Perspec'ves  for  building  a  Community  where     disease  data  and  models  are  shared   Lessons  Learned:    1-­‐    2-­‐   Challenges  Ahead:    1-­‐    2-­‐