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Biomedicine – from
Stethoscope to Computer
Philip E. Bourne
NIH Associate Director for Data Science
Emerging Researchers National Conference in STEM
February 20, 2015
What I do…
I run a program at the NIH which supports projects that
advance the contribution of the computational and
quantitative sciences to biomedical discovery.
I also run a research lab at the NIH where we do
computational biology with an emphasis on
protein structure.
How I think I got here…
• I embrace change
• I make and keep lots of friends and
colleagues
• I keep questioning assumptions
• I follow my heart
• I learned to live with regret
• I try to make the most of every day
• I go after the big problems
• I give back to the scientific community and
society
Google “PLOS Ten Simple Rules”
The Life of One Scientist – The Early Years
So That You Might Not Make the Same Mistakes
• My high school
teacher Mr. Wilson
said I would be a
failure at chemistry
• My PhD is in
chemistry
• The opportunity to live
in different places
shaped my life
• Good friends are forever
PhD in
Physical
Chemistr
y
Always Loved Computing
Circa 1974
Postdoctoral Work – The Molecular
Basis of How the Body Works
• Regrets: never learnt another
language
Post Doc
Some Things Stay with You Your Whole
Life
9
Senior Scientist HHMI Columbia
University New York
• Driven not by career but wanting to
live in New York City
~1990 Got Involved with
The Human Genome
• Was only possible by
applying computers to
problems in biology
• Developed algorithms to
support physical and
genetic mapping of
Chromosome 13
Went to UCSD to Apply Computers to
Big Biological Problems
In 1993 possibly the best place
in the world to do
computational biology
Eventually…. I Fell in Love with the
Data Problem
Numberofreleasedentries
Year
The Growth of Data is A Major Driver
in Biology
Realized that there is still more
work for me to do… it isn’t all in the
lab… and it is in Washington, D.C.
New Job!
Associate Director for Data
Science (ADDS)
at the National Institutes of
Health (NIH)
Mission: To accelerate
and support the integration
of the computational and
quantitative sciences and
the biomedical sciences.
I also got to move my lab to the NIH – my group’s research in
protein structure biology continues here in the D.C. area and with
collaborations all over the world.
WHAT MOTIVATES ME TODAY?
3 VIGNETTES
1. Josh Sommer and Chordoma
Disease
http://fora.tv/2010/04/23/Sage_Commons_Josh_Sommer_Chordoma_Foundation#fullprogram
Josh Sommer – A Remarkable Young Man
Co-founder & Executive Director the Chordoma Foundation
http://sagecongress.org/Presentations/Sommer.pdf
Chordoma
• A rare form of brain
cancer
• No known drugs
• Treatment – surgical
resection followed by
intense radiation
therapy
http://upload.wikimedia.org/wikipedia/commons/2/2b/Chordoma.JPG
http://sagecongress.org/Presentations/Sommer.pdf
http://sagecongress.org/Presentations/Sommer.pdf
http://sagecongress.org/Presentations/Sommer.pdf
http://sagecongress.org/Presentations/Sommer.pdf
http://sagecongress.org/Presentations/Sommer.pdf
http://fora.tv/2010/04/23/Sage_Commons_Josh_Sommer_Chordoma_Foundation
Open Data leads to faster cures
Collaboration
• Open Data generates collaborations and supports Team
Science
• Collaborations bring in more researchers
Big Data
• More researchers create more data
• More researchers create different types of data
Faster Cures
• Computational Science helps biologists do more with all
that Big Data
• Big Data leads to new discoveries.
Drug Discovery
The Worst of Times
Source: http://www.pharmafocusasia.com/strategy/drug_discovery_india_force_to_reckon.htm
Here is One Reason Why
• Tykerb – Breast cancer
• Gleevac – Leukemia, GI
cancers
• Nexavar – Kidney and liver
cancer
• Staurosporine – natural product
– alkaloid – uses many e.g.,
antifungal antihypertensive
Collins and Workman 2006 Nature Chemical Biology 2 689-700
Bioinformatics – Reverse Engineering
Drug Discovery
Characterize ligand binding
site of primary target
(Geometric Potential)
Identify off-targets by ligand
binding site similarity
(Sequence order independent
profile-profile alignment)
Extract known drugs
or inhibitors of the
primary and/or off-targets
Search for similar
small molecules
Dock molecules to both
primary and off-targets
Statistics analysis
of docking score
correlations
…
Xie and Bourne 2009
Bioinformatics 25(12) 305-312
2. HARNESSING SOCIETY FOR
SCIENCE
A Team of scientists is great but….what if ordinary people could
help us do science. Computer games are the key.
Nature’s Reductionism
There are ~ 20300 possible proteins
>>>> all the atoms in the Universe
11.2M protein sequences from
10,854 species (source RefSeq)
38,221 protein structures
yield 1195 domain folds (SCOP 1.75)
Bridging fields to support
innovationSometimes biomedical research is mind-numbingly
BORING! How can we manage time-intensive, low-skill
tasks without biologist burn out??? Crowdsourcing?
Research Games for Citizen
Science
Think Tank: Game Developers and
Biomedical Researchers
9 biomedical researchers
&
10 game developers
December 9-10, 2014 @
NIH
To address challenges of how these two communities
collaborate, exchange data science & visualization
expertise, and develop games for enabling and
performing biomedical research
3. PRECISION MEDICINE
For the first time in history health care is patient centric.
President Obama’s State of the
Union Address: January 20, 2015
“And that’s why we’re here today. Because something
called precision medicine … gives us one of the greatest
opportunities for new medical breakthroughs that we
have ever seen.”
President Barack Obama
January 30, 2015
EHRsPatient Partnerships
Data Science
GenomicsTechnologies
www.nih.gov/precisionmedicine
Precision Medicine
Concept is not new
• Consider prescription eyeglasses, blood transfusions…
• Prospects for broader application raised by recent advances
in basic research, technology development, genomics,
proteomics, metabolomics, EMRs, Big Data, mHealth, etc.
• Reinforced by 2011 National Research Council report
What is needed now
• Development of rigorous research program to provide
scientific evidence needed to turn concept into reality
• Recruitment of the best and brightest from multiple disciplines
to join the team
Precision Medicine Initiative:
The Time Is Right
Ten Years Ago
Now – 2014
(most recent data)
Cost of sequencing a
human genome
$22,000,000 $1000 - $5000
Amount of Time to
Sequence a Human
Genome
2 years <1 day
Number of smart
phones in the United
States
1 million (<2%) 160 million (58%)
EMR Adoption,
(% providers)
20-30% >90%
Computing Power n n x 16
Precision Medicine:
What Success Might Look Like
50-year-old woman with type 2 diabetes
visits her doctor
• Now
– Though woman’s glucose control has been
suboptimal, doctor renews her prescription for
drug often used for type 2 diabetes
– Continues to monitor blood glucose with
fingersticks and glucometer, despite
dissatisfaction with these methods
Precision Medicine:
What Success Might Look Like
50-year-old woman with type 2 diabetes visits her
doctor
• Future: + 2 years
– Volunteers for new national research network
• Sample of her DNA, along with her health information, sent to
researchers for sequencing/analysis
• Can view her health/research data via smartphone
– Agrees to researchers’ request to track her glucose
levels via tiny implantable chip that sends wireless
signals to her watch, researchers’ computers
• Using these data, she changes diet, medicine dose schedule
Other Diseases:
What Success Might Look Like
50-year-old woman with type 2 diabetes
visits her doctor
• Future: + 5 years
– Receives word from her doctor about a new
drug based upon improved molecular
understanding of type 2 diabetes
– When she enters drug’s name into her
smartphone’s Rx app, her genomic data
show she’ll metabolize the drug slowly
• Her doctor alters the dose accordingly
Other Diseases:
What Success Might Look Like
50-year-old woman with type 2 diabetes visits
her doctor
• Future: + 10 years
– Celebrates her 60th birthday and reflects with her
family about how proud she is to be part of cohort
study
– Her glucose levels remain well controlled; she’s
suffered no diabetes-related complications
– Her children decide to volunteer for cohort study
NIH… Turning Discovery Into Health
@pebournephilip.bourne@nih.gov

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Biomedicine from Stethoscope to Computer

  • 1. Biomedicine – from Stethoscope to Computer Philip E. Bourne NIH Associate Director for Data Science Emerging Researchers National Conference in STEM February 20, 2015
  • 2. What I do… I run a program at the NIH which supports projects that advance the contribution of the computational and quantitative sciences to biomedical discovery. I also run a research lab at the NIH where we do computational biology with an emphasis on protein structure.
  • 3. How I think I got here… • I embrace change • I make and keep lots of friends and colleagues • I keep questioning assumptions • I follow my heart • I learned to live with regret • I try to make the most of every day • I go after the big problems • I give back to the scientific community and society Google “PLOS Ten Simple Rules”
  • 4. The Life of One Scientist – The Early Years So That You Might Not Make the Same Mistakes • My high school teacher Mr. Wilson said I would be a failure at chemistry • My PhD is in chemistry • The opportunity to live in different places shaped my life • Good friends are forever
  • 7. Postdoctoral Work – The Molecular Basis of How the Body Works • Regrets: never learnt another language
  • 9. Some Things Stay with You Your Whole Life 9
  • 10. Senior Scientist HHMI Columbia University New York • Driven not by career but wanting to live in New York City
  • 11. ~1990 Got Involved with The Human Genome • Was only possible by applying computers to problems in biology • Developed algorithms to support physical and genetic mapping of Chromosome 13
  • 12. Went to UCSD to Apply Computers to Big Biological Problems In 1993 possibly the best place in the world to do computational biology
  • 13. Eventually…. I Fell in Love with the Data Problem
  • 14. Numberofreleasedentries Year The Growth of Data is A Major Driver in Biology
  • 15. Realized that there is still more work for me to do… it isn’t all in the lab… and it is in Washington, D.C. New Job! Associate Director for Data Science (ADDS) at the National Institutes of Health (NIH) Mission: To accelerate and support the integration of the computational and quantitative sciences and the biomedical sciences. I also got to move my lab to the NIH – my group’s research in protein structure biology continues here in the D.C. area and with collaborations all over the world.
  • 16. WHAT MOTIVATES ME TODAY? 3 VIGNETTES
  • 17. 1. Josh Sommer and Chordoma Disease http://fora.tv/2010/04/23/Sage_Commons_Josh_Sommer_Chordoma_Foundation#fullprogram
  • 18. Josh Sommer – A Remarkable Young Man Co-founder & Executive Director the Chordoma Foundation http://sagecongress.org/Presentations/Sommer.pdf
  • 19. Chordoma • A rare form of brain cancer • No known drugs • Treatment – surgical resection followed by intense radiation therapy http://upload.wikimedia.org/wikipedia/commons/2/2b/Chordoma.JPG
  • 26. Open Data leads to faster cures Collaboration • Open Data generates collaborations and supports Team Science • Collaborations bring in more researchers Big Data • More researchers create more data • More researchers create different types of data Faster Cures • Computational Science helps biologists do more with all that Big Data • Big Data leads to new discoveries.
  • 28. The Worst of Times Source: http://www.pharmafocusasia.com/strategy/drug_discovery_india_force_to_reckon.htm
  • 29. Here is One Reason Why • Tykerb – Breast cancer • Gleevac – Leukemia, GI cancers • Nexavar – Kidney and liver cancer • Staurosporine – natural product – alkaloid – uses many e.g., antifungal antihypertensive Collins and Workman 2006 Nature Chemical Biology 2 689-700
  • 30. Bioinformatics – Reverse Engineering Drug Discovery Characterize ligand binding site of primary target (Geometric Potential) Identify off-targets by ligand binding site similarity (Sequence order independent profile-profile alignment) Extract known drugs or inhibitors of the primary and/or off-targets Search for similar small molecules Dock molecules to both primary and off-targets Statistics analysis of docking score correlations … Xie and Bourne 2009 Bioinformatics 25(12) 305-312
  • 31. 2. HARNESSING SOCIETY FOR SCIENCE A Team of scientists is great but….what if ordinary people could help us do science. Computer games are the key.
  • 32. Nature’s Reductionism There are ~ 20300 possible proteins >>>> all the atoms in the Universe 11.2M protein sequences from 10,854 species (source RefSeq) 38,221 protein structures yield 1195 domain folds (SCOP 1.75)
  • 33. Bridging fields to support innovationSometimes biomedical research is mind-numbingly BORING! How can we manage time-intensive, low-skill tasks without biologist burn out??? Crowdsourcing?
  • 34. Research Games for Citizen Science
  • 35. Think Tank: Game Developers and Biomedical Researchers 9 biomedical researchers & 10 game developers December 9-10, 2014 @ NIH To address challenges of how these two communities collaborate, exchange data science & visualization expertise, and develop games for enabling and performing biomedical research
  • 36. 3. PRECISION MEDICINE For the first time in history health care is patient centric.
  • 37. President Obama’s State of the Union Address: January 20, 2015
  • 38. “And that’s why we’re here today. Because something called precision medicine … gives us one of the greatest opportunities for new medical breakthroughs that we have ever seen.” President Barack Obama January 30, 2015
  • 41. Precision Medicine Concept is not new • Consider prescription eyeglasses, blood transfusions… • Prospects for broader application raised by recent advances in basic research, technology development, genomics, proteomics, metabolomics, EMRs, Big Data, mHealth, etc. • Reinforced by 2011 National Research Council report What is needed now • Development of rigorous research program to provide scientific evidence needed to turn concept into reality • Recruitment of the best and brightest from multiple disciplines to join the team
  • 42. Precision Medicine Initiative: The Time Is Right Ten Years Ago Now – 2014 (most recent data) Cost of sequencing a human genome $22,000,000 $1000 - $5000 Amount of Time to Sequence a Human Genome 2 years <1 day Number of smart phones in the United States 1 million (<2%) 160 million (58%) EMR Adoption, (% providers) 20-30% >90% Computing Power n n x 16
  • 43. Precision Medicine: What Success Might Look Like 50-year-old woman with type 2 diabetes visits her doctor • Now – Though woman’s glucose control has been suboptimal, doctor renews her prescription for drug often used for type 2 diabetes – Continues to monitor blood glucose with fingersticks and glucometer, despite dissatisfaction with these methods
  • 44. Precision Medicine: What Success Might Look Like 50-year-old woman with type 2 diabetes visits her doctor • Future: + 2 years – Volunteers for new national research network • Sample of her DNA, along with her health information, sent to researchers for sequencing/analysis • Can view her health/research data via smartphone – Agrees to researchers’ request to track her glucose levels via tiny implantable chip that sends wireless signals to her watch, researchers’ computers • Using these data, she changes diet, medicine dose schedule
  • 45. Other Diseases: What Success Might Look Like 50-year-old woman with type 2 diabetes visits her doctor • Future: + 5 years – Receives word from her doctor about a new drug based upon improved molecular understanding of type 2 diabetes – When she enters drug’s name into her smartphone’s Rx app, her genomic data show she’ll metabolize the drug slowly • Her doctor alters the dose accordingly
  • 46. Other Diseases: What Success Might Look Like 50-year-old woman with type 2 diabetes visits her doctor • Future: + 10 years – Celebrates her 60th birthday and reflects with her family about how proud she is to be part of cohort study – Her glucose levels remain well controlled; she’s suffered no diabetes-related complications – Her children decide to volunteer for cohort study
  • 47. NIH… Turning Discovery Into Health @pebournephilip.bourne@nih.gov