Our speaker was Dr. St. Clair, a Consultant
Psychiatrist at Royal Cornhill Hospital (RCH) and lecturer
at Aberdeen University. He spoke about his research
into the genetics of Manic Depression.
Dr. St. Clair has been conducting research
into the genetics of people with Schizophrenia; but
new funding will allow Manic Depression to be included.
As part of this research, it is necessary
to compare the DNA of a large sample of people with
Manic Depression with the DNA from a control group.
This process requires a sample of blood. The control
group have already provided blood samples. Anyone who
has been admitted to RCH in the last ?? years will be
contacted and asked to take part in tests.
The group with Manic Depression will
have their medical records examined to confirm that
they meet certain criteria. Once accepted onto the program
the identity of the 'subject' will not be revealed to
the research team. The DNA will be taken from the white
blood cells, and the gene map of 10,000+ genes will
be recorded and stored on computer.
The results will be compared to the
control group to detect differences. It is likely that
Manic Depression will be more likely if a certain 'cocktail
of genes' is present. The purpose of the research is
to identify the ingredients of the cocktail. The presence
of the cocktail of genes only indicates that the subject
is more likely to have Manic Depression. It cannot be
used to diagnose the illness.
The results of the research will be
freely available to anyone who wants to use it. This
should encourage development in drug treatment. It is
anticipated that this will take about 10 years after
the publication of the results of the research before
a new drug will be developed.
Some concern was raised by members who
thought that the pharmaceutical companies would make
vast fortunes from the free research, and they should
make a contribution towards the cost. It was pointed
out that hundreds of companies would spend many millions
of pounds in research, and many would go out of business
during the research period. The one lucky company that
makes the breakthrough would, possibly, make large profits
for about ten years, after which any patents would expire
and all drug companies would than have the right to
market the 'new' drug..
Dr. St. Clair posed the question "Why
research in the UK, and Aberdeen in particular? Why
not the US?". He explained that Grampian was served
by one hospital, and researching the medical notes would
be much simpler than elsewhere. The samples would be
provided by people of similar ethnic origin. This is
important as different races have different DNA make-up
and have a different chance of having Manic Depression.
Dealing with substantially the one race makes the analysis
of the results simpler, as there is less background
noise.