DPC News

GENETICS: My Grandmother Was Italian. Why Aren’t My Genes Italian? | KHN

| | KHN | Kaiser Health News

WATCH, 2018 — Part 1 | DPC Journal EDU. SERIES — EDITOR REVIEW: Comparing DNA Tests, Reports, Pros, Cons and Companies …

Maybe you got one of those find-your-ancestry kits over the holidays. You’ve sent off your awkwardly collected saliva sample, and you’re awaiting your results. If your experience is anything like that of me and my mom, you may find surprises — not the dramatic “switched at birth” kind, but results that are really different from what you expected.

My mom, Carmen Grayson, taught history for 45 years, high school and college, retiring from Hampton University in the late 1990s. But retired history professors never really retire, so she has been researching her family’s migrations, through both paper records and now a DNA test. Her father was French Canadian, and her mother (my namesake, Gisella D’Appollonia) was born of Italian parents. They moved to Canada about a decade before my grandmother was born in 1909.

RELATED STORY | NATIONAL | DOCTORS | DNA | Genetics | Types | Audio
The DocPreneur | Business Podcast EP. 100 | Genetic Testing 101, Interview With Dr. Brandon Colby

Last fall, we sent away to get our DNA tested by Helix, the company that works with National Geographic. Mom’s results: 31 percent from Italy and Southern Europe. That made sense because of her Italian mother. But my Helix results didn’t even have an “Italy and Southern European” category. How could I have 50 percent of Mom’s DNA and not have any Italian? We do look alike, and she says there is little chance I was switched at birth with someone else.

Learn More … The DNA Test for Doctors … Saliva Kit, Reports, Upgradable Path to Whole Genome Sequencing …

We decided to get a second opinion and sent away to another company, 23andMe. We opened our results together and were just as surprised. This time, I at least had a category for southern Europe. But Mom came back as 25 percent southern European, me only 6 percent. And the Italian? Mom had 11.3 percent to my 1.6. So maybe the first test wasn’t wrong. But how could I have an Italian grandmother and almost no Italian genes?

To answer this question, Mom and I drove up to Baltimore to visit Dr. Aravinda Chakravarti of the Johns Hopkins University School of Medicine and the Bloomberg School of Public Health, who has spent his career studying genetics and human health.

“That’s surprising,” he told us when we showed him the results. “But it may still be in the limits of error that these methods have.”

The science for analyzing one’s genome is good, Chakravarti said. But the ways the companies analyze the genes leave lots of room for interpretation. So, he said, these tests “would be most accurate at the level of continental origins, and as you go to higher and higher resolution, they would become less and less accurate.”

RELATED STORY | EP. 37 | The DOCPRENEUR PODCAST | AUDIO | Physician Payment Trends In DNA Tests | Insurance
The Rise of “BRAND X” in Private Pay Medicine

As in my case — the results got me to Europe, just not Italy.

My 23andMe test also showed less than 1 percent of South Asian, Sub-Saharan African, and East Asian & Native American. This, Chakravarti said, is likely true because the genetics of people on a continental level are so different, and it’s not likely that South Asian will look like European. “Resolving a difference between, say, an African genome and an East Asian genome would be easy,” he said. “But resolving that same difference between one part of East Asia and another part of East Asia is much more difficult.”

RELATED STORY | National | Doctors | Genetics | DNA | News

OFFICIAL POSITION, STATEMENT: Support For Use of Whole Genome Sequencing in Direct to Patient Medicine

I also learned that even though I got half of my genes from Mom, they may not mirror hers.

We do inherit our genes — 50 percent from each parent. But Elissa Levin, a genetic counselor and the director of policy and clinical affairs of Helix, says a process called recombination means that each egg and each sperm carries a different mix of a parent’s genes.

LISTEN | Full Interview … What is PGX? What is Pharmacogenomics? How does it apply to your DPC Practice? What type of REPORTS are made available to the Patient and to the Doctor? Listen and Learn More in the New Podcast FOR DPC DOCTORS …

“When we talk about the 50 percent that gets inherited from Mom, there’s a chance that you have a recombination that just gave you more of the northwest European part than the Italian part of your mom’s ancestry DNA,” she said. That is also why siblings can have different ancestry results.

The companies compare customers’ DNA samples to samples they have from people around the world who have lived in a certain area for generations. The samples come from some databases to which all scientists have access, and the companies may also collect their own.

“We’re able to look at, what are the specific markers, what are the specific segments of DNA that we’re looking at that help us to identify, ‘Those people are from this part of northern Europe or southern Europe or Southeast Asia,’” Levin said.

As the companies collect more samples, their understanding of markers of people of a particular heritage should become more precise. But for now, the smaller the percentage of a population within a continent that is in the database, the less certain they are. Helix chooses not to report some of those smaller percentages, Levin said.

The 23andMe company reports results with a 50 percent confidence interval — they’re 50 percent sure their geographic placement is correct. Move the setting up to 90 percent confidence, meaning your placement in a region is 90 percent certain, and that small 1.6 percent of my ancestry that is Italian disappears.

The ancestry tests also have to take into account the fact that humans have been migrating for millennia, mixing DNA along the way. To contend with that, the companies’ analyses involve some “random chance,” as Levin put it. A computer has to make a decision.

And the ancestry companies have to make judgment calls. Robin Smith, a senior product manager with 23andMe, said their computers compare the DNA with 31 groups. “Let’s say a piece of your DNA looks most like British and Irish, but it also looks a little bit like French-German,” he said. “Based on some statistical measures, we’d decide whether to call that as British-Irish or French-German, or maybe we go up one level and call it northwestern European.”

What does he think explains my case?

“It was a bit surprising,” he said. “But in looking at the fact that you have some southern European and some French-German, the picture became a little clearer to me.”

So, for now, my Italian grandmother doesn’t show up in these tests. No matter — Chakravarti, Levin and Smith all say to let the results add to your life story. The DNA is just a piece of what makes you you.

Gisele Grayson is a senior producer on NPR’s Science Desk who runs the health reporting collaboration with member stations and Kaiser Health News.

SOURCE: https://khn.org/news/my-grandmother-was-italian-why-arent-my-genes-italian/

Advertisements

Categories: DPC News

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

w

Connecting to %s