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Testing for mutations in the so-called BRCA genes has been around for just over a decade. Women with a faulty gene have a three to seven times greater risk of developing breast cancer and a higher risk of ovarian cancer. Men can also carry a BRCA mutation, raising their risk of prostate, pancreatic and other types of cancer. The mutations are most common in people of eastern European Jewish descent. Myriad Genetics Inc. sells the only BRCA gene test, which one expert says now costs nearly $4,000. "There are some women without insurance coverage who are not able to pay that," and have not been able to be tested, said Dr. Kelly Marcom, a breast oncologist who runs Duke University's Hereditary Cancer Clinic. Some doctors and researchers contend that this monopoly has long held up not only competing, cheaper tests but has also hindered gene-based research. Barbara Caulfield, a former federal judge now a patent attorney in private practice, wrote a friend-of-the-court brief for the March of Dimes arguing against the patents. She said the ruling, if let to stand, will have more of an effect on companies that market tests rather than on drug-makers, which hold patents on biotechnology "methods" that underpin their products. "This is going to open up competition among test makers and researchers," said Caulfield, who also served as general counsel of biotechnology company Affymetrix Inc., based in Santa Clara, Calif., before joining the law firm of Dewey & LeBoeuf. "Among other things, this is going to speed up genetic mutation research," she said. "The evidence has mounted that human gene patents are doing more harm than good," and resulted more by accident than a well-thought-out policy, said Jesse Reynolds, a policy analyst at the Center for Genetics and Society. The center is a nonprofit policy research group advocating for oversight and responsible use of biotechnologies. The Myriad patent "was particularly troublesome" because it was so broadly worded, Reynolds said. Reading the court ruling, "I saw nothing that limited it to Myriad's patents," Reynolds said. It boiled down to this, he said: "Natural things aren't patentable; inventions are." "This has the potential to dramatically shake up the biotech industry," Reynolds said. ___ On the Net: National Cancer Institute: FORCE support group: http://www.facingourrisk.org/index.php
http://www.cancer.gov/cancertopics/
factsheet/risk/brca
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