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5th Annual Internation Gene Forum 2004 - Genomics to Medicine
17-18 September , 2004
Tartu, Estonia

Organiser
Report
1. Summary
2. Scientific Content
3. Assessment of Results and Future Directions
4. Programme

Organiser:

Andres Metspalu, University of Tartu, Estonia

Report

Summary

The 5th annual International Gene Forum 2004 subtitled as "Genomics to Medicine" hosted by Estonian Genome Foundation was held in Tartu, September 17-18, 2004. Held now for the fifth year, the conference discussed the advances in biomedical research enabled by genomics - a technological revolution that might give rise to a paradigm shift and provide advances in the field of medicine.

The two-days high-level scientific conference incorporated a biobusiness workshop, a commercial exhibition introducing the state-of-the-art in the industry and promoting industry-academia cooperation, and a poster session organized primarily for young researches and students studying in the field. The 2-days scientific conference program was focused on interdisciplinary areas within genomics and genetics of complex diseases, genetic epidemiology, pharmacogenomics and business, population genetics, human genetics and bioethics.

Altogether, 350 scientists, students, physicians, health care officials and business representatives, 58 of them representing the other Baltic States, Scandinavia, Western and Southern Europe, North America, Pakistan, Australia and Japan, participated in the conference. The conference was mainly advertised using the networks and mailing lists of ESF, ScanBalt and European Federation of Biotechnology.

The main sponsor of the conference was European Science Foundation. The status of ESF as the main sponsor of Gene Forum 2004 was acknowledged in all printed conference materials by using ESF logo and ESF remit, at the conference website and on the special banners of the major sponsors presented at the conference hall. The list of other sponsors includes Estonian Biocentre, Centre of Excellence for Gene and Environmental Technologies of Tartu University, Enterprise Estonia, Tartu City Government, KPMG Estonia and British Council.


Scientific content of and discussion at the event

Altogether, 21 outstanding scientists and experts in the field of genetics, genomics and biotechnology from abroad, attended the recent conference in Tartu as the speakers. In addition to them, 4 local speakers representing the University of Tartu presented in the conference main programme.

The conference was opened by the Minister of Education and Research of Estonia, Prof. Toivo Maimets, who noted that a distinguished list of speakers has become a clear trademark of this event. The minister expressed his hope that the audience comprises scientists and researchers able to participate in unravelling the secrets of the human genome and come up with novel methods of fighting diseases. Prof. Maimets noted also that one of the missions of this conference is to facilitate the communication of top science to the society and serve as a tool for lifelong learning.

The speakers of the main programme included among the others Prof. Lyle Palmer (Western Australian Institute for Medical Research), Dr. Kathleen Merikangas (National Institute of Mental Health), Prof. Martin Godbout (President and CEO of Genome Canada), Prof. Panagiotis Deloukas (The Sanger Institute, UK), Prof. Gilles Thomas (CEPH), Prof. David Goldstein (University College of London), Prof. Sinuhe Hahn (University of Basel), Prof. Jaume Bertranpetit (Barcelona), Prof. Peter D. Pare (University of British Columbia, Vancouver), Prof. Jacques Beckmann (University of Lausanne), Prof. Edward Holmes (University of California, San Diego), Prof. Qasim Mehdi (Pakistan) and Prof. Nikolas Rose (London School of Economics and Political Science).

The main programme of the 2-days conference was composed of 8 sessions and 20 lectures (each of 40 minutes). The session chairs moderated the questions and answers section, which was followed after each presentation. In the opening session, Prof. Lyle J. Palmer, Director of Busselton Population Medical Research Foundation Laboratory of Western Australia, emphasized the importance of population-based genetics research. According to Prof. Palmer, only countries with total population data and family record linkage, so that all those with and without disease can be studied in an unbiased way throughout the whole life span, have the highest chances of success in applying genomic knowledge and tools in clinical and public health settings. Such linkages and resources already exist in Western Australia, where both public and private efforts have resulted in a fruitful cooperation allowing to monitor population for all major diseases/conditions, their risk and protective factors, and the use and role of health services studied. In addition to new scientific and public health resources the project offers an opportunity to educate people about the genetics and diseases.

Associate Director of Epidemiology of National Institute of Mental Health (NIMH), Dr. Kathleen R. Merikangas focused in her presentation on describing the genetic epidemiological approaches to complex disorders. Dr. Merikangas sees public dissemination of knowledge regarding risk estimation and changing of lifestyle as important as discovering disease related genes. For example, people tend to continue smoking or drinking while being aware of the fact that they are susceptible to specific condition, where smoking or drinking contributes to the development of the disease. Dr. Merikangas suggested that we should prioritise our research and not spend enormous resources on genetics of smoking. Instead of that, we should focus on breast cancer, type I diabetes, sclerosis multiplex and autism, because genetic research has the highest chance in unravelling the causes of these diseases. This presentation was followed by numerous questions from the audience. According to the feedback from the conference participants, Dr. Merikangas was among the "top three" speakers, whose presentations were most valued within the framework of the conference programme.

A separate conference session was focused on exploring the different models of the organization of high-tech research and the ways of commercialization of that research. Prof. Martin Godbout, President and CEO of Genome Canada gave an overview how Canadian government has provided resources for developing research and cooperation in the field of biotechnology. Dr. Hannu Hanhijärvi, Director of SITRA Life Sciences, presented the Finnish model of providing seed and early stage financing for biotech in Finland. Mr. Raul Malmstein, Development Advisor to the Government of Estonia described the Estonian vision of developing a knowledge-based economy. Mr. Malmstein stressed the importance of balancing interests of different parties and creating trust between universities, companies and research institutes. On the other hand Mr. Malmstein considered the competition between institutions as well as individual researchers as the main motivator of growth and development. The Estonian Government is working on a state venture capital fund that should bridge the financing cap in the seed and early stages and attract more aggressive capital to Estonian financial market.

Several speakers discussed the problems and opportunities arising from the HapMap. Prof. Maido Remm, Head of the department of Bioinformatics at the University of Tartu, presented an overview of marker associations in human genome, which should reduce significantly the cost of studies in near future.

The conference main programme included also presentations on genetics of specific diseases, among them the genetics of type 2 diabetes, chronic obstructive pulmonary disease, asthma, psoriasis, anxiety and inflammatory bowel disease was discussed in detail at the meeting.

The last speaker of the conference, Prof. Nikolas Rose from London School of Economics and Political Science, explored the potential social consequences of the increasing ability of genetic testing to identify susceptibilities to disease prior to the appearance of symptoms. Prof. Rose argued that this will create an "emergent form of life" - that is to say, a form of life where in first, the distinctions between cure, treatment, prevention and enhancement can no longer be sustained, and secondly, in which the remit of clinical medicine is further extended beyond the cure of diseases to the management of risk. And finally, in this "emergent form of life", individuals, families and collectivities reshape their identities, in whole or in part, in the light of beliefs about their genetic predispositions and susceptibilities. The intriguing presentation of Prof. Rose was followed by a longer exchange of views between the speaker and the audience.

In addition to the two-days main programme, a half-day parallel session was organized on September 17th in cooperation with Connect Estonia, focused on biotech business development, team building and networking issues. The workshop was mainly targeted to the managers and employees of biotech companies, but also to researchers, students and technology transfer specialists. The workshop contained short lectures and a lot of Q&A and discussion around the key issue for startup companies: how to identify business opportunities and achieve sales in the life sciences markets. Based on the feedback received from the participants, this short seminar turned out to a fruitful discussion and exchange of views, among other topics, the perspectives and critical aspects of the development of the Estonian biotechnology sector were discussed. These discussions were led by the top experts from United Kingdom (Dr. David Bailey and Dr. Geeta Gupta), Sweden (Dr. Lena Lebel and Dr. Thomas Österberg) and Denmark (Dr. Morten Winther).

About 10 companies from Estonia and other European countries presented their products in the exhibition hall during the 2-days conference. In the same hall, a separate poster session was organized targeted primarily to young researches and students studying in the field.



Assessment of the results and impact of the event on the future direction of the field

The 5th International Gene Forum 2004 brought together the top scientists of the field of epidemiology, genetics, genomics and biotechnology to discuss how genomics changes medicine. Conclusively, the speakers of the conference assured that genomics will gradually become part of the everyday medicine. In the near future genomics has more and more profound impact both in therapeutic medicine and healthcare planning.
One of the main goals of this was to support the participation and training of early stage researches. The conference programme was also composed bearing in mind the necessary training aspects. Thanks to the sponsors and supporting organizations 130 young scientists and nearly 100 physicians and researchers were able to attend the conference for a modest participation fee applied for academia and medical institutions. In addition to that, 80 graduate students studying in the field of genomics had a possibility to attend the conference free of charge.

The conference served as a meeting place for scientists and researches involved in research on different aspects of genetics. It also served as a meeting place for industry and academia representatives and practitioners in the field (physicians, healthcare officials etc) with the aim of fostering the relationship between these players and contributing to the application of the most recent research results in the practice. And finally, this high-level scientific conference offered up-to-date training by leading scientists and experts to early stage researches and students studying in the field.

After five years long tradition of organizing Gene Forum conferences, it can be said that this conference has become the major event in the field of genomics in the whole Baltic region. Hence, we hope that this meeting provides an excellent opportunity to promote the collaboration between the researchers, contributing to the improvement of the state of the art in Europe. We also believe that personal contacts and face-to face meetings are very important in the world of science, as they help to create a solid foundation for lauching a successful cooperation both in EU Research Area and in terms of other international projects. On this reason, the series of Gene Forum conferences in Tartu will be continued.

Final programme for the meeting

Thursday 16 September
Arrival and accommodation of participants.

Friday 17 September

9.00-9.30 Registration at the Vanemuine Conference Hall

9.30 - 9.40 OPENING OF THE FORUM
Prof. Toivo Maimets, Minister of Education and Research, Estonia

9.40 - 11.10 OPENING SESSION
Prof. Lyle L. Palmer, Foundation Chair in Genetic Epidemiology; Western Australian Institute for Medical Research; University of Western Australia, Australia
"New horizons: Population-based humane genome epidemiology in Western Australia"

Dr. Kathleen R. Merikangas, Developmental Genetic Epidemiology Section, Mood and Anxiety Disorders Program, Associate Director of Epidemiology, National Institute of Mental Health (NIMH), USA
"Genetic Epidemiologic Approaches to Complex Disorders"

11.10-11.30 Coffee/tea break

11.30-13.10 SESSION I
Prof. Martin Godbout, President and CEO, Genome Canada, Canada
"Genomics: from Research to Commercialization"

Dr. Hannu Hanhijärvi, Director, SITRA Life Sciences, Finland
"SITRA's role as a source for venture capital for early stage biotech business with special reference to genomics companies"

Prof. Maido Remm, Head of Department of Bioinformatics, University of Tartu
"Selection of tagSNPs - how to represent the entire genome?"

13.10-14.15 Lunch

14.15-16.00 SESSION II
Dr. Cecilia Lindgren, Department of Biosciences at Novum Karolinska University Hospital, Sweden
"Mapping genes for asthma and psoriasis"

Prof. Panagiotis Deloukas, Human Genetics Senior Investigator, The Wellcome Trust Sanger Institute, United Kingdom
"Human Sequence Variation & Disease - The HapMap Project"

Prof. Eero Vasar, Head of the Department of Physiology, University of Tartu, Estonia
"Neurogenetical mechanisms of anxiety disorders"

16.00-16.20 Coffee/tea break

16.20-17.30 SESSION III
Prof. Gilles Thomas, Fondation Jean Dausset /CEPH, Paris, France
"Population genetics of CARD15, a susceptibility gene to a frequent inflammatory bowel disease"

Prof. Pärt Peterson, Institute of General and Molecular Pathology, University of Tartu
"Autoimmune regulator (AIRE) gene: a guardian of immune tolerance"

20.00 Buffet Dinner

Saturday 18 September

9.30-11.25 SESSION IV
Prof. David Goldstein, University College of London, United Kingdom
"Haplotype mapping of variable drug response"

Prof. Sinuhe Hahn, Laboratory of Prenatal Medicine, University Womens' Hospital, University of Basel, Switzerland
"Circulating cell free nucleic acids: new clinical applications"

Prof. Mark McCarthy, Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM), Churchill Hospital, United Kingdom
"Identifying and characterizing variants underlying susceptibility to
type 2 diabetes"

11.25- 11.45 Coffee/tea break


11.45-13.30 SESSION V
Prof. Jaume Bertranpetit, University of Pompeu Fabra, Barcelona, Spain
"Is there a single haplotype map of human genome: the population stratification of linkage disequilibrium"

Prof. Peter Pare, University of British Columbia, James Hogg iCAPTURE Center for Cardiovascular and Pulmonary Research, Vancouver, Canada
"A strategy for finding novel therapeutic targets in Chronic Obstructive Pulmonary Disease"

Raul Malmstein, The State Chancellery, Research and Development Advisor, Estonia
"State and knowledge-based society: challenges and solutions"

13.30-14.45 Lunch

14.45-16.05 SESSION VI

Prof. Jacques Beckmann, University of Lausanne, Switzerland
"From medical genetics to genetic medicine"

Prof. Edward Holmes, Vice Chancellor for Health Sciences, University of California, San Diego, USA
"Nonsense Mutations: A Short Cut to Identification of New Drug Targets"

16.05-16.20 Coffee/tea break

16.20-17.40 SESSION VII

Prof. Qasim Mehdi, Director General, Biomedica l& Genetic Engineering Laboratories, Pakistan
"Genetics of world populations and the effect of consanguineous marriages on inherited diseases"

Prof. Nicolas Rose, Head of the Department of Sociology and Director of the BIOS Centre for the Study of Bioscience, Biomedicine, Biotechnology and Society at the London School of Economics and Political Science, UK.
"Genomic Susceptibility as an Emergent Form of Life: genetic testing, identity and the remit of medicine"

17.40-17.50 Close of the Conference