In the Family | |
---|---|
Directed by | Joanna Rudnick |
Produced by | Joanna Rudnick Gordon Quinn Beth Iams |
Cinematography | Cynthia Wade |
Edited by | Leslie Simmer |
Music by | Erin O'Hara |
Distributed by | Kartemquin Films |
Release date |
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Running time | 83 minutes |
Country | United States |
Language | English |
In the Family is a 2008 documentary film, produced by Kartemquin Films, about predicting breast and ovarian cancer and the choices women make when they are faced with the dangers of a possible life-threatening disease. The film's director, Joanna Rudnick, tests positive for the familial BRCA mutation that increases her chances of developing breast cancer by 60%. Faced with these odds, Rudnick must examine her choices of possibly taking her chances or possibly having her breasts and ovaries removed.
In the Family takes a look at genetic testing, something that was an impossibility to previous generations, but for some women, the decision to be tested is not easy. Rudnick follows several women going through the decision to be tested, some who are cancer survivors and some that are losing that battle. The question for each woman is, "how much do you sacrifice to survive?"
Produced by Kartemquin Films, In the Family premiered on PBS's P.O.V. on October 1, 2008. It was nominated for an Emmy Award for Outstanding Informational Long Form Programming in 2009. [1]
In May 2009, director Joanna Rudnick contributed to the Huffington Post supporting a lawsuit made by the ACLU challenging the patent ownership of the BRCA1 and BRCA2 genes - the genes responsible for ovarian and breast cancer. Because of their patent control, Myriad Genetics, were being accused of limiting scientific breakthroughs that may lead to better prevention or treatment of ovarian and breast cancer. [2] Parts of the company's patents on the BRCA1 and BRCA2 genes were ruled invalid on March 29, 2010 by Judge Robert W. Sweet in the U.S. District Court for the Southern District of New York. Myriad filed a notice of appeal on June 16, 2010 in the United States Court of Appeals for the Federal Circuit. [3]
Breast cancer type 1 susceptibility protein is a protein that in humans is encoded by the BRCA1 gene. Orthologs are common in other vertebrate species, whereas invertebrate genomes may encode a more distantly related gene. BRCA1 is a human tumor suppressor gene and is responsible for repairing DNA.
As with all utility patents in the United States, a biological patent provides the patent holder with the right to exclude others from making, using, selling, or importing the claimed invention or discovery in biology for a limited period of time - for patents filed after 1998, 20 years from the filing date.
BRCA2 and BRCA2 are a human gene and its protein product, respectively. The official symbol and the official name are maintained by the HUGO Gene Nomenclature Committee. One alternative symbol, FANCD1, recognizes its association with the FANC protein complex. Orthologs, styled Brca2 and Brca2, are common in other vertebrate species. BRCA2 is a human tumor suppressor gene, found in all humans; its protein, also called by the synonym breast cancer type 2 susceptibility protein, is responsible for repairing DNA.
Mary-Claire King is an American geneticist. She was the first to show that breast cancer can be inherited due to mutations in the gene she called BRCA1. She studies human genetics and is particularly interested in genetic heterogeneity and complex traits. She studies the interaction of genetics and environmental influences and their effects on human conditions such as breast and ovarian cancer, inherited deafness, schizophrenia, HIV, systemic lupus erythematosus and rheumatoid arthritis. She has been the American Cancer Society Professor of the Department of Genome Sciences and of Medical Genetics in the Department of Medicine at the University of Washington since 1995.
Myriad Genetics, Inc. is an American genetic testing and precision medicine company based in Salt Lake City, Utah, United States. Myriad employs a number of proprietary technologies that permit doctors and patients to understand the genetic basis of human disease and the role that genes play in the onset, progression and treatment of disease. This information is used to guide the development of new products that assess an individual's risk for developing disease later in life, identify a patient's likelihood of responding to a particular drug therapy, assess a patient's risk of disease progression and disease recurrence, and measure disease activity.
Roxana Moslehi is an Iranian-born genetic epidemiologist.
Hereditary breast–ovarian cancer syndromes (HBOC) are cancer syndromes that produce higher than normal levels of breast cancer, ovarian cancer and additional cancers in genetically related families. It accounts for 90% of the hereditary cancers. The hereditary factors may be proven or suspected to cause the pattern of breast and ovarian cancer occurrences in the family. The name HBOC may be misleading because it implies that this genetic susceptibility to cancer is mainly in women. In reality, both sexes have the same rates of gene mutations and HBOC can predispose to other cancers including prostate cancer and pancreatic cancer. For this reason, the term "King syndrome" has recently come into use. The new name references Mary-Claire King who identified the genes BRCA1 and BRCA2.
Partner and localizer of BRCA2, also known as PALB2 or FANCN, is a protein which in humans is encoded by the PALB2 gene.
Sharsheret is a nonprofit organization with the goal of supporting Jewish women diagnosed with breast cancer and ovarian cancer. Through its work and research efforts, Sharsheret provides healthcare resources, financial assistance, communal support, and educational programs to thousands of women and their families in the United States. Sharsheret has offices in California, Florida, Illinois, New Jersey and New York. They are headquartered in Teaneck, New Jersey. Sharsheret primarily works with young women and Jewish families as Ashkenazi Jews are at higher risk of carrying a BRCA gene mutation, but also aids men and women from other backgrounds.
GeneDx is genetic testing company that was founded in 2000 by two scientists from the National Institutes of Health (NIH), Sherri Bale and John Compton. They started the company to provide clinical diagnostic services for patients and families with rare and ultra-rare disorders, for which no such commercial testing was available at the time. The company started in the Technology Development Center, a biotech incubator supported by the State of Maryland and Montgomery County, MD. In 2006, BioReference Laboratories acquired GeneDx. Since then, GeneDx has operated as a subsidiary of this parent company under the leadership of Bale and Compton. In October 2016, Benjamin D. Solomon was appointed as managing director.
Tania Simoncelli is Senior Advisor to the Director of the Broad Institute of MIT and Harvard. Prior to that position, she worked for two years as Assistant Director for Forensic Science and Biomedical Innovation within the White House Office of Science and Technology Policy. From 2010–2013, she worked in the Food and Drug Administration Office of the Commissioner. From 2003–2010, Simoncelli worked as the Science Advisor to the American Civil Liberties Union (ACLU), where she advised the organization on emerging developments in science and technology that pose challenges for civil liberties.
Olaparib, sold under the brand name Lynparza, is a medication for the maintenance treatment of BRCA-mutated advanced ovarian cancer in adults. It is a PARP inhibitor, inhibiting poly ADP ribose polymerase (PARP), an enzyme involved in DNA repair. It acts against cancers in people with hereditary BRCA1 or BRCA2 mutations, which include some ovarian, breast, and prostate cancers.
A BRCA mutation is a mutation in either of the BRCA1 and BRCA2 genes, which are tumour suppressor genes. Hundreds of different types of mutations in these genes have been identified, some of which have been determined to be harmful, while others have no proven impact. Harmful mutations in these genes may produce a hereditary breast–ovarian cancer syndrome in affected persons. Only 5–10% of breast cancer cases in women are attributed to BRCA1 and BRCA2 mutations, but the impact on women with the gene mutation is more profound. Women with harmful mutations in either BRCA1 or BRCA2 have a risk of breast cancer that is about five times the normal risk, and a risk of ovarian cancer that is about ten to thirty times normal. The risk of breast and ovarian cancer is higher for women with a high-risk BRCA1 mutation than with a BRCA2 mutation. Having a high-risk mutation does not guarantee that the woman will develop any type of cancer, or imply that any cancer that appears was actually caused by the mutation, rather than some other factor.
On 29 March 2010, the US District Court for the Southern District of New York found several of the patent claims on the BRCA1 and BRCA2 breast cancer genes held by Myriad Genetics to be invalid. The patents were initially issued on the basis that the genes were isolated and purified to a non-naturally occurring state, however the court found, amongst other things, that the purification was not markedly different from a product of nature and thus was not patentable. The ruling may have implications for holders of other gene patents and the patentability of other naturally occurring substances. It has the potential to directly affect the operation of the healthcare and medical research industries, particularly with regards to cancer treatment and prevention, and may alter the accessibility of such therapies to patients.
A cancer syndrome, or family cancer syndrome, is a genetic disorder in which inherited genetic mutations in one or more genes predispose the affected individuals to the development of cancers and may also cause the early onset of these cancers. Cancer syndromes often show not only a high lifetime risk of developing cancer, but also the development of multiple independent primary tumors.
A biological patent is a patent on an invention in the field of biology that by law allows the patent holder to exclude others from making, using, selling, or importing the protected invention for a limited period of time. The scope and reach of biological patents vary among jurisdictions, and may include biological technology and products, genetically modified organisms and genetic material. The applicability of patents to substances and processes wholly or partially natural in origin is a subject of debate.
Krystal Barter is an activist, author and founder of Pink Hope, the breast and ovarian cancer awareness and educational organisation. She was detected to have the BRCA1 gene at an early age and opted to undertake a preventative double mastectomy. Barter also had ovarian prevention surgery in 2014. She has written a book called The Lucky One, about her experiences. She was honoured with State Finalist Young Australian of the Year in 2012, NSW Woman of the Year and Harpers Bazaar Woman of Influence. In March 2014, Margie Abbott launched Krystal's first published Memoir with the Sydney Morning Herald, hailing her as Australia's own Angelina Jolie.
Association for Molecular Pathology v. Myriad Genetics, Inc., 569 U.S. 576 (2013), was a Supreme Court case that challenged the validity of gene patents in the United States, specifically questioning certain claims in issued patents owned or controlled by Myriad Genetics that cover isolated DNA sequences, methods to diagnose propensity to cancer by looking for mutated DNA sequences, and methods to identify drugs using isolated DNA sequences. Prior to the case, the U.S. Patent Office accepted patents on isolated DNA sequences as a composition of matter. Diagnostic claims were already under question through the Supreme Court's prior holdings in Bilski v. Kappos and Mayo v. Prometheus. Drug screening claims were not seriously questioned prior to this case.
Prophylactic surgery, is a form of surgery whose purpose is to minimize or prevent the risk of developing cancer in an organ or gland that has yet to develop cancer and is known to be at high risk of developing cancer. This form of preventive healthcare may include surgeries such as mastectomies, oophorectomies, colectomies and surgical corrections, such as the surgical correction of cryptorchidism or undescended testis. Another less common definition of prophylactic surgery also includes the prevention of other diseases, outcomes or even future appearance.
Kelly A. Metcalfe is a Canadian scientist. She is a professor at the University of Toronto and at Women's College Hospital.