Episode 160: Euan Ashley on precision medicine and predicting, preventing, and diagnosing diseases

Our guest today is Dr. Euan Ashley, a pioneer in the use of genomic sequencing to solve some of our most puzzling medical mysteries. Medical genomics, and the precision medicine it will enable, has the potential to predict, prevent, and diagnose many common (and uncommon) diseases.

In today’s interview, we discuss:

-- Euan’s work with a colleague who was just the fifth person in the world to have his genome sequenced.

-- Precision medicine and how Euan has helped establish medical genomics.

-- Technological advances that made sequencing cost-effective for individuals.

-- How pathogenic labels will transform healthcare.

-- The Undiagnosed Disease Network, which includes physicians from across the country who work with patients and families to solve medical mysteries.

-- Research from his lab that shows how all forms of exercise, particularly endurance exercise, confer benefits across all domains of health and function.

Euan is a Scottish-born professor of medicine and genetics at Stanford University. He’s also the author of The Genome Odyssey: Medical Mysteries and the Incredible Quest to Solve Them.

Show notes:

[00:02:27] Dawn begins the interview asking Euan if it is true that he was a computer nerd growing up and if his interest in science fiction played a part in that.

[00:03:03] Dawn asks Euan how he was first introduced to computers and what it was about them that hooked him.

[00:03:44] Dawn asks about Euan developing tax software when he was a teen-ager for his father.

[00:04:53] Ken asks if Euan ever developed, or thought about developing, any computer games.

[00:06:34] Dawn asks Euan where he grew up.

[00:06:51] Dawn mentions that Euan’s father is a physician, and his mother a midwife, and that even from a young age Euan told people that he wanted to become a physician, even though his parents did not push him in that direction. Dawn asks Euan what the underlying pull towards becoming a physician was for him.

[00:07:52] Ken asks Euan how he became interested in data and statistics.

[00:09:08] Dawn mentions that Euan graduated with first-class honors in physiology and medicine from the University of Glasgow, and then went for a medical residency and Ph.D. at the University of Oxford. Dawn asks when in that journey he met his wife Fiona, who helped him through medical school and has played a major role in his life and career.

[00:10:26] Ken mentions that Euan and his wife took off for California, where he conducted his post-doc research at Stanford University. Ken mentions that Euan would later join the Stanford faculty in 2006, and asks Euan what made him decide to move to Stanford in the first place.

[00:12:54] Dawn asks Euan what it was that fascinated him about the heart and at what point did he decide to specialize in cardiology.

[00:15:03] Ken asks Euan when he realized that he could combine his career in medicine with his interests in computing and data.

[00:17:38] Dawn explains that Euan’s lab at Stanford is focused on the science of precision medicine, and that he is perhaps best known for helping to establish the field of medical genomics. Dawn goes on to mention that Euan and his colleagues developed some of the earliest tools for interpretation of the human genome in the context of human health and asks Euan to give a short primer on the genome and how the first draft of the human genome sequence was completed about 20 years ago.

[00:20:36] Ken asks what genomic medicine and precision medicine entail.

[00:22:33] Dawn asks Euan about a moment in his life in 2009 when he walked into the office of a friend who was the fifth person in the world to have his genome sequenced.

[00:27:19] Dawn mentions that in 2010 Euan wrote a paper about Steve, his aforementioned friend who had his genome sequenced. The paper described how Euan put together a team to undertake an integrated analysis of a complete human genome in a clinical context.