Engineers can detect ultra rare proteins in blood using a cellphone camera

One of the frontiers of medical diagnostics is the race for more sensitive blood tests. The ability to detect extremely rare proteins could make a life-saving difference for many conditions, such as the early detection of certain cancers or the diagnosis of traumatic brain injury, where the relevant biomarkers only appear in vanishingly small quantities.

Commercial approaches to ultrasensitive protein detection are starting to become available, but they are based on expensive optics and fluid handlers, which make them relatively bulky and expensive and constrain their use to laboratory settings.

Knowing that having this sort of diagnostic system available as a point-of-care device would be critical for many conditions, especially traumatic brain injury, engineers at the University of Pennsylvania have developed a test that uses off-the-shelf components and can detect single proteins with results in a matter of minutes, compared to the traditional workflow, which can take days.

Using a standard cellphone camera and a set of strobing LED lights, combined with their lab’s microfluidic droplet generators, the team has developed a system that is a thousand times more sensitive than the standard protein assay, is handheld, and considerably less expensive than the current state-of-the-art single-protein tests first coming to market.

The researchers, led by David Issadore, assistant professor in Penn Engineering’s Department of Bioengineering, and graduate student Venkata R. Yelleswarapu, demonstrated their system in a study published in the Proceedings of the National Academy of Sciences.

The standard protein detection assay, ELISA, involves attaching antibodies to the proteins in question, then measuring how much the sample’s color changes in response to enzymes linked to the antibodies. This process is fast and simple enough to be incorporated in point-of-care devices, like home HIV tests, but only works when the proteins are in large concentrations.

There are currently very few biomarkers for traumatic brain injury because very few of the protein markers of those injuries make their way through the blood-brain barrier. Medical researchers have only recently confirmed that any such markers could be used for a blood test, and given their ultra-low concentrations, that test would need to be much more sensitive than the standard ELISA array.

“By a thousand times more sensitive,'” Issadore says, “we mean that if we had a vial of blood with only a few of the relevant proteins, we can accurately count those proteins, whereas a traditional test couldn’t reliably tell the difference between that vial of blood and one with none of the protein in it. As you keep increasing the number of proteins, the traditional test will eventually be able to detect them, but we can quantify the number of proteins at concentrations a thousand times less than they can.”

Issadore’s approach works by measuring one protein at a time, by breaking apart the sample into microdroplets, each of which contain either a single protein or none at all. His lab’s expertise in microfluidics has produced microchips etched with hundreds of microdroplet generators, all working in parallel.

“Normally, you’d have to measure very precisely how much a sample changes color or fluoresces, but here we’re turning it into tens of millions of yes-or-no questions,” Issadore says. “Digitizing that question brings down the cost of the camera and the surrounding fluid handling equipment, but shifts the problem into how to process tens of millions of those questions, in a way that is reproducible, accurate, inexpensive and portable.”

While an off-the-shelf camera can detect whether a microdroplet contains a fluorescent-marker-bound protein or not, the big challenge was to speed up the process. Existing digital droplet detectors line the droplets up so they can be measured one at a time. Such systems are accurate, but bulky and expensive. They also have limited throughput, because of the need to look at millions of droplets one at a time.

“A thousand droplets a second, the throughput of conventional technologies, is still pretty slow if you need to measure 50 million,” Yelleswarapu says.

Rather than having a single channel, the researchers flow droplets into hundreds of channels that pass by the camera at the same time. The bottleneck, however, is how fast a camera can capture the data.

“Conventionally, that wouldn’t work since the exposure time you’d get from a regular camera is such that the signals from two droplets next to each other would overlap,” Yelleswarapu says. “A cellphone camera takes about a hundred images a second, and that’s far too slow to be useful for us to resolve these droplets. But you can use that camera if the light source you’re using to illuminate the droplet strobes a thousand times faster than the framerate of the camera.”

The trick that makes the Issadore team’s approach work was to encode this strobing light with a signal that would allow them to tease apart one microdroplet from its neighbors.

“We’re strobing the light in a very specific pattern that never repeats itself, which is a technique we borrowed from radar,” Issadore says. “As the signals are going across the screen they get imprinted with this barcode. So even though they overlap with one another, we can tell them apart by which strobe pulse illuminated each droplet.”

Issadore’s group has previously published on traumatic brain injury markers, and has an ongoing research project with Presbyterian Hospital with brain injury patients. They also have a spin-off company, Chip Diagnostics, based at the Pennovation Center, which aims to produce test kits for early cancer diagnostics and traumatic brain injury.

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Shark DNA could help cure cancer and age-related illnesses in humans

A new study maps the DNA of sharks and experts believe their genes could help cure human diseases.

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Spherical display brings virtual collaboration closer to reality

Virtual reality can often make a user feel isolated from the world, with only computer-generated characters for company. But researchers at the University of British Columbia and University of Saskatchewan think they may have found a way to encourage a more sociable virtual reality.

The researchers have developed a ball-shaped VR display that supports up to two users at a time, using advanced calibration and graphics rendering techniques that produce a complete, distortion-free 3D image even when viewed from multiple angles.

Most spherical VR displays in the market are capable of showing a correct image only from a single viewpoint, said lead researcher Sidney Fels, an electrical and computer engineering professor at UBC.

“When you look at our globe, the 3D illusion is rich and correct from any angle,” explained Fels. “This allows two users to use the display to do some sort of collaborative task or enjoy a multiplayer game, while being in the same space. It’s one of the very first spherical VR systems with this capability.”

The system, which the researchers are calling Crystal, includes a 24-inch (600 millimetre) hollow ball-shaped display. The display surface was custom-made to specifications in Ottawa, while four high-speed projectors and one camera used for creating the images, calibration and touch sensing were purchased off-the-shelf.

The researchers are working on a four-person system and see many potential uses for their display in the future, including multiplayer virtual reality games, virtual surgery and VR-aided learning. However, they are focusing on teleconferencing applications and computer-aided design for now.

“Imagine a remote user joining a meeting of local users. At either location you can have a Crystal globe, which is great for seeing people’s heads and faces in 3D,” said Ian Stavness, a computer science professor at the University of Saskatchewan and a member of the research team. “Or you can have a team of industrial designers in a room, perfecting a design with the help of VR and motion tracking technology.”

While the technology is young, the researchers are forecasting a good future for it.

“We’re not saying that spherical VR will replace flat screens or headsets,” said Fels, adding “but we think it can be a good option for VR activities where you still want to see and talk to other people — be it at home or in the office, for work or play.”

The research, described here, was supported by the Natural Sciences and Engineering Research Council of Canada and B-Con Engineering.

Story Source:

Materials provided by University of British Columbia. Note: Content may be edited for style and length.

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Quarrying of Stonehenge ‘bluestones’ dated to 3000 BC

Excavations at two quarries in Wales, known to be the source of the Stonehenge ‘bluestones’, provide new evidence of megalith quarrying 5,000 years ago, according to a new UCL-led study.

Geologists have long known that 42 of Stonehenge’s smaller stones, known as ‘bluestones’, came from the Preseli hills in Pembrokeshire, west Wales. Now a new study published in Antiquity pinpoints the exact locations of two of these quarries and reveals when and how the stones were quarried.

The discovery has been made by a team of archaeologists and geologists from UCL, Bournemouth University, University of Southampton, University of the Highlands and Islands and National Museum of Wales, which have been investigating the sites for eight years.

Professor Mike Parker Pearson (UCL Archaeology) and leader of the team, said: “What’s really exciting about these discoveries is that they take us a step closer to unlocking Stonehenge’s greatest mystery — why its stones came from so far away.”

“Every other Neolithic monument in Europe was built of megaliths brought from no more than 10 miles away.

We’re now looking to find out just what was so special about the Preseli hills 5,000 years ago, and whether there were any important stone circles here, built before the bluestones were moved to Stonehenge.”

The largest quarry was found almost 180 miles away from Stonehenge on the outcrop of Carn Goedog, on the north slope of the Preseli hills.

“This was the dominant source of Stonehenge’s spotted dolerite, so-called because it has white spots in the igneous blue rock. At least five of Stonehenge’s bluestones, and probably more, came from Carn Goedog,” said geologist Dr Richard Bevins (National Museum of Wales).

In the valley below Carn Goedog, another outcrop at Craig Rhos-y-felin was identified by Dr Bevins and fellow geologist Dr Rob Ixer (UCL Archaeology) as the source of one of the types of rhyolite — another type of igneous rock — found at Stonehenge.

According to the new study, the bluestone outcrops are formed of natural, vertical pillars. These could be eased off the rock face by opening up the vertical joints between each pillar. Unlike stone quarries in ancient Egypt, where obelisks were carved out of the solid rock, the Welsh quarries were easier to exploit.

Neolithic quarry workers needed only to insert wedges into the ready-made joints between pillars, then lower each pillar to the foot of the outcrop.

Although most of their equipment is likely to have consisted of perishable ropes and wooden wedges, mallets and levers, they left behind other tools such as hammer stones and stone wedges.

“The stone wedges are made of imported mudstone, much softer than the hard dolerite pillars. An engineering colleague has suggested that hammering in a hard wedge could have created stress fractures, causing the thin pillars to crack. Using a soft wedge means that, if anything were to break, it would be the wedge and not the pillar,” said Professor Parker Pearson.

Archaeological excavations at the foot of both outcrops uncovered the remains of human-made stone and earth platforms, with each platform’s outer edge terminating in a vertical drop of about a metre.

“Bluestone pillars could be eased down onto this platform, which acted as a loading bay for lowering them onto wooden sledges before dragging them away,” said Professor Colin Richards (University of the Highlands and Islands), who has excavated Britain’s only other identified megalith quarry in the Orkney islands, off the north coast of Scotland.

An important aim of Professor Parker Pearson’s team was to date megalith-quarrying at the two outcrops. In the soft sediment of a hollowed-out track leading from the loading bay at Craig Rhos-y-felin, and on the artificial platform at Carn Goedog, the team recovered pieces of charcoal dating to around 3000 BC.

The team now thinks that Stonehenge was initially a circle of rough, unworked bluestone pillars set in pits known as the Aubrey Holes, near Stonehenge, and that the sarsens (sandstone blocks) were added some 500 years later.

The new discoveries also cast doubt on a popular theory that the bluestones were transported by sea to Stonehenge.

“Some people think that the bluestones were taken southwards to Milford Haven and placed on rafts or slung between boats and then paddled up the Bristol Channel and along the Bristol Avon towards Salisbury Plain. But these quarries are on the north side of the Preseli hills so the megaliths could have simply gone overland all the way to Salisbury Plain,” said Professor Kate Welham (Bournemouth University).

The research was funded by the British Academy, the Natural Environment Research Council (NERC), the National Geographic Society, the Society of Antiquaries, the Royal Archaeological Institute and the Cambrian Archaeological Association.

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Health24.com | Even older drugs are getting steep price increases

It’s a common belief that rising drug prices are due to the high cost of cutting-edge medications, with manufacturers charging a bundle to make back development expenses for their new products.

But drug companies have also been steadily hiking prices on older brand-name drugs, a new study reports.

Inflation in existing products

Increasing prices for brand-name pills outpaced the nation’s overall rate of inflation nearly fivefold between 2005 and 2016, with consumers paying about 9% more every year for the same old drugs between 2005 and 2016.

The price of injectable brand-name drugs increased by 15% yearly during the same period, researchers found.

“In the brand-name market, prices are increasing really fast and that’s almost solely due to inflation in existing products,” said lead researcher Inmaculada Hernandez. She’s an assistant professor at the University of Pittsburgh School of Pharmacy.

The EpiPen and brand-name insulin products are two prime examples of drugs that have been on the market for a long time, yet have undergone massive price hikes in recent years, Hernandez noted.

The cost of a two-pack EpiPen injector has increased from around $100 (±R1 387) in 2007 to between $300 (±R4 161)  and $600 (±R8 322) today. The list price for Lantus brand insulin increased by 49% in 2014, even though the product has been on the market for more than a decade.

Hard choices

These sorts of increases on older products undermine efforts by the health care industry to control costs, Hernandez said.

Steep and arbitrary price hikes for older drugs “cannot be justified on the basis of more value or better outcomes”, since people are paying more for products that provide no additional benefit, Hernandez reasoned.

Price hikes also can cause patients to face hard choices regarding their health. More than one-quarter of people with diabetes have skimped on their insulin shots because of soaring prices, according to a study published in JAMA Internal Medicine last month.

For the latest study, Hernandez and her colleagues assessed the list price of tens of thousands of medications between 2005 and 2016, using a national database. They also took into account how often the drugs are prescribed, to better reflect each one’s contribution to overall US health care costs.

To assess the impact of new drugs, researchers sorted the meds based on when they entered the market. Drugs were considered “new” for the first three years they were available; in the case of generics, for the first three years after patent expiration.

Faster than inflation

Prices have been increasing across the board for all drug categories, researchers found.

For example, generic drug prices have increased by 4.4% a year for pills and 7.3% annually for injectables.

And the cost of high-tech specialty medications — the leading public culprit in rising drug costs — have been rising annually as well, 20.6% for pills and 12.5% for injectables.

Overall, specialty drug prices have risen 13 times faster than national inflation, and even generic pill prices increased by more than double the rate of inflation. However, the cost increases for generic and specialty drugs have been driven largely by new medications entering the market, the study reported.

Profits first?

New drugs accounted for 71% of the increase in specialty pill medications and 52% of the increase in injectables, researchers said.

The increase in generics occurs because new generic products tend to cost more, until more manufacturers enter the market and competition drives down prices, Hernandez said.

There’s no apparent reason for the rising cost of brand-name drugs, outside of regular price hikes aimed at boosting company profits, researchers concluded.

Very few new blockbuster drugs ever enter the brand-name market; new and expensive medications generally are considered specialty drugs, the researchers said.

“The United States market for prescribed drugs is really a free-for-all market, and I think we’ve made peace with that, by and large,” said Stuart Schweitzer, a professor of health policy and management at the UCLA Fielding School of Public Health.

Savings not shared

The Pharmaceutical Research and Manufacturers of America (PhRMA), which represents the drug industry, took issue with the new report.

“This study provides a flawed and inaccurate portrayal of the US marketplace for medicines,” said Holly Campbell, the group’s deputy vice president of public affairs. She said the wholesale price numbers used in the report failed to “capture rebates or other types of discounts” offered by many pharmaceutical companies.

“On average, 40% of the list price of medicines is given as rebates or discounts to insurance companies, the government, pharmacy benefit managers and other entities in the supply chain that often require large rebates in order for a medicine to be covered,” Campbell explained.

Unfortunately, “these savings are often not shared with patients whose out-of-pocket costs continue to soar,” she added.

Lack of competition

But Hernandez said other forces may be at play to send the cost of older drugs skyward, including a lack of competition.

“In the case of EpiPen or insulins, they are brand names that have been around for more than one decade at least, and still there’s not enough competition” to cause prices to stay the same or decrease, she said.

“Sometimes drug prices make headlines, but usually because they are because of very large prices of new drugs. We want to send the message that year-over-year inflation is a very important contributor to rising drug prices in the brand-name market,” Hernandez said.

For his part, Schweitzer questioned whether innovation justifies the high prices of new drugs entering the market.

Very, very smart people

“One argument says the profits have to come from somewhere for innovation, and if you take away those profits then you have less room to innovate,” said Schweitzer, who wasn’t involved with the study.

“But the other argument is, no, the drug companies are not stupid, they don’t choose projects based on random assignment,” Schweitzer said. “They rank every R&D dollar that’s spent. They’re very, very smart people, and they know when they can absorb falling profits and when they had better not absorb falling profits.”

“According to that argument, the companies are just fine and we could control drug prices more aggressively than we do,” he concluded.

The new study was published in the journal Health Affairs.

Image credit: iStock

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Health24.com | Does bullying start at home?

If you think that sibling rivalry can border on brutality at times, you won’t be surprised by new research from British scientists.

They found that children are more likely to be bullied by a sibling if they have more than one, and firstborn children and older brothers are most likely to bully siblings, a new study finds.

“Sibling bullying is the most frequent form of family violence, and it is often seen as a normal part of growing up by parents and health professionals, but there is increasing evidence that it can have long-term consequences, like increased loneliness, delinquency and mental health problems,” said lead study author Dieter Wolke, from the University of Warwick in England.

He and his team analysed data from more than 6 800 British children born in 1991 and 1992 to assess bullying when the children were aged 5 and 12.

Bullying was defined as psychological (saying nasty or hurtful things), physical (hitting, kicking or pushing) or emotional (ignoring a sibling, telling lies or spreading false rumors).

About 28% of the children were involved in sibling bullying, and psychological abuse was the most common form. Most of those children bullied and were bullied, according to the study published online on February 14 in the journal Developmental Psychology.

Biologically driven

Family structure and gender were the strongest predictors of sibling bullying by age 12.

“Bullying was more likely to occur in families with three or more children, and the eldest child or older brothers were more often the bullies. Female children and younger children were more often targeted,” said study co-author Slava Dantchev, from the University of Warwick.

Bullying is more likely to occur in families with more children because resources such as parental affection/attention and material goods are more limited, the researchers explained.

“Despite our cultural differences, humans are still very biologically driven. A firstborn child will have their resources halved with the birth of a sibling, and even more so as more siblings are added to the family,” Wolke said in a journal news release.

“This causes siblings to fight for those limited resources through dominance,” he explained.

Wolke noted that sibling bullying “does not discriminate. It occurs in wealthy families just as much as lower-income families and it occurs in single-parent households just as much as two-parent households.”

It’s “important for parents to realise and understand that resource loss can affect an older child,” Wolke said.

“It is a good idea for parents to manage this from the beginning by spending quality time with their firstborn or older children, and by involving them in caring for younger siblings,” he suggested.

Image credit: iStock

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Health24.com | Tattooed and need an MRI scan? What you need to know

If you have tattoos, it’s probably safe to get an MRI scan, European researchers say.

While millions of people with tattoos have MRIs every year without side effects, some adverse reactions have been reported. Researchers said there had been no systematic studies of how safe it is for people with tattoos to have an MRI.

Reported side effects include a pulling sensation on tattooed skin because tattoo ink can contain pigments that are magnetic and interact with the MRI’s strong magnetic fields.

Tattoos may also absorb energy that would ordinarily be spread out, increasing burn risk, according to study researcher Nikolaus Weiskopf. He’s director of the Max Planck Institute for Human Cognitive and Brain Sciences in Leipzig, Germany.

Small risk

Weiskopf and study authors from University College London examined 330 volunteers before and after an MRI, testing 932 tattoos in all.

Volunteers sported various colors of ink, but most tattoos were black. To ensure participants’ safety from potential burns, there were limits on the size and number of tattoos. A single tattoo could not exceed about 8 inches (around 20cm) in size, and no more than 5% of a volunteer’s body could be tattooed.

The majority of participants noticed no side effects, Weiskopf said in an institute news release.

“There was one specific case where the study doctor found that side effects — a tingling sensation on the skin — were related to scanning,” he noted. The tingling disappeared within 24 hours without medical treatment.

“Based on our investigations, we can now state, on the basis of meaningful numbers, that if a tattooed individual is scanned under the conditions tested in the study, the risk of side effects is very small,” Weiskopf concluded.

The findings were recently published as a letter in The New England Journal of Medicine

Image credit: iStock

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Sepsis: New rapid test ‘could save thousands of lives’

Researchers have developed a test that can detect the condition in minutes – instead of up to 72 hours.

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Meet the women helping fill Russia’s rural healthcare gap

After the closure of thousands of clinics in rural Russia, one region has taken matters into its own hands.

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Great white shark genome decoded

The great white shark is one of the most recognized marine creatures on Earth, generating widespread public fascination and media attention, including spawning one of the most successful movies in Hollywood history. This shark possesses notable characteristics, including its massive size (up to 20 feet and 7,000 pounds) and diving to nearly 4,000 foot depths. Great whites are also a big conservation concern given their relatively low numbers in the world’s oceans.

In a major scientific step to understand the biology of this iconic apex predator and sharks in general, the entire genome of the white shark has now been decoded in detail.

A team led by scientists from Nova Southeastern University’s (NSU) Save Our Seas Foundation Shark Research Center and Guy Harvey Research Institute (GHRI), Cornell University College of Veterinary Medicine, and Monterey Bay Aquarium, completed the white shark genome and compared it to genomes from a variety of other vertebrates, including the giant whale shark and humans.

The findings are reported in the ‘Latest Articles’ section of the journal Proceedings of the National Academy of Sciences.

Decoding the white shark’s genome revealed not only its huge size — one-and-a-half times the size of the human genome — but also a plethora of genetic changes that could be behind the evolutionary success of large-bodied and long-lived sharks.

The researchers found striking occurrences of specific DNA sequence changes indicating molecular adaptation (also known as positive selection) in numerous genes with important roles in maintaining genome stability ¬¬- the genetic defense mechanisms that counteract the accumulation of damage to a species’ DNA, thereby preserving the integrity of the genome.

These adaptive sequence changes were found in genes intimately tied to DNA repair, DNA damage response, and DNA damage tolerance, among other genes. The opposite phenomenon, genome instability, which results from accumulated DNA damage, is well known to predispose humans to numerous cancers and age-related diseases.

“Not only were there a surprisingly high number of genome stability genes that contained these adaptive changes, but there was also an enrichment of several of these genes, highlighting the importance of this genetic fine-tuning in the white shark,” said Mahmood Shivji, Ph.D., director of NSU’s Save Our Seas Foundation Shark Research Center and GHRI. Shivji co-led the study with Michael Stanhope, Ph.D., of Cornell University College of Veterinary Medicine.

Also notable was that the white shark genome contained a very high number of “jumping genes” or transposons, and in this case a specific type, known as LINEs. In fact this is one of the highest proportions of LINEs (nearly 30%) discovered in vertebrates so far.

“These LINEs are known to cause genome instability by creating double stranded breaks in DNA,” said Stanhope. “It’s plausible that this proliferation of LINEs in the white shark genome could represent a strong selective agent for the evolution of efficient DNA repair mechanisms, and is reflected in the positive selection and enrichment of so many genome stability genes.”

The international research team, which also included scientists from California State University, Monterey Bay, Clemson University, University of Porto, Portugal, and the Theodosius Dobzhansky Center for Genome Bioinformatics, Russia, also found that many of the same genome stability genes in the white shark were also under positive selection and enriched in the huge-bodied, long-lived whale shark.

The discovery that the whale shark also had these key genome stability adaptations was significant because theoretically, the risk of developing cancer should increase with both the number of cells (large bodies) and an organism’s lifespan — there is statistical support for a positive relationship of body size and cancer risk within a species. Interestingly, this does not tend to hold up across species.

Contrary to expectations, very large-bodied animals do not get cancer more often than humans, suggesting they have evolved superior cancer-protective abilities. The genetic innovations discovered in genome stability genes in the white and whale shark could be adaptations facilitating the evolution of their large bodies and long lifespans.

“Decoding the white shark genome is providing science with a new set of keys to unlock lingering mysteries about these feared and misunderstood predators — why sharks have thrived for some 500 million years, longer than almost any vertebrate on earth” said Dr. Salvador Jorgensen, a Senior Research Scientist at the Monterey Bay Aquarium, who co-authored the study.

But the innovations did not end there.

The shark genomes revealed other intriguing evolutionary adaptations in genes linked to wound healing pathways. Sharks are known for their impressively rapid wound healing.

“We found positive selection and gene content enrichments involving several genes tied to some of the most fundamental pathways in wound healing, including in a key blood clotting gene,” said Stanhope. “These adaptations involving wound healing genes may underlie the vaunted ability of sharks to heal efficiently from even large wounds.”

The researchers say they have just explored the “tip of the iceberg” with respect to the white shark genome.

“Genome instability is a very important issue in many serious human diseases; now we find that nature has developed clever strategies to maintain the stability of genomes in these large-bodied, long-lived sharks,” said Shivji. “There’s still tons to be learned from these evolutionary marvels, including information that will potentially be useful to fight cancer and age-related diseases, and improve wound healing treatments in humans, as we uncover how these animals do it.”

Decoding the white shark genome will also assist with the conservation of this and related sharks, many of which have rapidly declining populations due to overfishing,” said Steven O’Brien, a conservation geneticist at NSU, who co-conceived this study. “The genome data will be a great asset for understanding white shark population dynamics to better conserve this amazing species that has captured the imagination of so many.”

This research was funded by NSU’s Save Our Seas Foundation, the Guy Harvey Ocean Foundation, the Hai Stiftung/Shark Foundation, the Monterey Bay Aquarium, and in-kind support from Illumina, Inc., and Dovetail Genomics.

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