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Peter Attia MDPeter Attia MD

Genetics: how they impact disease risk, what you can do about it, testing & more [AMA 50 sneak peek]

Watch the full episode and view show notes here: https://bit.ly/3Oo9mE5 Become a member to receive exclusive content: https://peterattiamd.com/subscribe/ Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/ In this "Ask Me Anything" (AMA) episode, Peter delves into the realm of genetics, unraveling its connection to disease and emphasizing the value of understanding one's genetic risks. He elucidates essential background knowledge on genetics before delving into the myriad reasons why individuals might consider genetic testing. Peter differentiates scenarios where genetic testing provides genuine insights from those where it may not be as useful. From there, Peter explores a comprehensive comparison of commercial direct-to-consumer genetic tests, providing insights on interpreting results and identifying the standout options for gaining insights into personal health. In this sneak peek, we discuss: 00:00 - Intro 02:09 - Defining the term “genetics” and why it’s important 04:03 - What is DNA, and how does it impact our biology and traits? 07:13 - How are genetics passed down from parent to child? 11:44 - How much do genes vary across individuals? 16:22 - Which traits are determined by genetics versus experience or environmental factors? 22:30 - Reasons for genetic testing In the full episode, we also discuss: -What exactly is being measured by a genetic test?; -Testing for monogenic disorders; -Understanding polygenic risk; -Is genetic testing more important for someone who doesn’t know their family history?; -What does it mean to be positive for a particular variant?; -What does it mean to be negative for a particular variant?; -How does someone get genetic testing through their healthcare provider, and how are these tests performed?; -The financial cost of various genetic tests; -Could having a risk allele for a disease result in an increase in one’s insurance premium?; -Other risks associated with genetic testing; -How do commercial, direct-to-consumer genetic tests compare to the information one might receive from clinical genetic testing?; -Are certain direct-to-consumer tests better than others?; -How long until whole genome sequencing becomes genuinely useful?; -How useful are personalized dietary recommendations based on genetics?; -Final thoughts and advice regarding genetic testing; and -More. -------- About: The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 70 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more. Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: https://peterattiamd.com/terms-of-use/

Peter Attiahost
Aug 14, 202325mWatch on YouTube ↗

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At a glance

WHAT IT’S REALLY ABOUT

Genetics Basics: DNA, Inheritance, Variation, Heritability and Twin Studies Explained

  1. Peter Attia defines genetics as the inherited 'nature' side of nature versus nurture and notes that some genes are deterministic while many only raise the chance of a trait.
  2. He explains DNA as a cookbook of instructions in which genes must be transcribed into RNA and translated into proteins, and says humans have only about 20,000 protein-coding genes.
  3. He walks through inheritance, from nucleotide base pairs to genes and chromosomes, with 23 pairs of chromosomes, one set from each parent, and different gene versions called alleles.
  4. Humans are at least 99.5% genetically identical, and small variations called SNPs account for genetic differences, ranging from benign to pathogenic.
  5. Heritability and twin studies show that most traits, including height and schizophrenia risk, reflect a mix of genes and environment; the episode ends before the genetic testing discussion, with a membership pitch.

IDEAS WORTH REMEMBERING

5 ideas

Genes are instructions that only matter when expressed

Attia compares DNA to a cookbook: genes are recipes that become proteins only through transcription into RNA and translation into protein.

Gene count does not track complexity

Humans have about 20,000 protein-coding genes, fewer than mice, krill or rice, which shows that one gene does not simply equal one function because a gene can be read in many ways.

Each parent contributes one copy of every gene

With 23 chromosome pairs, people carry two copies of each gene, which may be identical or different alleles, and for most genes one functional copy is usually enough for a normal phenotype.

A tiny fraction of the genome explains human differences

All humans are at least 99.5% genetically identical, and SNPs in under 0.5% of base pairs account for genetic differences in traits like height, skin color and disease susceptibility.

Not every genetic variant is harmful

Variants range from benign to pathogenic, with many of unknown significance; the egg-recipe typo analogy shows that some changes are harmless while others, like two eggs becoming five, are material.

WORDS WORTH SAVING

5 quotes

DNA is just a code of instructions that tell a cell how to function.

— Peter Attia

all humans are at least 99.5% genetically identical to each other.

— Peter Attia

all the things about us that are genetically different are contained within less than 0.5% of our genome.

— Peter Attia

when you think about things that are far simpler than we are and they have far more protein coding genes, you realize that that's just part of the story.

— Peter Attia

it had been long assumed that one gene led to one function, and we now know that this isn't the case.

— Peter Attia

Nature versus nurtureDNA as a cookbookGene expression: transcription and translationChromosomes, alleles and inheritanceSNPs and genetic variationHeritability of traitsTwin studies

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