You ever wonder how geneticists get their super detailed
information about mutations for each individual patient? Well, this is where
molecular pathology comes into play. When people generally think of pathology,
they picture tissue stains and tumor observations. But on the molecular scale,
visual cues become a lot trickier as you cannot exactly see a genetic mutation
under a microscope. Even cytogenetic screening that I mentioned last week cannot
pick up the minute base pair changes seen in cases of leukemia or genetic
disorders of all kinds. A collaborative mindset that combines molecular biology,
bioinformatics, genetics, tissue anatomy, etc. all encompass what a molecular
pathologist does.
How does this relate to a biomedical engineer like myself?
Beyond simple data analysis skills, the emphasis on cross-discipline knowledge
is something easily relatable to me and the techniques used by molecular pathologists
in a clinical sense are also being used in basic science research such as my
own. This provided an interesting perspective on how robust some of the biological
techniques in the lab are and how differently they are used in the clinical setting
versus the scientific setting. Funny enough, molecular pathologists use an
extensive amount of PCR (Polymerase Chain Reaction) as the mutations they are
looking for need to be seen in a clear way. Therefore, the best way to do that
is to amplify the amount of DNA present within their clinical samples. My
project back in Ithaca uses the same logic applied in cell culture to elucidate
some of the genetic changes in cells exposed to stimulus. It’s fascinating to
see how precision medicine like this is directly applied.
Another thing to note about this week is that clinical
pathologists must use very fancy equipment with robotic arms and enclosed cages
that look quite expensive. The amount of work that must go into designing the
workflow around these machines is quite daunting and I respect the people who
do this kind of work. Also, its fun watching a robotic arm perform a very
meticulous task with ease and improve the process. That is engineering at it’s
finest.
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