Comparing NutraHacker's True Detox and PharmaShield (PGx) Panel with Myriad Genetics' GeneSight Psychotropic Panel
September 2, 2024
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Introduction
Genetic testing has become a key component in personalized healthcare, offering insights that allow individuals and healthcare providers to tailor medical and lifestyle interventions. This comparison focuses on two significant players: NutraHacker and Myriad Genetics. NutraHacker provides a combined True Detox and PharmaShield (PGx) Panel, while Myriad Genetics offers the GeneSight Psychotropic Panel. This blog post will provide a comprehensive comparison between these two offerings.
1. Overview of the Companies
NutraHacker: Operating since 2013, NutraHacker offers genetic testing services aimed at optimizing health through personalized recommendations. The combined True Detox and PharmaShield (PGx) Panel provides insights into detoxification, pharmacogenomics, and HLA-based adverse drug reactions and allergies.
Myriad Genetics' GeneSight: Myriad Genetics is a leader in genetic testing, focusing on mental health. Their GeneSight Psychotropic Panel is designed to guide the prescription of psychiatric medications based on a patient's genetic profile, aiming to improve medication efficacy and reduce side effects.
2. NutraHacker's True Detox and PharmaShield (PGx) Panel
Purpose: This combined panel is designed to offer a broad spectrum of insights related to detoxification, drug metabolism, and the genetic risk of adverse drug reactions. It includes analysis for detox pathways, pharmacogenomics, and HLA typing.
- Comprehensive Analysis: Utilizes Whole Genome Sequencing (WGS) to provide a wide-ranging analysis of genetic variants.
- Detoxification Insights: Focuses on genes involved in detoxification, such as those related to liver enzyme function, antioxidant defenses, and heavy metal processing.
- Pharmacogenomics: Evaluates a variety of genes impacting drug metabolism, such as those from the CYP450 family, and provides recommendations across numerous drug categories, including cardiovascular, pain management, and psychiatric medications.
- HLA Analysis: Identifies genetic predispositions to adverse drug reactions and allergies through HLA typing, useful for predicting responses to specific medications.
- Actionable Recommendations: Offers practical advice on medication adjustments, dietary changes, and supplements to support detoxification and overall health.
3. Myriad Genetics' GeneSight Psychotropic Panel
Purpose: The GeneSight Psychotropic Panel is designed to provide personalized recommendations for psychiatric medications based on a patient’s genetic makeup. This panel helps optimize treatment plans for conditions like depression, anxiety, bipolar disorder, and schizophrenia.
- Focused Scope: Specifically targets genes relevant to the efficacy and side effects of psychotropic medications.
- Gene Coverage: Includes key pharmacogenomic genes such as CYP2D6, CYP2C19, CYP1A2, SLC6A4 (serotonin transporter), HTR2A (serotonin receptor), and others relevant to mental health medication response.
- Clinical Validation: Backed by robust clinical studies demonstrating improved outcomes in psychiatric care when using the GeneSight test to inform medication decisions.
- Simple and Clear Reporting: Provides a color-coded report that categorizes medications into groups: ‘Use as Directed,’ ‘Moderate Gene-Drug Interaction,’ and ‘Significant Gene-Drug Interaction,’ simplifying the decision-making process for healthcare providers.
4. Comparative Analysis
Scope and Coverage
NutraHacker: Offers a broad approach, encompassing detoxification, pharmacogenomics across various medication categories, and HLA analysis for adverse drug reactions and allergies. This makes it suitable for individuals seeking comprehensive health optimization.
GeneSight: Has a narrow focus on psychiatric medications, making it highly specialized and ideal for mental health professionals seeking to optimize treatment for psychiatric conditions.
Comparing the most similar reports between the two companies, NutraHacker's WGS True Detox and PharmaShield (PGx) Panel analyzes 27 genes, while Genesight examines 15 genes.
The total coverage of variants or star alleles for each gene covered in NutraHacker's WGS True Detox and PharmaShield (PGx) Panel is more than 929 with a full HLA panel computed as well, compared to Genesight's total of only 46 for their Pharmacogenetic report, detailed as follows:
Gene | NutraHacker | GeneSight |
---|---|---|
HLA-A | Full Diplotype | 1 variant |
HLA-B | Full Diplotype | 1 variant |
HLA-C | Full Diplotype | No Coverage |
HLA-C | Full Diplotype | No Coverage |
HLA-DPB1 | Full Diplotype | No Coverage |
HLA-DQA1 | Full Diplotype | No Coverage |
HLA-DQB1 | Full Diplotype | No Coverage |
HLA-DRB1 | Full Diplotype | No Coverage |
ABCG2 | 1 variant | No Coverage |
CACNA1S | 3 variants | No Coverage |
CFTR | 39 variants | No Coverage |
CYP1A2 | No Coverage | 1 variant |
CYP2B6 | 46 star alleles | 3 star alleles |
CYP2C19 | 34 star alleles | 7 star alleles |
CYP2C9 | 85 star alleles | 5 star alleles |
CYP2D6 | 179 star alleles | 17 star alleles |
CYP3A4 | 45 star alleles | 3 star allele |
CYP3A5 | 6 star alleles | No Coverage |
CYP4F2 | 15 star alleles | No coverage |
DPYD | 83 variants | No coverage |
F5 | 1 variant | No coverage |
G6PD | 224 variants | No coverage |
IFNL3 | 1 variant | No coverage |
NUDT15 | 20 star alleles | No coverage |
RYR1 | 49 variants | No coverage |
SLCO1B1 | 42 star alleles | No Coverage |
TPMT | 46 star alleles | No coverage |
UGT1A1 | 9 star alleles | No coverage |
VKORC1 | 1 variant | No coverage |
ADRA2A | No coverage | 1 variant |
CES1A1 | No coverage | 1 variant |
COMT | No coverage | 1 variant |
HTR2A | No coverage | 1 variant |
SLC6A4 | No coverage | 2 variants |
UGT1A4 | No coverage | 1 star allele |
UGT2B15 | No coverage | 1 star allele |
Therefore, in total there are 493 star alleles and 402 variants that NutraHacker covers which are not covered by Genesight, and conversely there are only 7 Variants That Genesight covers which NutraHacker currently does not offer coverage for.
In terms of medication and chemical coverage, NutraHacker covers over 2,700 Rxs while Genesight has only approximately 67 covered.
Methodology
NutraHacker: Uses Whole Genome Sequencing, offering extensive genetic insights that go beyond targeted genotyping, including detox pathways and HLA typing.
GeneSight: Employs targeted genotyping to focus specifically on key genes linked to psychotropic medication response, backed by extensive clinical validation.
Actionable Insights
NutraHacker: Provides broad recommendations that cover various health areas, including detoxification, drug metabolism, and susceptibility to adverse reactions.
GeneSight: Offers focused and specific guidance for psychiatric medication management, simplifying the process for mental health providers.
Clinical Application
NutraHacker: Suitable for both healthcare providers and individuals looking for a comprehensive health approach, including detoxification, pharmacogenomics, and risk for adverse drug reactions.
GeneSight: Primarily aimed at mental health professionals to guide the selection and dosing of psychotropic medications, improving patient outcomes in psychiatric care.
5. Conclusion
NutraHacker and Myriad Genetics offer valuable genetic testing services, each tailored to different needs:
- NutraHacker's True Detox and PharmaShield (PGx) Panel offers a comprehensive solution that includes detoxification insights, pharmacogenomics, and HLA analysis, making it ideal for individuals seeking broad health optimization.
- GeneSight Psychotropic Panel from Myriad Genetics provides specialized guidance for mental health professionals, focusing on optimizing psychotropic medication use based on genetic makeup.
Deciding between these options depends on the specific health goals and needs of the individual or healthcare provider. NutraHacker's panel is suitable for those seeking a wide-ranging genetic overview, while GeneSight is tailored for psychiatric medication management.
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