Speaker Profile

M.D., Director, Center for Reproductive Health, UCSF

Biography
Dr. Marcelle Cedars is a specialist in caring for patients going through in vitro fertilization and perimenopause, as well as patients with polycystic ovarian syndrome. She is director of the UCSF Center for Reproductive Health. Cedars also directs UCSF’s reproductive endocrinology division, coordinating the relationship between scientific research and personalized care for patients. In her own research, she focuses on ovarian aging and how it affects both fertility and women’s overall health. Cedars received her medical training at the University of Texas Southwestern Medical School. She completed a residency in obstetrics and gynecology at Parkland Health & Hospital System, followed by a fellowship in reproductive endocrinology at the University of California, Los Angeles.

Talk
Ovarian Aging, Menopause and Early Predictors
This talk will cover investigations into the impact of ovarian aging on reproductive and general health. Women are unique in the universal loss of reproductive function at an age long before other vital systems fail. Studies are starting to understand the causes for this loss and the lifelong impact for both reproductive function but also women’s health.


 Session Abstract – PMWC 2020 Silicon Valley


Researchers have long been recognizing the uniqueness of women’s health and the substantial effect on clinical practice, acknowledging the increasing appreciation of the importance of multidisciplinary approaches to health and disease. In every organ system, there are diseases that are unique to women, more common in women than in men, or characterized by differences in disease course in women compared with men. This session will include the effect of women’s health on the following topics:

  • Reproductive Women's Health Overview
    - Michelle Strecker, Invitae
  • Preterm Birth & The Promise Of Biomarkers
    New “omics” assays that measure multiple biomarkers shed light on processes that lead to increased risk of preterm birth and generate biomarkers of risk of preterm birth that are useful for prediction. Those two applications (mechanism identification and prediction) could be useful for developing therapeutic targets, diagnostic tests, as well as identifying populations at particularly high risk in whom interventions might be most important.
    - Amy Murtha, UCSF
    - Laura Jelliffe-Pawlowski, UCSF
    - Stephen Quake, Stanford
  • Preterm Birth and Oral Health
    - Michael Reddy, UCSF
  • NIPT
    Current non-invasive prenatal screening is targeted toward the detection of chromosomal abnormalities in the fetus, providing much higher test sensitivity and specificity than traditional maternal serum screening for trisomy 21, 18 and 13. New approaches for non-invasive prenatal sequencing are being developed to detect causative genes for frequent dominant monogentic diseases that can lead to significant adverse health outcomes. This will help guide physician and parent decisions for further evaluation and management of the pregnancy.
    - Brynn Levy, Columbia University
  • The Evolution Of Genetic Carrier Screening
    Before definitive identification of causative genes and associated mutations, carrier screening relied on biochemical techniques, utilizing measurements of enzyme activity and/or substrate levels. As genes and mutations were identified, molecular-based screening became the standard. Advances in molecular technologies, especially next-generation sequencing (NGS), have changed the landscape of carrier screening – providing information about multiple genes, the whole exome, or even the whole genome. The panel will discuss the conditions and genes most appropriate for screening, and whether it is time to screen the whole genome.
    - Jennifer Saucier, Natera
  • Infertility Outcomes: Genetics And Epigenetics
    This talk will cover the impact of genetics and epigenetics of infertility diagnosis associated with epigenetics of various treatments on overall pregnancy outcomes. Studies are starting to suggest that genetics and epigenetics of infertility diagnoses affect outcomes for mother and child, which may be a greater contributor than treatments utilized.
    - Margareta D. Pisarska, Cedars-Sinai Medical Center
  • AI in IVF: Selection Of Optimal Embryo
    AI is not meant to replace the doctors and embryologists but rather to be used as a tool to medical practitioners in augmenting correct diagnoses and increase the robustness of the treatments and increase pregnancy and LB rates.
    - Nikica Zaninovic, Weill Cornell Medical College
  • Expanded Carrier Screening For Serious Inherited Disorders
    Carrier screening has been a routine part of prenatal care for over 50 years. Traditionally, screening has been limited to a small number of conditions in selected ethnic groups. This talk will describe advances in technology that now make possible pan-ethnic screening for a large number of serious conditions.
    - James Goldberg, Myriad
  • Precision Medicine Leads to Better Fertility Outcomes
    - Aimee Eyvazzadeh, Egg Whisperer
  • Endometriosis
    This common, estrogen-dependent, inflammatory disease that is associated with a high prevalence of pelvic pain and reduced fertility in women remains challenging for clinicians, researchers, and those affected. A considerable heritable component to endometriosis risk has been established through both family- and population-based studies. New minimally invasive diagnostic methods are being developed to enable early intervention that might reduce suffering and expenses related to the disease.
    - Heather Bowerman, Dotlab
  • Preimplantation Genetic Testing Beyond Recessive Disease
    - Alex Bisignano, Phosphorus
  • In Vitro Fertilization
    Despite continual advances in techniques and technology since the introduction of in vitro fertilization more than 40 years ago, this approach is successful in fewer than half of initiated cycles. Major advancements have been made in methods to improve oocyte quality in older women, new stimulation protocols that may improve the number of mature oocytes retrieved during in vitro fertilization cycle, pre-implantation genetic screening, and endometrial receptivity evaluation.
    - Akash Kumar, MyOme Inc.
    - Claire Tomkins, Future Family
  • Menopause and Early Predictors
    Current osteoporosis medications reduce fractures significantly but have rare and serious adverse effects that may limit their safety for long-term use. Insights from basic bone biology and genetic disorders have led to recent advances in therapeutics for osteoporosis. Combination and sequential treatments using osteoporosis medications with different mechanisms of action have also been tested with promising results. On the horizon is the potential for cell-based therapies and drugs that target the elimination of senescent cells in the bone microenvironment.
    - Marcelle Cedars, UCSF
  • Breast Cancer Genetics: Molecular Tumor Signatures and Hereditary Cancer Tests
    Advances in molecular pathology and hereditary cancer assays have led to a new understanding of breast cancer classification systems, allowing for precision thera-py using molecular tumor signatures that guide both systemic treatments and per-sonalized radiotherapy. The goal is to minimize overtreatment and treatment-associated morbidity for patients while preventing progression and recurrence. This session will focus on the current state of progress in these pursuits and discuss the challenges including prior authorization issues and the growing size of assay pan-els.
    - Ramesh Hariharan, Natera
    - Eleanor Harris, Case Western
    - George Sledge, Stanford
    - Barbara Cohn, Public Health Institute