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Exome sequencing: Dual role as a discovery and diagnostic tool
Author(s) -
Ku CheeSeng,
Cooper David N.,
Polychronakos Constantin,
Naidoo Nasheen,
Wu Mengchu,
Soong Richie
Publication year - 2012
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.22647
Subject(s) - exome sequencing , exome , context (archaeology) , sanger sequencing , dna sequencing , computational biology , genomics , genetic testing , biology , genetics , bioinformatics , medicine , mutation , genome , gene , paleontology
Recent developments in high‐throughput sequence capture methods and next‐generation sequencing technologies have now made exome sequencing a viable approach to elucidate the genetic basis of Mendelian disorders with hitherto unknown etiology. In addition, exome sequencing is increasingly being employed as a diagnostic tool for specific genetic diseases, particularly in the context of those disorders characterized by significant genetic and phenotypic heterogeneity, for example, Charcot‐Marie‐Tooth disease and congenital disorders of glycosylation. Such disorders are challenging to interrogate with conventional polymerase chain reaction–Sanger sequencing methods, because of the inherent difficulty in prioritizing candidate genes for diagnostic testing. Here, we explore the value of exome sequencing as a diagnostic tool and discuss whether exome sequencing can come to serve a dual role in diagnosis and discovery. We summarize the current status of exome sequencing, the technical challenges facing it, and its adaptation to diagnostics, and make recommendations for the use of exome sequencing as a routine diagnostic tool. Finally, we discuss pertinent ethical concerns, such as the use of exome sequencing data, originally generated in a diagnostic context, in research investigations. Ann Neurol 2012;71:5–14