Implementing Whole Genome Sequencing (WGS) in Clinical Practice: Advantages, Challenges, and Future Perspectives

被引:44
作者
Brlek, Petar [1 ,2 ,3 ]
Bulic, Luka [1 ]
Bracic, Matea [1 ]
Projic, Petar [2 ]
Skaro, Vedrana [4 ]
Shah, Nidhi [5 ]
Shah, Parth [5 ]
Primorac, Dragan [1 ,2 ,3 ,6 ,7 ,8 ,9 ,10 ,11 ,12 ,13 ]
机构
[1] St Catherine Specialty Hosp, Zagreb 10000, Croatia
[2] Int Ctr Appl Biol Res, Zagreb 10000, Croatia
[3] Josip Juraj Strossmayer Univ Osijek, Sch Med, Osijek 31000, Croatia
[4] Greyledge Europe Ltd, Zagreb 10000, Croatia
[5] Dartmouth Hitchcock Med Ctr, Lebannon, NH 03766 USA
[6] Univ Split, Med Sch, Split 21000, Croatia
[7] Penn State Univ, Eberly Coll Sci, State Coll, PA 16802 USA
[8] Univ New Haven, Henry C Lee Coll Criminal Justice & Forens Sci, West Haven, CT 06516 USA
[9] REGIOMED Kliniken, D-96450 Coburg, Germany
[10] Univ Rijeka, Med Sch, Rijeka 51000, Croatia
[11] Josip Juraj Strossmayer Univ Osijek, Fac Dent Med & Hlth, Osijek 31000, Croatia
[12] Univ Mostar, Med Sch, Mostar 88000, Bosnia & Herceg
[13] Natl Forens Sci Univ, Gandhinagar 382007, Gujarat, India
关键词
whole genome sequencing; next-generation sequencing; pharmacogenomics; cancer genomics; third-generation sequencing; nanopore sequencing; variant computational analysis; multi-omics integration; OSTEOGENESIS IMPERFECTA; PRECISION MEDICINE; VARIANTS; GENETICS; EXOME; PHARMACOGENOMICS; HISTORY; PATIENT; OMICS;
D O I
10.3390/cells13060504
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
The integration of whole genome sequencing (WGS) into all aspects of modern medicine represents the next step in the evolution of healthcare. Using this technology, scientists and physicians can observe the entire human genome comprehensively, generating a plethora of new sequencing data. Modern computational analysis entails advanced algorithms for variant detection, as well as complex models for classification. Data science and machine learning play a crucial role in the processing and interpretation of results, using enormous databases and statistics to discover new and support current genotype-phenotype correlations. In clinical practice, this technology has greatly enabled the development of personalized medicine, approaching each patient individually and in accordance with their genetic and biochemical profile. The most propulsive areas include rare disease genomics, oncogenomics, pharmacogenomics, neonatal screening, and infectious disease genomics. Another crucial application of WGS lies in the field of multi-omics, working towards the complete integration of human biomolecular data. Further technological development of sequencing technologies has led to the birth of third and fourth-generation sequencing, which include long-read sequencing, single-cell genomics, and nanopore sequencing. These technologies, alongside their continued implementation into medical research and practice, show great promise for the future of the field of medicine.
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页数:23
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