What Has the Undiagnosed Diseases Network Taught Us About the Clinical Applications of Genomic Testing?

RNA sequencing genetic testing insurance coverage long-read sequencing whole-exome sequencing whole-genome sequencing

Journal

Annual review of medicine
ISSN: 1545-326X
Titre abrégé: Annu Rev Med
Pays: United States
ID NLM: 2985151R

Informations de publication

Date de publication:
27 01 2022
Historique:
entrez: 27 1 2022
pubmed: 28 1 2022
medline: 22 3 2022
Statut: ppublish

Résumé

Genetic testing has undergone a revolution in the last decade, particularly with the advent of next-generation sequencing and its associated reductions in costs and increases in efficiencies. The Undiagnosed Diseases Network (UDN) has been a leader in the application of such genomic testing for rare disease diagnosis. This review discusses the current state of genomic testing performed within the UDN, with a focus on the strengths and limitations of whole-exome and whole-genome sequencing in clinical diagnostics and the importance of ongoing data reanalysis. The role of emerging technologies such as RNA and long-read sequencing to further improve diagnostic rates in the UDN is also described. This review concludes with a discussion of the challenges faced in insurance coverage of comprehensive genomic testing as well as the opportunities for a larger role of testing in clinical medicine.

Identifiants

pubmed: 35084988
doi: 10.1146/annurev-med-042120-014904
pmc: PMC10874501
mid: NIHMS1966347
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

575-585

Subventions

Organisme : NICHD NIH HHS
ID : P50 HD103555
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG007709
Pays : United States
Organisme : NICHD NIH HHS
ID : U54 HD083092
Pays : United States

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Auteurs

David R Murdock (DR)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA; email: blee@bcm.tmc.edu.

Jill A Rosenfeld (JA)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA; email: blee@bcm.tmc.edu.

Brendan Lee (B)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA; email: blee@bcm.tmc.edu.
Texas Children's Hospital, Houston, Texas 77030, USA.

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