Application of next generation sequencing in cardiology: current and future precision medicine implications.

cardiogenetics cardiovascular diseases genetic analysis next generation sequencing personalized treatment

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2023
Historique:
received: 08 04 2023
accepted: 12 06 2023
medline: 10 7 2023
pubmed: 10 7 2023
entrez: 10 7 2023
Statut: epublish

Résumé

Inherited cardiovascular diseases are highly heterogeneous conditions with multiple genetic loci involved. The application of advanced molecular tools, such as Next Generation Sequencing, has facilitated the genetic analysis of these disorders. Accurate analysis and variant identification are required to maximize the quality of the sequencing data. Therefore, the application of NGS for clinical purposes should be limited to laboratories with a high level of technological expertise and resources. In addition, appropriate gene selection and variant interpretation can result in the highest possible diagnostic yield. Implementation of genetics in cardiology is imperative for the accurate diagnosis, prognosis and management of several inherited disorders and could eventually lead to the realization of precision medicine in this field. However, genetic testing should also be accompanied by an appropriate genetic counseling procedure that clarifies the significance of the genetic analysis results for the proband and his family. In this regard, a multidisciplinary collaboration among physicians, geneticists, and bioinformaticians is imperative. In the present review, we address the current state of knowledge regarding genetic analysis strategies employed in the field of cardiogenetics. Variant interpretation and reporting guidelines are explored. Additionally, gene selection procedures are accessed, with a particular emphasis on information concerning gene-disease associations collected from international alliances such as the Gene Curation Coalition (GenCC). In this context, a novel approach to gene categorization is proposed. Moreover, a sub-analysis is conducted on the 1,502,769 variation records with submitted interpretations in the Clinical Variation (ClinVar) database, focusing on cardiology-related genes. Finally, the most recent information on genetic analysis's clinical utility is reviewed.

Identifiants

pubmed: 37424920
doi: 10.3389/fcvm.2023.1202381
pmc: PMC10327645
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1202381

Informations de copyright

© 2023 Papadopoulou, Bouzarelou, Tsaousis, Papathanasiou, Vogiatzi, Vlachopoulos, Miliou, Papachristou, Prappa, Servos, Ritsatos, Seretis, Frogoudaki and Nasioulas.

Déclaration de conflit d'intérêts

EP, DB, GT, AP, GN were employed by Genekor Medical S.A. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Eirini Papadopoulou (E)

Genekor Medical S.A., Athens, Greece.

Dimitra Bouzarelou (D)

Genekor Medical S.A., Athens, Greece.

George Tsaousis (G)

Genekor Medical S.A., Athens, Greece.

Athanasios Papathanasiou (A)

Genekor Medical S.A., Athens, Greece.

Georgia Vogiatzi (G)

Third Department of Cardiology, Sotiria Hospital, Athens, Greece.

Charalambos Vlachopoulos (C)

Unit of Inherited Cardiac Conditions and Sports Cardiology, First Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece.

Antigoni Miliou (A)

Unit of Inherited Cardiac Conditions and Sports Cardiology, First Department of Cardiology, National and Kapodistrian University of Athens, Athens, Greece.

Panagiota Papachristou (P)

Cardiology Department, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.

Efstathia Prappa (E)

Second Department of Cardiology, Arrhythmia Unit, Evangelismos General Hospital of Athens, Athens, Greece.

Georgios Servos (G)

Pediatric Cardiology Unit, "P. & A. Kyriakou" Children's Hospital, Athens, Greece.

Konstantinos Ritsatos (K)

Unit of Inherited and Rare Cardiovascular Diseases, Onassis Cardiac Surgery Center, Athens, Greece.

Aristeidis Seretis (A)

Unit of Inherited and Rare Cardiovascular Diseases, Onassis Cardiac Surgery Center, Athens, Greece.

Alexandra Frogoudaki (A)

Second Department of Cardiology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

George Nasioulas (G)

Genekor Medical S.A., Athens, Greece.

Classifications MeSH