Human genome sequencing in health and disease.

Human genome sequencing in health and disease.
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DOI:
10.1146/annurev-med-051010-162644
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发表时间:
2012
影响因子:
10.5
通讯作者:
Gibbs RA
Gibbs RA
中科院分区:
医学1区
文献类型:
--
作者:
Gonzaga-Jauregui C;Lupski JR;Gibbs RA

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继“成品”、常染色体、单倍体人类参考基因组序列之后,新的、更快的和更便宜的测序技术的快速发展使个性化人类基因组学时代成为可能。个人二倍体人类基因组序列已经产生,每一个都有助于我们更好地了解人类基因组的变异。因此,我们开始认识到个体遗传变异的巨大性,从单核苷酸到结构变异。然而,将基因组规模的变异转化为医学上有用的信息还处于起步阶段。本文综述了个人基因组信息在临床应用中的初步步骤,并介绍了全基因组和外显子组测序在确定遗传性疾病病因和辅助治疗方面的应用。更好的分析工具和更深入地了解我们基因组的生物学是必要的,以便破译,解释和优化人类基因组变异的临床应用。个人基因组测序最终可能成为一种常见的医疗实践工具,提供有助于制定鉴别诊断的信息。我们在此概述一些剩余的挑战。
Following the “finished,” euchromatic, haploid human reference genome sequence, the rapid development of novel, faster, and cheaper sequencing technologies is making possible the era of personalized human genomics. Personal diploid human genome sequences have been generated, and each has contributed to our better understanding of variation in the human genome. We have consequently begun to appreciate the vastness of individual genetic variation from single nucleotide to structural variants. Translation of genome-scale variation into medically useful information is, however, in its infancy. This review summarizes the initial steps undertaken in clinical implementation of personal genome information, and describes the application of whole-genome and exome sequencing to identify the cause of genetic diseases and to suggest adjuvant therapies. Better analysis tools and a deeper understanding of the biology of our genome are necessary in order to decipher, interpret, and optimize clinical utility of what the variation in the human genome can teach us. Personal genome sequencing may eventually become an instrument of common medical practice, providing information that assists in the formulation of a differential diagnosis. We outline herein some of the remaining challenges.
DOI: 10.1038/nature06258
发表时间: 2007-10-18
期刊: NATURE
影响因子: 64.8
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发表时间: 2011-07-17
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影响因子: 30.8
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期刊: HUMAN MUTATION
影响因子: 3.9
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影响因子: 11.1
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