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Recent developments in genetic/genomic medicine.

Rachel Horton, +1 more
- 15 Mar 2019 - 
- Vol. 133, Iss: 5, pp 697-708
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TLDR
The ways in which genetic medicine is developing in light of technological advances are outlined, including the landscape of treatment options for genetic conditions is shifting, which has evolving implications for clinical discussions around previously untreatable disorders.
Abstract
Advances in genetic technology are having a major impact in the clinic, and mean that many perceptions of the role and scope of genetic testing are having to change. Genomic testing brings with it a greater opportunity for diagnosis, or predictions of future diagnoses, but also an increased chance of uncertain or unexpected findings, many of which may have impacts for multiple members of a person’s family. In the past, genetic testing was rarely able to provide rapid results, but the increasing speed and availability of genomic testing is changing this, meaning that genomic information is increasingly influencing decisions around patient care in the acute inpatient setting. The landscape of treatment options for genetic conditions is shifting, which has evolving implications for clinical discussions around previously untreatable disorders. Furthermore, the point of access to testing is changing with increasing provision direct to the consumer outside the formal healthcare setting. This review outlines the ways in which genetic medicine is developing in light of technological advances.

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Citations
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PURA syndrome: clinical delineation and genotype-phenotype study in 32 individuals with review of published literature

Margot R.F. Reijnders, +58 more
TL;DR: The clinical spectrum of PURA syndrome is delineated with the identification of 32 additional individuals and genotype-phenotype analysis showed no significant correlation between mutation classes and disease severity, which points towards the clinical recognisability of the syndrome.
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Unlocking the efficiency of genomics laboratories with robotic liquid-handling

TL;DR: The state-of-the-art technology of both sophisticated and do-it-yourself (DIY) robotic liquid-handlers are described and a practical review of the motivation, implications and requirements of laboratory automation for genome sequencing experiments is provided.
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Understanding genomics and the immune environment of penile cancer to improve therapy

TL;DR: Penile squamous cell carcinoma (PSCC) displays a wide range of therapeutically targetable somatic alterations, and patients with treatment-resistant advanced PSCC might benefit from combined and sequential targeted therapies.
Journal ArticleDOI

Next Generation Sequencing and Bioinformatics Analysis of Family Genetic Inheritance.

TL;DR: Next generation and third generation sequencing platforms, bioinformatic tools and genetic resources commonly used to analyze family based genomic data with a focus on identifying inherited or novel disease-causing mutations are discussed.
References
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Journal ArticleDOI

Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.

TL;DR: Because of the increased complexity of analysis and interpretation of clinical genetic testing described in this report, the ACMG strongly recommends thatclinical molecular genetic testing should be performed in a Clinical Laboratory Improvement Amendments–approved laboratory, with results interpreted by a board-certified clinical molecular geneticist or molecular genetic pathologist or the equivalent.
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A global reference for human genetic variation.

Adam Auton, +517 more
- 01 Oct 2015 - 
TL;DR: The 1000 Genomes Project set out to provide a comprehensive description of common human genetic variation by applying whole-genome sequencing to a diverse set of individuals from multiple populations, and has reconstructed the genomes of 2,504 individuals from 26 populations using a combination of low-coverage whole-generation sequencing, deep exome sequencing, and dense microarray genotyping.
Journal ArticleDOI

Mutational Processes Molding the Genomes of 21 Breast Cancers

TL;DR: This work generated catalogs of somatic mutation from 21 breast cancers and applied mathematical methods to extract mutational signatures of the underlying processes, finding a remarkable phenomenon of localized hypermutation, termed “kataegis,” was observed.
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