Rapid genomic sequencing for genetic disease diagnosis and therapy in intensive care units: a review
npj Genomic Medicine,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Feb. 27, 2024
Abstract
Single
locus
(Mendelian)
diseases
are
a
leading
cause
of
childhood
hospitalization,
intensive
care
unit
(ICU)
admission,
mortality,
and
healthcare
cost.
Rapid
genome
sequencing
(RGS),
ultra-rapid
(URGS),
rapid
exome
(RES)
diagnostic
tests
for
genetic
ICU
patients.
In
44
studies
children
in
ICUs
with
unknown
etiology,
37%
received
diagnosis,
26%
had
consequent
changes
management,
net
costs
were
reduced
by
$14,265
per
child
tested
URGS,
RGS,
or
RES.
URGS
outperformed
RGS
RES
faster
time
to
higher
rate
diagnosis
clinical
utility.
Diagnostic
outcomes
will
improve
as
methods
evolve,
decrease,
testing
is
implemented
within
precision
medicine
delivery
systems
attuned
needs.
currently
performed
<5%
the
~200,000
likely
benefit
annually
due
lack
payor
coverage,
inadequate
reimbursement,
hospital
policies,
hospitalist
unfamiliarity,
under-recognition
possible
diseases,
current
formatting
rather
than
system.
The
gap
between
actual
optimal
increasing
since
expanded
use
lags
growth
those
through
new
therapies.
There
sufficient
evidence
conclude
that
should
be
considered
all
uncertain
etiology
at
admission.
Minimally,
ordered
early
during
admissions
critically
ill
infants
suspected
diseases.
Language: Английский
Concordance of whole-genome long-read sequencing with standard clinical testing for Prader-Willi and Angelman syndromes
Journal of Molecular Diagnostics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Language: Английский
Applications of advanced technologies for detecting genomic structural variation
Mutation Research/Reviews in Mutation Research,
Journal Year:
2023,
Volume and Issue:
792, P. 108475 - 108475
Published: July 1, 2023
Language: Английский
Potential clinical applications of advanced genomic analysis in cerebral palsy
Sara A. Lewis,
No information about this author
Andrew Ruttenberg,
No information about this author
Tuğçe Iyiyol
No information about this author
et al.
EBioMedicine,
Journal Year:
2024,
Volume and Issue:
106, P. 105229 - 105229
Published: July 5, 2024
Cerebral
palsy
(CP)
has
historically
been
attributed
to
acquired
insults,
but
emerging
research
suggests
that
genetic
variations
are
also
important
causes
of
CP.
While
microarray
and
whole-exome
sequencing
based
studies
have
the
primary
methods
for
establishing
new
CP-gene
relationships
providing
a
etiology
individual
patients,
cause
their
condition
remains
unknown
many
patients
with
Recent
advancements
in
genomic
technologies
offer
additional
opportunities
uncover
human
genomes,
transcriptomes,
epigenomes
previously
escaped
detection.
In
this
review,
we
outline
use
these
state-of-the-art
address
molecular
diagnostic
challenges
experienced
by
individuals
We
explore
importance
identifying
whenever
possible,
given
potential
medicine
provide
treat
CP
more
precise
ways.
Language: Английский
Moving Beyond Oxford Nanopore Standard Procedures: New Insights from Water and Multiple Fish Microbiomes
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(23), P. 12603 - 12603
Published: Nov. 23, 2024
Oxford
Nanopore
Technology
(ONT)
allows
for
the
rapid
profiling
of
aquaculture
microbiomes.
However,
not
all
experimental
and
downstream
methodological
possibilities
have
been
benchmarked.
Here,
we
aimed
to
offer
novel
insights
into
use
different
library
preparation
methods
(standard-RAP
native
barcoding-LIG),
primers
(V3-V4,
V1-V3,
V1-V9),
basecalling
models
(fast-FAST,
high-HAC,
super-accuracy-SUP)
implemented
in
ONT
elucidate
microbiota
associated
with
aquatic
environment
farmed
fish,
including
faeces,
skin,
intestinal
mucus.
Microbial
DNA
from
water
faeces
samples
could
be
amplified
regardless
library-primer
strategy,
but
only
LIG
V1-V3/V1-V9
case
skin
intestine
Low
taxonomic
assignment
levels
were
favoured
by
full-length
V1-V9
primers,
though
silico
hybridisation
revealed
a
lower
number
potential
matching
sequences
SILVA
database,
especially
evident
increase
Actinobacteriota
real
datasets.
SUP
execution
allowed
higher
median
Phred
quality
(24)
than
FAST
(11)
HAC
(17),
its
time
(6-8
h)
was
comparison
other
(0.6-7
h).
Altogether,
optimised
water-
fish-related
microbial
analyses,
validating,
first
time,
strategy.
We
consider
that
LIG-V1-V9-HAC
is
optimal
time/cost-effective
option
amplify
environmental
samples.
V1-V3
help
maximise
dataset
microbiome
diversity,
representing
an
alternative
when
long
amplicon
become
compromised
and/or
high
host
loads
interfere
PCR
amplification/sequencing
procedures,
gut
Language: Английский
Benchmarking nanopore sequencing and rapid genomics feasibility: validation at a quaternary hospital in New Zealand
Denis M. Nyaga,
No information about this author
Peter Tsai,
No information about this author
Clare Gebbie
No information about this author
et al.
npj Genomic Medicine,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Nov. 8, 2024
Approximately
200
critically
ill
infants
and
children
in
New
Zealand
are
high-dependency
care,
many
suspected
of
having
genetic
conditions,
requiring
scalable
genomic
testing.
We
adopted
an
acute
care
genomics
protocol
from
accredited
laboratory
established
a
clinical
pipeline
using
Oxford
Nanopore
Technologies
PromethION
2
solo
system
Fabric
GEM™
software.
Benchmarking
the
was
performed
Global
Alliance
for
Genomics
Health
benchmarking
tools
Genome
Bottle
samples
(HG002-HG007).
Evaluation
single
nucleotide
variants
resulted
precision
recall
0.997
0.992,
respectively.
Small
indel
identification
approached
0.922
0.838.
Large
variations
Coriell
Copy
Number
Variation
Reference
Panel
1
were
reliably
detected
with
~2
M
long
reads.
Finally,
we
present
results
obtained
fourteen
trio
samples,
ten
which
processed
parallel
clinically
short-read
rapid
testing
(Newborn
Programme;
NCT06081075;
2023-10-12).
Language: Английский