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Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Application of Next Generation Sequencing for personalized medicine for sudden cardiac death
Elena Morini1, Federica Sangiuolo2, Daniela Caporossi3
1Department of Movement, Human and Health Sciences, University of Rome Foro Italico Rome, Italy ; Department of Biomedicine and Prevention, University of RomeTor Vergata Rome, Italy.
Insights
Sudden cardiac death (SCD) is a major health issue. Next-Generation Sequencing (NGS) helps identify genetic risks for SCD in young athletes, enabling early prevention strategies.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Forensic Pathology
Background:
- Sudden cardiac death (SCD) is a significant public health concern, causing over 300,000 deaths annually in the US.
- SCD accounts for 20% of total mortality and 50% of cardiovascular mortality in Western countries.
- Determining the exact cause of SCD, especially in young individuals, remains a challenge in forensic pathology.
Purpose of the Study:
- To review the advancements in Next-Generation Sequencing (NGS) technologies for investigating the genetic basis of SCD.
- To provide guidelines for designing efficient sequencing protocols and performing accurate data analysis for genetic screening.
- To propose a flowchart for genetic screening protocols aimed at preventing cardiac pathologies, particularly SCD, in young athletes.
Main Methods:
- Review of Next-Generation Sequencing (NGS) technologies and their application in genetic research.
- Analysis of existing guidelines for genetic testing and data interpretation in cardiovascular diseases.
- Development of a proposed flowchart for genetic screening protocol design.
Main Results:
- NGS technologies offer powerful tools for deep investigation into the genetic underpinnings of fatal cardiac diseases.
- Genetic testing is crucial for identifying pre-symptomatic individuals with genetic variants predisposing them to SCD.
- The review highlights the importance of efficient protocols and accurate data analysis for effective genetic screening.
Conclusions:
- NGS has revolutionized the ability to identify genetic predispositions to SCD.
- Implementing robust genetic screening protocols, especially for young athletes, can aid in the prevention of SCD.
- Further research and standardized protocols are essential for optimizing the use of genetic testing in SCD prevention.
Abstract:
Sudden cardiac death (SCD) is a serious public health problem. In the United States, more than 300,000 people are affected by SCD every year. Significantly, sudden deaths represent 20% of the total mortality and 50% of cardiovascular mortality in Western countries. In addition, SCD constitutes one of the most important unsolved challenges in the practice of forensic pathology because of the failure to determine the exact cause of sudden death. In young individuals, SCD is frequently caused by cardiomyopathies and channelopathies, that have generally an autosomal dominant pattern of inheritance. The impact of genetics and genetic testing on the clinical management of these diseases is unquestioned. In particular, genetic tests are an important tool for identifying pre-symptomatic individuals carrying genetic variant that predisposes them to SCD. High-throughput sequencing technologies offer novel opportunities to deeper investigate the genetic background underlying these fatal diseases and to early identify individuals at risk for SCD. In this review, we provide an overview of the development of Next-Generation Sequencing (NGS) technologies and of guidelines useful to design an efficient sequencing protocol and to perform an accurate data analysis. We suggest a flow chart to follow for the set up of a genetic screening protocol for the prevention of cardiac pathologies, in particular SCD events, in young athletes.
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