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Updated: Jan 31, 2026

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Fetal Exome Sequencing on the Horizon
Karen Wou1, Isabelle DeBie2, June Carroll3
1Department of Gynecology and Obstetrics, McGill University Health Centre, Montréal, QC.
Prenatal whole exome sequencing is a new technology for diagnosing fetal anomalies. While not yet standard, it offers future diagnostic potential for expecting parents.
Area of Science:
- Genetics
- Prenatal Diagnostics
- Genomic Medicine
Background:
- Prenatal diagnosis of fetal anomalies is crucial for genetic counseling and management.
- Emerging genomic technologies are transforming prenatal care.
- Whole exome sequencing (WES) analyzes the protein-coding regions of the genome.
Purpose of the Study:
- To introduce prenatal whole exome sequencing (WES).
- To discuss its current and future role in diagnosing fetal anomalies.
- To outline its indications, benefits, and limitations.
Main Methods:
- This is a commentary discussing a new technology.
- It reviews the current literature and expert opinion on prenatal WES.
- It focuses on the application of WES in identifying genetic causes of fetal anomalies.
Main Results:
- Prenatal WES is an evolving technology with significant potential.
- It can identify genetic variants underlying fetal anomalies.
- Current limitations exist, preventing widespread clinical adoption.
Conclusions:
- Prenatal WES is poised to become a valuable diagnostic tool.
- It will aid clinicians in managing pregnancies with identified fetal anomalies.
- Further development is needed for routine clinical integration.
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