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Published on: February 16, 2011
Opportunities, resources, and techniques for implementing genomics in clinical care
Teri A Manolio1, Robb Rowley1, Marc S Williams2
1National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Genomic medicine uses individual genetic information for clinical care, aiding disease risk assessment, diagnosis, and drug efficacy. This transition from research to practice faces challenges in interpretation and implementation.
Area of Science:
- Genomics
- Clinical Genetics
- Translational Science
Background:
- Genomic variation assessment technologies have advanced significantly.
- Understanding of genomic variants' impact on health and disease is growing.
- Genomics is transitioning from research to clinical practice.
Purpose of the Study:
- To describe clinically important genomic variation types and measurement tools.
- To review genomic sequence variant interpretation approaches.
- To identify resources for genomic test interpretation and discuss implementation barriers.
Main Methods:
- Review of current technologies for assessing genomic variation.
- Analysis of established approaches for interpreting genomic sequence variants.
- Identification of publicly available tools and resources for clinical genomics.
Main Results:
- Major types and measurement tools of clinically relevant genomic variation are detailed.
- Approaches to interpreting genomic sequence variants are reviewed.
- Publicly available resources for genomic test interpretation are identified.
Conclusions:
- Genomic medicine is increasingly integrated into routine clinical practice.
- Applications include disease risk assessment, rare disease diagnosis, and pharmacogenomics.
- Barriers to routine genomic information use in clinical practice are discussed.
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