Application of Next-Generation Sequencing to Realize Principles of Precision Therapy in Management of Cancer Patients

  • 0Nonprofit organization "National Cancer Institute", Kyiv, Ukraine.

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Summary

This summary is machine-generated.

Next-generation sequencing (NGS) is revolutionizing cancer diagnostics by identifying actionable mutations. This advanced technology offers higher sensitivity and broader gene coverage than traditional methods, enabling precision oncology.

Area Of Science

  • Genomic Medicine
  • Oncology
  • Molecular Diagnostics

Background

  • Cancers are characterized by genomic alterations, with a few actionable mutations driving disease progression.
  • Traditional mutation testing methods (e.g., Sanger sequencing) have limitations in throughput and scope.
  • Precision oncology relies on accurate identification of somatic and inherited mutations for tailored patient care.

Purpose Of The Study

  • To highlight the critical role of next-generation sequencing (NGS) in modern cancer diagnostics and precision oncology.
  • To compare the capabilities of NGS with traditional methods for mutation detection.
  • To discuss the evolution and optimal application of NGS-based panels in clinical oncology.

Main Methods

  • Review of next-generation sequencing (NGS) technologies and their application in cancer mutation profiling.
  • Comparison of NGS with conventional methods like immunohistochemistry, Sanger sequencing, and allele-specific PCR.
  • Discussion of various NGS panel designs, from hotspot to comprehensive exome/genome sequencing approaches.

Main Results

  • NGS enables high-throughput, sensitive detection of diagnostic, prognostic, and predictive cancer mutations.
  • NGS facilitates the identification of mutations in circulating tumor DNA (ctDNA) from liquid biopsies.
  • NGS platforms have evolved from targeted panels to more comprehensive approaches, with panel-based testing remaining optimal for oncology practice.

Conclusions

  • Next-generation sequencing (NGS) is a cornerstone of precision oncology, enabling comprehensive genomic profiling.
  • NGS offers superior sensitivity and breadth for detecting both acquired and inherited cancer mutations compared to traditional methods.
  • The ongoing evolution of NGS technologies, including whole exome and genome sequencing, promises further advancements in cancer diagnosis and treatment.

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