Abstract

The $1,000 genome, the $100,000 analysis?

Highlights

  • Having recently attended the Personal Genomes meeting at Cold Spring Harbor Laboratories (I was an organizer this year), I was struck by the number of talks that described the use of whole-genome sequencing and analysis to reveal the genetic basis of disease in patients

  • Ese patients included a child with irritable bowel disease, a child with severe combined immunodeficiency, two siblings affected with Miller syndrome, and several with cancers of different types

  • At the end of the day, the idea of clinical whole-genome sequencing for diagnosis is exciting and potentially life-changing for these patients, one does wonder how, in the clinical translation required for this practice to become commonplace, such a ‘dream team’ of specialists would be assembled for each case

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Summary

Introduction

Having recently attended the Personal Genomes meeting at Cold Spring Harbor Laboratories (I was an organizer this year), I was struck by the number of talks that described the use of whole-genome sequencing and analysis to reveal the genetic basis of disease in patients. While much of the attendant effort was focused on the absolute importance of obtaining the correct diagnosis, the large number of specialists was critical for the completion of the data analysis, the annotation of variants, the interpretive ‘filtering’ necessary to deduce the causative or ‘actionable’ variants, the clinical verification of these variants, and the communication of results and their ramifications to the treating physician, and to the patient.

Results
Conclusion
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