Division of Hematology/Oncology, Boston Children's Hospital, and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA;
Blood. 2013 Nov 21;122(22):3575-82. doi: 10.1182/blood-2013-07-460337. Epub 2013 Sep 10.
The development of novel technologies for high-throughput DNA sequencing is having a major impact on our ability to measure and define normal and pathologic variation in humans. This review discusses advances in DNA sequencing that have been applied to benign hematologic disorders, including those affecting the red blood cell, the neutrophil, and other white blood cell lineages. Relevant examples of how these approaches have been used for disease diagnosis, gene discovery, and studying complex traits are provided. High-throughput DNA sequencing technology holds significant promise for impacting clinical care. This includes development of improved disease detection and diagnosis, better understanding of disease progression and stratification of risk of disease-specific complications, and development of improved therapeutic strategies, particularly patient-specific pharmacogenomics-based therapy, with monitoring of therapy by genomic biomarkers.
新型高通量 DNA 测序技术的发展正在极大地提高我们测量和定义人类正常和病理变异的能力。本文综述了 DNA 测序技术在良性血液疾病中的应用,包括影响红细胞、中性粒细胞和其他白细胞谱系的疾病。提供了这些方法在疾病诊断、基因发现和复杂特征研究中应用的相关实例。高通量 DNA 测序技术有望对临床护理产生重大影响。这包括开发改进的疾病检测和诊断方法,更好地了解疾病进展和疾病特定并发症风险分层,以及开发更好的治疗策略,特别是基于患者特异性药物基因组学的治疗方法,并通过基因组生物标志物监测治疗效果。