Di Resta Chiara, Pipitone Giovanni Battista, Carrera Paola, Ferrari Maurizio
Vita-Salute San Raffaele University; Unit of Genomics for Human Disease Diagnosis, Division of Genetics and Cell Biology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Clinical Molecular Biology Laboratory, IRCCS San Raffaele Hospital, Milan, Italy.
Neural Regen Res. 2021 Mar;16(3):475-481. doi: 10.4103/1673-5374.293135.
Next generation sequencing is currently a cornerstone of genetic testing in routine diagnostics, allowing for the detection of sequence variants with so far unprecedented large scale, mainly in genetically heterogenous diseases, such as neurological disorders. It is a fast-moving field, where new wet enrichment protocols and bioinformatics tools are constantly being developed to overcome initial limitations. Despite the as yet undiscussed advantages, however, there are still some challenges in data analysis and the interpretation of variants. In this review, we address the current state of next generation sequencing diagnostic testing for inherited human disorders, particularly giving an overview of the available high-throughput sequencing approaches; including targeted, whole-exome and whole-genome sequencing; and discussing the main critical aspects of the bioinformatic process, from raw data analysis to molecular diagnosis.
下一代测序目前是常规诊断中基因检测的基石,能够以前所未有的大规模检测序列变异,主要用于遗传性异质性疾病,如神经疾病。这是一个快速发展的领域,新的湿实验富集方案和生物信息学工具不断涌现,以克服最初的局限性。然而,尽管有尚未讨论的优势,但在数据分析和变异解读方面仍存在一些挑战。在本综述中,我们阐述了下一代测序用于人类遗传性疾病诊断检测的现状,特别概述了可用的高通量测序方法,包括靶向测序、全外显子组测序和全基因组测序,并讨论了从原始数据分析到分子诊断的生物信息学过程的主要关键方面。