Incidental Variants Are Critical for Genomics

被引:34
作者
Biesecker, Leslie G. [1 ]
机构
[1] NHGRI, NIH, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
INFORMED-CONSENT; PERSPECTIVES; RETURN; DISCLOSURE; RESEARCHER;
D O I
10.1016/j.ajhg.2013.04.001
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
The topic of incidental variants detected through exome and genome sequencing is controversial, both in clinical practice and in research. The arguments for and against the deliberate analysis and return of incidental variants focus on issues of clinical validity, clinical utility, autonomy, clinical and research infrastructure and costs, and, in the research arena, therapeutic misconception. These topics are briefly reviewed and an argument is made that these variants are the future of genomic medicine. As a field, we should take full advantage of all opportunities to study these variants by searching them out, returning them to patients and research participants, and studying their utility for predictive medicine.
引用
收藏
页码:648 / 651
页数:4
相关论文
共 37 条
[1]   Disclosure of Incidental Findings From Next-Generation Sequencing in Pediatric Genomic Research [J].
Abdul-Karim, Ruqayyah ;
Berkman, Benjamin E. ;
Wendler, David ;
Rid, Annette ;
Khan, Javed ;
Badgett, Tom ;
Hull, Sara Chandros .
PEDIATRICS, 2013, 131 (03) :564-571
[2]   Carrier Testing for Severe Childhood Recessive Diseases by Next-Generation Sequencing [J].
Bell, Callum J. ;
Dinwiddie, Darrell L. ;
Miller, Neil A. ;
Hateley, Shannon L. ;
Ganusova, Elena E. ;
Mudge, Joann ;
Langley, Ray J. ;
Zhang, Lu ;
Lee, Clarence C. ;
Schilkey, Faye D. ;
Sheth, Vrunda ;
Woodward, Jimmy E. ;
Peckham, Heather E. ;
Schroth, Gary P. ;
Kim, Ryan W. ;
Kingsmore, Stephen F. .
SCIENCE TRANSLATIONAL MEDICINE, 2011, 3 (65)
[3]   An informatics approach to analyzing the incidentalome [J].
Berg, Jonathan S. ;
Adams, Michael ;
Nassar, Nassib ;
Bizon, Chris ;
Lee, Kristy ;
Schmitt, Charles P. ;
Wilhelmsen, Kirk C. ;
Evans, James P. .
GENETICS IN MEDICINE, 2013, 15 (01) :36-44
[4]   To tell or not to tell? A systematic review of ethical reflections on incidental findings arising in genetics contexts [J].
Christenhusz, Gabrielle M. ;
Devriendt, Koenraad ;
Dierickx, Kris .
EUROPEAN JOURNAL OF HUMAN GENETICS, 2013, 21 (03) :248-255
[5]   Incidental findings in genetics research using archived DNA [J].
Clayton, Ellen Wright .
JOURNAL OF LAW MEDICINE & ETHICS, 2008, 36 (02) :286-+
[6]   The legal risks of returning results of genomics research [J].
Clayton, Ellen Wright ;
McGuire, Amy L. .
GENETICS IN MEDICINE, 2012, 14 (04) :473-477
[7]   Genetics specialists' perspectives on disclosure of genomic incidental findings in the clinical setting [J].
Downing, Nancy R. ;
Williams, Janet K. ;
Daack-Hirsch, Sandra ;
Driessnack, Martha ;
Simon, Christian M. .
PATIENT EDUCATION AND COUNSELING, 2013, 90 (01) :133-138
[8]   Return of results: not that complicated? [J].
Evans, James P. ;
Rothschild, Barbra B. .
GENETICS IN MEDICINE, 2012, 14 (04) :358-360
[9]   Ethical and Practical Guidelines for Reporting Genetic Research Results to Study Participants Updated Guidelines From a National Heart, Lung, and Blood Institute Working Group [J].
Fabsitz, Richard R. ;
McGuire, Amy ;
Sharp, Richard R. ;
Puggal, Mona ;
Beskow, Laura M. ;
Biesecker, Leslie G. ;
Bookman, Ebony ;
Burke, Wylie ;
Burchard, Esteban Gonzalez ;
Church, George ;
Clayton, Ellen Wright ;
Eckfeldt, John H. ;
Fernandez, Conrad V. ;
Fisher, Rebecca ;
Fullerton, Stephanie M. ;
Gabriel, Stacey ;
Gachupin, Francine ;
James, Cynthia ;
Jarvik, Gail P. ;
Kittles, Rick ;
Leib, Jennifer R. ;
O'Donnell, Christopher ;
O'Rourke, P. Pearl ;
Rodriguez, Laura Lyman ;
Schully, Sheri D. ;
Shuldiner, Alan R. ;
Sze, Rebecca K. F. ;
Thakuria, Joseph V. ;
Wolf, Susan M. ;
Burke, Gregory L. .
CIRCULATION-CARDIOVASCULAR GENETICS, 2010, 3 (06) :574-580
[10]   Motivators for participation in a whole-genome sequencing study: implications for translational genomics research [J].
Facio, Flavia M. ;
Brooks, Stephanie ;
Loewenstein, Johanna ;
Green, Susannah ;
Biesecker, Leslie G. ;
Biesecker, Barbara B. .
EUROPEAN JOURNAL OF HUMAN GENETICS, 2011, 19 (12) :1213-1217