Building the foundation for genomics in precision medicine

被引:319
作者
Aronson, Samuel J. [1 ,2 ]
Rehm, Heidi L. [1 ,3 ,4 ,5 ]
机构
[1] Partners HealthCare Personalized Med, Boston, MA 02115 USA
[2] Partners HealthCare Res Informat Serv & Comp, Charlestown, MA 02129 USA
[3] Brigham & Womens Hosp, Dept Pathol, Boston, MA 02115 USA
[4] Harvard Univ, Sch Med, Boston, MA 02115 USA
[5] Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
关键词
IMPLEMENTATION CONSORTIUM GUIDELINES; SEQUENCE VARIATION; EMERGE NETWORK; LUNG-CANCER; BIG DATA; DATABASE; RECORDS; ASSOCIATION; INFORMATION; PREDICTION;
D O I
10.1038/nature15816
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Precision medicine has the potential to profoundly improve the practice of medicine. However, the advances required will take time to implement. Genetics is already being used to direct clinical decision-making and its contribution is likely to increase. To accelerate these advances, fundamental changes are needed in the infrastructure and mechanisms for data collection, storage and sharing. This will create a continuously learning health-care system with seamless cycling between clinical care and research. Patients must be educated about the benefits of sharing data. The building blocks for such a system are already forming and they will accelerate the adoption of precision medicine.
引用
收藏
页码:336 / 342
页数:7
相关论文
共 56 条
[1]   The Prostate Cancer DREAM Challenge: A Community-Wide Effort to Use Open Clinical Trial Data for the Quantitative Prediction of Outcomes in Metastatic Prostate Cancer [J].
Abdallah, Kald ;
Hugh-Jones, Charles ;
Norman, Thea ;
Friend, Stephen ;
Stolovitzky, Gustavo .
ONCOLOGIST, 2015, 20 (05) :459-460
[2]   Outcomes Following Gene Therapy in Patients With Severe Wiskott-Aldrich Syndrome [J].
Abina, Salima Hacein-Bey ;
Gaspar, H. Bobby ;
Blondeau, Johanna ;
Caccavelli, Laure ;
Charrier, Sabine ;
Buckland, Karen ;
Picard, Capucine ;
Six, Emmanuelle ;
Himoudi, Nourredine ;
Gilmour, Kimberly ;
McNicol, Anne-Marie ;
Hara, Havinder ;
Xu-Bayford, Jinhua ;
Rivat, Christine ;
Touzot, Fabien ;
Mavilio, Fulvio ;
Lim, Annick ;
Treluyer, Jean-Marc ;
Heritier, Sebastien ;
Lefrere, Francois ;
Magalon, Jeremy ;
Pengue-Koyi, Isabelle ;
Honnet, Geraldine ;
Blanche, Stephane ;
Sherman, Eric A. ;
Male, Frances ;
Berry, Charles ;
Malani, Nirav ;
Bushman, Frederic D. ;
Fischer, Alain ;
Thrasher, Adrian J. ;
Galy, Anne ;
Cavazzana, Marina .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 313 (15) :1550-1563
[3]   Biobank Participants' Preferences for Disclosure of Genetic Research Results: Perspectives From the OurGenes, OurHealth, OurCommunity Project [J].
Allen, Nicole L. ;
Karlson, Elizabeth W. ;
Malspeis, Susan ;
Lu, Bing ;
Seidman, Christine E. ;
Lehmann, Lisa Soleymani .
MAYO CLINIC PROCEEDINGS, 2014, 89 (06) :738-746
[4]  
Almalki M, 2015, HEALTH INF SCI SYST, V3, DOI 10.1186/2047-2501-3-S1-S1
[5]   A map of human genome variation from population-scale sequencing [J].
Altshuler, David ;
Durbin, Richard M. ;
Abecasis, Goncalo R. ;
Bentley, David R. ;
Chakravarti, Aravinda ;
Clark, Andrew G. ;
Collins, Francis S. ;
De la Vega, Francisco M. ;
Donnelly, Peter ;
Egholm, Michael ;
Flicek, Paul ;
Gabriel, Stacey B. ;
Gibbs, Richard A. ;
Knoppers, Bartha M. ;
Lander, Eric S. ;
Lehrach, Hans ;
Mardis, Elaine R. ;
McVean, Gil A. ;
Nickerson, DebbieA. ;
Peltonen, Leena ;
Schafer, Alan J. ;
Sherry, Stephen T. ;
Wang, Jun ;
Wilson, Richard K. ;
Gibbs, Richard A. ;
Deiros, David ;
Metzker, Mike ;
Muzny, Donna ;
Reid, Jeff ;
Wheeler, David ;
Wang, Jun ;
Li, Jingxiang ;
Jian, Min ;
Li, Guoqing ;
Li, Ruiqiang ;
Liang, Huiqing ;
Tian, Geng ;
Wang, Bo ;
Wang, Jian ;
Wang, Wei ;
Yang, Huanming ;
Zhang, Xiuqing ;
Zheng, Huisong ;
Lander, Eric S. ;
Altshuler, David L. ;
Ambrogio, Lauren ;
Bloom, Toby ;
Cibulskis, Kristian ;
Fennell, Tim J. ;
Gabriel, Stacey B. .
NATURE, 2010, 467 (7319) :1061-1073
[6]  
[Anonymous], HUM MUTAT
[7]  
[Anonymous], DATABASE OXFORD
[8]  
[Anonymous], COCHRANE DATABASE SY
[9]  
[Anonymous], INF CONS HUM SUBJ RE
[10]  
[Anonymous], HUM MUTAT