Abstract
The estimated size of the human genome is 2,872 Mbps consisting of genes and noncoding sequences of DNA. Approximately 1.5 % of the human genome is known to code for proteins and this portion is the exome. This coding sequence has been shown to be more evolutionary-conserved, thus more sensitive to change (Birney et al. 2007). The decreasing cost of sequencing, due to emerging next-generation sequencing (NGS) technologies, provides an opportunity to screen the exome at an affordable cost for gene discovery and diagnostic purposes. The great amount of information generated from the human genome sequencing, 1000 genomes project, HapMap, and whole exome sequencing (WES) projects has allowed us to interpret sequence changes with a higher level of confidence (Abecasis et al. 2012, 2010; Tennessen et al. 2012). To deal with the large sequencing datasets, a variety of bioinformatics tools have been developed to automate the process of annotation and prediction of sequence changes (Wang et al. 2010b). Due to the massive parallel nature of NGS, research and clinical applications of NGS include the sequencing of many genes, as targeted panels, exomes, and even genomes. An increase in published findings has allowed cataloging of polymorphisms and disease-associated mutations at various databases that include the database of single nucleotide polymorphisms (dbSNP), the human gene mutation database (HGMD), ENSEMBL, the 1000 genomes project database (http://www.1000genomes.org/), and the exome sequencing project database (http://evs.gs.washington.edu/EVS/) to mention a few. The large data is evident in dbSNP that has close to 53 million records and the number of new submissions has been exponentially increasing (Wheeler et al. 2007).
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References
Abecasis GR, Altshuler D, Auton A et al (2010) A map of human genome variation from population-scale sequencing. Nature 467:1061–1073. doi:10.1038/nature09534
Birney E, Stamatoyannopoulos JA, Dutta A et al (2007) Identification and analysis of functional elements in 1% of the human genome by the ENCODE pilot project. Nature 447:799–816. doi:10.1038/nature05874
Bolze A, Byun M, McDonald D et al (2010) Whole-exome-sequencing-based discovery of human FADD deficiency. Am J Hum Genet. The American Society of Human Genetics. Elsevier, New York, pp 873–81
Bonnefond A, Durand E, Sand O et al (2010) Molecular diagnosis of neonatal diabetes mellitus using next-generation sequencing of the whole exome. PLoS One 5:e13630. doi:10.1371/journal.pone.0013630
Botstein D, Risch N (2003) Discovering genotypes underlying human phenotypes: past successes for mendelian disease, future approaches for complex disease. Nat Genet 33(Suppl):228–237. doi:10.1038/ng1090
Choi M, Scholl UI, Ji W et al (2009) Genetic diagnosis by whole exome capture and massively parallel DNA sequencing. Proc Natl Acad Sci U S A 106:19096–19101. doi:10.1073/pnas.0910672106
Coelho D, Kim JC, Miousse IR et al (2012) Mutations in ABCD4 cause a new inborn error of vitamin B12 metabolism. Nat Genet 44:1152–1155. doi:10.1038/ng.2386
Collin RWJ, Safieh C, Littink KW et al (2010) Mutations in C2ORF71 cause autosomal-recessive retinitis pigmentosa. Am J Hum Genet 86:783–788. doi:10.1016/j.ajhg.2010.03.016
Coonrod EM, Durtschi JD, Margraf RL, Voelkerding KV (2013) Developing genome and exome sequencing for candidate gene identification in inherited disorders: an integrated technical and bioinformatics approach. Arch Pathol Lab Med 137:415–433. doi:10.5858/arpa.2012-0107-RA
Dibbens LM, de Vries B, Donatello S et al (2013) Mutations in DEPDC5 cause familial focal epilepsy with variable foci. Nat Genet 45:546–551. doi:10.1038/ng.2599
Faita F, Vecoli C, Foffa I, Andreassi MG (2012) Next-generation sequencing in cardiovascular diseases. World J Cardiol 4:288–295. doi:10.4330/wjc.v4.i10.288
Gilissen C, Arts HH, Hoischen A et al (2010) Exome sequencing identifies WDR35 variants involved in Sensenbrenner syndrome. Am J Hum Genet 87:418–423. doi:10.1016/j.ajhg.2010.08.004
Harville HM, Held S, Diaz-Font A et al (2010) Identification of 11 novel mutations in eight BBS genes by high-resolution homozygosity mapping. J Med Genet 47:262–267. doi:10.1136/jmg.2009.071365
Hoischen A, van Bon BWM, Gilissen C et al (2010) De novo mutations of SETBP1 cause Schinzel-Giedion syndrome. Nat Genet 42:483–485. doi:10.1038/ng.581
Iseri SU, Wyatt AW, Nürnberg G et al (2010) Use of genome-wide SNP homozygosity mapping in small pedigrees to identify new mutations in VSX2 causing recessive microphthalmia and a semidominant inner retinal dystrophy. Hum Genet 128:51–60. doi:10.1007/s00439-010-0823-6
Johnson JO, Gibbs JR, Van Maldergem L et al (2010a) Exome sequencing in Brown-Vialetto-van Laere syndrome. Am J Hum Genet 87:567–569; author reply 569–570. doi:10.1016/j.ajhg.2010.05.021
Johnson JO, Mandrioli J, Benatar M et al (2010b) Exome sequencing reveals VCP mutations as a cause of familial ALS. Neuron 68:857–864. doi:10.1016/j.neuron.2010.11.036
Klee EW, Hoppman-Chaney NL, Ferber MJ (2011) Expanding DNA diagnostic panel testing: is more better? Expert Rev Mol Diagn 11:703–709. doi:10.1586/erm.11.58
Krawitz PM, Schweiger MR, Rödelsperger C et al (2010) Identity-by-descent filtering of exome sequence data identifies PIGV mutations in hyperphosphatasia mental retardation syndrome. Nat Genet 42:827–829. doi:10.1038/ng.653
Ku CS, Naidoo N, Pawitan Y (2011) Revisiting Mendelian disorders through exome sequencing. Hum Genet 129:351–370. doi:10.1007/s00439-011-0964-2
Lalonde E, Albrecht S, Ha KCH et al (2010) Unexpected allelic heterogeneity and spectrum of mutations in Fowler syndrome revealed by next-generation exome sequencing. Hum Mutat 31:918–923. doi:10.1002/humu.21293
Musunuru K, Pirruccello JP, Do R et al (2010) Exome sequencing, ANGPTL3 mutations, and familial combined hypolipidemia. N Engl J Med 363:2220–2227. doi:10.1056/NEJMoa1002926
Neveling K, Collin RW, Gilissen C et al (2012) Next-generation genetic testing for retinitis pigmentosa. Hum Mutat 33:963–972. doi:10.1002/humu.22045
Ng SB, Turner EH, Robertson PD et al (2009) Targeted capture and massively parallel sequencing of 12 human exomes. Nature 461:272–276. doi:10.1038/nature08250
Ng SB, Bigham AW, Buckingham KJ et al (2010a) Exome sequencing identifies MLL2 mutations as a cause of Kabuki syndrome. Nat Genet 42:790–793. doi:10.1038/ng.646
Ng SB, Buckingham KJ, Lee C et al (2010b) Exome sequencing identifies the cause of a mendelian disorder. Nat Genet 42:30–35. doi:10.1038/ng.499
Okou DT, Steinberg KM, Middle C et al (2007) Microarray-based genomic selection for high-throughput resequencing. Nat Methods 4:907–909. doi:10.1038/nmeth1109
Pang J, Zhang S, Yang P et al (2010) Loss-of-function mutations in HPSE2 cause the autosomal recessive urofacial syndrome. Am J Hum Genet 86:957–962
Pierce SB, Walsh T, Chisholm KM et al (2010) Mutations in the DBP-deficiency protein HSD17B4 cause ovarian dysgenesis, hearing loss, and ataxia of Perrault Syndrome. Am J Hum Genet 87:282–288. doi:10.1016/j.ajhg.2010.07.007
Rehm HL (2013) Disease-targeted sequencing: a cornerstone in the clinic. Nat Rev Genet 14:295–300. doi:10.1038/nrg3463
Rios J, Stein E, Shendure J et al (2010) Identification by whole-genome resequencing of gene defect responsible for severe hypercholesterolemia. Hum Mol Genet 19:4313–4318. doi:10.1093/hmg/ddq352
Sivakumaran TA, Husami A, Kissell D et al (2013) Performance evaluation of the next-generation sequencing approach for molecular diagnosis of hereditary hearing loss. Otolaryngol–Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg 148:1007–1016. doi: 10.1177/0194599813482294
Su Z, Ning B, Fang H et al (2011) Next-generation sequencing and its applications in molecular diagnostics. Expert Rev Mol Diagn 11:333–343. doi:10.1586/erm.11.3
Sulonen AM, Ellonen P, Almusa H et al (2011) Comparison of solution-based exome capture methods for next-generation sequencing. Genome Biol 12(9):R94
Tennessen JA, Bigham AW, O’Connor TD et al (2012) Evolution and functional impact of rare coding variation from deep sequencing of human exomes. Science 337:64–69. doi:10.1126/science.1219240
Treff NR, Fedick A, Tao X et al (2013) Evaluation of targeted next-generation sequencing-based preimplantation genetic diagnosis of monogenic disease. Fertil Steril 99:1377–1384.e6. doi:10.1016/j.fertnstert.2012.12.018
Valencia CA, Ankala A, Rhodenizer D et al (2013) Comprehensive mutation analysis for congenital muscular dystrophy: a clinical PCR-based enrichment and next-generation sequencing panel. PLoS One 8(1):e53083
Vasli N, Böhm J, Le Gras S et al (2012) Next-generation sequencing for molecular diagnosis of neuromuscular diseases. Acta Neuropathol (Berl) 124:273–283. doi:10.1007/s00401-012-0982-8
Walsh T, Shahin H, Elkan-Miller T et al (2010) Whole exome sequencing and homozygosity mapping identify mutation in the cell polarity protein GPSM2 as the cause of nonsyndromic hearing loss DFNB82. Am J Hum Genet 87:90–94. doi:10.1016/j.ajhg.2010.05.010
Wang JL, Yang X, Xia K et al (2010a) TGM6 identified as a novel causative gene of spinocerebellar ataxias using exome sequencing. Brain J Neurol 133:3510–3518. doi:10.1093/brain/awq323
Wang K, Li M, Hakonarson H (2010b) ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res 38(16):e164. doi:10.1093/nar/gkq603
Wheeler DL, Barrett T, Benson DA et al (2007) Database resources of the National Center for Biotechnology Information. Nucleic Acids Res 38:D5–16. doi:10.1093/nar/gkp967
Wong LJ (2013a) Next generation molecular diagnosis of mitochondrial disorders. Mitochondrion. doi:10.1016/j.mito.2013.02.001
Wong L-JC (2013b) Next generation molecular diagnosis of mitochondrial disorders. Mitochondrion 13:379–387. doi:10.1016/j.mito.2013.02.001
Worthey EA, Mayer AN, Syverson GD et al (2011) Making a definitive diagnosis: successful clinical application of whole exome sequencing in a child with intractable inflammatory bowel disease. Genet Med 13:255–262. doi:10.1097/GIM.0b013e3182088158
Yu Y, Wu BL, Wu J, Shen Y (2012) Exome and whole-genome sequencing as clinical tests: a transformative practice in molecular diagnostics. Clin Chem 58(11):1507–1509
Yu L, Wynn J, Cheung YH et al (2013) Variants in GATA4 are a rare cause of familial and sporadic congenital diaphragmatic hernia. Hum Genet 132:285–292. doi:10.1007/s00439-012-1249-0
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© 2013 C. Alexander Valencia
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Valencia, C.A., Pervaiz, M.A., Husami, A., Qian, Y., Zhang, K. (2013). Exome Sequencing as a Discovery and Diagnostic Tool. In: Next Generation Sequencing Technologies in Medical Genetics. SpringerBriefs in Genetics. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9032-6_8
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DOI: https://doi.org/10.1007/978-1-4614-9032-6_8
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