Whole Genome Sequencing and Newborn Screening
- PMID: 27134803
- PMCID: PMC4847737
- DOI: 10.1007/s40142-016-0084-3
Whole Genome Sequencing and Newborn Screening
Abstract
Clinical applications of next generation sequencing are growing at a tremendous pace. Currently the largest application of genetic testing in medicine occurs with newborn screening through state-mandated public health programs, and there are suggestions that sequencing could become a standard component of newborn care within the next decade. As such, newborn screening may appear to be a logical starting point to explore whole genome and whole exome sequencing on a population level. Yet, there are a number of ethical, social and legal implications about the use of a mandatory public health screening program that create challenges for the use of sequencing technologies in this context. Additionally, at this time we still have limited understanding and strategies for managing genomic data, supporting our conclusion that genome sequencing is not justified within population based public health programs for newborn screening.
Keywords: Newborn screening; ethics; next generation sequencing; population screening; public health; whole genome sequencing.
Conflict of interest statement
Jeffrey R. Botkin and Erin Rothwell declare that they have no conflict of interest.
References
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Dondorp W, de Wert G, Bombard Y, et al. Non-invasive prenatal testing for aneuploidy and beyond: challenges of responsible innovation in prenatal screening. Eur J Hum Genet. 2015;23:1438–1450.. This highlights the ethical challenges of genome wide sequencing prenatally and raises similar challenges for genome wide sequencing in newborn screening.
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- Health NIo. Newborn Screening in the Genomic Era: Setting a Research Agenda. Rockville, Maryland: National Institute of Health; 2010. Newborn Screening in the Genomic Era: Setting a Research Agenda.
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- Health NIo. NIH program explores the use of genomic sequencing in newborn healthcare. 2013.
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- Bamshad MJ, Ng SB, Bigham AW, et al. Exome sequencing as a tool for Mendelian disease gene discovery. Nature reviews Genetics. 2011;12:745–755. - PubMed
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