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Review
. 2017 Mar;74(5):869-880.
doi: 10.1007/s00018-016-2368-x. Epub 2016 Oct 13.

Next-generation molecular diagnosis: single-cell sequencing from bench to bedside

Affiliations
Review

Next-generation molecular diagnosis: single-cell sequencing from bench to bedside

Wanjun Zhu et al. Cell Mol Life Sci. 2017 Mar.

Abstract

Single-cell sequencing (SCS) is a fast-growing, exciting field in genomic medicine. It enables the high-resolution study of cellular heterogeneity, and reveals the molecular basis of complicated systems, which facilitates the identification of new biomarkers for diagnosis and for targeting therapies. It also directly promotes the next generation of genomic medicine because of its ultra-high resolution and sensitivity that allows for the non-invasive and early detection of abnormalities, such as aneuploidy, chromosomal translocation, and single-gene disorders. This review provides an overview of the current progress and prospects for the diagnostic applications of SCS, specifically in pre-implantation genetic diagnosis/screening, non-invasive prenatal diagnosis, and analysis of circulating tumor cells. These analyses will accelerate the early and precise control of germline- or somatic-mutation-based diseases, particularly single-gene disorders, chromosome abnormalities, and cancers.

Keywords: Circulating tumor cells (CTCs); Liquid biopsies; Non-invasive prenatal diagnosis (NIPD); Pre-implantation genetic diagnosis (PGD); Pre-implantation genetic screening (PGS); Precision medicine; Single-cell analysis (SCA); Single-cell sequencing (SCS).

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Figures

Fig. 1
Fig. 1
SCS application in PGD/PGS. For a 6–8-cell embryo, only one cell is analyzed, while one or a few cells are tested from a blastocyst. Then, the genome (scWGS), exome (scWES), and potentially the RNA (scRNA-seq) and CpG methylation (scMethyl-seq, or scM-seq) of the single cells are amplified and sequenced by the next-generation sequencer, such as Illumina HiSeq. Only the genetically normal embryo is transferred for the development of a healthy baby

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