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Genome sequencing and Incidental Findings in Genetic Testing

Genome sequencing and Incidental Findings in Genetic TestingIAS TOPPERS

The field of genomics has witnessed a shift in the last 2 decades, marked by the increased affordability and accessibility of personal genomes.

Genome sequencing and Incidental Findings in Genetic Testing
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About the Genome:

  • A genome is the complete set of genes or genetic material present in a cell or organism.
  • It includes both the coding and non-coding DNA (Deoxyribonucleic acid) sequences.
  • It is stored in molecules of DNA called chromosomes.
  • The genome of individuals within a species can vary, leading to genetic diversity.
  • Understanding genetic variation is crucial for studying diseasespopulation genetics, and evolution.

About Genomics:

  • Genomics is the study of the structurefunctionmapping, and evolution of genomes.
  • It involves the sequencing and analysis of DNA to understand the genetic information within an organism.

Applications of Genomics:

  • Genomics has applications in medicineagriculture, and biotechnology.
  • In medicine, it is used for personalized medicinegenetic testing, and understanding the genetic basis of diseases.
  • In agriculture, genomics is applied to crop improvement and livestock breeding.
  • The CRISPR-Cas9 technology allows precise editing of genes, offering potential applications in genetic engineering, gene therapy, and disease treatment.

About Genome Sequencing:

  • Genome sequencing involves sequencing the genome of an organism.
  • It sequences the order of Adenine (A), Thymine (T), Cytosine (C) and Guanine (G) which is a unique combination of an organism’s DNA.
  • This entails sequencing all of an organism’s chromosomal and mitochondrial DNA.
  • Methods: Clone-by-Clone Method and Whole Genome Shotgun (WGS) Sequencing.

How democratisation of Genomics is advancing?

  • Rapid advancements in next-generation sequencing have significantly lowered the costs associated with genome sequencing technologies.
  • Personal genome sequencing, which was once limited to scientific research, is now mainstream, empowering individuals with insights into their genetic makeup.
  • Personal genome sequencing enables the customization of treatments based on individual genetic profiles.
  • Predicting susceptibility to specific diseases has now become possible, which can enhance precision medicine.
  • Population-scale Genomic Projects: This projects, employed by various countries, seek to decode genetic foundations of diseases and finding potential cures.

Incidental Findings in Genetic Testing:

  • Incidental findings refer to seeking genetic abnormalities beyond the primary purpose of a test.
  • Whole exome sequencing, covering around 1% of the genome, reveals the presence of combinations of genes rather than single genes, which many times contributes to various diseases.
  • Comprehensive genetic tests can identify genetic diseases, assist in pharmacogenomic assessments, carrier screening, genetic counselling, and mapping ancestry.
  • Studies in the Indian population had uncovered under-diagnoseddiseases like cardiacchannelopathies and familial hypercholesterolemia.
    • Familial hypercholesterolemia is a genetic disorder that makes the body unable to remove Low Density Lipoprotein (LDL, or bad) cholesterol from the blood. 
  • The BRCA1 and the BRCA2 genes mutations can increase the risk of breast cancer.

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