Implementing Whole Genome Sequencing (WGS) in Clinical Practice: Advantages, Challenges, and Future Perspectives

Author:

Brlek Petar123ORCID,Bulić Luka1ORCID,Bračić Matea1ORCID,Projić Petar2,Škaro Vedrana4,Shah Nidhi5ORCID,Shah Parth5,Primorac Dragan123678910111213ORCID

Affiliation:

1. St. Catherine Specialty Hospital, 10000 Zagreb, Croatia

2. International Center for Applied Biological Research, 10000 Zagreb, Croatia

3. School of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia

4. Greyledge Europe Ltd., 10000 Zagreb, Croatia

5. Dartmouth Hitchcock Medical Center, Lebannon, NH 03766, USA

6. Medical School, University of Split, 21000 Split, Croatia

7. Eberly College of Science, The Pennsylvania State University, State College, PA 16802, USA

8. The Henry C. Lee College of Criminal Justice and Forensic Sciences, University of New Haven, West Haven, CT 06516, USA

9. REGIOMED Kliniken, 96450 Coburg, Germany

10. Medical School, University of Rijeka, 51000 Rijeka, Croatia

11. Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia

12. Medical School, University of Mostar, 88000 Mostar, Bosnia and Herzegovina

13. National Forensic Sciences University, Gujarat 382007, India

Abstract

The integration of whole genome sequencing (WGS) into all aspects of modern medicine represents the next step in the evolution of healthcare. Using this technology, scientists and physicians can observe the entire human genome comprehensively, generating a plethora of new sequencing data. Modern computational analysis entails advanced algorithms for variant detection, as well as complex models for classification. Data science and machine learning play a crucial role in the processing and interpretation of results, using enormous databases and statistics to discover new and support current genotype–phenotype correlations. In clinical practice, this technology has greatly enabled the development of personalized medicine, approaching each patient individually and in accordance with their genetic and biochemical profile. The most propulsive areas include rare disease genomics, oncogenomics, pharmacogenomics, neonatal screening, and infectious disease genomics. Another crucial application of WGS lies in the field of multi-omics, working towards the complete integration of human biomolecular data. Further technological development of sequencing technologies has led to the birth of third and fourth-generation sequencing, which include long-read sequencing, single-cell genomics, and nanopore sequencing. These technologies, alongside their continued implementation into medical research and practice, show great promise for the future of the field of medicine.

Publisher

MDPI AG

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