Next-generation sequencing to guide cancer therapy

As a result of multiple technological and practical advances, high-throughput sequencing, known more commonly as “next-generation” sequencing (NGS), can now be incorporated into standard clinical practice. Whereas early protocols relied on samples that were harvested outside of typical clinical path...

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Main Authors: Gagan, Jeffrey, Van Allen, Eliezer M.
Format: Online
Language:English
Published: BioMed Central 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517547/
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recordtype oai_dc
spelling pubmed-45175472015-07-29 Next-generation sequencing to guide cancer therapy Gagan, Jeffrey Van Allen, Eliezer M. Review As a result of multiple technological and practical advances, high-throughput sequencing, known more commonly as “next-generation” sequencing (NGS), can now be incorporated into standard clinical practice. Whereas early protocols relied on samples that were harvested outside of typical clinical pathology workflows, standard formalin-fixed, paraffin-embedded specimens can more regularly be used as starting materials for NGS. Furthermore, protocols for the analysis and interpretation of NGS data, as well as knowledge bases, are being amassed, allowing clinicians to act more easily on genomic information at the point of care for patients. In parallel, new therapies that target somatically mutated genes identified through clinical NGS are gaining US Food and Drug Administration (FDA) approval, and novel clinical trial designs are emerging in which genetic identifiers are given equal weight to histology. For clinical oncology providers, understanding the potential and the limitations of DNA sequencing will be crucial for providing genomically driven care in this era of precision medicine. BioMed Central 2015-07-29 /pmc/articles/PMC4517547/ /pubmed/26221189 http://dx.doi.org/10.1186/s13073-015-0203-x Text en © Gagan and Van Allen. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Gagan, Jeffrey
Van Allen, Eliezer M.
spellingShingle Gagan, Jeffrey
Van Allen, Eliezer M.
Next-generation sequencing to guide cancer therapy
author_facet Gagan, Jeffrey
Van Allen, Eliezer M.
author_sort Gagan, Jeffrey
title Next-generation sequencing to guide cancer therapy
title_short Next-generation sequencing to guide cancer therapy
title_full Next-generation sequencing to guide cancer therapy
title_fullStr Next-generation sequencing to guide cancer therapy
title_full_unstemmed Next-generation sequencing to guide cancer therapy
title_sort next-generation sequencing to guide cancer therapy
description As a result of multiple technological and practical advances, high-throughput sequencing, known more commonly as “next-generation” sequencing (NGS), can now be incorporated into standard clinical practice. Whereas early protocols relied on samples that were harvested outside of typical clinical pathology workflows, standard formalin-fixed, paraffin-embedded specimens can more regularly be used as starting materials for NGS. Furthermore, protocols for the analysis and interpretation of NGS data, as well as knowledge bases, are being amassed, allowing clinicians to act more easily on genomic information at the point of care for patients. In parallel, new therapies that target somatically mutated genes identified through clinical NGS are gaining US Food and Drug Administration (FDA) approval, and novel clinical trial designs are emerging in which genetic identifiers are given equal weight to histology. For clinical oncology providers, understanding the potential and the limitations of DNA sequencing will be crucial for providing genomically driven care in this era of precision medicine.
publisher BioMed Central
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517547/
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