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Next Generation Sequencing in Oncological Diagnostics: Hype or Hope?

Journal of Biosciences and Medicines 2024年第2期12卷 244-256页

作者： Rana Hallak Manfred Kuepper amer al chikh youssef Department of Biochemistry Faculty of Pharmacy Al Rasheed University Ghabareb Syria Rana Hallak Clinical Laboratory Damascus Kafar Sousseh Syria Department of Biochemistry Faculty of Pharmacy Arab International University Ghabareb Syria Doctors Cancer Care Center Damascus Damascus Syria

The understanding of how genetic and epigenetic factors influence tumorigenesis, progression and invasion, is vastly growing since new technologies allow the analysis of the functional genome namely the exome, the transcriptome and the epigenome, besides enabling genome-wide assessment of genetic variations. With the advent of new drugs that are indicated tissue agnostic, depending on certain mutations, there is a growing demand for fast and cost-effective genetic diagnosis. The method in focus that already became an indispensable tool in viral diagnosis is next-generation sequencing (NGS). This approach allows sequencing of literally every DNA molecule in the sample and can either be used to assess numerous genetic markers of one patient at a time, or to assess fewer markers of many patients in parallel, which reduces costs. We submitted 23 samples of different tumor entities to four diagnostic companies with different analysis profiles. The results as disclosed and discussed in this report indicate that so far, the main application of NGS is rather in cancer research than in diagnosis, as none of the reports had a real impact on the therapeutic scheme. We are perfectly aware that such a small cohort cannot be generalized, but considering the costs vs. benefits, NGS should be engaged upon a very stringent evaluation only. However, in cases where obtaining a tissue biopsy is impossible or unfavorable, analysis of liquid biopsy by NGS provides a vital alternative.

关键词： Oncology Next Generation Sequencing Tumor Diagnosis Personalized Medicine

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