Toward multiomics-based next-generation diagnostics for precision medicine

Per Med. 2019 Mar;16(2):157-170. doi: 10.2217/pme-2018-0085. Epub 2019 Feb 28.

Abstract

Our healthcare system is experiencing a paradigm shift to precision medicine, aiming at an early prediction of individual disease risks and targeted interventions. Whole-genome sequencing is currently gaining momentum, as it has the potential to capture all classes of genetic variation, thus providing a more complete picture of the individual's genetic makeup, which could be utilized in genetic testing; however, this will also lead to difficulties in interpreting the test results, necessitating careful integration of genomic data with other layers of information, both molecular multiomics measurements of epigenome, transcriptome, proteome, metabolome and even microbiome, as well as comprehensive information on diet, lifestyle and environment. Overall, the translation of patient-specific data into actionable diagnostic tools will be a challenging task, requiring expertise from multiple disciplines, secure data sharing in large reference databases and a strong computational infrastructure.

Keywords: data integration; genetic tests; multiomics; next-generation diagnostics; precision medicine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Computational Biology / methods*
  • Computational Biology / trends*
  • Diagnostic Techniques and Procedures / trends
  • Genetic Testing
  • Genomics / methods
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Metabolome
  • Metabolomics / methods
  • Molecular Diagnostic Techniques / methods
  • Molecular Diagnostic Techniques / trends
  • Precision Medicine / methods*
  • Precision Medicine / trends
  • Proteome
  • Proteomics / methods
  • Sequence Analysis, DNA / trends
  • Transcriptome

Substances

  • Proteome