Whole Exome Sequencing

Whole Exome Sequencing is a revolutionary genetic analysis technique that selectively captures and sequences the protein-coding regions of the genome, known as the exome. These regions contain crucial information about genetic variations that are often associated with various diseases.

Applications of Whole exome sequencing

  • Disease Diagnosis and Identification
    Rare Genetic Disorders: Uncover the genetic basis of rare diseases by identifying mutations in the exome that may be responsible for the condition.
    Undiagnosed Conditions: Provide answers for patients with undiagnosed or atypical symptoms by comprehensively analysing protein-coding regions.
  • Cancer Genomics
    Tumor Profiling: Analyse the exome of cancer cells to identify specific mutations, guiding personalised cancer treatment strategies.
    Identification of Driver Mutations: Understand the genetic drivers of cancer progression for targeted therapeutic interventions.
  • Inherited diseases and Carrier screening
    Inherited Conditions: Identify genetic variants associated with inherited diseases, enabling proactive medical management and family planning.
    Carrier Status: Assess carrier status for certain genetic conditions, empowering individuals and couples with family planning decisions.
  • Pharmacogenomics:
    personalised Medicine: Tailor drug prescriptions based on an individual's genetic makeup, optimizing treatment efficacy and minimizing adverse reactions.
    Drug Response Prediction: Predict patient responses to specific medications, improving treatment outcomes and reducing trial-and-error approaches.
  • Research and Genomic Discovery:
    Population Studies: : Contribute to large-scale genomic research by analysing exome data to understand population-level genetic variations.
    Functional Genomics: Investigate the functional implications of genetic variants, advancing our understanding of gene function and regulation.

At what point should WES testing be considered?

  • May be suitable for specific patients when the mix of symptoms doesn't lead to a clear diagnosis or phenotype of the presumed genetic disorder.
  • Instances in which a postponed differential diagnosis could greatly affect the patient's quality of life.
  • In particular scenarios where a sequential diagnostic approach significantly escalates expenses and duration.
  • When the physician is unable to determine a likely diagnosis based on the symptoms.
  • In situations where no other alternative method exists to verify the diagnosis and conclude the prolonged search for answers.

Whole exome sequencing is offered to

  • Individuals with diverse symptoms and unresolved diagnosis
  • In cases of global developmental delay, intellectual disability, complex dysmorphic features, cardiac issues, metabolic abnormalities, neuroregression, immunodeficiency and many others
  • When there are multiple abortions due to recurrent congenital abnormalities detected in the fetus, couple screening can be opted to identify any recessive or dominant disorders being inherited.
  • Detects de novo variants that arise in the offspring but are absent in both parents.

Reasons for choosing Setgene's Whole Exome Sequencing (WES) test:

Choosing whole exome sequencing to tackle diagnostic challenges is ideal when a rapid, cost-effective, single-step approach is needed to finalise the diagnostic journey in complex and unresolved cases.

  • Involves thorough examination of all protein-coding regions and intron-exon boundaries of over 20,000 genes, including those encoded by mitochondria.
  • Offers comprehensive identification and analysis of both Single Nucleotide Variants (SNVs) and Copy Number Variants (CNVs), with a CNV detection sensitivity ranging from 75-99%, depending on the size and zygosity of the deletion/duplication.
  • Ensures consistent, valid, and accurate results through stringent quality control measures at every stage of the process, from laboratory sample handling to result interpretation.
  • Includes both pre-test and post-test genetic counselling for comprehensive patient support.

Sample requirements

Blood

Extracted DNA

Amniotic fluid

Chorionic villus sampling

Product of conception (POC)

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