Neural Regeneration Research ›› 2021, Vol. 16 ›› Issue (3): 475-481.doi: 10.4103/1673-5374.293135

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Current scenario of the genetic testing for rare neurological disorders exploiting next generation sequencing

Chiara Di Resta1 ,2, *, Giovanni Battista Pipitone3, Paola Carrera2, 3, Maurizio Ferrari1, 2, 3#br#   

  1. 1Vita-Salute San Raffaele University, Milan, Italy; 2Unit of Genomics for Human Disease Diagnosis, Division of Genetics and Cell Biology, IRCCS San Raffaele Scientific Institute, Milan, Italy; 3Clinical Molecular Biology Laboratory, IRCCS San Raffaele Hospital, Milan, Italy
  • Online:2021-03-15 Published:2020-12-17
  • Contact: Chiara Di Resta, PhD, diresta.chiara@hsr.it.

Abstract: Next generation sequencing is currently a cornerstone of genetic testing in routine diagnostics, allowing for the detection of sequence variants with so far unprecedented large scale, mainly in genetically heterogenous diseases, such as neurological disorders. It is a fast-moving field, where new wet enrichment protocols and bioinformatics tools are constantly being developed to overcome initial limitations. Despite the as yet undiscussed advantages, however, there are still some challenges in data analysis and the interpretation of variants. In this review, we address the current state of next generation sequencing diagnostic testing for inherited human disorders, particularly giving an overview of the available high-throughput sequencing approaches; including targeted, whole-exome and whole-genome sequencing; and discussing the main critical aspects of the bioinformatic process, from raw data analysis to molecular diagnosis. 

Key words: clinical practice, genetic testing, neurogenesis, next generation sequencing, sequencing approaches, variant interpretation