A study of elective genome sequencing and pharmacogenetic testing in an unselected population

Mol Genet Genomic Med. 2021 Sep;9(9):e1766. doi: 10.1002/mgg3.1766. Epub 2021 Jul 27.

Abstract

Background: Genome sequencing (GS) of individuals without a medical indication, known as elective GS, is now available at a number of centers around the United States. Here we report the results of elective GS and pharmacogenetic panel testing in 52 individuals at a private genomics clinic in Alabama.

Methods: Individuals seeking elective genomic testing and pharmacogenetic testing were recruited through a private genomics clinic in Huntsville, AL. Individuals underwent clinical genome sequencing with a separate pharmacogenetic testing panel.

Results: Six participants (11.5%) had pathogenic or likely pathogenic variants that may explain one or more aspects of their medical history. Ten participants (19%) had variants that altered the risk of disease in the future, including two individuals with clonal hematopoiesis of indeterminate potential. Forty-four participants (85%) were carriers of a recessive or X-linked disorder. All individuals with pharmacogenetic testing had variants that affected current and/or future medications.

Conclusion: Our study highlights the importance of collecting detailed phenotype information to interpret results in elective GS.

Keywords: carrier; clonal hematopoiesis of indeterminate potential; elective genome; pharmacogenetics.

MeSH terms

  • Adult
  • Female
  • Gene Frequency
  • Genetic Testing / statistics & numerical data*
  • Healthy Volunteers / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Pharmacogenomic Variants*
  • Phenotype
  • Population / genetics*
  • Whole Genome Sequencing / statistics & numerical data*