In what promises to be a significant step forward in the genome era, the National Human Genome Research Institute (NHGRI) today announced plans to devote a portion of its large-scale sequencing capacity to efforts aimed at identifying the genetic roots of specific diseases that have long eluded gene hunters.
The National Advisory Council for Human Genome Research (NACHGR) recently approved a plan for NHGRI's Large-Scale Sequencing Network that, for the first time, includes a portfolio of "medical sequencing" projects. Projects given the highest priority will use large-scale sequencing over the next few years to identify the genes responsible for dozens of relatively rare, single-gene (autosomal Mendelian) diseases; sequence all of the genes on the X chromosome from affected individuals to identify those involved in sex-linked diseases; and to survey the range of variants in genes known to contribute to some common diseases. The launch of each project will depend on a number of factors, including the strategic selection of specific diseases and the availability of patient samples with appropriate informed consent.
In addition to the new focus on medical sequencing, the plan continues NHGRI's emphasis on using comparative genomic sequencing analysis to understand the structure and function of the human genome and the biological processes at work in human health and disease. The strategy includes a mix of whole genome sequencing, genome mapping and sequencing of genomic regions chosen for their scientific merits. Additionally, NACHGR approved the refinement of several existing draft genome sequences and targeted a group of seven additional non-mammalian organisms for sequencing.
"Medical sequencing has the potential to make a substantial impact on both biological and medical research. While many of the genes we will initially be pursuing are responsible for rare disorders, what we learn from rare disorders often has profound consequences for our understanding of more common conditions. Thus we expect the cumulative impact of this acceleration in disease gene discovery to be profound, as many of the discoveries will shed new light on the biological pathways involved in human health and disease," said NHGRI Director Francis S. Collins, M.D., Ph.D.
The first medical sequencing project, predicted to begin in the next year, will be a demonstration project to find the genetic variations responsible for seven rare, autosomal Mendelian disorders. The demonstration project will establish the best procedures for obtaining quality samples, for determining the minimum number of affected and control samples needed, and for deciding how the data will be released to the biomedical research community.
Among the demonstration projects under consideration are those to identify the genes responsible for the familial forms of atrial fibrillation, a major risk factor for heart failure and stroke; thoracic aortic aneurysms, which are life-threatening tears in the major artery of the heart; and dominant restrictive cardiomyopathy, another heart disorder. By understanding the familial forms of these diseases, scientists can apply what they learn to uncover the genetic components underlying the more common types of these heart disorders in the human population.
The other demonstration projects will target the genes for four other rare disorders: paroxysmal kinesigenic choreoathetosis, a neurological condition; neovascular inflammatory vitreoretinopathy, a blinding disorder; lymphedema-cholestasis syndrome, a hereditary disorder causing jaundice and leg swelling; and Joubert syndrome, a rare brain and physical development disorder.
NHGRI estimates that there are at least 50 to 100 additional projects in the scientific community that could benefit from the brute force and specialized tools of large-scale sequencing. In order to make an accurate assessment and gather community input into this program, NHGRI has issued a Request for Information to seek additional examples of such diseases from investigators around the world. The deadline for responses is Nov. 4. NHGRI will also hold an open discussion on Oct. 28 during the upcoming meeting of the American Society for Human Genetics in Salt Lake City to seek additional input from the human genetics community. NHGRI will analyze the input from these sources and determine the ultimate size of this aspect of medical sequencing as well as the best way to select those projects that offer the most promise.
Another medical sequencing project will be an effort to identify the genetic changes that result in diseases known as X-linked disorders. The human genome consists of 22 matching pairs of chromosome, referred to as autosomal chromosomes, plus a non-matching pair referred to as the sex chromosomes. The sex chromosomes, which are called X and Y, determine whether a person is female (XX) or male (XY). Any defects in genes on the X chromosome are often more apparent in males than females because the Y chromosome does not carry corresponding genes to compensate.
While researchers have identified the genes responsible for a number of X-linked disorders, the precise genetic basis for approximately 130 of these disorders remains to be determined. The study would entail completely sequencing all genes on the X chromosomes of individuals affected with the disorders, and looking for variations that consistently correlate with each disorder.
The other medical sequencing project given priority will attempt to characterize the entire spectrum of variation, both rare and common, in a significant number of candidate genes for common diseases. Genes known to influence high blood pressure, cholesterol and body weight will be targeted. Samples would be sequenced from hundreds to thousands of individuals from existing large cohort studies examining specific diseases, such as atherosclerosis or diabetes.
As part of the effort to select medical sequencing projects, NHGRI has included a working group to examine the ethical, legal and social issues relevant to the new medical sequencing projects. Many of these issues, which include obtaining informed consent from volunteers who plan to donate samples or who have already donated samples for other research projects, protecting the privacy of such volunteers, and understanding when, or how to report clinically relevant results back to volunteers, are similar to those encountered in much of human genetics research. The group will also address data release and intellectual property procedures.
In addition to the new focus on medical sequencing, NHGRI is continuing its ongoing effort to sequence other organisms' genomes, with the aim of deepening our understanding of human biology and evolution. Since the human genome and that of other mammalian and non-mammalian genomes have all evolved from a common ancestor, scientists can use the genome sequences of the non-mammalian animals to learn more about how, when and why the genomes of humans and other mammals came to be composed of certain DNA sequences. Such studies also provide new insights into the function of those sequences, the organization of genomes, and expand our understanding of the biological basis of certain infectious diseases.
NHGRI has selected seven non-mammalian organisms or groups of organisms for the next round of sequencing. Three of the organisms have been targeted for "high-quality draft" sequencing. They are: the green anole lizard (Anolis carolinensis), zebra finch (Taeniopygia guttata) and body louse (Pediculus humanus). Researchers will also construct physical genetic maps and do some targeted genomic sequencing of two sandflies (Lutzomyia longipalpis and Phlebotomus papatasi), and will obtain a low coverage sequence of the Africanized honey bee (Apis mellifera scutellata) for comparison with the honey bee genome sequence. Finally, the genomes of 100 bacteria cultured from the normal human gut will be sequenced.
"We are continuing to focus on those organisms that will reveal the greatest amount of information about the major biological innovations that have occurred throughout evolution, with emphasis on learning more about our own genome. Genomic information from a wide array of species is proving useful in many areas of biomedical research," said Mark S. Guyer, Ph.D., director of NHGRI's Division of Extramural Research.
The green anole lizard will be the first reptile to have its genome sequenced. Sequencing this reptile will provide a valuable comparison to the chicken, human and other mammalian genomes. The green anole lizard is also a well-established experimental model for neurobiology, endocrinology and reproduction.