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Personal genomics is the branch of genomics concerned with the sequencing and analysis of the genome of an individual. The genotyping stage employs different techniques, including single-nucleotide polymorphism (SNP) analysis chips (typically 0.02% of the genome), or partial or full genome sequencing. Once the genotypes are known, the individual's genotype can be compared with the published literature to determine likelihood of trait expression and disease risk.
Automated sequencers have increased the speed and reduced the cost of sequencing, making it possible to offer genetic testing to consumers.
Use of personal genomics in predictive and precision medicine 
Predictive medicine is the use of the information produced by personal genomics techniques when deciding what medical treatments are appropriate for a particular individual. Precision medicine is focused on "a new taxonomy of human disease based on molecular biology" 
Examples of the use of predictive and precision medicine include inherited medical genomics, cancer genomics and pharmacogenomics. In pharmacogenomics genetic information can be used to select the most appropriate drug to prescribe to a patient. The drug should be chosen to maximize the probability of obtaining the desired result in the patient and minimize the probability that the patient will experience side effects. Genetic information may allow physicians to tailor therapy to a given patient, in order to increase drug efficacy and minimize side effects. As of Oct 2012 there are 167 examples of drug gene pairs for which this information is currently useful in clinical practice and this number has been growing rapidly.
Disease risk may be calculated based on genetic markers and genome-wide association studies for common medical conditions, which are multifactorial and include environmental components in the assessment. Diseases which are individually rare (less than one in 200,000 people affected) are nevertheless collectively common (affecting roughly 8-10% of the US population). Over 2500 of these diseases (including a few more common ones) have predictive genetics of sufficiently high clinical impact that they are recommended as medical genetic tests available for single genes (and in whole genome sequencing) and growing at about 200 new genetic diseases per year.
Cost of sequencing an individual's genome 
The cost of sequencing a human genome is dropping rapidly, due to the continual development of new, faster, cheaper DNA sequencing technologies such as "next generation DNA sequencing".
The National Human Genome Research Institute, part of the U.S. National Institutes of Health, has set a target to be able to sequence a human-sized genome for US$100,000 by 2009 and US$1,000 by 2014.
There are 6 billion base pairs in the diploid human genome. Statistical analysis reveals that a coverage of approximately ten times is required to get coverage of both alleles in 90% human genome from 25 base-pair reads with shotgun sequencing. This means a total of 60 billion base pairs that must be sequenced. An Applied Biosystems SOLiD, Illumina or Helicos sequencing machine can sequence 2 to 10 billion base pairs in each $8,000 to $18,000 run. The purchase cost, personnel costs and data processing costs must also be taken into account. Sequencing a human genome cost approximately $300,000 in 2008.
Given the ethical concerns about presymptomatic genetic testing of minors, it is likely that personal genomics will first be applied to adults who can provide consent to undergo such testing.
In June 2009, Illumina announced the launch of its own Personal Full Genome Sequencing Service at a depth of 30X for $48,000 per genome. Only one year later, in 2010, they cut the price 60% to $19,500. Prices are expected to drop further over the next few years through economies of scale and increased competition.
Knome's whole genome sequencing approach aims, instead, to read every site in the whole euchromatic portion of a person's genome (roughly 3 billion sites). While significantly more expensive than SNP chip-based genotyping, this approach yields significantly more data, identifying both novel (never-before-seen) and known sequence variants, some of which may be particularly relevant in efforts to understand personal health, as well as ancestry.
Comparative genomics 
Comparative genomics analysis characterizes the differences and similarities between whole genomes. It may be applied to both genomes from individuals from different species or individuals from the same species, generally at lower cost than sequencing from scratch.
Projects and services already available 
- The Genographic Project is a project of the National Geographic Society and IBM to collect DNA samples to map historical human migration patterns. Launched in 2005, with 500,000 public participants as of December 2012, it helped to create the direct-to-consumer (DTC) genetic testing industry.
- The Personal Genome Project (PGP) is a long term, large cohort study based at Harvard Medical School which aims to sequence and publicize the complete genomes and medical records of 100,000 volunteers, in order to enable research into personal genomics and personalized medicine.
- SNPedia is a wiki that collects and shares information about the consequences of DNA variations, and through the associated program Promethease, anyone who has obtained DNA data about themselves (from any company) can get a free, independent report containing risk assessments and related information.
- deCODEme.com charges $1100 to carry out genotyping of approximately 1 million SNPs and provides risk estimates for 47 diseases as well as ancestry analyses.
- Existence Genetics provides genetic testing services through healthcare providers and health and wellness organizations, with prices starting at $299. This company provides testing for over 1,200 common and rare diseases and traits, including heart disease, cancer, autoimmune diseases, obesity, nutrigenomics, pharmacogenomics, fitness & athletic performance, preventable sudden cardiac death, and malignant hyperthermia. Existence Genetics provides fitness & athletic performance genetic testing services for Equinox Fitness.
- Navigenics, began offering SNP-based genomic risk assessments as of April 2008. Navigenics is medically focused and emphasizes a clinician's and genetic counselor's role in interpreting results. Affymetrix Genome-Wide Human SNP Array 6.0, which genotypes 900,000 SNPs.
- Pathway Genomics analyzes over 100 genetic markers to identify genetic risk for common health conditions such as melanoma, prostate cancer and rheumatoid arthritis.
- 23andMe sells mail order kits for SNP genotyping. The information is stored in a user profile and used to estimate the genetic risk of the consumer for 178 diseases and conditions, as well as ancestry analysis. 23andMe utilizes a DNA array manufactured by Illumina.
- Knome provides full genome (98% genome) sequencing services for $4,998 for whole genome sequencing and interpretation for consumers, or $29,500 for whole genome sequencing and analysis for researchers, depending on requirements.
- meragenome.com Organisation working towards personal Genomics and Participatory Research in India
- Mapmygenome.in personal genomics company focused on the Indian genome
- HelloGene and HelloGenome personal genome information services describe genotyping and full genome sequencing launched by Theragen in Korea. HelloGenome is the first commercial whole genome sequencing service in Asia while HelloGene is the first in Korea. HelloGene uses Affymetrix SNP chips while HelloGenome uses Solexa machines.
- Illumina, Oxford Nanopore Technologies, Sequenom, Pacific Biosciences, Complete Genomics, and 454 Life Sciences are commercializing full genome sequencing but do not provide genetic analysis or counselling.
Ethical issues 
Genetic discrimination is discriminating on the basis of information obtained from an individual’s genome. Genetic non-discrimination laws have been enacted in some US states and, at the federal level, by the Genetic Information Nondiscrimination Act (GINA). The GINA legislation prevents discrimination by health insurers and employers, but does not apply to life insurance or long-term care insurance.
Patients will need to be educated on interpreting their results and what they should be rationally taking from the experience. It is not only the average person who needs to be educated in the dimensions of their own genomic sequence but also professionals, including physicians and science journalists, who must be provided with the knowledge required to inform and educate their patients and the public 
Other issues 
Full sequencing of the genome can identify polymorphisms that are so rare that no conclusions may be drawn about their impact, creating uncertainty in the analysis of individual genomes, particularly in the context of clinical care. Czech medical geneticist Eva Machácková writes: "In some cases it is difficult to distinguish if the detected sequence variant is a causal mutation or a neutral (polymorphic) variation without any effect on phenotype. The interpretation of rare sequence variants of unknown significance detected in disease-causing genes becomes an increasingly important problem."
There is a heavy debate as to how relevant the results of personal genome kits are and whether or not the ramifications of knowing one’s predisposition to a disease is worth the potential psychological stress. There are also three potential problems associated with the validity of personal genome kits. The first issue is the test’s validity. Handling errors of the sample increases the likelihood for errors which could affect the test results and interpretation. The second affects the clinical validity, which could affect the test’s ability to detect or predict associated disorders. The third problem is the clinical utility of personal genome kits and associated risks, and the benefits of introducing them into clinical practices. 
Doctors are currently conducting tests for which some are not correctly trained to interpret the results. Many are unaware of how SNPs respond to one another. This results in presenting the client with potentially misleading and worrisome results which could strain the already overloaded health care system. This may antagonize the individual to make uneducated decisions such as unhealthy lifestyle choices and family planning modifications. Moreover, negative results which may potentially be inaccurate, theoretically decrease the quality of life and mental health of the individual (such as increased depression and extensive anxiety).
There is also controversy regarding the concerns with companies testing individual DNA. There are issues such as "leaking" information, the right to privacy and what responsibility the company has to ensure this does not happen. Regulation rules are not clearly laid out. What is still not determined is who legally owns the genome information: the company or the individual whose genome has been read. There have been published examples of personal genome information being exploited. Additional privacy concerns, related to, e.g., genetic discrimination, loss of anonymity, and psychological impacts, have been increasingly pointed out by the academic community  as well as government agencies.
Conversely, sequencing one’s genome would allow for more personalized medical treatments using pharmacogenomics; the use of genetic information to select appropriate drugs. Treatments can be catered to the individual and the certain genetic predispositions they may have (such as personalized chemotherapy).
See also 
- Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease. The National Academies Press. 2011.
- "The Pharmacogenomics Knowledgebase".
- "NIH Office of Rare Disease Research".
- "Gene Tests".
- Wetterstrand, Kris (21 May 2012). "DNA Sequencing Costs: Data from the NHGRI Large-Scale Genome Sequencing Program". Large-Scale Genome Sequencing Program. National Human Genome Research Institute. Retrieved 24 May 2012.
- "Coming Soon: Your Personal DNA Map?". News.nationalgeographic.com. 28 October 2010. Retrieved 19 October 2011.
- "JDW-genome-supp-mat-march-proof.doc" (PDF). Retrieved 19 October 2011.
- "True Single Molecule Sequencing (tSMS): Helicos BioSciences". Helicosbio.com. Retrieved 19 October 2011.
- Karow, Julia. "Complete Genomics to Offer $5,000 Human Genome as a Service Business in Q2 2009 | In Sequence | Sequencing". GenomeWeb. Retrieved 19 October 2011.
- Lauerman, John (5 February 2009). "Complete Genomics Drives Down Cost of Genome Sequence to $5,000". Bloomberg. Retrieved 19 October 2011.
- McCabe LL, McCabe ER (June 2001). "Postgenomic medicine. Presymptomatic testing for prediction and prevention". Clin Perinatol 28 (2): 425–34. doi:10.1016/S0095-5108(05)70094-4. PMID 11499063.
- Nelson RM, Botkjin JR, Kodish ED, et al. (June 2001). "Ethical issues with genetic testing in pediatrics". Pediatrics 107 (6): 1451–5. doi:10.1542/peds.107.6.1451. PMID 11389275.
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- "Individual genome sequencing – Illumina, Inc". Everygenome.com. Retrieved 19 October 2011.
- "Illumina Cutting Personal Genome Sequencing Price by 60% | GPlus.com". Glgroup.com. 4 June 2010. Retrieved 19 October 2011.
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- "Illumina launches personal genome sequencing service for $48,000 : Genetic Future". Scienceblogs.com. Retrieved 19 October 2011.
- Karow, Julia (19 May 2009). "Knome Adds Exome Sequencing, Starts Offering Services to Researchers". GenomeWeb. Retrieved 24 February 2010.
- Harmon, Katherine (28 June 2010). "Genome Sequencing for the Rest of Us". Scientific American. Retrieved 13 August 2010.
- Amy Doneen, Nurse Practitioner read our customer stories (15 October 2011). "deCODEme, unlock your DNA". Decodeme.com. Retrieved 19 October 2011.
- "Existence Genetics l Rare Disease Screen l Comprehensive Rare Disease Genetic Testing & Analysis". Existence Genetics. Retrieved 27 December 2011.
- "Panels l Predictive Medicine". Existence Genetics. Retrieved 19 October 2011.
- "Existence Genetics l Optimizing Athletic Performance & Fitness". Existence Genetics. Retrieved 27 December 2011.
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- Harmon, Amy (4 March 2008). "The DNA Age: Gene Map Becomes a Luxury Item". The New York Times. Retrieved 19 October 2011.
- "meragenome.com website".
- January 2009+BW20090112 "Illumina and Oxford Nanopore Enter into Broad Commercialization Agreement". Reuters. 12 January 2009. Retrieved 23 February 2009.
- "Single Molecule Real Time (SMRT) DNA Sequencing". Pacific Biosciences. Retrieved 23 February 2009.[dead link]
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- Lunshof, Jeantine, Mardis, Elaine. [Retrieved from http://www.future-science-group.com/_img/pics/Mardis_-_Foreward.pdf "Navigenics – How it works"]. Future Medicine Magazine. Retrieved 30 March 2012.
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- Hunter DJ, Khoury MJ, Drazen JM (January 2008). "Letting the genome out of the bottle—will we get our wish?". N. Engl. J. Med. 358 (2): 105–7. doi:10.1056/NEJMp0708162. PMID 18184955.
- Lea DH, Skirton H, Read CY, Williams JK (March 2011). "Implications for educating the next generation of nurses on genetics and genomics in the 21st century". J Nurs Scholarsh 43 (1): 3–12. doi:10.1111/j.1547-5069.2010.01373.x. PMID 21342419.
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- De Cristofaro, E. (2012). "Whole Genome Sequencing: Innovation Dream or Privacy Nightmare?". ArXiv Repository.
- Presidential Commission for the Study of Bioethical Issues (2012). Privacy and Progress in Whole Genome Sequencing.
- Blow N (October 2007). "Genomics: the personal side of genomics". Nature 449 (7162): 627–30. doi:10.1038/449627a. PMID 17914399.
Further reading 
- Sweet K, Michaelis R (May 2011). The Busy Physician's Guide to Genetics, Genomics and Personalized Medicine (1st ed.). Springer Scientific Press. ISBN 978-94-007-1147-1.
- Open Personal Genomics Consortium
- Personal Genomics Blog
- Personal Genomics Institute (PGI)
- National Geographic Genographic Project
- Genomes to People (G2P)