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Progress in genomics according to bingo: 2013 edition
Genome Biology volume 14, Article number: 143 (2013)
‘BINGO!’ - Not a phrase you might expect to hear at some of the biggest genetics meetings, such as Cold Spring Harbor’s Biology of Genomes and ASHG. But it is one that has been heard in conference centers and on Twitter, in response to buzzwords thrown around in talks. The rules are simple and familiar: generate a bingo card at http://www.interpretome.com/#bingo and, when a speaker (not a question from the audience) says something on your card, mark it down. If you get five in a row, column, or diagonal, you win: no actual prizes, except for bragging rights and the ability to tweet your winning card (Figure 1).
2013 saw many scientific advances in genomics and genetics, as well as policy decisions. In no particular order, here were some of the popular buzzwords.
With the plummeting costs of sequencing, researchers are turning toward more detailed cellular measurements using these technologies. Specifically, single-cell RNA-Seq methods  were developed this year, which have accurately measured transcriptomes in greater than zero but less than two cells using tube- and microfluidic-based methods. These methods found that, while pooled measurements of single-cell expression recapitulate typical aggregate expression, aggregate expression is a poor predictor of single-cell expression. Additionally, single-cell Hi-C  methods have provided insight into cell-cell variability of chromatin structure.
If you were to get your genome sequenced in the clinic in an attempt to diagnose a rare disease, should you be told whether you had a high risk for cardiomyopathy? The debate over whether incidental, or secondary, findings should be returned to patients has raged on. This year, the American College of Medical Genetics has released guidelines for physicians recommending a set of genes in which incidental findings should be reported, irrespective of the age of the patient . However, there is still work to be done, and efforts such as ClinVar and others will shape how genomic information is used in the clinic in the coming years.
In a landmark decision for genetics law, the Supreme Court ruled that genomic DNA cannot be patented, but synthetically created cDNA is patentable (well summarized at http://www.genomicslawreport.com/index.php/2013/06/18/myriad-finally-supreme-court-surprises-by-not-surprising/). Most importantly, this decision marked the end of the debate on the claims of Myriad Genetics, which maintained patents on BRCA1 and BRCA2 that had been questioned extensively: if every human has these genes, how can a company own them? The court’s decision effectively negated many of their claims and, now, institutions and companies are free to perform their own sequencing of BRCA genes. Of course, Myriad’s knowledge base will keep them in business for some time, but they will face steep competition from lower-cost options. This decision was a month after Angelina Jolie published an op-ed in the New York Times about her decision to have a preventative double mastectomy based on family history and a Myriad test (http://www.nytimes.com/2013/05/14/opinion/my-medical-choice.html).
Move over 1000 Genomes Project! This year’s large-scale RNA-Seq studies [4, 5] have taken the top spot for consortium genomics buzzwords. These studies, and the GTEx project (http://www.broadinstitute.org/gtex/), have characterized the landscape of gene regulatory architecture, showing widespread variability in transcript structure and allelic expression, as well as variants associated with these features. Additionally, the increased power of large datasets and meta-analyses has enabled investigation of the properties of trans-eQTLs and their influence on disease biology [5, 6].
Our questions for 2013 and beyond have shifted from ‘how can we generate this amount of data?’ to ‘how can we analyze this amount of data?’ With terabytes of data and more, clever statistical and informatics methods are required to process and fully harness the data to arrive at the correct conclusions. Between an NIH RFA for ‘Big Data to Knowledge’, a number of companies (such as DNAnexus and Illumina) expanding the software efforts of genomics into the cloud, and Silicon Valley data-heavy company integration into health efforts (such as the Google-backed Calico), the trend toward scalable, intelligent data analysis mixed with high-performance computing is clear.
Clustered regularly interspaced short palindromic repeats (CRISPRs) have been developing as a molecular biology technique over the past decade, but this year has seen an explosion in their use in mammalian cells for genome editing. Their first use in human cells was published early in the year [7, 8] and, since then, they have been used to correct CFTR gene function in cultured cells from cystic fibrosis patients, suggesting the potential for CRISPR use in gene correction therapies . Just a few days ago, a number of studies were published using CRISPRs for genome-scale knockout screens [10, 11].
It’s unclear whether ‘nanopore’ should be noted as a word for 2012, 2013, or 2014. While the technology was announced previously, this year saw the first test runs of Oxford Nanopore’s new sequencing technology at ASHG and the launch of an early access program for MinION, their USB drive-sized sequencer.
Of course, 2013 was not beyond some controversy. After the initial release of the HeLa cancer cell-line genome [12, 13] without the knowledge of Henrietta Lacks’ family, the bioethics debates concerning the rights of - and respect for - research participants, balanced with the desire for public data availability, resurfaced. The genome was removed from public databases and, over the next few months, the Lacks family met with the NIH and medical geneticists to discuss options for data release, following which an agreement for controlled access to the data through dbGaP was struck .
After years of direct-to-consumer genetic testing companies selling kits and providing individuals with data on genetic risks for health, the FDA sent a warning letter to 23andMe, which instructed them to cease marketing their genetic tests (http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2013/ucm376296.htm). The company, with more than half a million customers, complied and stopped offering health-related information to new customers, pending regulatory review. Interestingly, this announcement came only three days after the agency approved the first next-generation sequencer for marketing for clinical use .
Of additional interest for personal genomics companies and their customers, a study this year used publicly available personal genetic data, in the form of Y-STRs, together with genealogical records to re-identify a number of genomes . These included some anonymous individuals from the HapMap project, as well as high-profile genomes such as that of Craig Venter.
While long non-coding RNAs (lncRNAs) have been well-studied for years, a number of insights in 2013 have propelled them to the forefront. Thousands of novel lncRNAs were discovered using extensive de novo transcriptome assembly and found to be conserved and enriched for disease-associated variants . Additionally, the lncRNA Xist was discovered to spread across the X chromosome using the three-dimensional structure of the genome .
Chromosome 21 silencing
Xist made another appearance in this year’s highlights, when it was inserted into chromosome 21 in Down’s syndrome pluripotent stem cells . In doing so, the authors of the study were able to silence one copy of the chromosome, suggesting a potential use for Xist as a chromosome therapy for Down’s syndrome.
Yes, 2013 was a great year for genomics, and the buzzwords it spawned will be around for at least a few years, but here’s looking forward to a new set of advances and challenges in 2014!
American Society for Human Genetics
The database of Genotypes and Phenotypes
Expression quantitative trait locus
Food and Drug Administration
The Genotype-Tissue Expression project
Long non-coding RNA
National Institutes of Health
Requests for applications
Y-chromosome short tandem repeats.
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Karczewski, K.J. Progress in genomics according to bingo: 2013 edition. Genome Biol 14, 143 (2013). https://doi.org/10.1186/gb4148
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