title: Exploiting the potential of next-generation sequencing in genomic medicine.
abstract: The review highlights the impact of next-generation sequencing (NGS) on genomic medicine and the consequences of the progression from a single-gene panel technology to a whole exome sequencing approach.
  
  
  
  We brought together literature-based evidences, personal unpublished data and clinical experience to provide a critical overview of the impact of NGS on our daily clinical practice. Expert commentary: NGS has changed the role of clinical geneticist and has broadened the view accomplishing a transition from a monogenic Mendelian perspective to an oligogenic approach to disorders. Thus, it is a compelling new expertise which combines clinical evaluation with big omics data interpretation and moves forward to phenotype re-evaluation in light of data analysis. We introduced the term, 'exotyping', to highlight this holistic approach. Further, the review discusses the impact that the combination of genetic reprogramming and transcriptome analysis will have on the discovery of evidence-based therapies.
authors: a Medical Genetics , University of Siena , Siena , Italy.|b Genetica Medica , Azienda Ospedaliera Universitaria Senese , Siena , Italy.
authors: Anna Maria
authors: AM
authors: Pinto
authors: a Medical Genetics , University of Siena , Siena , Italy.|b Genetica Medica , Azienda Ospedaliera Universitaria Senese , Siena , Italy.
authors: Francesca
authors: F
authors: Ariani
authors: a Medical Genetics , University of Siena , Siena , Italy.
authors: Laura
authors: L
authors: Bianciardi
authors: a Medical Genetics , University of Siena , Siena , Italy.
authors: Sergio
authors: S
authors: Daga
authors: a Medical Genetics , University of Siena , Siena , Italy.|b Genetica Medica , Azienda Ospedaliera Universitaria Senese , Siena , Italy.
authors: Alessandra
authors: A
authors: Renieri
mesh_terms: D023281:Genomics / Q000379:methods* / Q000639:trends; D059014:High-Throughput Nucleotide Sequencing / Q000379:methods* / Q000639:trends; D006801:Humans; D062346:Molecular Medicine / Q000379:methods* / Q000639:trends
keywords: RNA-seq profiling; Targeted gene sequencing; exotyping; genotyping; oligogenic disorders; phenotyping; whole exome sequencing; whole genome sequencing