{"title":"Expanding Use of cfDNA Screening in Pregnancy: Current and Emerging Ethical, Legal, and Social Issues.","authors":"Lindsay Parham, Marsha Michie, Megan Allyse","doi":"10.1007/s40142-017-0113-x","DOIUrl":"10.1007/s40142-017-0113-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>In 2011, screening platforms became available in the US that detect and analyze fragments of cell-free placental DNA (cfDNA) in maternal blood serum. Marketed as noninvasive prenatal tests (NIPT), cfDNA screening is more accurate than previously available serum screening tests for certain aneuploidies. The combination of a noninvasive procedure, high specificity and sensitivity, and lower false positive rates for some aneuploidies (most notably Down's syndrome) has led to broad clinician and patient adoption. New ethical, legal, and social issues arise from the increased use and expanded implementation of cfDNA in pregnancy.</p><p><strong>Recent findings: </strong>Recently, several professional associations have amended their guidelines on cfDNA, removing language recommending its use in only \"high-risk\" pregnancies in favor of making cfDNA screening an available option for women with \"low-risk\" pregnancies as well. At the same time, commercial cfDNA screening laboratories continue to expand the range of available test panels. As a result, the future of prenatal screening will likely include a broader range of genetic tests in a wider range of patients.</p><p><strong>Summary: </strong>This article addresses the ethical, legal, and social issues related to the shift in guidance and expanded use of cfDNA in pregnant women, including concerns regarding routinized testing, an unmet and increasing demand for genetic counseling services, social and economic disparities in access, impact on groups living with disabling conditions, and provider liability.</p>","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"5 1","pages":"44-53"},"PeriodicalIF":2.1,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42214999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bioinformatics in the Identification of Novel Targets and Pathways in Neurodegenerative Diseases","authors":"J. Paananen","doi":"10.1007/s40142-017-0115-8","DOIUrl":"https://doi.org/10.1007/s40142-017-0115-8","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"5 1","pages":"15-21"},"PeriodicalIF":2.1,"publicationDate":"2017-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-017-0115-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45505063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent Progress in Functional Genomic Studies of Depression and Suicide","authors":"Daniel Almeida, G. Turecki","doi":"10.1007/s40142-017-0112-y","DOIUrl":"https://doi.org/10.1007/s40142-017-0112-y","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"5 1","pages":"22-34"},"PeriodicalIF":2.1,"publicationDate":"2017-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-017-0112-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47618306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editing the Genome: Prospects, Progress, Implications, and Cautions","authors":"N. King, Pat C. Lord, Douglas E. Lemley","doi":"10.1007/s40142-017-0109-6","DOIUrl":"https://doi.org/10.1007/s40142-017-0109-6","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"5 1","pages":"35-43"},"PeriodicalIF":2.1,"publicationDate":"2017-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-017-0109-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42291937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Lindgren, A. Kurtelius, M. von Und Zu Fraunberg
{"title":"The Genetics of Intracranial Aneurysms","authors":"A. Lindgren, A. Kurtelius, M. von Und Zu Fraunberg","doi":"10.1007/s40142-017-0111-z","DOIUrl":"https://doi.org/10.1007/s40142-017-0111-z","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"5 1","pages":"8-14"},"PeriodicalIF":2.1,"publicationDate":"2017-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-017-0111-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46510069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Mendelian Randomization studies to Assess Causality and Identify New Therapeutic Targets in Cardiovascular Medicine.","authors":"Wei Zhao, Jung-Jin Lee, Asif Rasheed, Danish Saleheen","doi":"10.1007/s40142-016-0103-4","DOIUrl":"https://doi.org/10.1007/s40142-016-0103-4","url":null,"abstract":"<p><p>Integration of knowledge generated from genetic studies on intermediate biomarkers and CHD can provide a reliable approach to help assess causal pathways in coronary heart disease. Mendelian Randomization (MR) studies are a powerful tool to assess causal relevance of a range of pathways. These analyses use genetic variants as proxies for soluble biomarkers in association studies of disease risk. MR studies can provide unbiased estimates of causal effects and avoid distortions due to confounding factors arising later in life, because genetic variants are fixed at conception. MR studies have provided evidence pointing towards the likelihood of a causal relevance of a range of pathways in CHD, including LDL-C, triglycerides, lipoprotein (a), and interleukin-6 receptor. On the other hand, MR studies have refuted the causal relevance of a number of biomarkers, including C-reactive protein (CRP), fibrinogen, uric acid, LpPLA2 activity, and homocysteine. Carefully conducted MR studies should overcome the limitations that are inherent to other observational studies (e.g., residual confounding and reverse causality) to help assess causal relevance of a range of pathways in CHD.</p>","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"4 4","pages":"207-212"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-016-0103-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35649149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Claveria-Gimeno, O. Abián, A. Velázquez‐Campoy, J. Ausió
{"title":"Erratum to: MeCP2… Nature’s Wonder Protein or Medicine’s Most Feared One?","authors":"Rafael Claveria-Gimeno, O. Abián, A. Velázquez‐Campoy, J. Ausió","doi":"10.1007/s40142-016-0108-z","DOIUrl":"https://doi.org/10.1007/s40142-016-0108-z","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"4 1","pages":"195"},"PeriodicalIF":2.1,"publicationDate":"2016-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-016-0108-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52793288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Mediator Complex Subunit 12 in Leiomyoma Biology","authors":"Priya Mittal, X. Wang, A. Rajkovic","doi":"10.1007/s40142-016-0106-1","DOIUrl":"https://doi.org/10.1007/s40142-016-0106-1","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"4 1","pages":"196-206"},"PeriodicalIF":2.1,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-016-0106-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52793258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Claveria-Gimeno, O. Abián, A. Velázquez‐Campoy, J. Ausió
{"title":"MeCP2… Nature’s Wonder Protein or Medicine’s Most Feared One?","authors":"Rafael Claveria-Gimeno, O. Abián, A. Velázquez‐Campoy, J. Ausió","doi":"10.1007/s40142-016-0107-0","DOIUrl":"https://doi.org/10.1007/s40142-016-0107-0","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"4 1","pages":"180-194"},"PeriodicalIF":2.1,"publicationDate":"2016-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-016-0107-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52793272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epigenetic Editing: On the Verge of Reprogramming Gene Expression at Will","authors":"David Cano-Rodriguez, M. Rots","doi":"10.1007/s40142-016-0104-3","DOIUrl":"https://doi.org/10.1007/s40142-016-0104-3","url":null,"abstract":"","PeriodicalId":72731,"journal":{"name":"Current genetic medicine reports","volume":"4 1","pages":"170 - 179"},"PeriodicalIF":2.1,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40142-016-0104-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52793230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}