Escolar Documentos
Profissional Documentos
Cultura Documentos
Introduction to
Molecular Diagnostics
Goal
• Diagnostic
• Prognostic
• Therapeutic
• Predictive
Applications of Genomic Technologies
in Laboratory Medicine
• Anatomic pathology
• Chemistry/toxicology
• Genetics
• Hematopathology/oncology
• Infectious diseases
• Transfusion medicine/identity
Molecular Pathology
A Universal Discipline of Laboratory Medicine
INFECTIOUS
DISEASE
HEMATOLOGY
Molecular
Pathology
SOLID
TUMORS
IDENTITY
TESTING
GENETIC
DISEASE
Practical Applications of
Molecular Diagnostics in
Clinical Laboratory Medicine
Molecular Genetics
• Single gene disorders
• Polygenic disorders
• Chromosomal disorders
Molecular Oncology
• Diagnostic testing
• Disease prognosis
• Determination of predisposition
Practical Applications of
Molecular Diagnostics in
Clinical Laboratory Medicine (cont.)
Hematopathology
• Diagnostic testing
• Determination of clonality
Identity Testing
• Parentage
• Clinical testing
Practical Applications of
Molecular Diagnostics in
Clinical Laboratory Medicine (cont.)
Infectious Disease
• Qualitative and quantitative detection of
infectious agents
• Microbial identity testing
• Genotyping/drug resistance testing
Advances in the understanding of the structure
and chemistry of nucleic acids have facilitated
the development of technologies that can be
employed effectively in molecular
diagnostics.
The Molecular Biology Timeline
Amplification Techniques
PCR TMA
LCR NASBA
bDNA
DNA Sequencing
Why are Nucleic Acids Important
in the Clinical Laboratory?
Cause (etiology)
Mechanism (pathogenesis)
• Improvements in medicine
• Microbial genome research
• DNA forensics/identity
• Improved agriculture and livestock
• Better understanding of evolution and human
migration
• More accurate risk assessment
The Human Genome Project
Ethical, Legal, and Social Implications
• Use of genetic information
• Privacy/confidentiality
• Psychological impact and stigmatization
• Genetic testing
• Reproductive options/issues
• Education, standards, and quality control
• Commercialization
• Conceptual and philosophical implications
Molecular Diagnostics in Clinical Practice