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=== Early attempts ===
The word "transcriptome" was first used in the 1990s.<ref name="#10022985">{{cite journal | vauthors = Piétu G, Mariage-Samson R, Fayein NA, Matingou C, Eveno E, Houlgatte R, Decraene C, Vandenbrouck Y, Tahi F, Devignes MD, Wirkner U, Ansorge W, Cox D, Nagase T, Nomura N, Auffray C | title = The Genexpress IMAGE knowledge base of the human brain transcriptome: a prototype integrated resource for functional and computational genomics | journal = Genome Research | volume = 9 | issue = 2 | pages = 195–209 | date = February 1999 | pmid = 10022985 | pmc = 310711 | doi=10.1101/gr.9.2.195| doi-broken-date = 31
=== Development of contemporary techniques ===
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=== Diagnostics and disease profiling ===
Transcriptomic strategies have seen broad application across diverse areas of biomedical research, including disease [[diagnosis]] and [[Disease|profiling]].<ref name="#19015660" /><ref>{{Cite journal|last1=Tavassoly|first1=Iman|last2=Goldfarb|first2=Joseph|last3=Iyengar|first3=Ravi|date=2018-10-04|title=Systems biology primer: the basic methods and approaches|journal=Essays in Biochemistry|volume=62|issue=4|language=en|pages=487–500|doi=10.1042/EBC20180003|issn=0071-1365|pmid=30287586|s2cid=52922135}}</ref> RNA-Seq approaches have allowed for the large-scale identification of [[transcriptional start sites]], uncovered alternative [[Promoter (genetics)|promoter]] usage, and novel [[Alternative splicing|splicing alterations]]. These [[Regulatory sequence|regulatory elements]] are important in human disease and, therefore, defining such variants is crucial to the interpretation of [[Genome-wide association study|disease-association studies]].<ref name="#22739340">{{cite journal | vauthors = Costa V, Aprile M, Esposito R, Ciccodicola A | title = RNA-Seq and human complex diseases: recent accomplishments and future perspectives | journal = European Journal of Human Genetics | volume = 21 | issue = 2 | pages = 134–42 | date = February 2013 | pmid = 22739340 | pmc = 3548270 | doi = 10.1038/ejhg.2012.129 }}</ref> RNA-Seq can also identify disease-associated [[single nucleotide polymorphism]]s (SNPs), allele-specific expression, and [[Fusion gene|gene fusions]], which contributes to the understanding of disease causal variants.<ref name="#26781813">{{cite journal | vauthors = Khurana E, Fu Y, Chakravarty D, Demichelis F, Rubin MA, Gerstein M | title = Role of non-coding sequence variants in cancer | journal = Nature Reviews Genetics | volume = 17 | issue = 2 | pages = 93–108 | date = February 2016 | pmid = 26781813 | doi = 10.1038/nrg.2015.17 | s2cid = 14433306 }}</ref>
[[Retrotransposon]]s are [[transposable element]]s which proliferate within eukaryotic genomes through a process involving [[reverse transcription]]. RNA-Seq can provide information about the transcription of endogenous retrotransposons that may influence the transcription of neighboring genes by various [[Epigenetics#Mechanisms|epigenetic mechanisms]] that lead to disease.<ref name="#17363976">{{cite journal | vauthors = Slotkin RK, Martienssen R | title = Transposable elements and the epigenetic regulation of the genome | journal = Nature Reviews Genetics | volume = 8 | issue = 4 | pages = 272–85 | date = April 2007 | pmid = 17363976 | doi = 10.1038/nrg2072 | s2cid = 9719784 }}</ref> Similarly, the potential for using RNA-Seq to understand [[Immune disorder|immune-related disease]] is expanding rapidly due to the ability to dissect immune cell populations and to sequence [[T cell receptor|T cell]] and [[B-cell receptor|B cell receptor]] repertoires from patients.<ref name="#26551575">{{cite journal | vauthors = Proserpio V, Mahata B | title = Single-cell technologies to study the immune system | journal = Immunology | volume = 147 | issue = 2 | pages = 133–40 | date = February 2016 | pmid = 26551575 | pmc = 4717243 | doi = 10.1111/imm.12553 }}</ref><ref name="#26996076">{{cite journal | vauthors = Byron SA, Van Keuren-Jensen KR, Engelthaler DM, Carpten JD, Craig DW | title = Translating RNA sequencing into clinical diagnostics: opportunities and challenges | journal = Nature Reviews Genetics | volume = 17 | issue = 5 | pages = 257–71 | date = May 2016 | pmid = 26996076 | doi = 10.1038/nrg.2016.10 | pmc = 7097555 }}</ref>
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