The availability of direct-to-consumer genetic testing (DTCGT) for age-related macular degeneration (AMD) provides the public with access to disease risk estimations that may be used to guide lifestyle adjustments. However, AMD development risk is more complex than can be captured by gene mutations alone. The methodologies employed by current DTCGTs to estimate AMD risk vary and are limited in several ways. Genotyping-based DTCGT is biased toward European ancestry and only considers a limited number of genes. Whole genome sequencing based DTCGTs uncovers several genetic variations with unknown relevance, making risk interpretation challenging. In this perspective, we describe the limitations of the DTCGT for AMD.
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Univ Arkansas Med Sci, Jones Eye Inst, Pat & Willard Walker Eye Res Ctr, Dept Ophthalmol, 4301 West Markham, Little Rock, AR 72205 USATilka Manjhi Bhagalpur Univ, Sunderwati Mahila Coll, Dept Zool, Bhagalpur 812007, Bihar, India
Bora, Nalini S.
Bora, Puran S.
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Univ Arkansas Med Sci, Jones Eye Inst, Pat & Willard Walker Eye Res Ctr, Dept Ophthalmol, 4301 West Markham, Little Rock, AR 72205 USATilka Manjhi Bhagalpur Univ, Sunderwati Mahila Coll, Dept Zool, Bhagalpur 812007, Bihar, India
机构:
Univ Alabama, Dept Genet, Birmingham, AL 35243 USA
Univ Alabama, Dept Med, Birmingham, AL 35243 USAUniv Alabama, Dept Genet, Birmingham, AL 35243 USA
Henegan, John C., Jr.
Robin, Nathaniel H.
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Univ Alabama, Dept Genet, Birmingham, AL 35243 USA
Univ Alabama, Dept Pediat, Birmingham, AL 35243 USAUniv Alabama, Dept Genet, Birmingham, AL 35243 USA
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Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Allyse, Megan A.
Robinson, David H.
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Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Robinson, David H.
Ferber, Matthew J.
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Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Ferber, Matthew J.
Sharp, Richard R.
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Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA