Skip to main content

Molecular Diagnostic Testing in Clinical Chemistry

  • Chapter
  • First Online:
Molecular Diagnostics
  • 1005 Accesses

Abstract

Initially, DNA analysis was restricted to the identification of inborn errors of disease and was performed in clinical genetic centres. Nowadays, DNA analysis is increasingly used also in clinical chemistry as biomarkers for detecting haemostatic parameters , hereditary hemochromatosis , hemoglobinopathies, and the classification and treatment of hematologic malignancies . Specifically the use of DNA analysis to explain, and to predict response to medication (Pharmacogenetics ) is taking an increasingly important role. In addition, the identification of cell free DNA, detecting drug therapy resistance mutations (like EGFR p.T790M for lung cancer) is a new and rapidly evolving field to drug treatment. New horizons will expectedly soon open with the availability of advanced sequencing technology, pertaining to the analysis of small (amplified) fragments to the whole genome (WGS).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Further Reading and References

  • Aillaud MF, et al. Resistance to activated protein C-diagnostic strategy in a laboratory of haemostasis. Tromb Haemost. 1995;74:1197–207.

    Google Scholar 

  • Bertina RM, et al. Mutation in blood coagulation factor V associated with resistance to activated protein C. Nature. 1994;369:64–7.

    Article  CAS  PubMed  Google Scholar 

  • European Association For The Study Of The Liver. EASL clinical practice guidelines for HFE hemochromatosis. J Hepatol. 2010 Jul;53(1):3–22.

    Google Scholar 

  • Evans DAP, et al. Genetic control of isoniazid metabolism in man. Br Med J. 1960;2:482.

    Google Scholar 

  • Evans DAP. An improved and simplified method of detecting the acetylator phenotype. J Med Genet. 1969;6:405–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Feder JN, et al. A novel MHC class I-like gene is mutated in patients with hereditary haemochromatosis. Nat Genet. 1996;13:399–408.

    Article  CAS  PubMed  Google Scholar 

  • Feder JN, et al. The hemochromatosis founder mutation in HLA-H disrupts beta2-microglobulin interaction and cell surface expression. J Biol Chem. 1997;272:14025–8.

    Article  CAS  PubMed  Google Scholar 

  • Grandone E, et al. Factor V Leiden, C.T MTHFR polymorphism and genetic susceptibility to pre-eclampsia. Thromb Haemost. 1997;77:1052–4.

    CAS  PubMed  Google Scholar 

  • Koeleman BPC, et al. Activated protein C resistance as an additional risk factor for thrombosis in protein C-deficient families. Blood. 1994;84:1031–5.

    CAS  PubMed  Google Scholar 

  • Mandel P, et al. Les Acides Nucleiques de plasma sanquin chez l’homme. C.R. Seances Soc Biol Fil 1948 Feb;142(3–4):241.

    Google Scholar 

  • Moderne Vogel F, der Humangenetik Probleme. Ergebn Inn Med Kinderheilkd. 1959;12:52–125.

    Google Scholar 

  • Nederlandse Richtlijn voor de Diagnostiek en behandeling van hereditaire hemochromatose 2007. http://www.internisten.nl/uploads/AL/FJ/ALFJChidQ2OgF7uax8yh1w/richtlijn_2007_Hemochromatose.pdf.

  • Porto G, et al. EMQN best practice guidelines for the molecular genetic diagnosis of hereditary hemochromatosis (HH). Eur J Hum Genet. 2016 Jul 8;24:479–95. doi:10.1038/ejhg.2015.128.

  • Schaeffeler E, et al. Comprehensive analysis of thiopurine S-methyltransferase phenotype-genotype correlation in a large population of German-Caucasians and identification of novel TPMT variants. Pharmacogenetics. 2004 Jul;14(7):407–17.

    Google Scholar 

  • Sequist LV, et al. Genotypic and histological evolution of lung cancers acquiring resistance to EGFR inhibitors. Sci Transl Med. 2011;3(75).

    Google Scholar 

  • Sim SC, et al. A common novel CYP2C19 gene variant causes ultrarapid drug metabolism relevant for the drug response to proton pump inhibitors and antidepressants Clin Pharmacol Ther. 2006 Jan;79(1):103–13.

    Google Scholar 

  • Swen JJ, et al. Pharmacogenetics: from bench to byte–an update of guidelines. Clin Pharmacol Ther. 2011 May;89(5):662–73. doi:10.1038/clpt.2011.34. Epub 2011 Mar 16.

  • van Dongen JJ, et al. Prognostic value of minimal residual disease in acute lymphoblastic leukaemia in childhood. Lancet. 1998;352:1731–8.

    Article  PubMed  Google Scholar 

  • van Bokhoven MA, et al. Diagnosis and management of hereditary haemochromatosis. BMJ. 2011 Jan 19;342:c7251.

    Google Scholar 

  • Vogelstein B, et al. Digital PCR. Proc Natl Acad Sci. USA 1999;96:9236–41.

    Google Scholar 

  • Weinshilboum RM, Sladek SL. Mercaptopurine pharmacogenetics: monogenic inheritance of erythrocyte thiopurine methyltransferase activity. Am J Hum Genet. 1980 Sept;32(5):651–62.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ron H. N. van Schaik .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

van den Broek, D., Vermeer, E., Swinkels, D., van Schaik, R.H.N. (2017). Molecular Diagnostic Testing in Clinical Chemistry. In: van Pelt-Verkuil, E., van Leeuwen, W., te Witt, R. (eds) Molecular Diagnostics. Springer, Singapore. https://doi.org/10.1007/978-981-10-4511-0_7

Download citation

Publish with us

Policies and ethics