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Limitations in Current Knowledge
Today, genome experts understand only a small percentage of the total DNA code that exists in a human genome. Your genome sequence will contain numerous DNA changes or variants for which there is no known information. There is also still a small portion of the genome that cannot be sequenced with clinical technologies. These regions are not thought to contain many, if any, important genes, but it is impossible to know for certain.
DNA-Health Relationships are Complex
The relationship between a potentially serious DNA change and having a disease may not be straightforward. This may be because that particular DNA change has not been previously reported and its effect on how the gene works is not clear. It may also be due to differences in the
penetrance
and
expressivity
of the disease. As more individuals are sequenced, we will learn more about the milder forms of some inherited genetic disorders.
Our knowledge of DNA variants that have been linked to genetic disease risk is fairly new. These diseases (such as heart disease, type II diabetes, cancer, and glaucoma) are common and also very complex with non-genetic factors such as lifestyle habits and environmental exposures involved. We do not yet know all of the DNA variants that may be associated with each condition and most currently known DNA variants have only a small effect on a person’s risk for common diseases.
If DNA changes are found in your genome sequence that are suspected to cause a disorder or are linked to increased risk for health conditions, you and your doctor may wish to perform additional tests or screens. The medical investigations needed to evaluate potential symptoms may be limited or unclear. In addition, the health evaluation process could expose you to unnecessary or potentially harmful medical tests and procedures.
Future Changes in Genome Knowledge
As discoveries accelerate, our understanding of the human genome and each genome story will also accelerate. The new knowledge could support or reject previous interpretations of what some DNA changes mean. It is impossible to predict future knowledge. Accurate interpretation will require regular updates through your doctor.
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