Focuses on the menu of molecular diagnostic tests available in modern molecular pathology or clinical laboratories that can be applied to disease detection, diagnosis, and classification in the clinical workup of a patient
Explains how molecular tests are utilized to guide the treatment of patients in personalized medicine (guided therapies) and for prognostication of disease
Features an ancillary website with self-testing exercises where decision trees can be employed to simulate actual clinical decisions
Highlights new technologies and approaches of applied molecular pathology and how discovery-based research will yield new and useful biomarkers and tests
Table Of Contents:
Endorsements
Dedication
List of Contributors
Preface
Section I: Introduction to Molecular Testing
Chapter 1. Basic Concepts in Molecular Pathology—Introduction to Molecular Testing in Human Disease
Abstract
Introduction
Mutations and Epimutations
Sources of Nucleic Acids for Molecular Testing
Classification of Disease
Molecular Classification of Disease
Molecular Testing and Companion Diagnostics
Molecular Detection of Disease
Molecular Diagnosis of Disease
Molecular Prognostication of Disease
Perspectives
References
Chapter 2. Laboratory Approaches in Molecular Pathology—The Polymerase Chain Reaction
Abstract
Introduction
The Polymerase Chain Reaction
Components of the PCR
Optimization of PCR Amplification Reactions
Increasing PCR Specificity and Sensitivity
PCR Contaminants
Inhibitors of PCR
Analysis of PCR Products
Variations of the Typical PCR Amplification Reaction
References
Chapter 3. Next-Generation Sequencing in the Clinical Laboratory
Abstract
Introduction
DNA Sequencing Chemistry
Computer Science
Sequence Interpretation and Clinical Reporting
Conclusion
References
Chapter 4. Automation of the Molecular Diagnostic Laboratory
Abstract
Introduction
Automation of Nucleic Acid Extraction
Automation in Infectious Disease Molecular Diagnostics
Automation in Genetics and Molecular Oncology Diagnostics
Conclusions
References
Section II: Molecular Testing in Infectious Disease
Chapter 5. Molecular Testing for Human Imunodeficiency Virus
Abstract
Introduction
Background on HIV Infection and AIDS
Molecular Tools in the Diagnosis and Follow-Up of HIV Infection
Special Emphasis on the Use of HIV Molecular Tools in Specific Clinical Situations
New Insights in Molecular HIV Testing
Conclusions
References
Chapter 6. Molecular Testing in Hepatitis Virus Related Disease
Abstract
Introduction
HAV and HAV RNA Detection Tests
HBV Infection
HCV and HCV RNA Detection Assays
HDV and HDV RNA Detection
HEV and Detection of HEV RNA
GB Virus C and Molecular Detection of GB Virus C Genome
References
Chapter 7. Molecular Testing for Human Papillomaviruses
Abstract
Introduction
Molecular Target
Molecular Technologies
Clinical Utility
Limitations
References
Chapter 8. Molecular Testing for Herpes Viruses
Abstract
Introduction
Herpes Simplex Virus
Varicella-Zoster Virus
Epstein–Barr Virus
Cytomegalovirus
Human Herpesvirus-6
Human Herpesvirus-7
Human Herpesvirus-8
Conclusions
Acknowledgments
References
Chapter 9. Molecular Testing for Parvoviruses
Abstract
The Family Parvoviridae
Parvovirus B19
Molecular Target
Molecular Technologies
Clinical Utility
References
Chapter 10. Molecular Testing for Polyomaviruses
Abstract
Introduction
Molecular Targets
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Chapter 11. Molecular Testing for Respiratory Viruses
Abstract
Introduction
Molecular Targets
Clinical Utility of Molecular Diagnostics for Respiratory Virus Infection
Molecular Technologies and Limitations of Testing
Conclusions
References
Chapter 12. Molecular Testing for Diseases Associated with Bacterial Infections
Abstract
Introduction
Identification of Bacteria
Respiratory Infections
Gastrointestinal Infections
Bloodstream Infections
Group B Streptococcus Screening
Future Perspectives
References
Chapter 13. Agents Associated with Sexually Transmitted Infections
Abstract
Introduction
Syphilis
Gonorrhea
Genital Chlamydia Infection
Mycoplasma genitalium Infection
Trichomoniasis
Future Directions
Concluding Remarks
References
Chapter 14. Molecular Methods for Healthcare-Acquired Infections
Abstract
Introduction
MRSA Molecular Diagnostic Testing and Clinical Utility
MRSA Molecular Typing and Clinical Utility
MRSA Molecular Screening/Surveillance
Clostridium difficile
C. difficile Molecular Testing and Clinical Utility
C. difficile Molecular Typing and Clinical Utility
References
Chapter 15. Molecular Testing in Emerging Infectious Diseases
Abstract
Background and Catalogue of Emerging Infectious Agents
Discovery of Emerging Infectious Agents Using Molecular Methods
Molecular Epidemiological Studies of Emerging Infectious Pathogens
Molecular Diagnostics of Emerging Infectious Pathogens
Limitations of Current Testing and Future Prospects
References
Section III: Molecular Testing in Genetic Disease
Chapter 16. Noninvasive Prenatal Screening (NIPS) for Fetal Aneuploidies
Abstract
Introduction
The Molecular Target: Approaches Using Plasma Nucleic Acids
Molecular Technologies and Clinical Utility: Four Approaches by Four Commercial Laboratories
Limitations of Testing
Conclusions and Future Directions
References
Chapter 17. Molecular Testing in Inherited Cardiomyopathies
Abstract
Introduction
Major Forms of Cardiomyopathy
Molecular Target
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Chapter 18. Molecular Diagnostics for Coagulopathies
Abstract
Introduction
Molecular Targets
Clinical Utility
Limitations of Testing
References
Chapter 19. Molecular Diagnosis of Cystic Fibrosis
Abstract
Introduction
Molecular Target
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Chapter 20. Molecular Testing in Hemochromatosis
Abstract
Introduction
Background on Disease Mechanisms
Clinical Strategy Leading to Diagnosis of HC
Clinical Strategy for Molecular Testing in Individuals
Clinical Strategy for Molecular Testing in Family Screening
Molecular Biology Methods and Strategy
Perspectives
Conclusions
References
Section IV: Molecular Testing in Oncology
Chapter 21. Molecular Testing in Breast Cancer
Abstract
Introduction
HER2 Testing by Fluorescence In Situ Hybridization
Breast Cancer Molecular Subtype
Prognostic Signatures and Prediction of Benefit from Chemotherapy
Conclusions
References
Chapter 22. Molecular Pathology of Prostate Cancer
Abstract
Introduction
Molecular Targets
Molecular Technologies
Clinical Utility
Limitations of Testing
Acknowledgments
Disclosures
References
Chapter 23. Molecular Testing in Lung Cancer
Abstract
Introduction
Molecular Targets
Molecular Technologies
Limitations of Testing
Clinical Utility
Acknowledgment
References
Chapter 24. Molecular Testing in Colorectal Cancer
Abstract
Introduction
Genetic Pathways to CRC
Hereditary Colon Cancer Syndromes
Biomarkers for Targeted Therapies in CRC
Molecular Technologies, Clinical Utility, and Limitations of Testing
References
Chapter 25. Molecular Pathology and Testing in Melanocytic Tumors
Abstract
Introduction
Melanoma-Associated Conditions and Syndromes
Molecular Analysis of Melanoma
Molecular Testing in Melanoma
Conclusions
References
Chapter 26. Molecular Testing for Glioblastoma
Abstract
Molecular Target
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Chapter 27. Molecular Testing in Pancreatic Cancer
Abstract
Introduction
PDAC Biomarkers in Serum
PDAC Biomarkers in Pancreatic Juice
PDAC Biomarkers in Stool
PDAC Biomarkers in Urine
PDAC Biomarkers in Saliva
Summary
References
Chapter 28. Molecular Testing in Gynecologic Cancer
Abstract
Background
HPV and Uterine Cervical Cancer
Gestational Trophoblastic Disease
Endometrial Stromal Sarcoma
Adult Granulosa Cell Tumor
Lynch Syndrome Screening in Endometrial Cancer
Future Directions in Molecular Testing in Gynecologic Cancer
References
Chapter 29. The Emerging Genetic Landscape in Renal Cell Carcinoma
Abstract
Introduction
Molecular Targets and Technologies
Clinical Utility
Limitations of Testing
References
Chapter 30. Molecular Testing in Thyroid Cancer
Abstract
Introduction
Molecular Targets in Thyroid Cancer Diagnostics
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Chapter 31. Molecular Testing in Pediatric Cancers
Abstract
Introduction
Retinoblastoma
Wilms Tumor
Neuroblastoma
References
Section V: Molecular Testing in Hematopathology
Chapter 32. Molecular Testing in Chronic Myelogenous Leukemia
Abstract
Introduction
Molecular Biology of CML
Molecular Methods
Indications for Testing and Interpreting Results
Conclusions
References
Chapter 33. Molecular Testing in Acute Myeloid Leukemia
Abstract
Introduction
Diagnostic Workup of AML
Cytogenetic Abnormalities in AML
Gene Mutations in AML
Minimal Residual Disease Testing
New Horizons
References
Chapter 34. Molecular Testing in Myeloproliferative Neoplasms
Abstract
Introduction
Molecular Pathogenesis of MPNs
Molecular Testing in MPNs
Molecular Methods for MPN Testing
Future Directions
Conclusions
References
Chapter 35. Molecular Testing in the Assessment of Bone Marrow Transplant Engraftment
Abstract
Introduction
Molecular Target
Molecular Technologies
Clinical Utility
Limitations of Testing
References
Section VI: Molecular Testing in Personalized Medicine
Chapter 36. Personalized Medicine in Cardiovascular Disease
Abstract
Introduction
Warfarin
Clopidogrel
Statins
Bucindolol
Conclusion and Future Perspective
References
Chapter 37. Personalized Medicine for Coagulopathies
Abstract
Introduction
Genomics of Coagulation Disorders
Pharmacogenomics of Antiplatelet and Anticoagulant Drugs
Genomics of Bleeding Disorders and Personalized Medicine in Hemophilia Care
References
Chapter 38. Personalized Medicine for Hepatitis C Virus
Abstract
Introduction
HCV Antiviral Treatments
When and in Whom to Initiate HCV Treatment
Initial Treatment of HCV Infection
Monitoring Patients Who Are Starting HCV Treatment, Are on Treatment, or Have Completed Treatment
Viral Resistance Variants
Role of Host Pharmacogenetics as Predictors of HCV Treatment Outcome
References
Chapter 39. Personalized Medicine in Cancer Treatment
Abstract
Introduction
Molecular Target: Fluoropyrimidines and DPYD
Molecular Target: Irinotecan and UGT1A1
Molecular Target: Rasburicase and G6PD Deficiency
Molecular Target: Tamoxifen and CYP2D6
Molecular Target: Thiopurines and Thiopurine Methyltransferase
Other Considerations for Personalized Medicine in Cancer Treatment
References
Section VII: The Future of Molecular Testing
Chapter 40. Imaging Mass Spectrometry in Clinical Pathology
Abstract
Introduction
Imaging Mass Spectrometry
Applications to Anatomic Pathology
Computational Approaches in IMS
Conclusions
References
Chapter 41. Whole Genome Sequencing in the Molecular Pathology Laboratory