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Genetic testing

life science Maturity 9-11 Next article →

Genetic testing, often called DNA testing, is the scientific analysis of chromosomes, DNA, and proteins. Scientists use these tests to detect changes in the sequence of DNA or the structure of chromosomes. This process can also involve measuring RNA analysis, which shows gene expression, or biochemical analysis to measure protein output. These tests are vital because they provide deep insights into the biological makeup of living things. They help identify heritable disease-related genotypes, mutations, and phenotypes. By understanding these genetic details, doctors can improve how they manage health and disease.

There are several specific mechanisms used to perform these tests. In many cases, a sample is collected from a person's blood, hair, skin, or other tissue. One common method is a buccal smear, where a small brush or swab collects cells from the inside of the cheek. Alternatively, a person might swish saline mouthwash to gather cells. Once collected, the sample goes to a laboratory. Technicians then look for specific changes in the chromosomes or the DNA sequence. This detailed investigation allows scientists to see exactly how the biological instructions are written.

Testing occurs at many different stages of life and serves different purposes. Symptomatic diagnostic testing is used to confirm a condition when a person already shows symptoms. For example, someone with a family history of polycystic kidney disease (PKD) might seek testing if they experience abdominal pain or blood in their urine. Carrier testing identifies individuals who carry one copy of a gene mutation. If both parents are carriers, they face a higher risk of having a child with a condition like cystic fibrosis. Preimplantation genetic diagnosis is another specialized method. This is performed on embryos during in vitro fertilization before they are implanted in a uterus.

Prenatal testing is used to detect genetic changes in a fetus before birth. One method is amniocentesis, which removes fluid from the mother's amniotic sac between 15 and 20 weeks of pregnancy. This test is 99.4% accurate for detecting fetal chromosome abnormalities, though it carries a miscarriage risk of about 1:400. Another method is chorionic villus sampling (CVS). In CVS, doctors remove a sample of chorionic villi, which are projections from the placenta.

ChorionicVillus
ChorionicVillus

Because these villi have the same genetic makeup as the baby, they provide early information. CVS is typically performed between 10 and 13 weeks of pregnancy.

Newborn screening is one of the most widespread uses of genetic testing globally. In the United States, millions of babies are tested every year. A blood sample is collected via a heel prick 24 to 48 hours after birth.

Phenylketonuria testing
Phenylketonuria testing

All U.S. states are required by law to test for at least 21 disorders. This includes phenylketonuria (PKU), a disorder where the body cannot process the amino acid phenylalanine. If left untreated, PKU can cause brain damage and developmental delay. However, early detection allows children to follow special diets to avoid these effects.

The history of this field shows how much our understanding has grown. Early testing began in the 1950s by counting the number of chromosomes in a cell. Humans typically have 46 chromosomes, and deviations can indicate conditions like Down syndrome (trisomy 21). In the 1970s, scientists developed chromosome banding. This method uses stains to highlight specific regions of chromosomes, allowing for much more detailed structural analysis. Today, the field has expanded into molecular genetics and genomics. These advanced areas can identify changes at the level of individual genes or even single nucleotide "letters" of the DNA sequence.

Modern genetic testing is vast in scale and application. According to the National Institutes of Health, tests exist for more than 2,000 genetic conditions. A 2018 study estimated that over 68,000 genetic tests were available on the market. Beyond medicine, forensic testing uses DNA to identify individuals for legal purposes or to establish biological relationships. Paternity testing uses specific DNA markers to determine if a child is related to a father. Finally, pharmacogenomics uses genetic variation to predict how a person will respond to specific drugs. This helps doctors determine the safest and most effective dosages for their patients.

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