Medical Genetics to Genetic Medicine in the last 50 years - 2005

Author: V.A. McKusick
Submitted: Wednesday 9th of September 2009 09:25:54 AM
Submitted by: egf
Language: English
Content type: Learning resource
Educational levels: expert, qc1, qc2, qc3, a-level, gcse

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Abstract

Medical genetics went from its beginnings in the 1950s to a full-fledged clinical specialty with board certification or its equivalent in many countries by the 1990s. Advances in the underlying science and technology created the need for properly qualified personnel. Also in the last 50 years, description of the anatomy of the human genome, by “chromosomology” beginning in 1956, gene mapping beginning (for the autosomes) in 1968, and DNA sequencing “completed” in 2003 has given us a neo-Vesalian basis for all of medicine. Because of the important implications of the “new genetics” and genomics for all branches of medicine, the terms genetic medicine, genomic medicine, or molecular medicine are fully justified. With this neo-Vesalian basis, medicine is becoming more predictive and preventive, but at the same time diagnosis and treatment, the traditional turf of clinical medicine, are greatly enhanced. Diagnosis is more specific and sensitive. Treatment is more specific and therefore more efficacious, and is safer not only because of its greater specificity but also because of the recognition of individual genetic susceptibility to adverse drug effects. Progress in the understanding of single gene disorders will be reviewed: “syndromology and dysmorphology meet molecular genetics.” The usefulness of such work for understanding basic mechanisms of biology and disease is noteworthy. And progress in elucidating the genetic/genomic basis of common disorders (formerly “multifactorial traits,” now “complex traits”) will be reviewed.

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V.A. McKusick. Medical Genetics to Genetic Medicine in the last 50 years - 2005. EUROGENE portal. September 2009. online: http://eurogene.open.ac.uk/content/medical-genetics-genetic-medicine-last-50-years-2005

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