Genome sequencing
appears destined to become a standard clinical test.
But what about applications of sequencing beyond health care?
Detecting microbial
contamination is vital to ensure the safety of food, drinking
water, or cosmetics, in biodefence, hospitals, and many other fields. A perfect monitoring system would be sensitive enough to quickly detect
contamination by potentially dangerous microbes, and specific enough to avoid
false alarms. There are reasons to believe that DNA sequencing could provide
such a system.
Until now sequencing
has been too expensive to be practical, but this is changing rapidly.
I believe that as a result, hygiene monitoring could be one of the first
commercially viable applications of sequencing outside of its traditional uses
in research and the clinic.
Sequencing would be a uniquely valuable
technology whenever it is necessary to distinguish between harmful and harmless
microbes. For example, the bacterium E. coli
is mostly harmless and can commonly be found in the gut of healthy humans.
However, some strains can cause serious food poisoning and lead to human
suffering and economic damage: The pathogenic O104:H4 strain
of E. coli caused 50 deaths and $2.8bn in damages
in Europe last summer. Distinguishing between strains is vital for many
applications, and can in principle be achieved by sequencing.
Tests that detect
the presence of any form of microbe indiscriminately
already exist. There are also technologies that are specific for single microbial strains. Sequencing, at least initially,
is more likely to be useful in applications where perfect sterility cannot be
enforced, and where there is more than one microbial strain that could be
harmful.
In my post next
week, I will ask what the markets are for which these conditions apply, and
where, as a consequence, early adoption of sequencing-based technologies for
microbial monitoring is likely to make sense.

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