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Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
The advances of genetics research on Hirschsprung's disease
Juntao Ke1,2, Ying Zhu1,2, Xiaoping Miao1,2
1State Key Laboratory of Environment Health (Incubation) Key Laboratory of Environment & Health (Ministry of Education), Ministry of Environmental Protection Key Laboratory of Environment and Health (Wuhan) Wuhan China.
Insights
Hirschsprung's disease (HSCR) genetics research is advancing. New studies using GWASs/EWASs and NGS identify novel genetic variants and genes contributing to HSCR pathogenesis.
Area of Science:
- Genetics
- Developmental Biology
- Pediatric Surgery
Background:
- Hirschsprung's disease (HSCR) is a congenital disorder affecting the lower digestive tract due to absent enteric neurons.
- HSCR affects 1 in 5,000 infants, causing severe constipation and long-term complications.
- Current genetic understanding explains only a fraction of HSCR risk, necessitating further research.
Purpose of the Study:
- To review recent advancements in HSCR genetic research.
- To highlight novel genetic variants and genes identified through advanced technologies.
- To explore the potential roles of these new findings in HSCR pathogenesis.
Main Methods:
- Genome-wide and exome-wide association studies (GWASs/EWASs).
- Next-generation sequencing (NGS) on target genes, whole genome, and whole exome.
- Review of current literature on HSCR genetics.
Main Results:
- Identification of previously unknown genetic variants associated with HSCR.
- Discovery of new candidate genes implicated in HSCR development.
- Progress in understanding the molecular mechanisms underlying HSCR.
Conclusions:
- Advanced genomic technologies are crucial for uncovering HSCR genetic underpinnings.
- Newly identified variants and genes offer new avenues for understanding HSCR pathogenesis.
- Continued genetic research is essential for improving HSCR diagnosis and treatment.
Abstract:
Hirschsprung's disease (HSCR) is a rare and complex congenital disorder characterized by the absence of the enteric neurons in lower digestive tract with an incidence of 1/5 000. Affected infant usually suffer from severe constipation with megacolon and distended abdomen, and face long-term complications even after surgery. In the last 2 decades, great efforts and progresses have been made in understanding the genetics and molecular biological mechanisms that underlie HSCR. However, only a small fraction of the genetic risk can be explained by the identified mutations in the previously established genes. To search novel genetic alterations, new study designs with advanced technologies such as genome/exome-wide association studies (GWASs/EWASs) and next generation sequencing (NGS) on target genes or whole genome/exome, were applied to HSCR. In this review, we summaries the current development of the genetics researches on HSCR based on GWASs/EWASs and NGS, focusing on the newly discovered variants and genes, and their potential roles in HSCR pathogenesis.
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