在长QT综合征遗传检测中潜在的常见基因变异的分类和报告
John R Giudicessi1, Dan M Roden2, Arthur A M Wilde3
1Departments of Cardiovascular Medicine and Internal Medicine, Clinician-Investigator Training Program, Mayo Clinic, Rochester, MN (J.R.G).
Circulation
|February 13, 2018
概括
常见的遗传变异可能会增加长 QT 综合征 (LQTS) 的风险,但目前的指导方针可能会限制其报告. 这可以掩盖患者对危及生命的节律失常的完全遗传易感性.
科学领域:
- 心脏病学
- 遗传学
- 分子生物学
背景情况:
- 长QT综合征 (LQTS) 包含已获得的和先天的形式,这两种形式都与心脏再极化障碍和心律失常风险有关.
- 了解影响心脏离子通道和处理的遗传变异的进展改善了先天性LQTS诊断.
- 目前的基因检测指南可能会无意中减少报告可能导致心律失常的常见变异.
研究的目的:
- 检查LQTS中常见遗传变异的分类和报告.
- 调查报告潜在的常见变异的机制.
- 改善对医疗保健专业人员的遗传易感性沟通.
主要方法:
- 审查当前的遗传变种分类和报告准则 (例如,ACMG 2015).
- 对LQTS常见遗传变异的流行病学和功能数据的分析.
- 探索常见变体的潜在报告框架.
主要成果:
- 目前的指导方针可能导致LQTS中常见的基因变异具有潜在的不充分报告.
- 这种报告不足可能导致获得和先天LQTS患者的遗传敏感性信息不完整.
- 现有的框架可能无法完全捕捉常见变异的临床意义.
结论:
- 需要重新评估在LQTS中报告的常见遗传变异.
- 为了提供全面的患者护理,有助于报告潜在的常见变异性心律失常.
- 更好的报告可以提高对危及生命的节律失常的遗传易感性的理解.
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