超越染色体分析:在唐氏综合征诊所的额外遗传测试实践
Ayesha Harisinghani1, Gabriella Raffaele2, Carrie Blout Zawatsky2,3
1Down Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA.
American journal of medical genetics. Part C, Seminars in medical genetics
|September 29, 2023
概括
在患有唐氏综合征 (DS) 的人群中,除了染色体分析之外的基因测试在一些患者中确定了二次遗传诊断. 这表明进一步的遗传评估对于具有特定临床特征的DS患者来说是有价值的.
科学领域:
- 医学遗传学 医学遗传学
- 基因组学就是基因组学.
- 临床诊断 临床诊断 临床诊断
背景情况:
- 唐氏综合症 (DS) 是一种遗传性疾病,通常与其他同时发生的遗传性疾病有关.
- 对于具有复杂遗传特征的人来说,全面的遗传评估至关重要.
研究的目的:
- 在患有唐氏综合征的个体中研究基因测试的实用性和结果,超出标准染色体分析.
- 确定在这一群体中发现的二次遗传诊断的频率和类型.
主要方法:
- 在一个唐氏综合征专科诊所对637名唐氏综合征患者的回顾性图表审查.
- 进行超越染色体分析的基因测试的分析,包括染色体微阵列,基因面板和整个外体序列.
- 检测和记录结果的指示的审查.
主要成果:
- 在92名DS患者身上进行了146项基因测试.
- 对自闭症谱系障碍,乳病,痴呆症和血液病等疾病进行测试是明确的.
- 11人 (约12%的受试者) 接受了第二次遗传诊断.
结论:
- 在患有唐氏综合征的人群中,除了常规染色体分析之外的基因检测可以确定额外的遗传诊断.
- 需要考虑进一步的基因测试,如果DS患者表现出暗示二次遗传疾病的特征.
- 多学科诊所在为唐氏综合征患者提供全面的遗传评估方面发挥着至关重要的作用.
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