更新UMD-VHL数据库:根据605条条目中的基因型-表型相关性对164个具有挑战性的变异进行分类
Gregory Mougel1, Amira Mohamed2, Nelly Burnichon3
1Aix Marseille Univ, APHM, INSERM, MMG, U1251, GEnOPé Departement, M2GM, Timone Hospital, Marseille, France.
Journal of medical genetics
|November 18, 2023
概括
准确分类·希佩尔-林道 (VHL) 疾病变体对于患者管理至关重要. 这项研究完善了164种VHL变异的分类,帮助诊断和为受影响家庭提供遗传咨询.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 遗传性癌症综合征 遗传性癌症综合征
背景情况:
- ·希佩尔-林道氏病 (VHL) 是一种遗传性癌症综合征,由VHL瘤抑制基因的生殖系突变引起.
- 准确的VHL变体分类对于有效的患者管理和遗传咨询至关重要.
研究的目的:
- 报告164种VHL基因变异的专家分类,包括误解和难以解释的变异.
- 改进对不确定的意义的VHL变体的解释.
主要方法:
- 收集了法国 (2003-2021) 怀疑VHL患者的VHL遗传变异和临床数据.
- 在通用突变数据库-VHL注册的变异.
- 进行专家分类,包括对模两可的案件进行第二轮分类,完善最初的ACMG分类.
主要成果:
- 分类了164个VHL变体,包括所有误解 (n=124) 和难以解释 (n=40) 的变体.
- 修改了87种变种的分类.
- 将30种不确定的变异重新分类为致病性 (19) 或可能良性 (11).
结论:
- 这种精细的变异分类有助于对45个怀疑VHL的家庭进行诊断和遗传咨询.
- 这一审查通过提供专家分类的变种数据,使全球VHL社区受益.
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