凸骨异常的不断演变的遗传病因学
Adalina Sacco1,2, Ronel Talker3, Lyndall Sarkies4
1Institute for Women's Health, University College London, London, UK.
Prenatal diagnosis
|February 16, 2024
概括
基因检测显示超过四分之一的产前干缺陷有异常,其中22q11.21删除是最常见的. 先进的测序显著改善了非孤立病例的诊断.
科学领域:
- 医学遗传学 医学遗传学
- 胎儿医学 胎儿医学
- 遗传异常是一种先天性异常.
背景情况:
- 干缺陷是先天性心脏异常的一个重要组.
- 准确的基因诊断对于预后和管理至关重要.
- 产前检测可以为早期干预计划提供帮助.
研究的目的:
- 评估各种遗传检测方法对产前检测到的干缺陷的诊断产量.
- 确定与这些缺陷相关的最常见的遗传异常.
- 评估高级测序技术的附加价值,如外体和基因组测序.
主要方法:
- 在4年的时间里,对301例产前检测到的圆柱形异常病例进行了回顾性分析.
- 遗传测试包括QF-PCR,染色体微阵列,外体序列 (ES) 和基因组序列 (GS).
- 根据具体情况,分别提供产前或产后测试.
主要成果:
- 在27.6%的测试病例中发现了致病性遗传发现 (53/192).
- 最常见的异常是22q11.21删除 (10.4%),其次是三形21 (3.1%).
- 在非孤立的病例中,ES/GS使诊断产量从32.6%增加到44.2%.
结论:
- 超过四分之一的产前检测到的干异常与遗传异常有关.
- 22q11.21删除是最常见的遗传原因.
- 外基因组和基因组测序显著提高了诊断率,特别是在非孤立的病例中.
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