在临床基因组测试期间发现的新型候选基因中报告变异的考虑因素
Jessica X Chong1,2, Seth I Berger3, Samantha Baxter4
1Department of Pediatrics, Division of Genetic Medicine, University of Washington, 1959 NE Pacific Street, Box 357371, Seattle, WA, 98195, USA.
bioRxiv : the preprint server for biology
|February 19, 2024
概括
临床外基因组测序 (ES) 提供了精确的诊断,但往往错过了新型疾病基因. 制定识别,共享和报告这些候选基因的标准可以改善罕见疾病诊断.
科学领域:
- 基因组学就是基因组学.
- 罕见疾病 罕见疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 外体序列测序 (ES) 是罕见疾病诊断的标准,识别了许多门德尔条件基因.
- 临床ES经常忽略了新型候选基因,阻碍了更广泛的基因组发现.
- 由于竞争的优先事项,诊断实验室在为新基因发现做出贡献方面面临挑战.
研究的目的:
- 建立从临床外基因测序数据中识别,共享和报告新型候选基因的标准.
- 促进将新型基因发现转化为临床诊断实用性.
- 鼓励临床实验室积极参与罕见疾病基因发现.
主要方法:
- 开发用于对潜在的新型候选基因进行分类的具体标准.
- 通过已建立的网络共享新基因变异的框架.
- 向临床医生报告新型候选基因发现的指导方针.
主要成果:
- 拟议的标准优先考虑可能迅速验证和临床使用的新型候选基因.
- 一个系统的方法可以提高新型疾病基因的识别和报告.
- 促进数据共享和报告对患者,临床医生和研究人员都有好处.
结论:
- 临床诊断实验室可以并且应该为新的孟德尔基因发现做出贡献.
- 标准化标准对于将新基因发现纳入常规临床实践至关重要.
- 加强合作和数据共享将增加罕见遗传疾病的诊断产量.
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