与儿童青光瘤相关的遗传变化和检测:系统性审查
Anika Kumar1, Ying Han1, Julius T Oatts1
1Department of Ophthalmology, University of California San Francisco, San Francisco, California, United States of America.
PloS one
|February 22, 2024
概括
许多基因中的遗传变异与儿童青光眼有关,但测试仍然不一致. 这篇综述强调了常见的基因,如CYP1B1和MYOC,有助于在未来对儿科玻璃眼的诊断和预后改进.
科学领域:
- 眼科医生 眼科 眼科
- 遗传学 遗传学 是一个
- 儿科 儿科 儿科
背景情况:
- 儿童青光眼通常与遗传因素有关,已确定了许多基因变异.
- 由于缺乏标准化的指导方针,目前对儿科青光瘤的基因检测实践不一致.
研究的目的:
- 系统地审查和总结有关与童年玻璃眼相关的遗传变化的文献.
- 分析当前的基因测试实践,并确定常见的基因和基因型-表型相关性.
主要方法:
- 根据PRISMA 2020指南进行了系统审查.
- 在PubMed,Embase和Cochrane数据库中,使用与眼,童年和遗传学相关的特定关键词进行了搜索.
- 数据提取包括遗传变异,基因型-表型相关性,以及使用纽卡斯尔-太华尺度评估偏差风险.
主要成果:
- 196项研究符合纳入标准,讨论了53种不同的基因.
- 最常讨论的基因是CYP1B1 (55.6%的研究),其中变体显示区域特异性流行率从5%到86%.
- 此外,MYOC和FOXC1变异也显著,患病率高达36%,分别记录了基因型-表型相关性. 偏见的风险一般很低.
结论:
- 许多基因和遗传变异都与儿童青光眼有关.
- 了解流行基因和基因型-表型关系可以提高患儿的诊断准确性和预后预测.
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