用下一代测序对矮身儿童进行遗传评估:单个三级中心经验
Su Jin Kim1,2, Eunyoung Joo1, Jisun Park1
1Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
Annals of pediatric endocrinology & metabolism
|March 10, 2024
概括
下一代测序 (NGS) 在40.5%的疑似遗传性矮身患者中确定了遗传原因,特别是对于妊娠年龄来说小的患者. 这突出了NGS.
科学领域:
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
- 分子生物学分子生物学
背景情况:
- 矮身影响着许多孩子,遗传因素起着重要作用.
- 准确诊断遗传性矮身对于适当的管理和遗传咨询至关重要.
- 下一代测序 (NGS) 已经成为识别遗传变异的强大工具.
研究的目的:
- 在37名使用NGS的患者队列中调查矮身的遗传基础.
- 与患者表型相关联识别的遗传变异.
- 在疑似遗传性矮身病例中确定NGS的诊断产量.
主要方法:
- 50名接受矮身基因测试的患者的回顾性审查 (2019年6月至2022年12月).
- 排除非遗传性矮身或常见染色体异常的患者.
- 在37名选定的患者中,基于临床表现的向基因组或整个外体序列的应用.
主要成果:
- 诊断收益率达到了40.5% (15/37名患者).
- 在13个不同的基因中确定了15种致病性/可能致病性变体.
- 对于妊娠年龄来说小的患者显示出最高的诊断率 (63.6%, 7/11).
结论:
- 对于疑似遗传性矮身的异质病例,NGS是一种有价值的诊断工具.
- 需要进一步的研究来完善患者选择标准,并优化与生长相关疾病的基因组.
- 遗传评估有助于理解矮身的复杂遗传场景.
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