基于下一代测序的新生儿查和MS/MS患者的比较分析.
Guosong Shen1, Wenwen Li2, Yaqin Zhang2
1Medical Laboratory Center, Huzhou Maternity & Child Health Care Hospital, Huzhou, Zhejiang Province, 313000, China. hzfbysgs@163.com.
BMC pediatrics
|April 2, 2024
概括
下一代测序 (NGS) 提供了更广泛的疾病查和提高了新生儿查 (NBS) 的准确性,而不是双重质谱 (MS/MS). 将NGS与生化查相结合,可以提高NBS的整体效率和诊断精度.
科学领域:
- 遗传学 是一个遗传学.
- 基因组学就是基因组学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 新生儿查 (NBS) 方法,如双重质谱 (MS/MS) 可以产生错误的结果.
- 下一代测序 (NGS) 为 NBS 提供了增强数据输出和更广泛应用的机会.
研究的目的:
- 为了分析病原性基因突变类型和新生儿的分布在湖州,中国.
- 评估NGS和MS/MS在新生儿查中的适用性.
主要方法:
- 收集了来自1263名新生儿的血点样.
- 采用NGS来选542个引起疾病的基因,通过桑格测序验证.
- 使用MS/MS选了26种遗传代谢疾病 (IMD),并与NGS交叉引用了阳性/可疑结果.
主要成果:
- 在74.0% (935/1263) 的新生儿中,NGS检测到了基因突变;在20.6% (260/1263) 的新生儿中发现了致病性/可能致病性突变.
- MS/MS发现了18例IMD病例,但NGS验证没有显示任何致病突变,表明MS/MS的1.4%虚假阳性率.
- FLG,GJB2,UGT1A1,USH2A和DUOX2是NGS检测到的最常发生突变的基因.
结论:
- NGS扩大了NBS的范围,并提高了IMD的MS/MS诊断准确度.
- 将NGS与生化查方法相结合,可以显著提高当前NBS程序的效率.
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