新生儿遗传代谢疾病的异常生化指标在携带者身上
Fang Guo1, Lingna Zhou1, Feng Zhang1
1Changzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, No.16 Ding Xiang Road, Changzhou, Jiangsu Province, China.
Orphanet journal of rare diseases
|April 4, 2024
概括
携带代谢性疾病基因变异的新生儿经常表现出异常的生化指标,这解释了传统查中高错误阳性率. 这凸显了对遗传代谢疾病的改善诊断方法的需要.
科学领域:
- 遗传学 是一个遗传学.
- 生物化学 生物化学
- 新生儿医学 新生儿医学
背景情况:
- 传统的新生儿对遗传代谢疾病的查存在高错误阳性率和低阳性预测值的问题.
- 这导致家长焦虑增加,并延迟了准确的诊断.
研究的目的:
- 研究基因变异载体与传统新生儿查中的生物化学指标之间的关系.
- 确定新生儿查代谢疾病虚假阳性结果的解释.
主要方法:
- 对962名新生儿进行了一项回顾性研究.
- 新生儿通过NeoSeq Pro面板 (检测154个基因和86种疾病) 进行传统的生物化学查和基因组测序.
主要成果:
- 632名新生儿被确定为基因变异携带者.
- 与非携带者相比,先天性甲状腺功能低下症,有机酸代谢疾病,氨基酸代谢疾病和脂肪酸β-氧化障碍的携带者表现出显著改变的生化标志物.
- 在对氨基酸和脂肪酸β-氧化障碍的错误阳性查结果的新生儿中观察到携带者更高的患病率.
结论:
- 基因变异携带者占新生儿人口的很大一部分.
- 携带者中的异常生物化学指标可以解释传统新生儿查中高错误阳性率,特别是氨基酸和脂肪酸β-氧化障碍.
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