在怀疑患有罕见遗传疾病的患者中,使用外基因组和转录基因组测序识别歪曲的X染色体失活
Numrah Fadra1, Laura E Schultz-Rogers1,2, Pritha Chanana1
1Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
BMC genomics
|April 16, 2024
概括
这项研究引入了一种使用测序数据的新方法,以准确评估女性X染色体失活偏差,改善罕见遗传疾病的诊断.
科学领域:
- 遗传学 是一个遗传学.
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
- 基因组医学是基因组医学.
背景情况:
- 在雌性哺乳动物中,X染色体失活 (XCI) 会使一个X染色体沉默.
- 在超过25%的女性中观察到的斜XCI,影响基因表达,并且在罕见的遗传疾病中具有临床意义.
- 目前对偏斜XCI的AR基因测定是有限的,在10-20%的测试中产生了不确定的结果,并显示了不一致性.
研究的目的:
- 开发和验证一种新的方法,使用外体和转录体测序数据来估计X无活化状态.
- 提高在怀疑罕见遗传疾病的女性患者中偏差XCI检测的准确性和完整性.
主要方法:
- 开发了XCI评估的参考模型,使用来自135只GTEx联盟雌性体的外体和转录组测序数据.
- 在11名未被诊断的罕见遗传疾病的女性个体上验证了该模型,将结果与AR基因测定进行了比较.
- 将开发的方法应用于另外81名具有表型暗示遗传性疾病的女性.
主要成果:
- 这种新的基于测序的方法与AR临床试验具有很高的一致性.
- 该方法在AR测定无信息的情况下提供了X无活化的测量.
- 成功地将该方法应用于81名怀疑患有遗传性疾病的女性队列.
结论:
- 转录基因组和外基因组测序数据可以准确地估计X无活化和偏斜状态.
- 这种新的方法为诊断女性罕见遗传疾病提供了更完整和可靠的方法.
- 开发的方法通过提供XCI skew的全面评估来增强临床遗传测试.
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