在临床分子诊断实验室环境中,变异分类随着时间的推移而发生变化
Elan Hahn1,2, Chloe Mighton1,3,4, Yael Fisher1
1Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Journal of medical genetics
|May 28, 2024
概括
遗传变异重新分类是常见的,大多数变异被降级为更良性的分类. 定期重新评估可确保准确的基因检测结果用于患者护理.
科学领域:
- 临床遗传学 临床遗传学
- 基因组医学是基因组医学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 生殖系基因测试需要准确的变异分类来照顾患者.
- 变异分类包括致病性,可能致病性,意义不明,可能良性和良性.
- 持续的文献审查和证据积累需要变体重新分类.
研究的目的:
- 描述在安大略省的变种重新分类.
- 评估生殖系遗传测试中变异重新分类的频率和性质.
主要方法:
- 来自安大略省遗传性癌症诊所 (2012-2022) 的DNA样本的分析.
- 包括满足遗传性癌症综合征或多囊性病检测的省级资格标准的患者.
- 将重新分类事件分类为在更广泛的意义类别内或外的事件.
主要成果:
- 在8075个独特变异中,23.7%的变异被重新评估,7.2%的变异被重新分类.
- 60.7%的重新分类变异在其更广泛的意义类别之外发生了变化.
- 大多数重新分类的变种 (58.1%) 的最终分类明显不同,大多数被降级为更良性的状态.
结论:
- 变种重新分类是经常发生的事件.
- 很大一部分重新分类代表了变异意义的重大转变.
- 在基因检测中保持准确的患者护理,定期对变种进行重新评估至关重要.
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