产前诊断和基因测试实验室之间在罕见单源性疾病的变异验证方面存在不一致
Liling Lin1,2, Ying Zhang1, Hong Pan1
1Department of Central Laboratory, Peking University First Hospital, Beijing, China.
Prenatal diagnosis
|June 20, 2024
概括
在产前诊断中心的变异验证对于准确的单基性疾病诊断至关重要. 早期将有生殖计划的家庭推送到这些中心,确保及时和一致的遗传检测结果.
科学领域:
- 遗传学 遗传学 是一个
- 分子生物学分子生物学
- 生殖医学 生殖医学
背景情况:
- 下一代测序 (NGS) 改进了单一性疾病的诊断,但给一致性带来了挑战.
- 准确的基因诊断对于受影响的家庭和生殖规划至关重要.
研究的目的:
- 分析初始诊断和产前验证之间的基因检测结果一致率.
- 确定单一性疾病诊断不一致的原因.
主要方法:
- 对286个具有单一性疾病的家庭进行了回顾性分析.
- 变异验证包括检测,分类重新评估和遗传模式评估.
- 基因检测实验室和产前诊断中心的结果比较.
主要成果:
- 17% (6%) 的家庭在验证过程中显示出不一致的结果.
- 不一致性源于变体检测错误 (4%),解释差异 (12%) 和非典型的遗传模式 (1%).
- 假阳性NGS结果与伪基因和GC丰富的区域有关;一个案例显示了母亲单亲异构.
结论:
- 产前诊断中心对变异的验证对于诊断准确性至关重要.
- 对于有生殖计划的家庭,建议提前转诊产前遗传中心,以确保一致的结果并避免诊断延迟.
更多相关视频
09:37Navigating MARRVEL, a Web-Based Tool that Integrates Human Genomics and Model Organism Genetics Information
Published on: August 15, 2019
9.7K
07:15Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
11.0K
相关概念视频
Comparing Copy Number Variations and SNPs
17.7K
Sequencing of the human genome has opened up several best-kept secrets of the genome. Scientists have identified thousands of genome variations that exist within a population. These variations can be a single nucleotide or a larger chromosomal variation.
Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...
Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...
17.7K
Genetic Variation
273
Genetic variation is the diversity in DNA sequences found among individuals of the same species. This diversity is crucial for a species' survival because it helps organisms adapt to environmental changes. Genetic variation begins with fertilization, where an egg and sperm cell merge. Each of these cells carries 23 chromosomes, up to 46 in the fertilized egg. Chromosomes are long DNA strands that contain genes, the basic units of heredity.
Genes exist in different versions called alleles,...
Genes exist in different versions called alleles,...
273
Incomplete Dominance
22.5K
Gregor Mendel's work (1822 - 1884) was primarily focused on pea plants. Through his initial experiments, he determined that every gene in a diploid cell has two variants called alleles inherited from each parent. He suggested that amongst these two alleles, one allele is dominant in character and the other recessive. The combination of alleles determines the phenotype of a gene in an organism.
22.5K
Translation
14.8K
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life
Proteins are...
Translation Produces the Building Blocks of Life
Proteins are...
14.8K
Genomic Imprinting and Inheritance
34.3K
Diploid organisms inherit genetic material through chromosomes from both parents. Copies of the same gene are known as alleles. In most cases, both alleles are simultaneously expressed and allow various cellular processes to function optimally. If one of the alleles is missing or mutated, the expression of the other allele can compensate; however, this is not true for all genes.
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
34.3K
Pedigree Analysis
84.2K
Overview
84.2K
