在临床基因组测试期间发现的新型候选基因中报告变异的考虑因素
Jessica X Chong1, Seth I Berger2, Samantha Baxter3
1Department of Pediatrics, Division of Genetic Medicine, University of Washington, Seattle, WA; Brotman-Baty Institute for Precision Medicine, Seattle, WA.
概括
临床外基因组测序 (ES) 有助于诊断罕见疾病,但往往错过了新型基因. 制定识别和共享这些候选基因的标准可以提高诊断产量和推进基因组研究.
科学领域:
- 基因组学就是基因组学.
- 罕见疾病 罕见疾病
- 临床诊断 临床诊断 临床诊断
背景情况:
- 外体测序 (ES) 是孟德尔条件的标准,改善罕见疾病的诊断.
- 临床ES经常识别已知的疾病基因,但忽视了新的候选基因.
- 大规模的基因发现研究对于识别新的致病基因至关重要.
研究的目的:
- 建立临床实验室识别,分享和报告新型候选基因的标准.
- 促进将新型基因发现转化为临床实践.
- 为了提高基因组检测罕见疾病的诊断产量.
主要方法:
- 开发用于选新型候选基因的系统标准.
- 专注于可能快速验证和临床有用的基因.
- 在新基因中分享和报告潜在的致病变体的框架.
主要成果:
- 一个拟议的框架,使临床实验室能够为新基因发现做出贡献.
- 设计为优先考虑候选基因进行快速验证的标准.
- 解决分享和报告新基因变异的挑战.
结论:
- 临床实验室可以在发现孟德尔条件的新基因方面发挥至关重要的作用.
- 新型候选基因的系统识别和共享有利于患者,临床医生和研究人员.
- 标准化标准对于将新基因发现纳入常规临床实践至关重要.
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