在未经诊断的罕见疾病的成年人临床实践中实施基因组医学
Jong Hyeon Ahn1,2, Jihoon G Yoon3,4, Jaeso Cho3,5
1Department of Neurology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
NPJ genomic medicine
|November 28, 2024
概括
在成年人中诊断罕见疾病是具有挑战性的. 这项研究使用先进的测序来确定28.4%未被诊断的患者的遗传原因,改善了个性化护理.
科学领域:
- 遗传学 是一个遗传学.
- 生物信息学是一种生物信息学.
- 罕见疾病 罕见疾病
背景情况:
- 成年人未被诊断疾病的全球负担不断增加.
- 未被诊断的疾病的重大社会经济影响.
- 需要在成年人群中改进诊断策略.
研究的目的:
- 调查综合测序技术在诊断未诊断的成人疾病中的有用性.
- 确定成年试验者未被诊断的疾病的遗传和非遗传原因.
- 评估遗传诊断对患者管理和结果的影响.
主要方法:
- 招募了232名未被诊断疾病的成年试验者.
- 利用了整个外体和基因组测序.
- 应用了重复启动的PCR和Cas9介导的纳米孔测序,用于疑似短串联重复疾病.
主要成果:
- 在66个个体 (28.4%) 中确定了遗传原因,12个 (5.2%) 中确定了非遗传原因.
- 在可能的遗传病例和患有儿科症状的病例中观察到更长的诊断旅程.
- 基因诊断使得可以改善监测,级联查,药物重定位和怀孕计划.
结论:
- 综合测序技术提高了未被诊断成人的疾病的诊断准确度.
- 通过先进的遗传分析,可以实现更快的诊断和个性化管理.
- 需要进一步努力,以应对特定患者子组的诊断挑战.
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