在智力和发育障碍的Trio-WES中SNV/Indel和CNV分析:诊断收益率和成本效益
Guanhua Qian1, Nanyan Yang1, Fang Deng1
1Obstetrics and Gynecology Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Clinical genetics
|January 20, 2025
概括
整合拷贝数变异 (CNV) 分析与单核酸变异 (SNV) /使用三元整体外基因组测序 (WES) 的英德尔分析,显著提高智力和发育障碍 (IDD) 诊断率. 这种综合方法提供了一种强大,成本效益高,节省时间的解决方案,用于识别IDD的遗传原因.
科学领域:
- 遗传学和基因组学 遗传学和基因组学
- 临床诊断 临床诊断 临床诊断
- 生物信息学是一种生物信息学.
背景情况:
- 智力和发育障碍 (IDD) 是一种具有重大全球影响的复杂遗传疾病.
- 传统的整体外基因组测序 (WES) 主要检测单核酸变异 (SNV) 和小插入/删除 (Indels),往往在IDD中产生有限的诊断率.
- IDD的遗传异质性需要超越SNV/Indel检测的先进诊断策略.
研究的目的:
- 评估将副本数变化 (CNV) 分析与SNV/Indel分析在IDD患者的三WES中整合的诊断实用性.
- 与传统方法相比,评估联合方法的成本效益和诊断产量.
主要方法:
- 基于三元的整个外体序列测序 (WES) 在140个家庭的187名IDD患者身上进行.
- 对SNVs,Indels和副本数变异 (CNVs) 进行了综合分析.
- 分析了变异数据的诊断产量,临床意义和成本效益.
主要成果:
- 综合的SNV/Indel和CNV分析实现了总体诊断率为40.11% (75/187).
- 在SNV/Indel分析中,发现了33.16% (62/187) 的诊断,而CNV分析贡献了另外6.95% (13/187).
- 该策略显示出显著的成本效益 (ICER为2546.22美元/诊断),并提高了检测速度.
结论:
- 将 CNV 分析集成到 trio-WES 中,可以显著提高智力和发育障碍的诊断产量.
- 这种综合方法为诊断IDD提供了一种强大,具有成本效益和节省时间的方法,有利于临床管理和生殖咨询.
- 该研究强调了全面基因组分析对于了解IDD遗传基础的重要性.
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