在患有威尔逊病的儿童中具有临床相关性的ATP7B变异的频谱和分类
Ruqayah Gy Al-Obaidi1, Bassam Ms Al-Musawi1
1From the Department of Medical Genetics (Al-Obaidi), National Center for Educational Laboratories, Medical City Campus; and from Department of Pathology and Forensic Medicine (Al-Musawi), College of Medicine, University of Baghdad, Baghdad, Iraq.
伊拉克儿童患有威尔逊病的ATP7B基因变异的谱系多样化,与邻国不同. 这项研究发现了新型变异,并重新分类了十种具有不确定的意义的变异,影响了诊断标准.
科学领域:
- 遗传学 是一个遗传学.
- 分子生物学分子生物学
- 儿科 儿科 儿科
背景情况:
- 威尔逊病 (WD) 是一种由ATP7B基因突变引起的铜代谢遗传性疾病.
- 了解WD的遗传情景对于准确的诊断和遗传咨询至关重要.
研究的目的:
- 在被诊断患有威尔逊病的伊拉克儿童中描述ATP7B变异的频谱和分类.
- 为了将遗传发现与临床表现相关联.
主要方法:
- ATP7B基因的直接基因测序在55名临床诊断为威尔逊病的无血缘关系的伊拉克儿童身上进行.
- 使用下一代测序来识别ATP7B基因中的变异.
主要成果:
- 在110个等位基因中的97个中,发现了76个有害的ATP7B变体.
- 最常见的变种是c.3305T>C和c.956delC.
- 在这个队列中没有检测到全球常见的H1069Q变种.
结论:
- 伊拉克患有威尔逊病的儿童中ATP7B的突变谱系多样化,与邻近的人口不同.
- 十种不确定的变异 (VUS) 被重新归类为有害,这表明需要对患有高莱比锡分数和单一有害变异的患者的诊断标准进行修订.
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