在能量缺乏和新陈代谢的先天性错误中整体外基因组测序:系统性审查
Fatimah Diana Amin Nordin1,2, Affandi Omar1, Balqis Kamarudin1
1Inborn Errors of Metabolism & Genetics Unit, Nutrition, Metabolism & Cardiovascular Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health, Malaysia.
Molecular genetics and metabolism reports
|April 10, 2025
概括
整体外基因组测序 (WES) 能够有效地诊断能量缺陷的新陈代谢先天性错误 (IEM),即使生物化学数据有限. 这种基因测试可以识别突变,改善这些复杂的罕见疾病的诊断过程.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
背景情况:
- 代谢的先天性错误 (IEM) 呈现出复杂的生化特征和重叠的症状,使诊断复杂化,特别是在能量缺乏症患者中.
- 精确诊断能量缺乏IEM是关键的,因为不同的和具有挑战性的临床表现.
研究的目的:
- 评估整体外基因组测序 (WES) 在诊断具有有限生化发现的能量缺乏IEM患者中的实用性.
- 通过WES诊断报告的能量缺乏IEM病例中识别常见的症状模式.
主要方法:
- 系统审查英语病例报告,引用WES用于能源缺乏IEM诊断.
- 在Science Direct,PubMed Central和Wiley数据库中进行的搜索.
- 使用Joanna Briggs研究所的批判性评估工具评估偏见的质量和风险.
主要成果:
- 包括37项研究,包括54份病例报告.
- 整体外基因组测序 (WES) 在54例报告病例中成功发现了53例突变.
- 发现的突变基因与代谢或线粒体功能有关,报告了33种不同的基因.
结论:
- 整体外因子测序 (WES) 显示出高精度,并改善了能源缺乏IEM的诊断过程.
- 需要进一步的研究,以制定详细的指导方针,用于利用WES诊断这些罕见的遗传疾病.
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