通过大规模DNA测序来诊断代谢的先天性错误:好处和局限性
Vianey Ordoñez-Labastida1,2,3, Juan C Zenteno1,2,4
1Departmento de Genetica, Instituto de Oftalmología "Conde de Valenciana", Mexico City.
概括
下一代测序 (NGS) 改善了新生儿查之外的新生代谢错误 (IEM) 的诊断. 这项技术可以早期识别遗传代谢疾病,从而为受影响的婴儿提供个性化治疗.
科学领域:
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
- 基因组医学是基因组医学.
背景情况:
- 代谢的先天性错误 (IEM) 是影响营养加工的遗传遗传性疾病.
- 现有的新生儿查只能识别出1000个已知的IEM中的一小部分.
- 许多IEM在临床症状出现之前仍未被诊断出来,导致显著的发病率.
研究的目的:
- 在诊断IEM时审查下一代测序 (NGS) 的现状.
- 突出NGS在IEM诊断中的能力和局限性.
- 讨论NGS对IEMs早期检测和管理的影响.
主要方法:
- 关于NGS用于IEM诊断的当前文献的叙述性综述.
- 对NGS技术的分析,包括基因组,外体和基因组测序.
- 在IEM中讨论NGS的诊断产量和临床实用性.
主要成果:
- NGS已经彻底改变了包括IEMs在内的单一性疾病的遗传诊断.
- 通过NGS,可以识别目前新生儿生物化学查无法检测到的IEM.
- 通过NGS进行早期检测,可以及时和个性化的医疗管理.
结论:
- NGS提供了一种强大的工具,用于对代谢的先天性错误进行全面的遗传诊断.
- 它将诊断能力扩展到传统的新生儿查方法之外.
- 实施NGS可以通过IEM患者的早期干预来改善结果.
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