基于夫妇的载体查:基因和变异考虑如何影响结果.
Eric Lee1, Kaylee Orton1, Edward Kwan1
1Molecular Genetics Department, Virtus Diagnostics, Suite 4, Level 1, 20-30 Blamey St, Revesby, NSW 2212, Australia.
更广泛的生殖载体查可以识别出更多有遗传疾病风险的夫妇,而不是仅测试CFTR,SMN1和FMR1.1等常见基因. 基于对的报告和变体分析改善了临床影响评估.
科学领域:
- 生殖遗传学 生殖遗传学
- 临床诊断 临床诊断 临床诊断
- 基因组医学是一种基因组医学.
背景情况:
- 生殖载体查的临床实用性取决于基因.
- 变异报告和患者群体影响查结果.
- 需要对携带者查进行常规的临床环境评估.
研究的目的:
- 评估生殖夫妇的载体查结果.
- 评估基于夫妇的查的临床实用性.
- 分析基因小组和变异报告的影响.
主要方法:
- 1595对夫妇经历了390个基因的基于夫妇的携带者查.
- 携带者身份是以夫妻为基础评估的;报告重点是处于危险状态的后代.
- 根据严重程度和变异特异性临床影响分类的疾病;评估二次发现.
主要成果:
- 4.2%的夫妇有患遗传疾病的风险.
- 1.0%的夫妇有高临床影响的结果,其中CFTR,SMN1或FMR1参与44%.
- 1.7%的个人有个人实用性的二次发现.
结论:
- 只有CFTR,SMN1和FMR1的向查错过了超过一半的风险夫妇.
- 基于对的报告和变体分析提高了临床影响的预测.
- 二次发现很常见,需要进行测试前咨询.
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