全基因组测序用于胎儿结构异常的产前评估:一个前性的多中心研究
Zhi Gao1, Meimei Liu2, Jinna Jiang3
1Genetics and Prenatal Diagnosis Center, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
American journal of obstetrics and gynecology
|August 27, 2025
概括
全基因组测序 (WGS) 是产前诊断胎儿结构异常的一个强大工具. 基于Trio的WGS为现有方法提供了全面的替代方案,改善了诊断率并简化了实验室的工作流程.
科学领域:
- 基因组学
- 产前诊断
- 医学遗传学
背景情况:
- 全基因组测序 (WGS) 的临床有效性是在产后确定.
- 对于胎儿异常的产前诊断,WGS的研究有限.
研究的目的:
- 预先评估全基因组测序 (WGS) 用于产前诊断.
- 将WGS性能与副本数变异测序 (CNV-seq) 以及外体测序 (ES) 进行比较.
主要方法:
- 分析了96个具有胎儿结构异常的父胎三组.
- 全基因组测序 (WGS) 与CNV-seq和ES并行进行.
- 使用已建立的ACMG,AMP和ClinGen指南进行分类.
主要成果:
- CNV-seq的诊断率为5.2%;三种ES的诊断率为27.1%.
- 结合CNV-seq和trio-ES的诊断率达到了31.2%.
- 三种WGS将诊断率提高到34.4%,确定了其他方法的所有变体以及三个额外的病例,包括复杂的重组和UPD15.
结论:
- 三基WGS是CNV-seq加ES用于产前诊断的有效替代方案.
- WGS为胎儿结构异常提供了更全面的基因组分析.
- 实验室工作流程可以整合到一个单一的测试中.
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