在常规基因诊断中多基因风险得分:未来会发生什么?
Peter Lauffer1,2, W van Weelden3,4, M M van Haelst3,4,5
1Amsterdam UMC, Department of Human Genetics, University of Amsterdam, Amsterdam, Netherlands. p.lauffer@amsterdamumc.nl.
Journal of community genetics
|November 20, 2025
概括
多基因风险评分 (PRS) 可以通过补充罕见变异测试来增强遗传诊断. 将PRS整合到临床工作流程中提供了潜在的好处,但需要解决风险值和祖先特定准确性的挑战.
科学领域:
- 临床遗传学 临床遗传学
- 基因组医学是一种基因组医学.
- 复杂的特征预测预测.
背景情况:
- 多基因风险评分 (PRS) 是复杂遗传疾病的新兴工具.
- 全基因组关联研究 (GWAS) 提高了PRS的准确性.
- 在临床遗传学中PRS的作用目前尚不确定.
研究的目的:
- 讨论PRS在诊断工作流程中的潜在整合场景.
- 评估与不同的PRS集成方法相关的权衡.
- 突出临床遗传学中PRS的挑战和未来方向.
主要方法:
- 讨论了将PRS整合到诊断工作流程中的四个拟议情景.
- 对权衡的分析,包括成本,周转时间,诊断效率和次要发现.
- 在具有单基因和多基因贡献的条件下考虑PRS应用.
主要成果:
- 提出了四种整合场景:一级查,与WGS并行测试,临床指导的选择,以及在罕见的变异阴性病例中的应用.
- 确定了诸如成本,周转时间和诊断效率等权衡因素.
- 突出挑战包括风险值定义,跨祖先的公平准确性和临床整合.
结论:
- 对于遗传诊断来说,PRS是有前途的,特别是在混合遗传病因的条件下.
- 需要进一步的研究和合作,以克服风险分层,祖先特异性表现和临床实施方面的挑战.
- 在遗传诊断中,PRS可能会变得越来越重要,需要对临床决策进行优化.
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