全基因组测序在发育迟缓或智力残疾儿童的临床应用
Jinbo Xu1, Yanhong Xu1, Wei Su1
1Department of rehabilitation, Anhui Provincial Children's Hospital, No.39, Wangjiang Road, Baohe District, Hefei, 230051, China.
BMC medical genomics
|November 22, 2025
概括
全基因组测序 (WGS) 是诊断儿童发育迟缓和智力障碍 (DD/ID) 的遗传原因的强大工具. 通过WGS早期诊断显著增加了识别未解释的DD/ID遗传基础的可能性.
科学领域:
- 遗传学 遗传学 是一个
- 儿科 儿科 儿科
- 基因组医学是基因组医学.
背景情况:
- 诊断发育迟缓/智力障碍 (DD/ID) 是一个复杂的问题.
- 鉴定遗传原因对于临床决策和预后至关重要.
- 全基因组测序 (WGS) 提供了一种全面的方法来调查无法解释的儿科DD/ID.
研究的目的:
- 评估全基因组测序 (WGS) 在识别儿科患者不明原因DD/ID的遗传病因方面的实用性.
- 分析临床变量与WGS的诊断产量之间的关联.
主要方法:
- 对115名患有不明原因DD/ID的儿童 (1个月-16岁) 进行了回顾性分析,这些儿童接受了WGS.
- 编目遗传变异 (单核酸变异,小插入/删除,副本数变异).
- 检查人口统计和临床数据与WGS发现的关联.
主要成果:
- 在33例病例 (22例诊断,11例携带者) 和11例拷贝数变异中,WGS确定了致病变体.
- 大多数临床属性和WGS诊断产量之间没有发现显著的关联.
- 早期的诊断年龄与WGS的更高的诊断产量相关.
结论:
- 在发现儿童DD/ID的遗传原因方面,WGS非常有效.
- 这些发现对临床管理,遗传咨询和计划生育有重大影响.
- WGS增强了无法解释的儿科神经发育障碍的诊断能力.
相关概念视频
Next-generation Sequencing
97.6K
The first human genome sequencing project cost $2.7 billion and was declared complete in 2003, after 15 years of international cooperation and collaboration between several research teams and funding agencies. Today, with the advent of next-generation sequencing technologies, the cost and time of sequencing a human genome have dropped over 100 fold.
Next-Generation Sequencing Methods
Although all next-generation methods use different technologies, they all share a set of standard features....
Next-Generation Sequencing Methods
Although all next-generation methods use different technologies, they all share a set of standard features....
97.6K
Genomics
39.6K
Genomics is the science of genomes: it is the study of all the genetic material of an organism. In humans, the genome consists of information carried in 23 pairs of chromosomes in the nucleus, as well as mitochondrial DNA. In genomics, both coding and non-coding DNA is sequenced and analyzed. Genomics allows a better understanding of all living things, their evolution, and their diversity. It has a myriad of uses: for example, to build phylogenetic trees, to improve productivity and...
39.6K
Maxam-Gilbert Sequencing
12.6K
In the same year as the discovery of the Sanger sequencing method, another group of scientists, Allan Maxam and Walter Gilbert, demonstrated their chemical-cleavage method for DNA sequencing. The Maxam-Gilbert method relies on using different chemicals that can cleave the DNA sequence at specific sites, the separation of resulting DNA fragments of variable size using electrophoresis, and deciphering the DNA sequence from the resulting gel bands.
Challenges of the Maxam-Gilbert Method
The...
Challenges of the Maxam-Gilbert Method
The...
12.6K
RNA-seq
11.7K
RNA sequencing, or RNA-Seq, is a high-throughput sequencing technology used to study the transcriptome of a cell. Transcriptomics helps to interpret the functional elements of a genome and identify the molecular constituents of an organism. Additionally, it also helps in understanding the development of an organism and the occurrence of diseases.
Before the discovery of RNA-seq, microarray-based methods and Sanger sequencing were used for transcriptome analysis. However, while...
Before the discovery of RNA-seq, microarray-based methods and Sanger sequencing were used for transcriptome analysis. However, while...
11.7K
Sanger Sequencing
772.9K
DNA sequencing is a fundamental technique that is routinely used in the biological sciences. This method can be applied to a range of questions at different scales - from the sequencing of a cloned DNA fragment or the study of a mutation in a gene up to whole-genome sequencing. However, despite the widespread use of sequencing today, it was not until 1977 that Fredrick Sanger and his collaborators developed the chain-termination method to decode DNA sequences. It relies on the separation of a...
772.9K
Intellectual Disability
601
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
601


