针对成人发病的神经退行性疾病的基因检测:临床视角
Ni-Chung Lee1, Chin-Hsien Lin2, Yin-Hsiu Chien1
1Department of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan; Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
Journal of the Formosan Medical Association = Taiwan yi zhi
|January 21, 2026
概括
针对成人发病的神经退行性疾病 (AOND) 的基因测试已经在下一代测序方面取得了进展. 本综述涵盖了AOND的遗传变异,诊断工具和遗传咨询.
科学领域:
- 遗传学 是一个遗传学.
- 神经科学是一个神经科学.
- 分子生物学分子生物学
背景情况:
- 成人发病的神经退行性疾病 (AOND) 显著损害生活质量.
- 遗传因素,包括单核酸变异 (SNVs),indels和重复扩张,是关键的病因.
- 多因素AOND可以使用多基因风险评分 (PRS) 进行评估.
研究的目的:
- 为了提供对AOND.的基因测试的概述.
- 讨论分子诊断工具的演变.
- 突出基因咨询在管理AOND中的作用.
主要方法:
- 关于AOND中的遗传变异的当前文献的综述.
- 测序技术的比较 (桑格,NGS,长读).
- 对SNVs,indels,重复扩张和结构变异 (SVs) 的诊断方法的讨论.
主要成果:
- 下一代测序 (NGS),包括全外体 (WES) 和全基因组测序 (WGS),已经改善了AOND诊断.
- 长读测序对于识别结构变化和重复扩张至关重要.
- 了解遗传贡献有助于风险评估和计划生育.
结论:
- 基因检测对于诊断AOND和了解疾病机制至关重要.
- 技术进步提高了各种遗传变异的检测.
- 综合性遗传评估支持患者和家人的知情决策.
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