全外体测序揭示了无法解释的儿科胆固醇性肝病
1Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, United States. toshifumi.yodoshi@cchmc.org.
World journal of hepatology
|February 5, 2026
概括
全外体测序 (WES) 显著改善了儿童罕见遗传性肝病的诊断. 这种基因测试方法有助于及时,准确的识别,指导儿童肝病的更好的治疗和结果.
科学领域:
- 儿科肝病学 儿科肝病学
- 遗传学 遗传学 是一个
- 基因组学就是基因组学.
背景情况:
- 在儿童中无法解释的肝病带来了诊断挑战.
- 非传染性儿科肝病正在扩大.
- 准确的诊断对于最佳的护理和资源分配至关重要.
研究的目的:
- 综合关于遗传检测在儿科肝病学中的影响的证据.
- 突出整体外体测序 (WES) 在诊断肝脏疾病中的作用.
- 讨论基因组学与传统诊断的整合.
主要方法:
- 审查有关遗传检测产量的国际报告.
- 在儿科肝病中比较WES和广泛的基因组.
- 对诊断改进的证据综合.
主要成果:
- 综合基因检测,特别是WES,可以大大提高诊断产量.
- 在患有胆固醇病的婴儿和患有氨基转移酶水平升高的儿童中,WES有效.
- 基因检测揭示了不同地区儿科肝病的多种遗传原因.
结论:
- WES是一种强大的工具,用于诊断无法解释的儿科肝病.
- 将WES与临床评估和其他调查相结合是必不可少的.
- 基因组方法推进了个性化医疗,并改善了儿科肝病学的结果.
相关概念视频
Diseases of the Liver and Gallbladder
2.0K
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
2.0K
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
202
In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess...
202
Pharmacokinetics in Pediatric Patients: Drug Excretion
266
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
266
Cis-regulatory Sequences
11.8K
Cis-regulatory sequences are short fragments of non-coding DNA that are present on the same chromosomes as the genes that they regulate. These fragments serve as binding sites for transcriptional regulators, proteins that are responsible for controlling gene transcription and differential gene expression across cell types in eukaryotes. Cis-regulatory sequences can be close to the gene of interest or thousands of bases away in the DNA sequence; however, those sequences that are further away are...
11.8K
Sequences
278
Sequences are fundamental mathematical objects consisting of ordered lists of numbers that follow a specific rule or pattern. Sequences are critical in various mathematical concepts, including calculus, series, and number theory. They can model real-world phenomena such as population growth, financial investments, and physical processes like the diminishing height of a bouncing ball.Each number in a sequence is referred to as a term. Typically, the terms are denoted as a1, a2, a3,…, where...
278
Pharmacokinetics in Pediatric Patients: Drug Distribution
314
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
314


