[通过外基组测序检测到自发流产的遗传病因]
T T Liu1, F C Qiao1, Y X Liang1
1Department of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University, Nanjing Women and Children's Healthcare Hospital, Nanjing 210004, China.
Zhonghua fu chan ke za zhi
|March 1, 2026
概括
外基因测序在两个自发堕胎病例中发现了致病性基因变异. 这些发现有助于诊断重复流产,并为受影响家庭提供未来遗传咨询指导.
科学领域:
- 遗传学 遗传学 是一个
- 生殖医学 生殖医学
- 基因组分析 基因组分析
背景情况:
- 自发性流产通常在标准检测后缺乏明确的遗传原因.
- 识别致病基因对于理解重复性流产至关重要.
研究的目的:
- 通过使用外基因测序来调查潜在的致病基因和导致自发流产的变异.
- 加强对自发堕胎病例的遗传诊断和咨询.
主要方法:
- 通过染色体微阵列分析 (CMA) 对20个缺少染色体异常的自发流产样本进行了外体序列测序 (ES).
- 病原性解释遵循美国医学遗传学与基因组学学院 (ACMG) 准则 (2015年).
- 桑格测序验证了已识别的致病或可能致病的基因变异.
主要成果:
- 两个病例揭示了可能的致病变体:KYNU基因化合物异构型变体 (p.Gly256Ter和p.Gln79Ter) 与桑氨酸尿和VCRL2相关.
- 确定了一种新的DNM1L基因变异 (p.Pro62Leu),与线粒体和过氧体分裂缺陷脑病变有关.
结论:
- 外基组测序 (ES) 有效地促进了自发流产的遗传诊断.
- 结果为遗传咨询和关于后续怀孕的知情决策提供了基础.
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