定期基因再分析发现了一种新的De NovoNOTCH1变种:一个病例报告
Eylul Aydin1, Aybike S Bulut1, Berkay Yildiz2
1Department of Translational Medicine, Graduate School of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
定期重新分析基因组数据对于诊断罕见疾病至关重要. 将NOTCH1变种重新归类为可能致病的变种有助于诊断和管理这个患者.
科学领域:
- 基因组学就是基因组学.
- 罕见疾病 罕见疾病
- 临床遗传学 临床遗传学
背景情况:
- 定期重新分析基因组数据对于完善变体解释和诊断罕见疾病至关重要.
- 一名患者出现了全球发育迟缓,,视力缩,心脏缺陷和面形障碍症.
研究的目的:
- 报告系统性基因组再分析在患有复杂表型的患者的诊断效用.
- 要突出NOTCH1相关疾病的临床和分子谱的扩大.
主要方法:
- 进行了基于三元的整体外组测序.
- 用机构管道定期重新分析基因组数据.
- 对NOTCH1相关疾病进行了文献审查.
主要成果:
- 一种最初不确定的异构性NOTCH1变种 (c.4787T>C;p.Leu1596Pro) 被重新归类为可能致病的.
- 这种变种被证实是de novo.
- 患者的表型与NOTCH1相关疾病的扩展谱密切匹配,包括神经和面特征.
结论:
- 系统的基因组再分析对于罕见疾病诊断具有临床价值,随着知识的发展,可以进行变异重新分类.
- 这一案例扩大了NOTCH1相关疾病的已知的临床和分子格局.
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