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阿尔茨海默病和额颞叶变性的遗传咨询和检测新方法。

New approaches to genetic counseling and testing for Alzheimer's disease and frontotemporal degeneration.

机构信息

Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, 630 W. 168th St., P & S Box 16, New York, NY 10032, USA.

出版信息

Curr Neurol Neurosci Rep. 2012 Oct;12(5):502-10. doi: 10.1007/s11910-012-0296-1.

DOI:10.1007/s11910-012-0296-1
PMID:22773362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3437002/
Abstract

The discovery of new autosomal dominant and susceptibility genes for Alzheimer's disease (AD) and frontotemporal degeneration (FTD) is revealing important new information about the neurodegenerative process and the risk for acquiring these diseases. It is becoming increasingly clear that both the mechanisms that drive these diseases and their phenotypes overlap. New technologies will assist access to genetic testing but may increase difficulty with genetic test interpretation. Thus, the process of genetic counseling and testing for these diseases is becoming more complex. This article will review current knowledge on the genetics of AD and FTD and suggest clinical guidelines for helping families to navigate through these complexities. The implications of future discoveries will be offered.

摘要

新的常染色体显性遗传和阿尔茨海默病(AD)及额颞叶变性(FTD)易感性基因的发现,为神经退行性过程和罹患这些疾病的风险提供了重要的新信息。越来越明显的是,推动这些疾病的机制及其表型是重叠的。新技术将有助于进行基因检测,但可能会增加遗传检测解释的难度。因此,这些疾病的遗传咨询和检测过程变得更加复杂。本文将综述 AD 和 FTD 遗传学的现有知识,并为帮助患者家庭应对这些复杂性提供临床指导建议。同时还将探讨未来发现的意义。

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本文引用的文献

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Frontotemporal dementia with the C9ORF72 hexanucleotide repeat expansion: clinical, neuroanatomical and neuropathological features.携带 C9ORF72 六核苷酸重复扩展的额颞叶痴呆:临床、神经解剖和神经病理学特征。
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The Clinical Spectrum of Young Onset Dementia Points to Its Stochastic Origins.早发性痴呆的临床谱表明其具有随机起源。
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Genetic Counselling Improves the Molecular Characterisation of Dementing Disorders.遗传咨询改善痴呆症的分子特征分析。
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10
Genetic screening of a large series of North American sporadic and familial frontotemporal dementia cases.对大量北美散发性和家族性额颞叶痴呆病例进行遗传筛查。
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阿尔茨海默病中C9ORF72基因的重复扩增。
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