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搭上精准医疗的列车:非遗传学家临床医生入门指南:第1部分。分子遗传学基本概念

Jumping on the Train of Personalized Medicine: A Primer for Non-Geneticist Clinicians: Part 1. Fundamental Concepts in Molecular Genetics.

作者信息

Li Aihua, Meyre David

机构信息

Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON L8N 3Z5, Canada.

出版信息

Curr Psychiatry Rev. 2014 May;10(2):91-100. doi: 10.2174/1573400510666140319234955.

Abstract

With the decrease in sequencing cost and the rise of companies providing sequencing services, it is likely that personalized whole-genome sequencing will eventually become an instrument of common medical practice. We write this series of three reviews to help non-geneticist clinicians get ready for the major breakthroughs that are likely to occur in the coming years in the fast-moving field of personalized medicine. This first paper focuses on the fundamental concepts of molecular genetics. We review how recombination occurs during meiosis, how genetic variations including single nucleotide polymorphisms (SNPs), insertions and deletions are generated and how they are inherited from one generation to the next. We detail how genetic variants can impact protein expression and function, and summarize the main characteristics of the human genome. We also explain how the achievements of the Human Genome Project, the HapMap Project, and more recently, the 1000 Genomes Project, have boosted the identification of genetic variants contributing to common diseases in human populations. The second and third papers will focus on genetic epidemiology and clinical applications in personalized medicine.

摘要

随着测序成本的降低以及提供测序服务的公司不断涌现,个性化全基因组测序最终很可能会成为普通医疗实践的一项手段。我们撰写这三篇系列综述,旨在帮助非遗传学家临床医生为未来几年在快速发展的个性化医疗领域可能出现的重大突破做好准备。第一篇论文聚焦于分子遗传学的基本概念。我们回顾了减数分裂过程中重组是如何发生的,包括单核苷酸多态性(SNP)、插入和缺失在内的遗传变异是如何产生的,以及它们如何代代相传。我们详细阐述了遗传变异如何影响蛋白质表达和功能,并总结了人类基因组的主要特征。我们还解释了人类基因组计划、国际人类基因组单体型图计划(HapMap计划)以及最近的千人基因组计划所取得的成果,是如何推动对人类群体中常见疾病相关遗传变异的识别的。第二篇和第三篇论文将聚焦于遗传流行病学以及个性化医疗中的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67e9/4133961/25f95fbb91ac/CPSR-10-91_F1.jpg

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