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罕见的拷贝数变异在患有自闭症谱系障碍的幼儿中很常见。

Rare copy number variants are common in young children with autism spectrum disorder.

作者信息

Eriksson Mats Anders, Liedén Agne, Westerlund Joakim, Bremer Anna, Wincent Josephine, Sahlin Ellika, Gillberg Christopher, Fernell Elisabeth, Anderlid Britt-Marie

机构信息

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Department of Neuropediatrics, Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Acta Paediatr. 2015 Jun;104(6):610-8. doi: 10.1111/apa.12969. Epub 2015 Mar 11.

Abstract

AIM

Several studies have suggested that rare copy number variants (CNVs) are an important genetic contributor to autism spectrum disorders. The aims of the study were to use chromosomal microarray to investigate the presence of rare copy number variants in a population-based cohort of well-characterised young children with autism spectrum disorders and to relate the genetic results to neurodevelopmental profiles and medical conditions.

METHODS

We performed chromosomal microarray on samples from 162 children who had been referred to the Stockholm Autism Centre for Young Children in Sweden after being diagnosed with autism spectrum disorder between 20 and 54 months of age.

RESULTS

Pathogenic aberrations were detected in 8.6% of the children and variants of uncertain significance were present in another 8.6%. CNVs were more frequent in children with congenital malformations or dysmorphic features as well as in the subgroup with intellectual disability.

CONCLUSION

Our results support the use of chromosomal microarray methods for the first tier genetic analysis of autism spectrum disorder. However, it is likely in the near future that chromosomal microarray methods will probably be replaced by whole-exome and whole-genome sequencing technologies in clinical genetic testing.

摘要

目的

多项研究表明,罕见拷贝数变异(CNV)是自闭症谱系障碍的重要遗传因素。本研究的目的是使用染色体微阵列技术,调查一个基于人群的、特征明确的自闭症谱系障碍幼儿队列中罕见拷贝数变异的存在情况,并将遗传结果与神经发育概况和医疗状况相关联。

方法

我们对162名儿童的样本进行了染色体微阵列分析,这些儿童在20至54个月大时被诊断为自闭症谱系障碍,之后被转诊至瑞典斯德哥尔摩幼儿自闭症中心。

结果

在8.6%的儿童中检测到致病性畸变,另有8.6%存在意义不确定的变异。先天性畸形或畸形特征儿童以及智力残疾亚组中CNV更为常见。

结论

我们的结果支持将染色体微阵列方法用于自闭症谱系障碍的一线遗传分析。然而,在不久的将来,染色体微阵列方法可能会在临床基因检测中被全外显子组和全基因组测序技术所取代。

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