Martin Christa Lese, Kirkpatrick Brianne E, Ledbetter David H
Geisinger Health System, Autism & Developmental Medicine Institute, 120 Hamm Drive, Lewisburg, PA 17837, USA.
Geisinger Health System, Autism & Developmental Medicine Institute, 120 Hamm Drive, Lewisburg, PA 17837, USA.
Clin Perinatol. 2015 Jun;42(2):227-42, vii. doi: 10.1016/j.clp.2015.03.001. Epub 2015 Apr 1.
In the perinatal setting, chromosome imbalances cause a range of clinically significant disorders and increase the risk for other particular phenotypes. As technologies have improved to detect increasingly smaller deletions and duplications, collectively referred to as copy number variants (CNVs), clinicians are learning the significant role that these types of genomic variants play in human disease and their high frequency in ∼ 1% of all pregnancies. This article highlights key aspects of CNV detection and interpretation used during the course of clinical care in the prenatal and neonatal periods. Early diagnosis and accurate interpretation are important for targeted clinical management.
在围产期,染色体失衡会导致一系列具有临床意义的疾病,并增加出现其他特定表型的风险。随着检测越来越小的缺失和重复(统称为拷贝数变异,CNV)的技术不断改进,临床医生正在了解这些类型的基因组变异在人类疾病中所起的重要作用以及它们在约1%的所有妊娠中的高频率。本文重点介绍了产前和新生儿期临床护理过程中CNV检测和解读的关键方面。早期诊断和准确解读对于有针对性的临床管理很重要。