Milunsky Aubrey
From the Center for Human Genetics, Cambridge, MA; and the Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston.
J Am Board Fam Med. 2017 May-Jun;30(3):377-379. doi: 10.3122/jabfm.2017.03.160316.
Major advances in human genetics have led to the identification of 4451 genes to date with disease-carrying mutations, thereby enabling precise diagnoses of all of these monogenic disorders. Limitations to the use of the "new genetics" do exist, however, including the recognition of genetic heterogeneity, many variants of unknown significance, and incidental diagnoses. This article reviews information to help use these advances to aid accurate diagnoses, identify carriers, and determine prenatal diagnoses, providing opportunities to avoid or prevent serious and fatal genetic disorders.
人类遗传学的重大进展已导致迄今共鉴定出4451个携带疾病突变的基因,从而能够对所有这些单基因疾病进行精确诊断。然而,“新遗传学”的应用确实存在局限性,包括遗传异质性的认识、许多意义不明的变异以及偶然诊断。本文回顾相关信息,以帮助利用这些进展辅助准确诊断、识别携带者并确定产前诊断,从而提供避免或预防严重和致命遗传疾病的机会。