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综合征型听力损失的分子诊断:大规模平行测序的应用。

Syndromic hearing loss molecular diagnosis: Application of massive parallel sequencing.

机构信息

Departamento de Genética e Morfologia, Universidade de Brasília, Brasília, Brazil; Programa de Pós-graduação em Biologia Animal, Universidade de Brasília, Brasília, Brazil.

Graduate Program in Genomic Sciences and Biotechnology, Universidade Católica de Brasília, Brasília, Brazil.

出版信息

Hear Res. 2018 Dec;370:181-188. doi: 10.1016/j.heares.2018.10.008. Epub 2018 Oct 16.

Abstract

Syndromic hearing loss accounts for approximately 30% of all cases of hearing loss due to genetic causes. Mutation screening in known genes is important because it potentially sheds light on the genetic etiology of hearing loss and helps in genetic counseling of families. In this study, we describe a customized Ion AmpliSeq Panel, specifically designed for the investigation of syndromic hearing loss. The Ion AmpliSeq Panel was customized to cover the coding sequences of 52 genes. Twenty-four patients were recruited: 17 patients with a clinical diagnosis of a known syndrome, and seven whose clinical signs did not allow identification of a syndrome. Of 24 patients sequenced, potentially causative mutations were found in nine, all of which belonged to the group with a previous clinical diagnostic and none in the group not clinically diagnosed. We were able to provide conclusive molecular diagnosis to six patients, constituting a diagnostic rate of 25% (6/24). In the group of patients with a suspected clinical diagnosis, the diagnostic rate was 35% (6/17). Of the nine different mutations identified, three are novel, and were found in patients with Waardenburg, Treacher Collins and CHARGE syndromes. Since all patients with a conclusive molecular diagnosis through this panel had a previous suspected clinical diagnosis, our results suggest that this panel was more effective in diagnosing this group of patients. Therefore, the panel demonstrated effectiveness in molecular diagnosis when compared to others in the literature, especially for patients with a defined clinical diagnosis.

摘要

综合征性听力损失约占所有遗传性听力损失的 30%。对已知基因进行突变筛查非常重要,因为这可能揭示听力损失的遗传病因,并有助于对家庭进行遗传咨询。在这项研究中,我们描述了一种定制的 Ion AmpliSeq 面板,专门用于综合征性听力损失的研究。Ion AmpliSeq 面板被定制为覆盖 52 个基因的编码序列。共招募了 24 名患者:17 名患者有已知综合征的临床诊断,7 名患者的临床症状无法确定综合征。在 24 名测序的患者中,发现了 9 名患者可能存在致病突变,这些突变都属于之前有临床诊断的那一组,而没有一组在临床诊断之外。我们能够为 6 名患者提供明确的分子诊断,诊断率为 25%(6/24)。在有疑似临床诊断的患者组中,诊断率为 35%(6/17)。在确定的 9 种不同突变中,有 3 种是新发现的,分别存在于 Waardenburg、Treacher Collins 和 CHARGE 综合征患者中。由于通过该面板进行明确分子诊断的所有患者都有之前的疑似临床诊断,我们的结果表明,该面板对这组患者的诊断更有效。因此,与文献中的其他面板相比,该面板在分子诊断方面表现出了有效性,尤其是对有明确临床诊断的患者。

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