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靶向下一代测序在一组不明原因的线粒体功能障碍的儿科和成年患者中鉴定出新型致病性变异体,并提供分子诊断。

Targeted next generation sequencing identifies novel pathogenic variants and provides molecular diagnoses in a cohort of pediatric and adult patients with unexplained mitochondrial dysfunction.

机构信息

Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Porto, Portugal; Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Porto, Portugal.

Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Porto, Portugal.

出版信息

Mitochondrion. 2019 Jul;47:309-317. doi: 10.1016/j.mito.2019.02.006. Epub 2019 Mar 1.

DOI:10.1016/j.mito.2019.02.006
PMID:30831263
Abstract

Mitochondrial diseases (MD) are a group of rare inherited disorders, characterized by phenotypic heterogeneity, with hitherto no effective therapeutic options. The aim of this study was to develop a next generation sequencing (NGS) strategy, by using a custom gene panel and whole mitochondrial genome, to identify the disease causing pathogenic variants in 146 patients suspicious of MD. The molecular analysis of this cohort revealed six novel and 15 described pathogenic variants, as well as 26 variants of unknown significance. Our findings are expanding the mutational landscape of these disorders and support the use of a NGS strategy for a higher diagnostic yield.

摘要

线粒体疾病(MD)是一组罕见的遗传性疾病,表现出表型异质性,迄今尚无有效的治疗选择。本研究的目的是开发一种下一代测序(NGS)策略,使用定制的基因面板和整个线粒体基因组,以鉴定 146 名疑似 MD 患者的致病致病性变异。该队列的分子分析揭示了六个新的和 15 个描述的致病性变异,以及 26 个意义不明的变异。我们的发现扩大了这些疾病的突变景观,并支持使用 NGS 策略获得更高的诊断率。

相似文献

1
Targeted next generation sequencing identifies novel pathogenic variants and provides molecular diagnoses in a cohort of pediatric and adult patients with unexplained mitochondrial dysfunction.靶向下一代测序在一组不明原因的线粒体功能障碍的儿科和成年患者中鉴定出新型致病性变异体,并提供分子诊断。
Mitochondrion. 2019 Jul;47:309-317. doi: 10.1016/j.mito.2019.02.006. Epub 2019 Mar 1.
2
Targeted next generation sequencing with an extended gene panel does not impact variant detection in mitochondrial diseases.使用扩展基因 panel 的靶向二代测序不会影响线粒体疾病中的变异检测。
BMC Med Genet. 2018 Apr 7;19(1):57. doi: 10.1186/s12881-018-0568-y.
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The development of next-generation sequencing assays for the mitochondrial genome and 108 nuclear genes associated with mitochondrial disorders.开发与线粒体疾病相关的下一代测序检测方法,包括线粒体基因组和 108 个核基因。
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Panel-Based Nuclear and Mitochondrial Next-Generation Sequencing Outcomes of an Ethnically Diverse Pediatric Patient Cohort with Mitochondrial Disease.基于panel 的核和线粒体新一代测序在一个具有线粒体疾病的多种族儿科患者队列中的结果。
J Mol Diagn. 2019 May;21(3):503-513. doi: 10.1016/j.jmoldx.2019.02.002. Epub 2019 Mar 11.
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Molecular diagnosis of inherited peripheral neuropathies by targeted next-generation sequencing: molecular spectrum delineation.通过靶向新一代测序对遗传性周围神经病进行分子诊断:分子谱的描绘
BMJ Open. 2018 Oct 28;8(10):e021632. doi: 10.1136/bmjopen-2018-021632.
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Transition to next generation analysis of the whole mitochondrial genome: a summary of molecular defects.过渡到下一代线粒体基因组全分析:分子缺陷综述。
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Mitochondrial and nuclear disease panel (Mito-aND-Panel): Combined sequencing of mitochondrial and nuclear DNA by a cost-effective and sensitive NGS-based method.线粒体与核疾病检测组合(Mito-aND-Panel):采用一种经济高效且灵敏的基于二代测序(NGS)的方法对线粒体DNA和核DNA进行联合测序。
Mol Genet Genomic Med. 2018 Nov;6(6):1188-1198. doi: 10.1002/mgg3.500. Epub 2018 Nov 8.
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Next-generation sequencing using a pre-designed gene panel for the molecular diagnosis of congenital disorders in pediatric patients.使用预先设计的基因检测板进行下一代测序,用于儿科患者先天性疾病的分子诊断。
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Validation and clinical performance of a combined nuclear-mitochondrial next-generation sequencing and copy number variant analysis panel in a Canadian population.加拿大人群中联合核-线粒体下一代测序和拷贝数变异分析面板的验证和临床性能。
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New genes and pathomechanisms in mitochondrial disorders unraveled by NGS technologies.通过NGS技术揭示的线粒体疾病中的新基因和发病机制
Biochim Biophys Acta. 2016 Aug;1857(8):1326-1335. doi: 10.1016/j.bbabio.2016.02.022. Epub 2016 Mar 8.

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