Department of Neurology, National Neuroscience Institute, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
Department of Clinical Translational Research, Singapore General Hospital, Bukit Merah, Singapore, Singapore.
Curr Neurol Neurosci Rep. 2019 Jun 11;19(7):48. doi: 10.1007/s11910-019-0958-3.
Recent advancements in next-generation sequencing (NGS) have enabled techniques such as whole exome sequencing (WES) and whole genome sequencing (WGS) to be used to study paroxysmal movement disorders (PMDs). This review summarizes how the recent genetic advances have altered our understanding of the pathophysiology and treatment of the PMDs. Recently described disease entities are also discussed.
With the recognition of the phenotypic and genotypic heterogeneity that occurs amongst the PMDs, an increasing number of gene mutations are now implicated to cause the disorders. PMDs can also occur as part of a complex phenotype. The increasing complexity of PMDs challenges the way we view and classify them. The identification of new causative genes and their genotype-phenotype correlation will shed more light on the underlying pathophysiology and will facilitate development of genetic testing guidelines and identification of novel drug targets for PMDs.
新一代测序(NGS)技术的最新进展使得全外显子组测序(WES)和全基因组测序(WGS)等技术得以用于研究阵发性运动障碍(PMD)。本综述总结了最近的遗传进展如何改变了我们对 PMD 病理生理学和治疗的理解。还讨论了最近描述的疾病实体。
随着对 PMD 中出现的表型和基因型异质性的认识,越来越多的基因突变被认为可导致这些疾病。PMD 也可能作为复杂表型的一部分出现。PMD 日益复杂的情况对我们观察和分类它们的方式提出了挑战。新的致病基因的鉴定及其基因型-表型相关性将更深入地揭示潜在的病理生理学,并有助于制定 PMD 的遗传检测指南和确定新的药物靶点。