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脊髓性肌萎缩症在韩国大规模人群中的携带频率。

Carrier Frequency of Spinal Muscular Atrophy in a Large-scale Korean Population.

机构信息

Department of Laboratory Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Center for Clinical Medicine, Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Korea.

出版信息

Ann Lab Med. 2020 Jul;40(4):326-330. doi: 10.3343/alm.2020.40.4.326.

DOI:10.3343/alm.2020.40.4.326
PMID:32067433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7054693/
Abstract

Spinal muscular atrophy (SMA) is an autosomal recessive disease characterized by progressive proximal muscle weakness and atrophy. Given the recent introduction of gene therapies, knowledge of the SMA carrier frequency in various populations has become important for developing screening programs for this disease. In total, 1,581 anonymous DNA samples from an umbilical cord blood bank were tested for and gene copies using a multiplex ligation-dependent probe amplification assay. Twenty-nine of the 1,581 newborns [1.83%; 95% confidence interval (CI), 1.25-2.66%] were SMA carriers with one copy of , and no homozygous deletion was detected. The carrier frequency in this population was estimated to be 1,834 per 100,000 (95% CI, 1,254-2,659) or 1 in 55 (95% CI, 1/79-1/38). Our data indicate that SMA carriers are not uncommon in the Korean population and may serve as a reference for designing a population screening program in Korea.

摘要

脊髓性肌萎缩症(SMA)是一种常染色体隐性疾病,其特征是进行性近端肌肉无力和萎缩。鉴于最近引入了基因疗法,因此了解各种人群中的 SMA 携带者频率对于开发该疾病的筛查计划变得很重要。总共使用多重连接依赖性探针扩增测定法对脐带血库的 1581 个匿名 DNA 样本进行了 和 基因拷贝的检测。在 1581 名新生儿中,有 29 名(1.83%;95%置信区间[CI],1.25-2.66%)为 SMA 携带者,他们各携带一条 ,未检测到纯合 的缺失。该人群中的携带者频率估计为每 100,000 人中有 1834 人(95%CI,1254-2659),即 1/55(95%CI,1/79-1/38)。我们的数据表明,SMA 携带者在韩国人群中并不罕见,可为韩国设计人群筛查计划提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9739/7054693/f6ed0f8e0a98/alm-40-326-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9739/7054693/f6ed0f8e0a98/alm-40-326-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9739/7054693/f6ed0f8e0a98/alm-40-326-g001.jpg

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本文引用的文献

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Population genomic screening of all young adults in a health-care system: a cost-effectiveness analysis.对医疗体系中所有年轻人进行群体基因组筛查:成本效益分析。
Genet Med. 2019 Sep;21(9):1958-1968. doi: 10.1038/s41436-019-0457-6. Epub 2019 Feb 18.
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Nusinersen versus Sham Control in Infantile-Onset Spinal Muscular Atrophy.
对32416名孕妇和7231名孕前女性进行脊髓性肌萎缩症携带者筛查结果分析。
Front Neurol. 2024 Apr 9;15:1357476. doi: 10.3389/fneur.2024.1357476. eCollection 2024.
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Carrier screening for spinal muscular atrophy in 22913 Chinese reproductive age women.对 22913 名中国育龄期妇女进行脊髓性肌萎缩症携带者筛查。
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Recommendations for Interpreting and Reporting Silent Carrier and Disease-Modifying Variants in SMA Testing Workflows.脊髓性肌萎缩症检测工作流程中无症状携带者和疾病修饰变异体的解读和报告建议。
Genes (Basel). 2022 Sep 15;13(9):1657. doi: 10.3390/genes13091657.
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Spinal muscular atrophy carrier frequency in Saudi Arabia.沙特阿拉伯的脊髓性肌萎缩症携带者频率。
Mol Genet Genomic Med. 2022 Nov;10(11):e2049. doi: 10.1002/mgg3.2049. Epub 2022 Sep 5.
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Detection of Spinal Muscular Atrophy Using a Duplexed Real-Time PCR Approach With Locked Nucleic Acid-Modified Primers.采用锁核酸修饰引物的双重实时 PCR 方法检测脊髓性肌萎缩症。
Ann Lab Med. 2021 Jan;41(1):101-107. doi: 10.3343/alm.2021.41.1.101. Epub 2020 Aug 25.
依库珠单抗治疗婴儿型脊髓性肌萎缩症的疗效观察
N Engl J Med. 2017 Nov 2;377(18):1723-1732. doi: 10.1056/NEJMoa1702752.
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