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采用全外显子组测序技术对原发性免疫缺陷患者进行基因筛查。

Genetic Screening of the Patients with Primary Immunodeficiency by Whole-Exome Sequencing.

机构信息

Department of Molecular Biology and Genetics, Istınye University, Istanbul, Turkey.

Institute of Child Health, Hacettepe University, Ankara, Turkey.

出版信息

Pediatr Allergy Immunol Pulmonol. 2020 Mar;33(1):19-24. doi: 10.1089/ped.2019.1097. Epub 2020 Feb 25.

DOI:10.1089/ped.2019.1097
PMID:33406023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7875111/
Abstract

Primary immunodeficiencies (PIDs) are a heterogeneous group of congenital disorders characterized by susceptibility to recurrent infections, allergy, malignancies and autoimmunity. The identification of disease-causing genetic defects is critically important for treatment options. In last decade, next-generation sequencing (NGS)-based methods has enabled the rapid genetic screening and the discovery of new genetic defects in PIDs. In this study, we investigated causative mutations in patients with PID by NGS. We applied whole-exome sequencing in 8 PID patients. Detected mutations by NGS were validated by Sanger sequencing. We made a genetic diagnosis in 5 of 8 (63%) patients, including 3 novel disease-causing variants. The identified mutations were found in , , , , and genes. Our results show that whole-exome sequencing can facilitate the genetic diagnosis of the patients with PID.

摘要

原发性免疫缺陷病(PID)是一组异质性先天性疾病,其特征为易发生反复感染、过敏、恶性肿瘤和自身免疫。明确致病基因缺陷对于治疗选择至关重要。在过去十年中,基于下一代测序(NGS)的方法已实现 PID 的快速基因筛查和新基因缺陷的发现。在本研究中,我们通过 NGS 研究 PID 患者的致病突变。我们对 8 例 PID 患者进行了全外显子组测序。通过 NGS 检测到的突变通过 Sanger 测序进行验证。我们对 8 例患者中的 5 例(63%)进行了遗传诊断,包括 3 种新的致病变异。所鉴定的突变位于 、 、 、 和 基因中。我们的结果表明,全外显子组测序可促进 PID 患者的基因诊断。

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本文引用的文献

1
Exome sequencing in routine diagnostics: a generic test for 254 patients with primary immunodeficiencies.外显子组测序在常规诊断中的应用:对 254 例原发性免疫缺陷患者的通用检测。
Genome Med. 2019 Jun 17;11(1):38. doi: 10.1186/s13073-019-0649-3.
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The European Society for Immunodeficiencies (ESID) Registry Working Definitions for the Clinical Diagnosis of Inborn Errors of Immunity.欧洲免疫缺陷学会(ESID)用于免疫固有性疾病临床诊断的注册工作定义。
J Allergy Clin Immunol Pract. 2019 Jul-Aug;7(6):1763-1770. doi: 10.1016/j.jaip.2019.02.004. Epub 2019 Feb 15.
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Comprehensive Genetic Results for Primary Immunodeficiency Disorders in a Highly Consanguineous Population.高度近亲婚配人群原发性免疫缺陷病的全面遗传学结果。
Front Immunol. 2019 Jan 15;9:3146. doi: 10.3389/fimmu.2018.03146. eCollection 2018.
4
Clinical implications of systematic phenotyping and exome sequencing in patients with primary antibody deficiency.原发性抗体缺陷症患者的系统表型分析和外显子组测序的临床意义。
Genet Med. 2019 Jan;21(1):243-251. doi: 10.1038/s41436-018-0012-x. Epub 2018 Jun 19.
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The Utility of Next-Generation Sequencing for Primary Immunodeficiency Disorders: Experience from a Clinical Diagnostic Laboratory.下一代测序在原发性免疫缺陷疾病中的应用:来自临床诊断实验室的经验。
Biomed Res Int. 2018 May 16;2018:9647253. doi: 10.1155/2018/9647253. eCollection 2018.
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The 2017 IUIS Phenotypic Classification for Primary Immunodeficiencies.2017 年国际免疫学会联合会原发性免疫缺陷病表型分类
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