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在沙特阿拉伯人群中常见疾病相关的基因变异。

Common disease-associated gene variants in a Saudi Arabian population.

机构信息

From the Division of Translational Pathology, Department of Laboratory Medicine, King Abdulaziz Medical City.

From the Department of Molecular Genetics, Public Health Laboratory, Public Health Authority, Riyadh.

出版信息

Ann Saudi Med. 2022 Jan-Feb;42(1):29-35. doi: 10.5144/0256-4947.2022.29. Epub 2022 Feb 3.

Abstract

BACKGROUND

Screening programs for the most prevalent conditions occurring in a country is an evidence-based prevention strategy. The burden of autosomal recessive disease variations in Saudi Arabia is high because of the highly consanguineous population. The optimal solution for estimating the carrier frequency of the most prevalent diseases is carrier screening.

OBJECTIVES

Identify the most influential recessive alleles associated with disease in the Saudi population.

DESIGN

We used clinical whole-exome sequencing data from an in-house familial database to evaluate the most prevalent genetic variations associated with disease in a Saudi population.

SETTINGS

King Abdullah International Medical Research Center (KAIMRC) and King Abdulaziz Medical City.

METHODS

Whole exome sequencing data obtained from clinical studies of family members, a cohort of 1314 affected and unaffected individuals, were filtered using the in-house pipeline to extract the most prevalent variant in the dataset.

MAIN OUTCOME MEASURES

Most prevalent genetic variations associated with disease in the Saudi population.

SAMPLE SIZE

1314 affected and unaffected individuals.

RESULTS

We identified 37 autosomal recessive variants and two heterozygous X-linked variants in 35 genes associated with the most prevalent disorders, which included hematologic (32%), endocrine (21%), metabolic (11%) and immunological (10%) diseases.

CONCLUSION

This study provides an update of the most frequently occurring alleles, which support future carrier screening programs.

LIMITATIONS

Single center that might represent the different regions but may be biased. In addition, most of the families included in the database are part of the proband's genetic identification for specific phenotypes.

CONFLICT OF INTEREST

None.

摘要

背景

在一个国家,对最常见疾病进行筛查是基于证据的预防策略。由于沙特人口高度近亲结婚,常染色体隐性疾病变异的负担很高。估计最常见疾病携带者频率的最佳解决方案是携带者筛查。

目的

确定与沙特人群疾病相关的最具影响力的隐性等位基因。

设计

我们使用来自内部家族数据库的临床全外显子组测序数据,评估与沙特人群疾病相关的最常见遗传变异。

设置

阿卜杜拉国王国际医学研究中心(KAIMRC)和阿卜杜勒阿齐兹国王医疗城。

方法

从家庭成员的临床研究中获得全外显子组测序数据,使用内部管道对 1314 名受影响和未受影响的个体进行过滤,以从数据集中提取最常见的变体。

主要观察结果

与沙特人群疾病相关的最常见遗传变异。

样本量

1314 名受影响和未受影响的个体。

结果

我们在 35 个基因中确定了 37 个常染色体隐性变异和两个杂合 X 连锁变异与最常见疾病相关,包括血液学(32%)、内分泌(21%)、代谢(11%)和免疫(10%)疾病。

结论

本研究提供了最常发生的等位基因的最新信息,支持未来的携带者筛查计划。

局限性

可能代表不同地区的单中心,但可能存在偏差。此外,数据库中包含的大多数家庭都是为特定表型对先证者进行基因鉴定的一部分。

利益冲突

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed2/8812157/6200afcde2bc/0256-4947.2022.29-fig1.jpg

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