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外显子组测序在罕见遗传病诊断中的应用。

Implementation of Exome Sequencing to Identify Rare Genetic Diseases.

机构信息

Department of Medical Genetics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Enteric Disease Division, Department of Microbiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Methods Mol Biol. 2024;2719:79-98. doi: 10.1007/978-1-0716-3461-5_5.

Abstract

Modern high-throughput genomic testing using next-generation sequencing (NGS) has led to a significant increase in the successful diagnosis of rare genetic disorders. Recent advances in NGS tools and techniques have led to accurate and timely diagnosis of a large proportion of genetic diseases by finding sequence variations in clinical samples. One of the NGS techniques, exome sequencing (ES), is considered as a powerful and easily approachable method for genetic disorders in terms of rapid and cost-effective diagnostic yields. In this chapter, we describe an overview of whole exome sequencing (ES) in the context of experimental and analytical methodologies. Approaches to ES include sequencing capture technique, quality control processes at various stages of sequencing analysis, exome data filtering strategy that incorporates both primary and secondary filtering, and prioritization of candidate variants in diagnosing genetic diseases.

摘要

利用下一代测序(NGS)进行的现代高通量基因组检测,大大提高了罕见遗传疾病的诊断成功率。NGS 工具和技术的最新进展,通过在临床样本中发现序列变异,实现了大部分遗传疾病的准确、及时诊断。NGS 技术之一,外显子组测序(ES),被认为是一种快速且具有成本效益的诊断方法,在遗传疾病诊断方面具有强大且易于实现的优势。在本章中,我们将描述外显子组测序(ES)在实验和分析方法方面的概述。ES 的方法包括测序捕获技术、测序分析各个阶段的质量控制流程、包含一级和二级过滤的外显子数据过滤策略,以及候选变异在诊断遗传疾病中的优先级排序。

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