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在土耳其患有不明原因发育迟缓/智力障碍 (ID)、自闭症谱系障碍和/或多发性先天畸形以及新临床发现的患者中,染色体微阵列分析的诊断产量。

Diagnostic yield of the chromosomal microarray analysis in turkish patients with unexplained development delay/ıntellectual disability(ID), autism spectrum disorders and/or multiple congenital anomalies and new clinical findings.

机构信息

Department of Medical Genetics, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye.

Department of Medical Genetics, Ministry of Health Haseki Training and Research Hospital, Istanbul, Türkiye.

出版信息

Mol Biol Rep. 2024 Apr 25;51(1):577. doi: 10.1007/s11033-024-09545-y.

DOI:10.1007/s11033-024-09545-y
PMID:38664339
Abstract

BACKGROUND

Chromosomal microarray analysis is an essential tool for copy number variants detection in patients with unexplained developmental delay/intellectual disability, autism spectrum disorders, and multiple congenital anomalies. The study aims to determine the clinical significance of chromosomal microarray analysis in this patient group. Another crucial aspect is the evaluation of copy number variants detected in terms of the diagnosis of patients.

METHODS AND RESULTS

A Chromosomal microarray analysis was was conducted on a total of 1227 patients and phenotype-associated etiological diagnosis was established in 135 patients. Phenotype-associated copy number variants were detected in 11% of patients. Among these, 77 patients 77 (57%, 77/135) were diagnosed with well-recognized genetic syndromes and phenotype-associated copy number variants were found in 58 patients (42.9%, 58/135). The study was designed to collect data of patients in Kocaeli Derince Training and Research Hospital retrospectively. In our study, we examined 135 cases with clinically significant copy number variability among all patients.

CONCLUSIONS

In this study, chromosomal microarray analysis revealed pathogenic de novo copy number variants with new clinical features. Chromosomal microarray analysis in the Turkish population has been reported in the largest patient cohort to date.

摘要

背景

染色体微阵列分析是检测不明原因发育迟缓/智力障碍、自闭症谱系障碍和多发先天性畸形患者拷贝数变异的重要工具。本研究旨在确定染色体微阵列分析在该患者群体中的临床意义。另一个关键方面是评估所检测到的拷贝数变异对患者诊断的意义。

方法和结果

对总共 1227 名患者进行了染色体微阵列分析,并在 135 名患者中建立了表型相关的病因诊断。在 11%的患者中检测到与表型相关的拷贝数变异。其中,77 名患者(57%,77/135)被诊断为公认的遗传综合征,在 58 名患者(42.9%,58/135)中发现了与表型相关的拷贝数变异。本研究旨在回顾性收集科贾埃利德润奇培训与研究医院患者的数据。在本研究中,我们在所有患者中检查了 135 例具有明显临床意义的拷贝数可变性的病例。

结论

在这项研究中,染色体微阵列分析揭示了具有新临床特征的致病性新生拷贝数变异。迄今为止,在土耳其人群中已报告了最大的患者队列的染色体微阵列分析。

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Array-Based Comparative Genomic Hybridization Analysis in Children with Developmental Delay/Intellectual Disability.发育迟缓/智力残疾儿童的基于阵列的比较基因组杂交分析
Balkan J Med Genet. 2022 Jun 5;24(2):15-24. doi: 10.2478/bjmg-2021-0020. eCollection 2021 Nov.
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Identification of copy number variants in children and adolescents with autism spectrum disorder: a study from Turkey.自闭症谱系障碍儿童和青少年中拷贝数变异的鉴定:一项来自土耳其的研究。
Mol Biol Rep. 2021 Nov;48(11):7371-7378. doi: 10.1007/s11033-021-06745-8. Epub 2021 Oct 12.
3
Addendum: Array-based technology and recommendations for utilization in medical genetics practice for detection of chromosomal abnormalities.
附录:基于阵列的技术及其在医学遗传学实践中检测染色体异常的应用建议。
Genet Med. 2020 Dec;22(12):2126. doi: 10.1038/s41436-020-0848-8. Epub 2020 Jun 8.
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Molecular Diagnosis of Craniosynostosis Using Targeted Next-Generation Sequencing.应用靶向二代测序进行颅缝早闭的分子诊断。
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Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen).《常染色体拷贝数变异解释和报告的技术标准:美国医学遗传学与基因组学学会(ACMG)与临床基因组资源(ClinGen)的联合共识推荐》
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Maternally inherited MAF variant associated with variable expression of Aymé-Gripp syndrome.与 Aymé-Gripp 综合征可变表达相关的母系遗传 MAF 变异体。
Am J Med Genet A. 2019 Nov;179(11):2233-2236. doi: 10.1002/ajmg.a.61299. Epub 2019 Aug 7.
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Importance and usage of chromosomal microarray analysis in diagnosing intellectual disability, global developmental delay, and autism; and discovering new loci for these disorders.染色体微阵列分析在诊断智力障碍、全面发育迟缓及自闭症以及发现这些疾病新基因座方面的重要性和应用。
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