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通过多平台基因检测对26例产前骨骼发育异常病例的系列分析。

Analysis of a Series of 26 Cases With Prenatal Skeletal Dysplasia via Multiplatform Genetic Detection.

作者信息

Cui Li-Min, Hu Hua-Ying, Zhai Xiao-Mei, Qi Ming-Fei, Liu Yan-Ming, Han Cong-Ying, Zhang Jing, Shen Ming, Xiang Yu-Lan, Chen Wen-Qi, Yang Kai, Zhang Dong-Liang, Xing Huan-Xia

机构信息

Prenatal Diagnosis Center, Langfang Maternal and Child Health Care Hospital, Langfang, Hebei, China.

Birth Defects Prevention and Control Technology Research Center, Medical Innovation Research Division of Chinese PLA General Hospital, Beijing, China.

出版信息

Mol Genet Genomic Med. 2025 Jan;13(1):e70062. doi: 10.1002/mgg3.70062.

Abstract

BACKGROUND

Skeletal dysplasia (SD) represents a series of highly heterogeneous congenital genetic diseases affecting the human skeletal system. Refined genetic diagnosis is helpful for the accurate diagnosis and prognosis evaluation of SDs.

MATERIALS AND METHODS

In this study, we recruited 26 cases of SD and analyzed them with a designed sequential genetic detection. Chromosome karyotyping, microarray analysis (CMA), and whole exome sequencing (WES) techniques are performed as needed. Sanger sequencing and fluorescent quantitative PCR (QF-PCR) were used as validation methods.

RESULTS

A total of 16 cases (61.5%, 16/26) received positive results at various levels of testing, including one trisomy 18, four copy number variations (CNVs), and 11 sequence variations. Additionally, four novel SD-related sequence mutations were detected in this study.

CONCLUSION

Our findings provide conclusive evidence for genetic counseling of corresponding families and expand the mutation spectrum of SD. In addition, this study demonstrates that a strategy sequentially including various genetic techniques contributes to the diagnosis of highly heterogeneous genetic disorders such as SD.

摘要

背景

骨骼发育异常(SD)是一系列影响人类骨骼系统的高度异质性先天性遗传疾病。精确的基因诊断有助于SD的准确诊断和预后评估。

材料与方法

在本研究中,我们招募了26例SD患者,并采用设计好的序贯基因检测方法对其进行分析。根据需要进行染色体核型分析、微阵列分析(CMA)和全外显子组测序(WES)技术。使用桑格测序和荧光定量PCR(QF-PCR)作为验证方法。

结果

共有16例(61.5%,16/26)在不同检测水平获得阳性结果,包括1例18三体、4例拷贝数变异(CNV)和11例序列变异。此外,本研究还检测到4个与SD相关新的序列突变。

结论

我们的研究结果为相应家庭的遗传咨询提供了确凿证据,并扩展了SD的突变谱。此外,本研究表明,依次采用多种基因技术的策略有助于诊断如SD这类高度异质性的遗传疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6691/11744476/4ca3b1bc8d0b/MGG3-13-e70062-g002.jpg

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