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采用新一代测序方法评估心肌病相关靶基因并研究表型-基因型关系

Evaluation of Cardiomyopathy-Related Target Genes by Next-Generation Sequencing Method and Investigation of the Phenotype-Genotype Relationship.

作者信息

Sezginer Guler Hazal, Zhuri Drenushe, Yalcintepe Sinem, Altay Servet, Deveci Murat, Demir Selma, Gurlertop Hanefi Yekta, Atli Engin, Atli Emine İkbal, Gurkan Hakan

机构信息

Departmant of Medical Genetics, Faculty of Medicine, Trakya University, Edirne, Turkey.

Departmant of Cardiology, Faculty of Medicine, Trakya University, Edirne, Turkey.

出版信息

Mol Syndromol. 2025 May;16(3):235-246. doi: 10.1159/000542097. Epub 2024 Nov 26.

Abstract

BACKGROUND

Primary heart muscle diseases called cardiomyopathy (CMP) constitute an important group of subsequent heart disorders. CMPs are basically divided into four subgroups associated with the heart muscle but clinically distinguishable: hypertrophic CMP (HCM), dilated CMP (DCM), restrictive CMP (RCM), and left ventricular non-compaction CMP.

MATERIAL AND METHODS

The results of the patients who applied to the Genetic Diseases Evaluation Center with the preliminary diagnosis of clinical CMP were evaluated retrospectively in the current study. In the current study, 103 cases were included and evaluated for phenotype-genotype association with the CMP next-generation sequencing (NGS) panel.

RESULTS

Fifty-eight different variants were identified in 45 patients. Sixteen out of those 58 variants were novel. Of these variants, 19 (32.75%) were likely pathogenic (LP)/pathogenic (P), and 35 (60.34%) were variants of uncertain significance.

CONCLUSION

The prevalence of pathogenic variants in target genes associated with CMP is important for our current country's population, and multiple gene groups associated with CMP can be screened through NGS. The contribution rate to the clinical diagnosis was 18.44% in terms of the individual population who applied to our medical genetics center and were compatible with the CMP indication.

摘要

背景

原发性心肌疾病即心肌病(CMP)是继发心脏疾病的一个重要类别。心肌病基本上分为与心肌相关但在临床上可区分的四个亚组:肥厚型心肌病(HCM)、扩张型心肌病(DCM)、限制型心肌病(RCM)和左心室心肌致密化不全心肌病。

材料与方法

在本研究中,对初步诊断为临床心肌病并前往遗传疾病评估中心就诊的患者结果进行回顾性评估。本研究纳入了103例病例,并使用心肌病下一代测序(NGS) panel对表型 - 基因型关联进行评估。

结果

在45例患者中鉴定出58种不同的变异。其中16种变异是新发现的。在这些变异中,19种(32.75%)可能致病(LP)/致病(P),35种(60.34%)是意义未明的变异。

结论

与心肌病相关的靶基因中致病变异的患病率对我国当前人群很重要,并且可以通过NGS筛查与心肌病相关的多个基因组。对于申请到我们医学遗传学中心且符合心肌病指征的个体人群,临床诊断的贡献率为18.44%。

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