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Progress on plant parthenogenesis: promoting the application of synthetic apomixis. 植物孤雌生殖研究进展:促进合成无融合生殖的应用。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-313
Ya-Jie Ji, Jie Xiong, Xian-Jin Qiu, Ke-Jian Wang

Apomixis is a form of asexual reproduction in plants where embryos and clone seeds are formed directly without meiosis and fertilization. The progenies generated through apomixis are genetically identical to the maternal plants, and the genotypes does not change across generations, and the phenotypes do not undergo segregation. Successful introduction of apomixis into major crops and permanent, can achieve the permanent fixation of crop heterosis, will resulting in significant economic benefits. Parthenogenesis constitutes a pivotal component in artificial apomixis, facilitating the transition from sexual reproduction to unisexual reproduction. In this review, we summarize the recent studies on plant parthenogenesis genes, and provide an overview of the application in haploid breeding and apomixis system. This contributes to a deeper and comprehensive understanding of parthenogenesis, offering important references for its application in apomixis.

无融合生殖是植物的一种无性生殖形式,在没有减数分裂和受精的情况下直接形成胚胎和无性系种子。无融合产生的后代与母株遗传相同,基因型不发生代际变化,表型不发生分离。成功地将无融合生殖引入主要作物并永久化,可实现作物杂种优势的永久固定,将产生显著的经济效益。孤雌生殖是人工无融合生殖的关键组成部分,促进了有性生殖向单性生殖的过渡。本文综述了近年来植物孤雌生殖基因的研究进展,并对其在单倍体育种和无融合生殖系统中的应用进行了综述。这有助于更深入、更全面地了解孤雌生殖,为其在无融合生殖中的应用提供重要参考。
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引用次数: 0
The role of cis-regulatory elements in the determination and transformation of muscle fiber type in animal skeletal muscles. 顺式调控元件在动物骨骼肌肌纤维类型的确定和转化中的作用。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-239
Jing Luo, Kai-Ying Lei, Song Shi, Xiao-Li Xu, Xue-Liang Sun, Mei-Jun Song, Hong-Ping Zhang, Li Li

Muscle fibers are the fundamental units of skeletal muscle. Based on contraction speed and metabolic properties, muscle fibers are categorized into fast-twitch and slow-twitch fibers. Further subdivision based on MyHC gene isoforms identifies them as type I, IIA, IIB, and IIX fibers. There is potential for interconversion among these muscle fiber types. The proportions of different muscle fibers determine muscle functional properties and affect muscle quality. Compared with muscles mainly harboring fast-twitch fibers, muscles predominantly composed of slow-twitch fibers are characterized by enhanced water-holding capacity, tenderness, and superior flavor. During the formation and transformation of animal skeletal muscle fibers, the expression of a series of muscle-specific genes is precisely regulated by cis-regulatory elements. These cis-regulatory elements achieve precise regulation of the target genes through interactions with transcription factors and other regulatory proteins, thereby ensuring the formation and transformation of muscle fibers. Based on introducing the types and characteristics of muscle fibers, we summarize and prospect the role of the transcription factors and cis-regulatory elements in the formation and transformation of fast-twitch and slow-twitch muscle fibers in livestock. The aim of this review is to deepen the understanding of the relationship between gene expression regulation and muscle fiber diversity, and to provide theoretical support for the improvement of meat quality in livestock.

肌纤维是骨骼肌的基本单位。根据收缩速度和代谢特性,肌纤维分为快肌纤维和慢肌纤维。根据MyHC基因同工型进一步细分为I型、IIA型、IIB型和IIX型纤维。这些肌纤维类型之间有相互转化的潜力。不同肌纤维的比例决定肌肉的功能特性,影响肌肉质量。与主要含有快肌纤维的肌肉相比,主要由慢肌纤维组成的肌肉具有更强的保水性、柔软性和更好的风味。在动物骨骼肌纤维的形成和转化过程中,一系列肌肉特异性基因的表达受到顺式调控元件的精确调控。这些顺式调控元件通过与转录因子和其他调控蛋白的相互作用,实现对靶基因的精确调控,从而保证肌纤维的形成和转化。在介绍肌纤维的种类和特点的基础上,对家畜快肌纤维和慢肌纤维形成和转化过程中转录因子和顺式调控元件的作用进行了总结和展望。本文旨在加深对基因表达调控与肌纤维多样性关系的认识,为提高畜禽肉质提供理论支持。
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引用次数: 0
Identification of PANoptosis-related lncRNAs in hepatocellular carcinoma based on bioinformatics and construction of a prognostic model. 基于生物信息学的肝细胞癌panopatosis相关lncrna的鉴定及预后模型的构建
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-208
Rui He, Xiu-Juan Zheng, Ning-Ning Wang, Xu-Ying Li, Ming-Qi Li, Shi-Jing Nian, Ke-Wei Wang

PANoptosis, a novel form of pro-inflammatory programmed cell death, plays a role in the progression of various cancers. However, its mechanisms in hepatocellular carcinoma (HCC) remain unclear. Recent studies have highlighted the critical role of long non-coding RNAs (lncRNAs) in the development and progression of multiple cancers. In this study, we retrieve HCC datasets from the TCGA and GEO databases. We identify PANoptosis-related lncRNAs through correlation analysis based on HCC datasets and previous research. Consistent clustering analysis reveals two distinct subtypes of HCC patients: Cluster 1 and Cluster 2. Compared with the Cluster 2 subtype, Cluster 1 shows a better prognosis and higher levels of immune infiltration. We then perform a Lasso-Cox regression analysis of PANoptosis-related lncRNAs to construct a risk assessment model for predicting the prognosis of HCC patients. Kaplan-Meier analysis indicates that patients in the low-risk group have higher survival rates, while ROC (receiver operating characteristic curve) and calibration curves demonstrate the model's good predictive performance. These findings provide deeper insights into the critical role of PANoptosis-related lncRNAs in developing HCC, offering potential biomarkers and therapeutic targets for future HCC treatment.

PANoptosis是一种新的促炎性程序性细胞死亡形式,在多种癌症的进展中发挥作用。然而,其在肝细胞癌(HCC)中的机制尚不清楚。最近的研究强调了长链非编码rna (lncRNAs)在多种癌症发生和进展中的关键作用。在这项研究中,我们从TCGA和GEO数据库中检索HCC数据集。我们通过基于HCC数据集和先前研究的相关性分析,确定了panopatosis相关的lncrna。一致的聚类分析揭示了HCC患者的两个不同亚型:聚类1和聚类2。与Cluster 2亚型相比,Cluster 1亚型预后较好,免疫浸润水平较高。然后,我们对panoptosis相关lncrna进行Lasso-Cox回归分析,构建预测HCC患者预后的风险评估模型。Kaplan-Meier分析显示,低危组患者生存率较高,ROC (receiver operating characteristic curve)和校准曲线显示该模型具有较好的预测性能。这些发现为panoposis相关lncrna在HCC发展中的关键作用提供了更深入的见解,为未来HCC治疗提供了潜在的生物标志物和治疗靶点。
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引用次数: 0
Screening of Drosophila melanogaster RNA m6A modification pathway factors. 果蝇RNA m6A修饰途径因子的筛选。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-341
Shu-Yang Gao, Hou-Guang Lu, Yan-Hua Wang, Dong Yan

N6-methyladenosine (m6A), one of the most prevalent mRNA modifications, plays crucial roles during animal and plant development and in various physiological and pathological processes. Previous studies have characterized m6A methyltransferase complexes, demethylases, and m6A-binding proteins, but as a relatively new epitranscriptomic pathway, it is likely that new m6A components remain to be discovered. To explore the effects of m6A modification on tissues and organs, the m6A reader Ythdc1 was overexpressed in Drosophila melanogaster eye imaginal discs. Our results showed that overexpression of Ythdc1 leads to ectopic expression of Sxl in males, the rough eye in both males and females, and the activation of JNK signaling and apoptotic pathway. In order to screen m6A modifiers using the rough eye phenotype, a stable Drosophila strain overexpressing Ythdc1 was further constructed. By screening of more than 1,500 RNAi lines, several repressors and enhancers that may be involved in m6A modification were successfully identified. These genes are less studied in m6A pathway, and therefore we further verified them and conducted preliminary mechanistic analyses on them. In summary, this study identified multiple potential factors of the m6A modification pathway, expanded our understanding of the m6A modification network, and provided ideas and directions for exploring new regulatory mechanisms of this important pathway.

n6 -甲基腺苷(m6A)是最常见的mRNA修饰之一,在动植物发育和各种生理病理过程中起着至关重要的作用。先前的研究已经描述了m6A甲基转移酶复合物、去甲基化酶和m6A结合蛋白,但作为一种相对较新的表转录组学途径,m6A的新成分可能还有待发现。为了探讨m6A修饰对组织器官的影响,我们在黑腹果蝇眼成像盘中过表达m6A读取器Ythdc1。我们的研究结果表明,Ythdc1的过表达导致雄性Sxl异位表达,雄性和雌性粗眼,JNK信号通路和凋亡通路的激活。为了利用粗糙眼表型筛选m6A修饰因子,我们进一步构建了一个稳定的过表达Ythdc1的果蝇菌株。通过筛选超过1500个RNAi系,成功鉴定了可能参与m6A修饰的几种抑制子和增强子。这些基因在m6A通路中研究较少,因此我们进一步对其进行验证,并对其进行初步的机制分析。综上所述,本研究发现了m6A修饰通路的多个潜在因子,扩大了我们对m6A修饰网络的认识,为探索这一重要通路的新调控机制提供了思路和方向。
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引用次数: 0
Exploring the research hotspots and trends in genetic education reform. 探索遗传教育改革的研究热点和趋势。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-292
Yan Guo, Da-Jin Zhang, Dong-Li Zhu, Shan-Shan Dong, Tie-Lin Yang

Genetics, as a core discipline of life sciences, has broad applications in medicine, agriculture, and environmental protection. With the rapid development in biotechnology, genetic education is facing new challenges and demands. Traditional teaching models have gradually revealed limitations in cultivating students' innovative abilities, practical skills, and comprehensive qualities. To enhance the quality and effectiveness of genetic education, promoting educational reform has become a focal point for educators and researchers. This study employs bibliometric methods to comprehensively review and analyze 690 relevant publications on genetic education reform from 1986 to 2023, encompassing both domestic and international contexts. The analysis covers multiple dimensions, including the time distribution of publications, research topics, major research institutions and authors, and keyword co-occurrence. Results indicate a steady annual growth in research on genetic education reform. Keyword analysis reveals prominent themes such as "educational reform", "experimental education" and "medical genetics", focusing on innovative teaching methods and improving educational outcomes. High-output institutions are primarily found in the fields of agriculture and life sciences, particularly within agricultural universities and the life sciences of comprehensive universities. Here, we summarize the current state and development trends in genetic education reform, providing a scientific basis and reference for future research. This study will promote the innovative development of genetic education and cultivate more high-quality talents with innovative spirit and practical abilities.

遗传学作为生命科学的核心学科,在医学、农业、环境保护等领域有着广泛的应用。随着生物技术的飞速发展,遗传教育面临着新的挑战和要求。传统的教学模式在培养学生的创新能力、实践技能和综合素质方面逐渐显露出局限性。为了提高遗传教育的质量和效益,推进遗传教育改革已成为教育工作者和研究人员关注的焦点。本研究采用文献计量学方法,对1986 - 2023年690篇有关遗传教育改革的国内外文献进行了综合回顾和分析。分析涵盖了出版物的时间分布、研究课题、主要研究机构和作者、关键词共现等多个维度。结果表明,遗传教育改革的研究逐年稳步增长。关键词分析,突出“教育改革”、“实验教育”、“医学遗传学”等主题,注重创新教学方法,提高教学效果。高产出机构主要在农业和生命科学领域,特别是在农业大学和综合性大学的生命科学领域。在此,我们总结了遗传教育改革的现状和发展趋势,为今后的研究提供科学依据和参考。本研究将促进遗传教育的创新发展,培养更多具有创新精神和实践能力的高素质人才。
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引用次数: 0
Hematopoietic mosaic loss of Y chromosome: from population cohorts to pathogenic mechanisms. Y染色体造血镶嵌缺失:从人群队列到致病机制。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-211
Li-Na Zhu, Xu Wang, Xi-Han Guo

Mosaic loss of Y Chromosome (mLOY) refers to genetic mosaicism in males where some somatic cells have lost the Y chromosome (ChrY) while other cells remain their ChrY. mLOY is primarily found in the blood, not only because blood cells are easily accessible, but also because hematopoietic stem cells with LOY mutation gain competitive advantages, therefore producing a large number of LOY-positive blood cells via clonal hematopoiesis. Due to the specific structures, human ChrY is prone to be missegregated during mitosis, and driving by the germline variants, environmental insults and aging microenvironments, mLOY becomes the most commonly acquired age-related mutation in male genomes. Population-based cohort studies have shown that men with a certain degree of mLOY is associated with significantly reduced life expectancy and increased risks of cancer, Alzheimer's disease, cardiovascular diseases and among others. Recent studies using mouse models have further demonstrated that mLOY is a driving factor of leukemia and cardiovascular diseases. These findings suggest that mLOY not only provides a common genetic explanation for the occurrence of many chronic diseases in men, but also provides a new kernel for studying sex differences in human lifespan and disease risk. Here, we briefly summarize the findings from the population-based cohort studies on clonal hematopoiesis driven by LOY. Subsequently we sort out the risk factors of mLOY, methods for detecting mLOY and developing mLOY mouse models, and the potential mechanisms of mLOY in promoting a myriad of chronic diseases. Finally, we provide our own forward-looking perspectives for the future challenges and opportunities in mLOY. The findings from this review provide references for studying the biological role of Y chromosome and sex difference of chronic diseases.

Y染色体镶嵌缺失(Mosaic loss of Y Chromosome, mLOY)是指雄性染色体的镶嵌现象,即一些体细胞失去了Y染色体,而另一些细胞保留了Y染色体。mLOY主要存在于血液中,这不仅是因为血细胞容易获得,而且由于LOY突变的造血干细胞获得竞争优势,因此通过克隆造血产生大量LOY阳性血细胞。由于特殊的结构,人类ChrY在有丝分裂过程中容易发生错分离,并且在种系变异、环境损伤和衰老微环境的驱动下,mLOY成为男性基因组中最常见的获得性年龄相关突变。基于人群的队列研究表明,患有一定程度mLOY的男性与预期寿命显著缩短以及患癌症、阿尔茨海默病、心血管疾病等疾病的风险增加有关。最近的小鼠模型研究进一步证明mLOY是白血病和心血管疾病的驱动因子。这些发现表明,mLOY不仅为男性许多慢性疾病的发生提供了共同的遗传解释,而且为研究人类寿命和疾病风险的性别差异提供了新的内核。在这里,我们简要总结了基于人群的LOY驱动的克隆造血队列研究的结果。随后,我们梳理了mLOY的危险因素,mLOY的检测方法和mLOY小鼠模型的建立,以及mLOY促进多种慢性疾病的潜在机制。最后,我们对mLOY未来的挑战和机遇提出了自己的前瞻性观点。本文的研究结果为研究Y染色体的生物学作用和慢性疾病的性别差异提供了参考。
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引用次数: 0
Analysis of structure and function of phage community occurring in the abnormal fermentation of vinegar mash through virome sequencing. 利用病毒体测序技术分析醋醪异常发酵过程中噬菌体群落的结构和功能。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-226
Jia-Wen Ma, Xin-le Liang

In order to investigate the cues, which cause abnormal fermentation during the traditional Zhejiang rosy rice vinegar production, here, the Illumina Novaseq sequencing platform is adopted to decipher the abnormal phage community organization, structure, and related function annotation. The results show that the dominant viral families from the abnormal and the normal fermentation vinegar mash are inconsistency on known taxonomic identification information. Population network analysis and PCA (principal component analysis) indicate that the composition and structure of phage communities differ significantly between abnormal and normal fermentation vinegar mash. Only 3.29% VCs (viral clusters) simultaneously contain vOTUs (viral operational taxonomic units) from both fermentation situation. The abnormal phageome displays high network heterogeneity and dominant phage species at the genus level. Accompanied by the widespread distribution of phage-derived hydrolases that target bacterial cell wall, the lower proportion of lysogenic phages contributes to the phages of abnormal fermentation vinegar mash more inclined to lyse the hosts. Furthermore, the predicted bacterial host community coupling with the aberrant phage community is quite different from that in the normal vinegar fermentation. In conclusion, the abnormal structure and function of the phage community constitutes one of the primary reasons for the failure of traditional rosy vinegar fermentation. Phageome research has opened up a new approach for analyzing the causes of abnormal fermentation in traditional fermented foods as well as for regulating and transforming microbial communities.

为了探究浙江传统玫瑰色米醋生产过程中导致异常发酵的线索,本文采用Illumina Novaseq测序平台对异常噬菌体群落组织、结构进行解码,并进行相关功能注释。结果表明,异常发酵醋醪与正常发酵醋醪的优势病毒科在已知的分类鉴定信息上不一致。种群网络分析和主成分分析表明,正常发酵与异常发酵醋醪中噬菌体群落的组成和结构存在显著差异。只有3.29%的vc(病毒簇)同时含有两种发酵情况下的vOTUs(病毒操作分类单位)。异常噬菌体在属水平上表现出高度的网络异质性和优势噬菌体种。伴随着以细菌细胞壁为靶点的噬菌体衍生的水解酶的广泛分布,较低的溶原性噬菌体比例使得异常发酵的醋醪噬菌体更倾向于裂解宿主。此外,预测的与异常噬菌体群落耦合的细菌宿主群落与正常的醋发酵有很大的不同。综上所述,噬菌体群落的结构和功能异常是传统玫瑰红醋发酵失败的主要原因之一。噬菌体的研究为分析传统发酵食品中异常发酵的原因、调控和转化微生物群落开辟了新的途径。
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引用次数: 0
Application and research of genomic optical mapping technology in disease diagnosis. 基因组光学定位技术在疾病诊断中的应用与研究。
Q3 Medicine Pub Date : 2025-04-01 DOI: 10.16288/j.yczz.24-192
Jing Quan, Yan-Qun Xiao, Da-Ru Lu, Yun Bao

In the continuous progression of genomic research, an increasing number of investigations have revealed that structural variations (SVs) hold a vital role in human evolution and the pathogenesis of diseases. Consequently, SVs have attracted extensive attention within the realm of clinical research.In recent years, optical genome mapping (OGM), which represents a high-resolution, ultra-long-read, automated, non-sequencing genomic detection technique, has exhibited remarkable advantages in the exploration of structural variations. When compared with karyotyping, fluorescence in situ hybridization (FISH), chromosomal microarray analysis (CMA), and high-throughput sequencing technologies, OGM is capable of detecting structural and numerical aberrations throughout the entire genome in a single assay. These encompass aneuploidy, insertions, deletions, duplications, inversions, balanced translocations, and complex structural variations. With a detection resolution reaching as high as 500 bp, OGM is alternatively designated as the next-generation cytogenetic technology due to its high-resolution and long-fragment analysis capabilities. This endows it with substantial practical value in the detection of genomic structural variations. In this review, we comprehensively summarize the application of OGM methods in the detection of disease-related SVs, with the intention of providing valuable references and profound insights for SVs research, especially in the domain of disease diagnosis.

随着基因组研究的不断深入,越来越多的研究表明,结构变异(SVs)在人类进化和疾病发病机制中起着至关重要的作用。因此,SVs在临床研究领域引起了广泛的关注。近年来,光学基因组图谱(optical genome mapping, OGM)作为一种高分辨率、超长读取、自动化、非测序的基因组检测技术,在基因结构变异的研究中表现出了显著的优势。与核型分析、荧光原位杂交(FISH)、染色体微阵列分析(CMA)和高通量测序技术相比,OGM能够在单次分析中检测整个基因组的结构和数值畸变。这些包括非整倍体、插入、缺失、重复、倒位、平衡易位和复杂的结构变异。OGM的检测分辨率高达500bp,由于其高分辨率和长片段分析能力,被指定为下一代细胞遗传学技术。这使得它在检测基因组结构变异方面具有重要的实用价值。本文就OGM方法在疾病相关SVs检测中的应用进行综述,以期为SVs研究,特别是在疾病诊断领域的研究提供有价值的参考和深刻的见解。
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引用次数: 0
Expert consensus on clinical genome sequencing interpretation and reporting. 临床基因组测序解释和报告的专家共识。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.16288/j.yczz.24-296
Yulan Lu, Guozhuang Li, Yaqiong Wang, Kexin Xu, Xinran Dong, Jihao Cai, Bingbing Wu, Huijun Wang, Ping Fang, Jian Wang, Hua Wang, Luming Sun, Yongyu Ye, Qing Li, Yaping Liu, Li Liu, Ning Liu, Jiaqi Liu, Fang Song, Lin Yang, Zhengqing Qiu, Zefu Chen, Huaxia Luo, Dan Guo, Chanjuan Hao, Sen Zhao, Shangzhi Huang, Jing Peng, Xiaoqiang Cai, Ruifang Sui, Linkang Li, Nan Wu, Wenhao Zhou, Shuyang Zhang

Genome sequencing (GS) refers to a technology that comprehensively and systematically detects the DNA sequences of an individual's nuclear and mitochondrial genomes. It aims to identify genetic variants and investigate their roles in human health and disease progression. As an emerging diagnostic tool, GS offers significant support for clinical diagnosis due to its high throughput, accuracy, and comprehensiveness. However, the complexity of data analysis and interpretation requires substantial professional expertise and experience, posing considerable challenges. When applying GS technology for molecular diagnosis of genetic diseases, ethical and technical issues related to clinical application arise, including informed consent, diagnostic data interpretation, and defining the scope and content of clinical reports. This expert consensus outlines the core workflow of clinical genome sequencing (cGS), clarifies its testing scope and technical limitations, and provides key steps for data quality control, analysis, annotation, and variant interpretation. It also addresses controversial issues related to report content and informed consent. This consensus aims to assist professionals in accurately understanding and appropriately utilizing clinical genome sequencing, thereby improving diagnostic accuracy for genetic diseases, enhancing the clinical utility of the technology, and advancing medical scientific research.

基因组测序(Genome sequencing, GS)是一种全面、系统地检测个体核基因组和线粒体基因组DNA序列的技术。它旨在识别遗传变异并研究它们在人类健康和疾病进展中的作用。作为一种新兴的诊断工具,GS以其高通量、准确性和全面性为临床诊断提供了重要的支持。然而,数据分析和解释的复杂性需要大量的专业知识和经验,这构成了相当大的挑战。在应用GS技术进行遗传疾病的分子诊断时,出现了与临床应用相关的伦理和技术问题,包括知情同意、诊断数据解释以及确定临床报告的范围和内容。本专家共识概述了临床基因组测序(cGS)的核心工作流程,阐明了其检测范围和技术局限性,并提供了数据质量控制、分析、注释和变异解释的关键步骤。它还解决了与报告内容和知情同意有关的争议问题。这一共识旨在帮助专业人员准确理解和适当利用临床基因组测序,从而提高遗传疾病的诊断准确性,增强该技术的临床实用性,推进医学科学研究。
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引用次数: 0
Interpretation of de novo mutations (DNM) and genetic counseling for sporadic hearing loss based on family trio-based sequencing. 基于家族三基因测序的散发性听力损失的新生突变(DNM)解释和遗传咨询。
Q3 Medicine Pub Date : 2025-03-01 DOI: 10.16288/j.yczz.24-228
Jing Guan, XiaonanWu, Jin Li, Guohui Chen, Hongyang Wang, Qiuju Wang

De novo mutations (DNMs) are significant genetic factors contributing to sporadic hearing loss (HL) and complex HL syndromes. To analyze the genetic counseling characteristics and interpretation of pathogenic DNMs for sporadic HL, we retrospectively analyze the clinical information of probands and their parents from 410 sporadic HL core pedigrees enrolled in the "Chinese Deafness Genome Project (CDGP)" between October 2015 and October 2023. We apply family trio-based genome sequencing (targeted gene capture and high throughput sequencing, mitochondrial genome sequencing, and copy number variants analysis) and validate the samples of their unaffected-parents. Homologous allele sequencing is used to identity by descent (IBD) in the DNM family trios. The results reveal that 7.3% (30 cases) of the probands in these sporadic hearing loss core pedigrees carry 17 types of autosomal dominant gene de novo single nucleotide variants (SNVs), insertions/deletions (Indels), and one type of de novo copy number variation, encompassing all types of DNM. Among them, WFS1 c.2051C>T, ATP1A3 c.2452G>A, and ACTG1 c.94C>T are common DNM in sporadic HL. The genotype C>T transversion exhibit a high number (34.6%). Clinical feature analyses also show that 56.7% (17/30) of the probands have non-syndromic HL, but more than half of them (52.9%, 9/17) carry pathogenic genotypes clearly associated with "syndromic HL", possibly exhibiting temporary "mimic" non-syndromic HL phenotypic characteristics. The average parental ages at childbirth for the 30 probands are 29.4 years for fathers and 28.3 years for mothers, with 13.3% of fathers or mothers aged ≥35 years. Additionally, among the family structure of the proband of genetic counseling, 63.3% are single-child families with a clear desire for another child, and 16.7% of the probands' parents seek prenatal genetic counseling for conceiving a "second child". During genetic counseling, it is essential to test the "family proband-parents' trios" core pedigree as a unit to analyze the genetic contribution of DNMs to HL. Furthermore, there is a certain correlation between the occurrence of DNMs and increasing parental age at childbirth. Therefore, for families with a history of DNM-associated sporadic HL, it is necessary to collect clinical information such as the parental age at childbirth and obstetric history of hearing-healthy parents. For these families planning another child, it is recommended to undergo prenatal diagnosis for the identified DNM pathogenic variations after conception and pay attention to the pregnancy outcome.

新生突变(dnm)是导致散发性听力损失(HL)和复杂HL综合征的重要遗传因素。为了分析散发性HL的遗传咨询特征及致病性dnm的解释,我们回顾性分析了2015年10月至2023年10月在“中国耳聋基因组计划(CDGP)”中登记的410例散发性HL核心家系的先证者及其父母的临床信息。我们应用基于家族三组的基因组测序(靶向基因捕获和高通量测序,线粒体基因组测序和拷贝数变异分析)并验证其未受影响父母的样本。同源等位基因测序用于DNM家族三家族的血统鉴定(IBD)。结果显示,在这些散发性听力损失核心家系中,7.3%(30例)的先显子携带17种常染色体显性基因从头单核苷酸变异(SNVs)、插入/缺失(Indels)和一种从头拷贝数变异,涵盖了所有类型的DNM。其中,WFS1 c.2051C>T、ATP1A3 c.2452G>A、ACTG1 c.94C>T是散发性HL中常见的DNM。基因型C >t的翻转率较高(34.6%)。临床特征分析也显示56.7%(17/30)的先证者为非综合征型HL,但超过一半(52.9%,9/17)的先证者携带与“综合征型HL”明显相关的致病基因型,可能表现出暂时的“模拟”非综合征型HL表型特征。30名先证者的平均分娩年龄为父亲29.4岁,母亲28.3岁,其中13.3%的父亲或母亲年龄≥35岁。此外,在遗传咨询先证者的家庭结构中,63.3%的人是独生子女家庭,有明确的生育愿望,16.7%的先证者的父母为了怀上“二胎”而寻求产前遗传咨询。在遗传咨询中,必须以“家庭先证者-父母三重奏”核心家系为单位,分析dnm对HL的遗传贡献。此外,dnm的发生与父母分娩年龄的增加有一定的相关性。因此,对于有dnm相关散发性HL病史的家庭,有必要收集临床信息,如父母的分娩年龄和听力健康的父母的产科史。对于这些计划生育二孩的家庭,建议在受孕后对确定的DNM致病变异进行产前诊断,并关注妊娠结局。
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