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Wie ist die Weiterbildungssituation der NaturwissenschaftlerInnen in der Humangenetik in Deutschland, und wie erreichen wir eine staatliche Anerkennung der Weiterbildung zur/zum FachhumangenetikerIn? 在德国,人类遗传学科学家的进修培训情况如何,我们怎样才能使国家承认人类遗传学专家的进修培训?
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2045
Y. Behrens, Ronja Hollstein, Nina Ishorst, Annette Lischka, Lisa Sindermann
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引用次数: 0
Liquid biopsy-based early tumor and minimal residual disease detection: New perspectives for cancer predisposition syndromes 基于液体活检的早期肿瘤和极小残留病检测:癌症易感综合征的新视角
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2049
Lena Bohaumilitzky, Johannes Gebert, M. K. Doeberitz, Matthias Kloor, A. Ahadova
Abstract Genetic predisposition is one of the major measurable cancer risk factors. Affected patients have an enhanced risk for cancer and require life-long surveillance. However, current screening measures are mostly invasive and only available for certain tumor types. Particularly in hereditary cancer syndromes, liquid biopsy, in addition to monitoring therapy response and assessing minimal residual disease, holds great potential for surveillance at the precancerous stage and potentially even diagnostics. Exploring these options and future clinical translation could help reduce cancer risk and mortality in high-risk individuals and enhance patients’ adherence to tailored surveillance protocols.
摘要 遗传易感性是可测量的主要癌症风险因素之一。受影响的患者罹患癌症的风险更高,需要终身监测。然而,目前的筛查措施大多是侵入性的,而且只适用于某些肿瘤类型。特别是在遗传性癌症综合征中,除了监测治疗反应和评估最小残留病外,液体活检在癌前病变阶段的监测甚至诊断方面都具有巨大潜力。探索这些选择和未来的临床转化有助于降低高危人群的癌症风险和死亡率,并提高患者对定制监测方案的依从性。
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引用次数: 0
Non-invasive prenatal testing: when results suggests maternal cancer 无创产前检测:当结果表明产妇患有癌症时
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2055
L. Lenaerts, M. Theunis, Frederi Amant, J. Vermeesch
Abstract It is now well-established that non-invasive prenatal testing (NIPT), originally designed to screen cell-free DNA (cfDNA) in maternal blood for the presence of common fetal trisomies, can lead to incidental detection of occult maternal malignancies. Retrospective evaluations have demonstrated that the detection of multiple copy number alterations in cfDNA is particularly suggestive of an incipient tumor and that cancer detection rates not only depend on tumor biology but also on applied NIPT technologies and downstream diagnostic investigations. Since the identification of a maternal cancer in pregnancy has implications for both woman and the unborn child, prospective studies are needed to provide evidence on best clinical practices and on clinical utility in terms of patient outcomes.
摘要 无创产前检测(NIPT)的初衷是筛查母体血液中的无细胞 DNA(cfDNA)是否存在常见的胎儿三体综合征,但它也可能导致偶然发现隐性母体恶性肿瘤,这一点现已得到公认。回顾性评估结果表明,在 cfDNA 中检测到多个拷贝数改变尤其提示肿瘤的萌芽,而癌症的检出率不仅取决于肿瘤生物学,还取决于应用的 NIPT 技术和下游诊断检查。由于在妊娠期发现母体癌症对孕妇和胎儿都有影响,因此需要进行前瞻性研究,为最佳临床实践和患者预后方面的临床实用性提供证据。
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引用次数: 0
36. Tumorgenetische Arbeitstagung 第 36 届肿瘤遗传学研讨会
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2057
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引用次数: 0
Die humangenetische Beratung ist mit den aktuellen Vergütungsstrukturen nicht mehr zu erbringen: KollegInnen, die nur humangenetische Beratung anbieten, müssen ihre Praxen schließen! 在目前的薪酬结构下,人类基因咨询已无法继续提供:只提供人类基因咨询的同事必须关闭其诊所!
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2043
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引用次数: 0
Deutsche Gesellschaft für Humangenetik e.V. (GfH) 德国人类遗传学协会(GfH)
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2060
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引用次数: 0
Clinical application of circulating tumor cells 循环肿瘤细胞的临床应用
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2056
N. Stoecklein, Julia Oles, A. Franken, Hans Neubauer, L. Terstappen, R. Neves
Abstract This narrative review aims to provide a comprehensive overview of the current state of circulating tumor cell (CTC) analysis and its clinical significance in patients with epithelial cancers. The review explores the advancements in CTC detection methods, their clinical applications, and the challenges that lie ahead. By examining the important research findings in this field, this review offers the reader a solid foundation to understand the evolving landscape of CTC analysis and its potential implications for clinical practice. The comprehensive analysis of CTCs provides valuable insights into tumor biology, treatment response, minimal residual disease detection, and prognostic evaluation. Furthermore, the review highlights the potential of CTCs as a non-invasive biomarker for personalized medicine and the monitoring of treatment efficacy. Despite the progress made in CTC research, several challenges such as standardization, validation, and integration into routine clinical practice remain. The review concludes by discussing future directions and the potential impact of CTC analysis on improving patient outcomes and guiding therapeutic decision-making in epithelial cancers.
摘要 本综述旨在全面概述循环肿瘤细胞(CTC)分析的现状及其对上皮癌患者的临床意义。综述探讨了 CTC 检测方法的进展、临床应用及其面临的挑战。通过研究该领域的重要研究成果,这篇综述为读者了解 CTC 分析的发展状况及其对临床实践的潜在影响奠定了坚实的基础。对 CTCs 的全面分析为肿瘤生物学、治疗反应、最小残留病检测和预后评估提供了宝贵的见解。此外,该综述还强调了 CTC 作为非侵入性生物标记物在个性化医疗和疗效监测方面的潜力。尽管 CTC 研究取得了进展,但仍存在一些挑战,如标准化、验证和与常规临床实践的整合。综述最后讨论了未来的发展方向以及 CTC 分析对改善患者预后和指导上皮癌治疗决策的潜在影响。
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引用次数: 0
Ausschreibung Humangenetik-Promotionspreis 2024 2024 年人类遗传学博士奖征集申请
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2050
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引用次数: 0
The utility of liquid biopsy in clinical genetic diagnosis of cancer and monogenic mosaic disorders 液体活检在癌症和单基因镶嵌性疾病临床基因诊断中的作用
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2066
A. Hallermayr, T. Keßler, V. Steinke-Lange, Ellen Heitzer, E. Holinski-Feder, Michael Speicher
Abstract Liquid biopsy for minimally invasive diagnosis and monitoring of cancer patients is progressing toward routine clinical practice. With the implementation of highly sensitive next-generation sequencing (NGS) based assays for the analysis of cfDNA, however, consideration of the utility of liquid biopsy for clinical genetic testing is critical. While the focus of liquid biopsy for cancer diagnosis is the detection of circulating tumor DNA (ctDNA) as a fraction of total cell-free DNA (cfDNA), cfDNA analysis reveals both somatic mosaic tumor and germline variants and clonal hematopoiesis. Here we outline advantages and limitations of mosaic and germline variant detection as well as the impact of clonal hematopoiesis on liquid biopsy in cancer diagnosis. We also evaluate the potential of cfDNA analysis for the molecular diagnosis of monogenic mosaic disorders.
摘要 用于癌症患者微创诊断和监测的液体活检正逐步走向常规临床实践。然而,随着基于高灵敏度下一代测序(NGS)的 cfDNA 分析方法的实施,考虑液体活检在临床基因检测中的实用性至关重要。虽然用于癌症诊断的液体活检的重点是检测循环肿瘤 DNA(ctDNA)(占总无细胞 DNA(cfDNA)的一部分),但 cfDNA 分析既能揭示体细胞镶嵌肿瘤和种系变异,也能揭示克隆造血。在此,我们概述了镶嵌和种系变异检测的优势和局限性,以及克隆造血对液体活检在癌症诊断中的影响。我们还评估了 cfDNA 分析在单基因镶嵌性疾病分子诊断中的潜力。
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引用次数: 0
Liquid Biopsy: minimal-invasive analysis of somatic alterations 液体活检:体细胞改变的微创分析
IF 1.1 4区 生物学 Q4 Medicine Pub Date : 2023-11-29 DOI: 10.1515/medgen-2023-2061
A. Hallermayr
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引用次数: 0
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Medizinische Genetik
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