未诊断罕见遗传病的新诊断方法。

IF 7.7 2区 生物学 Q1 GENETICS & HEREDITY Annual review of genomics and human genetics Pub Date : 2020-08-31 Epub Date: 2020-04-13 DOI:10.1146/annurev-genom-083118-015345
Taila Hartley, Gabrielle Lemire, Kristin D Kernohan, Heather E Howley, David R Adams, Kym M Boycott
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引用次数: 55

摘要

准确诊断是医学的基石;这对知情护理和促进患者和家庭福祉至关重要。然而,患有罕见遗传病(RGD)的家庭通常要花费5年以上的时间进行诊断,包括专科就诊和侵入性检查,这是漫长、昂贵的,而且往往是徒劳的,因为50%的患者没有接受分子诊断。目前的诊断范例并没有很好地设计用于RGDs,特别是对于在初始调查后仍未被诊断的患者,因此需要在临床中扩展方法。利用机会参与利用新技术了解RGDs的研究项目是寻求诊断的患者的重要途径。鉴于这些技术和国际倡议的最新进展,为所有RGDs患者确定分子诊断的前景从未如此可能,但实现这一目标将需要前所未有规模的全球合作。
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New Diagnostic Approaches for Undiagnosed Rare Genetic Diseases.

Accurate diagnosis is the cornerstone of medicine; it is essential for informed care and promoting patient and family well-being. However, families with a rare genetic disease (RGD) often spend more than five years on a diagnostic odyssey of specialist visits and invasive testing that is lengthy, costly, and often futile, as 50% of patients do not receive a molecular diagnosis. The current diagnostic paradigm is not well designed for RGDs, especially for patients who remain undiagnosed after the initial set of investigations, and thus requires an expansion of approaches in the clinic. Leveraging opportunities to participate in research programs that utilize new technologies to understand RGDs is an important path forward for patients seeking a diagnosis. Given recent advancements in such technologies and international initiatives, the prospect of identifying a molecular diagnosis for all patients with RGDs has never been so attainable, but achieving this goal will require global cooperation at an unprecedented scale.

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来源期刊
CiteScore
14.90
自引率
1.10%
发文量
29
期刊介绍: Since its inception in 2000, the Annual Review of Genomics and Human Genetics has been dedicated to showcasing significant developments in genomics as they pertain to human genetics and the human genome. The journal emphasizes genomic technology, genome structure and function, genetic modification, human variation and population genetics, human evolution, and various aspects of human genetic diseases, including individualized medicine.
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