【诊断罕见先天性血液病的遗传面板】。

Harefuah Pub Date : 2023-01-01
Orna Steinberg-Shemer, Orly Dgany, Hannah Tamary
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摘要

简介:先天性血液病的遗传诊断由于不同疾病的临床和实验室表现的重叠以及每种综合征涉及的大量基因而变得复杂。尽管如此,准确的基因诊断对于指导患者的随访和治疗方案,以及识别无症状的家庭成员,选择未受影响的相关供体进行造血干细胞移植和提供产前诊断至关重要。近年来,人们发展了一种利用基因面板进行下一代靶向测序的新方法。在我们的实验室中,基因面板被用于先天性血液系统疾病的诊断,包括遗传性骨髓衰竭综合征和罕见贫血,并用于检测骨髓中的体细胞变异。最重要的是,深入的分析将包括遗传变异与临床和实验室表现以及家族史的相关性。在这里,我们证明了在先天性血液病患者中进行及时遗传诊断的重要性。
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[GENETIC PANELS FOR THE DIAGNOSIS OF RARE CONGENITAL HEMATOLOGICAL DISORDERS].

Introduction: Genetic diagnosis of congenital hematological disorders is complicated by the overlap of the clinical and laboratory presentation across different diseases and the large number of genes involved in each syndrome. Nonetheless, an accurate genetic diagnosis is essential for directing the follow-up and treatment program of the patients, as well as for identifying asymptomatic family members, choosing a non-affected related donor for hematopoietic stem cell transplantation and for offering a prenatal diagnosis. In recent years, a novel method of targeted next generation sequencing using gene panels was developed. In our laboratory, gene panels were incorporated for the diagnosis of congenital hematological disorders, including inherited bone marrow failure syndromes and rare anemias, and for the detection of somatic variant in the bone marrow. It is of utmost importance that an in-depth analysis will include a correlation of the genetic variants with the clinical and laboratory presentation and with the family history. Here, we demonstrate the importance of performing a timely genetic diagnosis in patients with congenital hematological disorders.

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