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分子检测技术在儿童罕见遗传病中的临床应用

Clinical application of different molecular detection techniques in children's rare genetic diseases

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近年来,随着分子检测技术的发展,儿童罕见遗传病的检出率不断提高.根据染色体受影响的范围,遗传变异可分为4类:染色体水平变异、亚染色体水平变异、小尺度水平变异和特殊类型变异.对于不同类型的遗传变异,如何选择合适的检测方法至关重要.文章对4类遗传变异及其相应的分子检测技术进行总结,并指出分子检测技术在儿童罕见遗传病诊疗中的应用需结合患儿家庭实际情况和检测准确率综合考虑.另外,发布基于循证数据的相关指南或专家共识,有利于推动临床规范应用分子检测技术.
In the recent years,with the development of molecular detection techniques,the detection rate of rare gentic diseases in children has increased.According to the extent of chromosome affected,genetic variations can be classified into 4 categories:chromosome-level variation,sub-chromosome-level variation,small-scale-level variation and special type variation.It is crucial for different genetic variattions to choose the appropriate detection method.In this review,4 types of genetic variattions and their corresponding molecular detection techniques are summarized.The application of molecular detection techniques in the diagnosis and treatment of rare genetic diseases in children should be combined with the family actual situation and detection accuracy.Related guidelines or expert consensus should be issued to promote the clinical application of molecular detection techniques in children.

Rare diseaseGenetic diseaseChildrenMolecular detectionGenetic variation

荆梦霞、余永国

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上海交通大学医学院附属新华医院儿内分泌/遗传科,上海 200092

罕见病 遗传性疾病 儿童 分子检测 基因变异

国家重点研发计划

2022YFC2703400

2024

检验医学
上海市临床检验中心

检验医学

CSTPCD
影响因子:1.715
ISSN:1673-8640
年,卷(期):2024.39(2)
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