دورية أكاديمية

Facilitations and Hurdles of Genetic Testing in Neuromuscular Disorders

التفاصيل البيبلوغرافية
العنوان: Facilitations and Hurdles of Genetic Testing in Neuromuscular Disorders
المؤلفون: Andrea Barp, Lorena Mosca, Valeria Ada Sansone
المصدر: Diagnostics, Vol 11, Iss 701, p 701 (2021)
بيانات النشر: MDPI AG
Multidisciplinary Digital Publishing Institute
MDPI
سنة النشر: 2021
مصطلحات موضوعية: neuromuscular disease, genetic testing, next generation sequencing, whole exome sequencing, Medicine (General), R5-920, stat, envir
الوصف: Neuromuscular disorders (NMDs) comprise a heterogeneous group of disorders that affect about one in every thousand individuals worldwide. The vast majority of NMDs has a genetic cause, with about 600 genes already identified. Application of genetic testing in NMDs can be useful for several reasons: correct diagnostic definition of a proband, extensive familial counselling to identify subjects at risk, and prenatal diagnosis to prevent the recurrence of the disease; furthermore, identification of specific genetic mutations still remains mandatory in some cases for clinical trial enrollment where new gene therapies are now approaching. Even though genetic analysis is catching on in the neuromuscular field, pitfalls and hurdles still remain and they should be taken into account by clinicians, as for example the use of next generation sequencing (NGS) where many single nucleotide variants of “unknown significance” can emerge, complicating the correct interpretation of genotype-phenotype relationship. Finally, when all efforts in terms of molecular analysis have been carried on, a portion of patients affected by NMDs still remain “not genetically defined”. In the present review we analyze the evolution of genetic techniques, from Sanger sequencing to NGS, and we discuss “facilitations and hurdles” of genetic testing which must always be balanced by clinicians, in order to ensure a correct diagnostic definition, but taking always into account the benefit that the patient could obtain especially in terms of “therapeutic offer”.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: https://doi.org/10.3390/diagnostics11040701Test
DOI: 10.3390/diagnostics11040701
الإتاحة: https://doi.org/10.3390/diagnostics11040701Test
حقوق: undefined
رقم الانضمام: edsbas.704023C3
قاعدة البيانات: BASE