关键词: Cystic fibrosis transmembrane conductance regulator gene bioinformatics analysis high-throughput technologies massive parallel sequencing molecular diagnosis variants interpretation

Mesh : Cystic Fibrosis / diagnosis genetics metabolism Cystic Fibrosis Transmembrane Conductance Regulator / genetics Genetic Testing Humans Mutation Prenatal Diagnosis Sequence Analysis, DNA

来  源:   DOI:10.1080/17476348.2018.1457438

Abstract:
Cystic Fibrosis is among the first diseases to have general population genetic screening tests and one of the most common indications of prenatal and preimplantation genetic diagnosis for single gene disorders. During the past twenty years, thanks to the evolution of diagnostic techniques, our knowledge of CFTR genetics and pathophysiological mechanisms involved in cystic fibrosis has significantly improved. Areas covered: Sanger sequencing and quantitative methods greatly contributed to the identification of more than 2,000 sequence variations reported worldwide in the CFTR gene. We are now entering a new technological age with the generalization of high throughput approaches such as Next Generation Sequencing and Droplet Digital PCR technologies in diagnostics laboratories. These powerful technologies open up new perspectives for scanning the entire CFTR locus, exploring modifier factors that possibly influence the clinical evolution of patients, and for preimplantation and prenatal diagnosis. Expert commentary: Such breakthroughs would, however, require powerful bioinformatics tools and relevant functional tests of variants for analysis and interpretation of the resulting data. Ultimately, an optimal use of all those resources may improve patient care and therapeutic decision-making.
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