A six-attribute classification of genetic mosaicism.

A six-attribute classification of genetic mosaicism.
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DOI:
10.1038/s41436-020-0877-3
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发表时间:
2020-11
期刊:
Genetics in medicine : official journal of the American College of Medical Genetics
影响因子:
--
通讯作者:
Lapunzina P
Lapunzina P
中科院分区:
其他
文献类型:
--
作者:
Martínez-Glez V;Tenorio J;Nevado J;Gordo G;Rodríguez-Laguna L;Feito M;de Lucas R;Pérez-Jurado LA;Ruiz Pérez VL;Torrelo A;Spinner NB;Happle R;Biesecker LG;Lapunzina P

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Mosaicism denotes an individual who has at least two populations of cells with distinct genotypes that are derived from a single fertilized egg. Genetic variation among the cell lines can involve whole chromosomes, structural or copy number variants, small or single nucleotide variants, or epigenetic variants. The mutational events that underlie mosaic variants occur during mitotic cell divisions after fertilization and zygote formation. The initiating mutational event can occur in any types of cell at any time in development, leading to enormous variation in the distribution and phenotypic effect of mosaicism. A number of classification proposals have been put forward to classify genetic mosaicism into categories based on the location, pattern, and mechanisms of the disease. We here propose a new classification of genetic mosaicism that considers the affected tissue, the pattern and distribution of the mosaicism, the pathogenicity of the variant, the direction of the change (benign to pathogenic vs. pathogenic to benign), and the postzygotic mutational mechanism. The accurate and comprehensive categorization and subtyping of mosaicisms is important and has potential clinical utility to define the natural history of these disorders, tailor follow-up frequency and interventions, estimate recurrence risks, and guide therapeutic decisions.
宇宙(癌症中的体细胞突变目录)数据库和网站。
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