Currents in contemporary bioethics. Identifying consanguinity through routine genomic analysis: reporting requirements.
Currents in contemporary bioethics. Identifying consanguinity through routine genomic analysis: reporting requirements.
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当代生物伦理学的潮流。
DOI:
10.1111/j.1748-720x.2012.00731.x
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发表时间:
2012
期刊:
影响因子:
--
通讯作者:
Probst,FrankJ
中科院分区:
文献类型:
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作者:
McGuire,AmyL;Wang,MelodyJ;Probst,FrankJ
Increasingly, genomic analysis is being utilized to diagnose children with developmental delay or dysmorphic facial features suggestive of a congenital disorder. Genetic testing has rapidly evolved, and the genome-wide tests that we use today are significantly different from the more targeted single-gene tests of the last decade. Chromosomal microarray analysis (CMA) is now a first line test for children with multiple birth defects, children with intellectual impairment (including autism), and children with an unusual constellation of symptoms that do not fit with a known disease. There are three types of CMA that are currently clinically available. CMA by oligonucleotide array-based comparative genomic hybridization (aCGH) compares the hybridization signal from the patient's DNA to that of a reference DNA sample for each oligonucleotide on the array. Depending on the specific array, this can range from tens of thousands to hundreds of thousands of oligonucleotides.