Journal: | Revista de investigación clínica |
Database: | PERIÓDICA |
System number: | 000452951 |
ISSN: | 0034-8376 |
Authors: | Ordoñez Labastida, Vianey1 Montes Almanza, Luis1 García Martínez, Froylan1 Zenteno, Juan C1 |
Institutions: | 1Universidad Nacional Autónoma de México, Facultad de Medicina, Ciudad de México. México |
Year: | 2022 |
Season: | Jul-Ago |
Volumen: | 74 |
Number: | 4 |
Pages: | 219-226 |
Country: | México |
Language: | Inglés |
Document type: | Artículo |
Approach: | Experimental, aplicado |
English abstract | Genetic eye disorders, affecting around one in 1000 people, encompass a diverse group of diseases causing severe visual deficiency. The recent adoption of next-generation sequencing techniques, including whole-exome sequencing (WES), in medicine has greatly enhanced diagnostic rates of genetically heterogeneous diseases. Objectives: The objectives of the study were to assess the diagnostic yield of WES in a cohort of Mexican individuals with suspected genetic eye disorders and to evaluate the improvement of diagnostic rates by reanalysis of WES data in patients without an initial molecular diagnosis. Methods: A total of 90 probands with ocular anomalies of suspected genetic origin were ascertained. Patients underwent WES in leukocytic DNA. Bioinformatics analysis and Sanger sequencing were used to confirm the disease-causing variants. Only variants identified as pathogenic or likely pathogenic were considered as causal. Results: Initial analysis revealed causal mutations in 46 cases (51%). Reanalysis of WES data 12 months after first analysis resulted in the identification of additional causal variants in 6 patients (7%), increasing the molecular diagnostic yield to 58%. The highest diagnostic rates by disease categories corresponded to hereditary retinal dystrophies (77%) and to anomalies of the anterior segment of the eye (47%). Conclusion: Our study demonstrates that WES is an effective approach for genetic diagnosis of genetic ocular diseases and that reanalysis of WES data can improve the diagnostic yield |
Disciplines: | Medicina |
Keyword: | Oftalmología, Genética, Enfermedades oculares, Enfermedades hereditarias, Secuenciación génica, Exoma, Mutaciones |
Keyword: | Ophthalmology, Genetics, Eye diseases, Hereditary diseases, Gene sequencing, Exome, Mutations |
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