Metabolic causes of nonimmune hydrops fetalis: A next-generation sequencing panel as a first-line investigation
العنوان: | Metabolic causes of nonimmune hydrops fetalis: A next-generation sequencing panel as a first-line investigation |
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المؤلفون: | Annie Laquerrière, Bénédicte Sudrié-Arnaud, Raphaël Lanos, Laetitia Trestard, Ferielle Louillet, Sophie Coutant, Florent Marguet, Stéphane Marret, Abdellah Tebani, Sophie Patrier, Soumeya Bekri, Eric Verspyck, Myriam Vezain, Foudil Lamari, Pascal Chambon, Maria Fuller, Hélène Dranguet, Françoise Broux, Anne-Claire Brehin, Isabelle Tournier, Françoise Charbonnier, Jelena Martinovic |
المساهمون: | Laboratoire de biochimie générale [Rouen], CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Centre hospitalier universitaire de Rouen, Génomique et Médecine Personnalisée du Cancer et des Maladies Neuropsychiatriques (GPMCND), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'Anatomie et Cytologie Pathologique [CHU Rouen], Normandie Université (NU), Laboratoire Histologie Embryologie Cytogénétique [CHU Necker], CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de pédiatrie néonatale et réanimation - neuropédiatrie [CHU Rouen], Normandie Université (NU)-Normandie Université (NU)-Hôpital Charles Nicolle [Rouen]-Université de Rouen Normandie (UNIROUEN), SA Pathology [Adelaide, SA, Australia], Service de Biochimie Métabolique [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Clinique du Belvédère, Service de gynécologie et obstétrique [CHU Rouen], Département de Pathologie [CHU Rouen] |
المصدر: | Clinica Chimica Acta Clinica Chimica Acta, Elsevier, 2018, 481, pp.1-8. ⟨10.1016/j.cca.2018.02.023⟩ |
بيانات النشر: | Elsevier BV, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | Adult, Polyhydramnios, 0301 basic medicine, Amniotic fluid, Clinical Biochemistry, Prenatal diagnosis, Genomics, Inborn errors of metabolism, Disease, 030105 genetics & heredity, Bioinformatics, Biochemistry, Inherited metabolic diseases, Young Adult, 03 medical and health sciences, Pregnancy, Hydrops fetalis, medicine, Humans, Non-immune hydrops fetalis, Retrospective Studies, [SDV.GEN]Life Sciences [q-bio]/Genetics, business.industry, Precision medicine, Biochemistry (medical), Computational Biology, Barth syndrome, Retrospective cohort study, Sequence Analysis, DNA, General Medicine, [SDV.MHEP.EM]Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism, medicine.disease, 3. Good health, 030104 developmental biology, Next-generation sequencing, Female, business, Metabolism, Inborn Errors |
الوصف: | Purposes Hydrops fetalis is a life-threatening fetal condition, and 85% of all cases are classified as nonimmune hydrops fetalis (NIHF). Up to 15% of NIHF cases may be due to inborn errors of metabolism (IEM), but a large proportion of cases linked to metabolic disorders remains undiagnosed. This lack of diagnosis may be related to the limitations of conventional biological procedures, which involve sequential investigations and require multiple samples and steps. In addition, this approach is time consuming. We have developed a next-generation sequencing (NGS) panel to investigate metabolic causes of NIHF, ascites, and polyhydramnios associated to another fetal abnormality. Methods The hydrops fetalis (HydFet) panel was designed to cover the coding regions and flanking intronic sequences of 41 genes. A retrospective study of amniotic fluid samples from 40 subjects was conducted. A prospective study was subsequently initiated, and six samples were analyzed using the NGS panel. Results Five IEM diagnoses were made using the HydFet panel (Niemann-Pick type C (NPC), Barth syndrome, HNF1Β deficiency, GM1 gangliosidosis, and Gaucher disease). This analysis also allowed the identification of 8p sequence triplication in an additional case. Conclusion NGS combined with robust bioinformatics analyses is a useful tool for identifying the causative variants of NIHF. Subsequent functional characterization of the protein encoded by the altered gene and morphological studies may confirm the diagnosis. This paradigm shift allows a significant improvement of IEM diagnosis in NIHF. |
تدمد: | 0009-8981 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::93b9e6003fbd8cdb240a0dc6004baad6 https://doi.org/10.1016/j.cca.2018.02.023 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi.dedup.....93b9e6003fbd8cdb240a0dc6004baad6 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 00098981 |
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