临床荟萃

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从遗传的角度谈罕见病的诊治进展

  

  1. 河北医科大学第二医院 生殖医学科,河北 石家庄 050000
  • 出版日期:2019-03-20 发布日期:2019-04-08
  • 通讯作者: 通信作者:王玮,Email: wangwei_ivf@163.com
  • 作者简介:王玮,河北医科大学第二医院生殖医学科主任医师,医学博士,教授,硕士研究生导师,妇产科及妇产科教研室副主任。专长生殖内分泌疾病诊治和辅助生殖技术及遗传性疾病的临床遗传咨询,国家辅助生殖技术管理专家库成员。目前任河北省药学会罕见病药学专委会常委。兼任中国中西医结合学会妇产科专委会委员,妇科内分泌学组副组长,中国妇幼健康研究会生殖内分泌专委会委员,中国妇幼保健协会妇科内分泌专委会妇幼健康指导学组委员,河北省生殖健康学会副秘书长,河北省医学会、医师协会生殖医学分会委员等。

Progress in diagnosis and treatment of rare diseases from the perspective of heredity

  1. Department of Reproduction, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2019-03-20 Published:2019-04-08
  • Contact: Corresponding author: Wang Wei,Email: wangwei_ivf@163.com

摘要: 罕见病又名“孤儿病”,因单病种人群患病率极低、病例分散、临床上欠缺足够关注导致诊治困难。约80%的罕见病是由遗传缺陷引起,精准诊断和治疗罕见病依赖基因水平的检测,从基因角度研究罕见病是目前发展重点。本文从罕见病概况、罕见病的基因诊断技术、基因治疗、胚胎植入前遗传学诊断/筛查技术、产前诊断、新生儿筛查等方面进行综述,旨在从遗传的角度向大家展示罕见病的诊治进展。

关键词: 少见病, 二代测序技术, 植入前诊断, 基因治疗

Abstract: Rare diseases, also known as “orphan diseases”,  are difficult to diagnose and treat because of the extremely  low incidence of single diseases and scattered cases. About 80% of rare diseases are caused by genetic defects. Accurate diagnosis and treatment of rare diseasedependent gene levels, and research on rare diseases from a genetic perspective are  the focus of current medical research. This article reviews the general situation of rare diseases, gene diagnosis technology of rare diseases, gene therapy, preimplantation genetic diagnosis/screening technology, prenatal diagnosis, neonatal screening and so on,  aiming to show the progress of diagnosis and treatment of rare diseases from the perspective of heredity.

Key words: rare diseases, second generation sequencing technology, preimplantation diagnosis, gene therapy