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结合拷贝数分析和结构变异检测对50例具有两种极端生存表型的ALS患者的研究

Integrating copy-number analysis with structural-variation detection in 50 ALS patients with two extreme survival phenotypes
课程网址: http://videolectures.net/encals2017_al_khleifat_extreme_survival_...  
主讲教师: Ahmad Al Khleifat
开课单位: 伦敦国王学院
开课时间: 2017-07-21
课程语种: 英语
中文简介:
背景:肌萎缩性侧索硬化症(ALS)是一种以运动神经元为主的神经退行性疾病,其特点是自发性肌肉逐渐衰弱,并因膈肌麻痹而呼吸衰竭死亡,通常发病后3年内死亡。尽管预后很差,但存活率有很大的差异,高达10%的ALS患者从第一次出现症状起就活了8年以上。ALS的风险有很强的遗传因素。在5%或更多的病例中,获得了ALS或额颞叶痴呆的家族史,并且在这些家族中负责ALS的孟德尔基因现在已经在大约70%的病例中被鉴定出来。即使在明显的零星病例中,双胞胎和人群研究也显示遗传率约为60%。尽管危险基因揭示了ALS发病机制的信息,但确定影响存活率的基因变体也很重要。生存基因可以直接靶向治疗,或者增强其产物以提高ALS的存活率。许多与ALS生存相关的常见基因变体已经通过全基因组关联研究或其他全基因组研究方法(如结构变异)得到确认。目的:了解不同ALS生存组的结构差异。方法:对50例具有两种极端表型的ALS患者,25例短命患者和25例长期存活的ALS患者,在下一代测序(CONSERTING)中用回归树进行拷贝数分割,分析拷贝数的变异。样本:对上下1.5%的ALS患者按存活率进行鉴定(25例患者从每尾分布)。根据El Escorial标准,所有患者被分为明确或可能的ALS,且无家族史。用主成分分析和关系矩阵评价样本的亲缘关系。
课程简介: Background: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease predominantly of motor neurons, characterized by progressive weakness of voluntary muscles and death from respiratory failure due to diaphragmatic paralysis, typically within 3 years of onset. Despite the very poor prognosis, there is considerable variation in the survival rate, and up to 10% of people with ALS live more than 8 years from first symptoms. There is a strong genetic contribution to ALS risk. In 5% of cases or more, a family history of ALS or frontotemporal dementia is obtained, and the Mendelian genes responsible for ALS in such families have now been identified in about 70% of cases. Even in apparently sporadic cases, twin and population studies show the heritability is about 60%. Although risk genes reveal information about the mechanism of causation of ALS, it is also important to identify gene variants that modify survival. Survival genes could potentially be targeted directly, or their product augmented to improve ALS survival. A number of common gene variants associated with ALS survival have been identified through genome-wide association studies or other genome-wide approaches like studying structural variants. Aim: Is to know the structural variations difference between different ALS survival groups. Methods: Analysis of copy-number variation using whole-genome sequencing data of 50 ALS patients with two extreme phenotypes, 25 short lived patients against 25 long survived ALS patients using Copy Number Segmentation by Regression Tree in Next Generation Sequencing (CONSERTING). Samples: The top and bottom 1.5% of ALS patients by survival were identified (25 patients from each tail of the distribution). All patients were classified as definite or probable ALS according to the El Escorial criteria and had no family history of ALS. Sample ancestry and relatedness were evaluated by principal components analysis and relationship matrices.
关 键 词: 肌萎缩性侧索硬化症; 肌麻痹; 孟德尔基因
课程来源: 视频讲座网
数据采集: 2020-12-14:yxd
最后编审: 2020-12-14:yxd
阅读次数: 48