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Complex Diagnostics of Non-Specific Intellectual Developmental Disorder
Authors:Olga Levchenko  Elena Dadali  Ludmila Bessonova  Nina Demina  Galina Rudenskaya  Galina Matyushchenko  Tatiana Markova  Inga Anisimova  Natalia Semenova  Olga Shchagina  Oxana Ryzhkova  Rena Zinchenko  Varvara Galkina  Victoria Voinova  Sabina Nagieva  Alexander Lavrov
Affiliation:1.Research Centre for Medical Genetics, 115522 Moscow, Russia; (E.D.); (L.B.); (N.D.); (G.R.); (G.M.); (T.M.); (I.A.); (N.S.); (O.S.); (O.R.); (R.Z.); (V.G.); (S.N.); (A.L.);2.Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University, 125412 Moscow, Russia;3.Mental Health Research Center, 115522 Moscow, Russia
Abstract:Intellectual development disorder (IDD) is characterized by a general deficit in intellectual and adaptive functioning. In recent years, there has been a growing interest in studying the genetic structure of IDD. Of particular difficulty are patients with non-specific IDD, for whom it is impossible to establish a clinical diagnosis without complex genetic diagnostics. We examined 198 patients with non-specific IDD from 171 families using whole-exome sequencing and chromosome microarray analysis. Hereditary forms of IDD account for at least 35.7% of non-specific IDD, of which 26.9% are monogenic forms. Variants in the genes associated with the BAF (SWI/SNF) complex were the most frequently identified. We were unable to identify phenotypic features that would allow differential diagnosis of monogenic and microstructural chromosomal rearrangements in non-specific IDD at the stage of clinical examination, but due to its higher efficiency, exome sequencing should be the diagnostic method of the highest priority study after the standard examination of patients with NIDD in Russia.
Keywords:intellectual disability  IDD  WES  CMA  diagnostics  exome sequencing
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