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靶向测序检测511例骨髓增生异常综合征患者基因突变 被引量:36
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作者 李冰 王静雅 +12 位作者 刘晋琴 史仲珣 彭帅玲 黄慧君 秦铁军 徐泽锋 张悦 方力维 张宏丽 胡耐博 潘丽娟 曲士强 肖志坚 《中华血液学杂志》 CAS CSCD 北大核心 2017年第12期1012-1016,共5页
目的探索中国骨髓增生异常综合征(MDS)患者基因突变特征。方法采用包含112个血液肿瘤相关基因的靶向测序技术对511例MDS患者进行基因突变检测,并回顾性分析其临床资料。结果全部511例MDS患者中,共检测到83个突变基因,439例(86%... 目的探索中国骨髓增生异常综合征(MDS)患者基因突变特征。方法采用包含112个血液肿瘤相关基因的靶向测序技术对511例MDS患者进行基因突变检测,并回顾性分析其临床资料。结果全部511例MDS患者中,共检测到83个突变基因,439例(86%)患者伴有至少1个基因突变。对涉及的83个基因依据其功能进行分类,突变频率依次为表观遗传相关基因(50%)、剪接子相关基因(37%)、信号传导相关基因(34%)、转录因子(24%)和细胞周期与凋亡相关基因(17%)。不同亚型患者的平均基因突变数目分别为:难治性血细胞减少伴单系发育异常(RCUD)1.25个,难治性血细胞减少伴多系发育异常(RCMD)1.73个,难治性贫血伴环状铁粒幼红细胞(RARS)2.79个,难治性贫血伴原始细胞增多.1(RAEB-1)2.22个,RAEB-22.34个,MDS伴单纯5q-2.67个,MDS未分类(MDS-U)2.00个。U2AF1突变患者单纯+8核型异常比例显著增高[Q〈0.001,OR=4.42(95%CI2.23—8.68)],复杂核型比例显著减低[Q=0.005,OR=0.22(95%CI0.04—0.72)]。依据基因突变数目,将患者分为伴有0~1个基因突变组,伴有2个基因突变组和伴有3个及以上基因突变组,三组总生存(OS)差异具有统计学意义(P=0.041)。结论近九成的MDS患者伴有至少1个基因突变,表观遗传相关基因和剪接子相关基因是MDS最常受累基因。随着疾病的演进基因突变数增多,基因突变数目多的患者OS较差。 展开更多
关键词 骨髓增生异常综合征 靶向测序 突变
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Targeted therapy in gastric cancer:Personalizing cancer treatment based on patient genome 被引量:9
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作者 Sun Min Lim Jae Yun Lim Jae Yong Cho 《World Journal of Gastroenterology》 SCIE CAS 2014年第8期2042-2050,共9页
Gastric cancer is the second leading cause of cancerrelated deaths worldwide.Conventional cytotoxic chemotherapy has limited efficacy for metastatic gastric cancer,with an overall survival of approximately ten months.... Gastric cancer is the second leading cause of cancerrelated deaths worldwide.Conventional cytotoxic chemotherapy has limited efficacy for metastatic gastric cancer,with an overall survival of approximately ten months.Recent advances in high-throughput technologies have enabled the implementation of personalized cancer therapy for high-risk patients.The use of such high-throughput technologies,including microarray and next generation sequencing,have promoted the discovery of novel targets that offer new treatment strategies for patients lacking other therapeutic options.Many molecular pathways are currently under investigation as therapeutic targets in gastric cancer,including those related to the epidermal growth factor receptor family,the mesenchymal-epithelial transition factor axis,and the phosphatidylinositol 3-kinase-AKTmammalian target of rapamycin factors.Advances in molecular diagnostic tools further support the discovery of new molecular targets.Limitations exist,however;not all patients can be tested for biomarkers,and numerous challenges hamper implementation of targeted therapy in clinical settings.Indeed,the scale of tumor genomic profiling is rapidly outpacing our ability to appropriately synthesize all the information in order to optimally refine patient care.Therefore,clinicians must continue to educate themselves regarding new tools and frameworks,and to utilize multidisciplinary team science,comprised of oncologists,geneticists,pathologists,biologists and bioinformaticians,to successfully implement this genomic approach therapeutically. 展开更多
关键词 Gastric cancer targeted therapy BIOMARKER MICROARRAY sequencing
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Newborn screening with targeted sequencing:a multicenter investigation and a pilot clinical study in China 被引量:7
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作者 Chanjuan Hao Ruolan Guo +23 位作者 Xuyun Hu Zhan Qi Qi Guo Xuanshi Liu Yuanhu Liu Yanhua Sun Xiaofen Zhang Feng Jin Xiujie Wu Ren Cai Dingyuan Zeng Xijiang Hu Xiaohua Wang Xiaoping Ji Wenjie Li Quansheng Xing Lanfang Mu Xiulian Jiang Xue Yang Weimin Yang Yan Zhang Qianli Yin Xin Ni Wei Li 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2022年第1期13-19,共7页
Different newborn screening(NBS) programs have been practiced in many countries since the 1960 s. It is of considerable interest whether next-generation sequencing is applicable in NBS. We have developed a panel of 46... Different newborn screening(NBS) programs have been practiced in many countries since the 1960 s. It is of considerable interest whether next-generation sequencing is applicable in NBS. We have developed a panel of 465 causative genes for 596 early-onset, relatively high incidence, and potentially actionable severe inherited diseases in our Newborn Screening with Targeted Sequencing(NESTS) program to screen 11,484 babies in 8 Women and Children’s hospitals nationwide in China retrospectively. The positive rate from preliminary screening of NESTS was 7.85%(902/11,484). With 45.89%(414/902) follow-up of preliminary positive cases, the overall clinically confirmative diagnosis rate of monogenic disorders was 12.07%(50/414), estimating an average of 0.95%(7.85% × 12.07%) clinical diagnosis rate, suggesting that monogenic disorders account for a considerable proportion of birth defects. The disease/gene spectrum varied in different regions of China. NESTS was implemented in a hospital by screening 3923 newborns to evaluate its clinical application. The turn-around time of a primary report, including the sequencing period of < 7 days, was within 11 days by our automatic interpretation pipeline. Our results suggest that NESTS is feasible and cost-effective as a first-tier NBS program, which will change the status of current clinical practice of NBS in China. 展开更多
关键词 Newborn screening Next-generation sequencing targeted sequencing Monogenic disorders Clinical practice
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Taming the beast:a revised classification of Cortinariaceae based on genomic data 被引量:7
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作者 Kare Liimatainen Jan T.Kim +3 位作者 Lisa Pokorny Paul M.Kirk Bryn Dentinger Tuula Niskanen 《Fungal Diversity》 SCIE 2022年第1期89-170,共82页
Family Cortinariaceae currently includes only one genus,Cortinarius,which is the largest Agaricales genus,with thousands of species worldwide.The species are important ectomycorrhizal fungi and form associations with ... Family Cortinariaceae currently includes only one genus,Cortinarius,which is the largest Agaricales genus,with thousands of species worldwide.The species are important ectomycorrhizal fungi and form associations with many vascular plant gen-era from tropicals to arctic regions.Genus Cortinarius contains a lot of morphological variation,and its complexity has led many taxonomists to specialize in particular on infrageneric groups.The previous attempts to divide Cortinarius have been shown to be unnatural and the phylogenetic studies done to date have not been able to resolve the higher-level classification of the group above section level.Genomic approaches have revolutionized our view on fungal relationships and provide a way to tackle difficult groups.We used both targeted capture sequencing and shallow whole genome sequencing to produce data and to perform phylogenomic analyses of 75 single-copy genes from 19 species.In addition,a wider 5-locus analysis of 245 species,from the Northern and Southern Hemispheres,was also done.Based on our results,a classification of the family Cortinariaceae into ten genera-Cortinarius,Phlegmacium,Thaxterogaster,Calonarius,Aureonarius,Cystinarius,Volvanarius,Hygronarius,Mystinarius,and Austrocortinarius-is proposed.Seven genera,10 subgenera,and four sec-tions are described as new to science and five subgenera are introduced as new combinations in a new rank.In addition,41 section names and 514 species names are combined in new genera and four lecto-and epitypes designated.The position of Stephanopus in suborder Agaricineae remains to be studied.Targeted capture sequencing is used for the first time in fungal taxonomy in Basidiomycetes.It provides a cost-efficient way to produce-omics data in species-rich groups.The-omics data was produced from fungarium specimens up to 21 years old,demonstrating the value of museum specimens in the study of the fungal tree of life.This study is the first family revision in Agaricales based on genomics data and hopefully many others will soon foll 展开更多
关键词 AGARICALES Fungariomics FUNGI HybPiper Museomics targeted capture sequencing Whole genome sequencing
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基于纳米孔靶向全基因测序技术的新冠肺炎病例快速鉴定研究
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作者 李健雄 施勇 +4 位作者 徐刚 肖大瑾 刘师文 熊英 龚甜 《实验与检验医学》 CAS 2024年第2期131-133,共3页
目的探索快速识别新型冠状病毒的方法,为新冠肺炎防控提供技术支撑。方法分别运用基于三代纳米孔测序技术平台MinION Mk1C和基于二代测序技术平台Ion Torrent S5的新型冠状病毒(SARS-CoV-2)靶向全基因组测序技术对1例境外输入新冠肺炎... 目的探索快速识别新型冠状病毒的方法,为新冠肺炎防控提供技术支撑。方法分别运用基于三代纳米孔测序技术平台MinION Mk1C和基于二代测序技术平台Ion Torrent S5的新型冠状病毒(SARS-CoV-2)靶向全基因组测序技术对1例境外输入新冠肺炎确诊病例进行基因组测序。使用artic-ncov2019软件、CLC Genomics Workbench(Version 21.0)软件和DNAstar软件等进行数据处理和分析。结果基于三代纳米孔测序技术平台MinION Mk1C和基于二代测序技术平台Ion Torrent S5分别在7 h和30 h左右获得SARS-CoV-2全基因组数据,分别为29848bp和29801bp,两者共同29801bp数据部分同源性100%,经分析为新冠病毒B.1.1.7变异株。结论在对该病例样本的全基因测序中,基于三代纳米孔测序技术平台MinION Mk1C的SARS-CoV-2靶向全基因组测序技术将检测周期缩短至7 h左右,能够实现快速、准确地对SARS-CoV-2进行实时测序。 展开更多
关键词 纳米孔测序技术 MinION Mk1C测序平台 靶向测序 新冠病毒B1.1.7变异株
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先天性甲状腺发育异常相关致病基因的突变分析 被引量:6
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作者 孔静 戴静宜 +4 位作者 龙伟 杨宇奇 周红 虞斌 秦志强 《重庆医学》 CAS 2019年第12期2087-2089,2094,共4页
目的分析甲状腺发育异常相关致病基因的突变特点。方法以江苏地区通过新生儿疾病筛查确诊的89例先天性甲状腺功能减低症(CH)患者为研究对象,基于文献复习的基础上,针对甲状腺发育异常相关致病基因的热点突变的外显子及外显子-内含子交... 目的分析甲状腺发育异常相关致病基因的突变特点。方法以江苏地区通过新生儿疾病筛查确诊的89例先天性甲状腺功能减低症(CH)患者为研究对象,基于文献复习的基础上,针对甲状腺发育异常相关致病基因的热点突变的外显子及外显子-内含子交界区域设计靶向测序panel,包括促甲状腺素受体(TSHR)、甲状腺转录因子1(TTF1)、甲状腺转录因子2(TTF2)、PAX8、NKX2-5和THRA基因,采用靶向捕获测序技术进行检测。结果89例CH患者中有19例检出甲状腺发育异常致病基因致病突变,70例未检出相关潜在致病突变,总体突变检出率为21.35%(19/89);共检出23个潜在致病突变,包括17个TSHR突变,2个TTF1突变,2个PAX8突变,以及TTF2、NKX2-5突变各1个,THRA突变未检出。共发现8个新突变,包括4个TSHR突变,1个TTF1突变,2个PAX8突变和1个NKX2-5突变。结论江苏地区人群中CH相关致病基因突变中约20%与甲状腺发育异常有关,与国外研究相比存在较大的差异。 展开更多
关键词 先天性甲状腺功能减退症 甲状腺发育异常 靶向测序 基因 突变
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Omadacycline in the treatment of scrub typhus:Three case reports
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作者 Xue-Mei Lang Yun Qiu +3 位作者 Ya-Juan Jia Hong Sun Su-Min Gao Hong-Mei Zhao 《World Journal of Clinical Cases》 SCIE 2024年第25期5832-5838,共7页
BACKGROUND Scrub typhus is a naturally occurring acute infectious disease that is primarily transmitted through the bites of chiggers or larval mites infected by Orientia tsutsugamushi(O.tsutsugamushi).Omadacycline,a ... BACKGROUND Scrub typhus is a naturally occurring acute infectious disease that is primarily transmitted through the bites of chiggers or larval mites infected by Orientia tsutsugamushi(O.tsutsugamushi).Omadacycline,a novel tetracycline,exhibits potent antibacterial efficacy against both typical bacteria and atypical pathogens.However,omadacycline application in the treatment of scrub typhus remains limited.CASE SUMMARY In the present work,we report several cases of scrub typhus,with the main clinical symptoms being fever,the formation of eschars or ulcers,local or systemic lymphadenopathy,headache,myalgia and rash.Blood samples were collected before omadacycline was administered,and O.tsutsugamushi infection was confirmed through targeted next-generation sequencing(tNGS).After two days of treatment,the patients’symptoms,including fever,were alleviated,with no adverse drug reactions.CONCLUSION tNGS is an effective method for diagnosing scrub typhus.Omadacycline can be considered an alternative option for antiinfective therapy in patients with O.tsutsugamushi infections. 展开更多
关键词 Omadacycline Scrub typhus Orientia tsutsugamushi targeted nextgeneration sequencing ESCHAR Case report
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依维莫司维持治疗原发性铂类耐药卵巢透明细胞癌一例 被引量:6
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作者 喻喆 刘泓若 蒋葵 《中华肿瘤杂志》 CAS CSCD 北大核心 2017年第8期634-635,共2页
患者女,43岁。2014年10月中旬因腹部胀痛就诊,CA125为566.2U/ml,CA199〉1000U/ml。超声提示盆腔肿物,CT示双附件区、盆腔内多发软组织结节及肿块,腹膜腔广泛种植转移,腹盆腔大量积液。行腹腔穿刺术,腹水病理考虑恶性肿瘤。放... 患者女,43岁。2014年10月中旬因腹部胀痛就诊,CA125为566.2U/ml,CA199〉1000U/ml。超声提示盆腔肿物,CT示双附件区、盆腔内多发软组织结节及肿块,腹膜腔广泛种植转移,腹盆腔大量积液。行腹腔穿刺术,腹水病理考虑恶性肿瘤。放腹水后,给予顺铂100mg腹腔灌注化疗。 展开更多
关键词 卵巢肿瘤 依维莫司 靶向治疗 基因测序
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35份水稻骨干亲本氮高效基因分析及功能分子标记开发
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作者 龙武华 吴朝昕 +3 位作者 刘雪薇 吴娴 姜雪 朱速松 《现代农业科技》 2024年第17期163-167,共5页
氮是影响水稻产量形成最重要的元素之一,其合理和高效利用是农业可持续发展的重要保障。通过靶向测序技术鉴定了35份水稻骨干亲本OsNPF6.1、NRT1.1B、OsNR2和OsGRF4的基因型,并基于PARMS技术(penta-primer amplification refractory mut... 氮是影响水稻产量形成最重要的元素之一,其合理和高效利用是农业可持续发展的重要保障。通过靶向测序技术鉴定了35份水稻骨干亲本OsNPF6.1、NRT1.1B、OsNR2和OsGRF4的基因型,并基于PARMS技术(penta-primer amplification refractory mutation system)开发了OsNPF6.1、OsNR2和OsGRF4的荧光功能分子标记。结果表明,荧光功能分子标记检测结果与靶向测序结果一致,并且明确了靶向测序未明确的氮高效基因型。综上所述,开发的氮高效基因功能分子标记为培育氮高效水稻新品种提供了技术支撑。 展开更多
关键词 水稻 骨干亲本 氮高效基因 靶向测序 分子标记
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Usher综合征患者致病突变基因的研究 被引量:5
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作者 代艾艾 刘铁城 +1 位作者 高旭辉 李淑贤 《解放军医学院学报》 CAS 2016年第7期779-783,共5页
目的研究1例Usher综合征患者的致病突变基因。方法选取解放军总医院院2015年4月眼科门诊1例临床诊断Usher综合征的39岁女性患者及其家系内所有成员(包括患者及非患者)为研究对象,提取其外周静脉血DNA,建立基因组DNA标本库,针对目前已知... 目的研究1例Usher综合征患者的致病突变基因。方法选取解放军总医院院2015年4月眼科门诊1例临床诊断Usher综合征的39岁女性患者及其家系内所有成员(包括患者及非患者)为研究对象,提取其外周静脉血DNA,建立基因组DNA标本库,针对目前已知的Usher综合征致病基因,对患者基因组DNA进行目标区域捕获高通量测序,锁定该患者致病基因,并进一步对该家系中的其他成员(包括患者及非患者)进行相关突变位点的验证,最终确定该患者的致病基因突变。结果该患者致病突变定位于10q22.1的CDH23基因,由c.6253+1G>A和c.287_288ins G两个位点组成的复合杂合突变致病。在患者家系中,与患者有血缘关系的成员均具有符合Usher综合征这一单基因遗传病规律的基因型,而与患者无血缘关系的家庭成员均无上述两处基因位点的突变。结论运用目标区域捕获高通量测序技术,可以在Usher综合征患者中实现致病基因的突变筛查,结合其他家庭成员的基因位点验证,可明确Usher综合征患者的具体致病基因突变。 展开更多
关键词 USHER综合征 单基因遗传病 CDH23基因 高通量测序 目标区域捕获测序 Sanger测序
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单中心109例慢性粒-单核细胞白血病患者的分子学特征分析 被引量:1
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作者 曲士强 潘丽娟 +10 位作者 秦铁军 徐泽锋 李冰 王慧君 孙琦 贾玉娇 李承文 蔡文宇 高清妍 焦蒙 肖志坚 《中华血液学杂志》 CAS CSCD 北大核心 2023年第5期373-379,共7页
目的探索慢性粒-单核细胞白血病(CMML)的基因突变特征。方法按照WHO 2022分类,对2016年3月至2021年10月113例CMML和840例骨髓增生异常综合征(MDS)患者进行CMML重新诊断,并分析符合WHO 2022标准CMML患者的临床和分子学特征。结果113例WHO... 目的探索慢性粒-单核细胞白血病(CMML)的基因突变特征。方法按照WHO 2022分类,对2016年3月至2021年10月113例CMML和840例骨髓增生异常综合征(MDS)患者进行CMML重新诊断,并分析符合WHO 2022标准CMML患者的临床和分子学特征。结果113例WHO 2016标准诊断的CMML患者有23例(20.4%)重新诊断为急性髓系白血病(AML),包括18例AML伴NPM1突变,3例AML伴KMT2A重排和2例AML伴MECOM重排。另90例患者符合WHO 2022 CMML诊断标准。840例MDS患者中有19例(2.3%)符合WHO 2022 CMML诊断标准。99%的CMML患者检出至少1种基因突变,中位突变个数为4(2,5)个。突变检出率≥10%的基因依次为:ASXL1(48%)、NRAS(34%)、RUNX1(33%)、TET2(28%)、U2AF1(23%)、SRSF2(21.1%)、SETBP1(20%)、KRAS(17%)、CBL(16%)和DNMT3A(11%)。配对分析显示SRSF2同ASXL1(OR=4.129,95%CI 1.481~11.510,Q=0.007)和TET2(OR=5.276,95%CI 1.979~14.065,Q=0.001)常为共存突变。SRSF2和TET2常出现于老年(≥60岁)增殖型CMML(MP-CMML)患者。U2AF1同TET2(OR=0.174,95%CI 0.038~0.791,Q=0.024)常成互斥关系,易见于年轻(<60岁)发育异常型CMML(MDCMML)患者。单核细胞绝对值计数(AMoC)≥1×10^(9)/L和<1×10^(9)/L两组患者比较比较,前者有更高的中位发病年龄(60岁对47岁,P<0.001)、WBC(15.9×10^(9)/L对4.4×10^(9)/L,P<0.001)、单核细胞比例(21.5%对15%,P=0.001)和HGB水平(86 g/L对74 g/L,P=0.014)。TET2突变(P=0.021)和SRSF2突变(P=0.011)更常见于AMoC≥1×10^(9)/L组,而U2AF1突变(P<0.001)更常见于AMoC<1×10^(9)/L组。两组间的其他基因突变频率差异无统计学意义。结论按照WHO 2022分类,约20%的CMML病例诊断时的AMoC<1×10^(9)/L,MD-CMML和MP-CMML有不同的分子学特征。 展开更多
关键词 慢性粒-单核细胞白血病 靶向测序 基因突变
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Co-infection of Chlamydia psittaci and Tropheryma whipplei: A case report
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作者 Zhu-Man Du Pei Chen 《World Journal of Clinical Cases》 SCIE 2023年第29期7144-7149,共6页
BACKGROUND The co-infection of Chlamydia psittaci(C.psittaci)and Tropheryma whipplei(T.whipplei)is unusual,and the detection of pathogenic microorganisms is particularly important for patients with severe diseases or ... BACKGROUND The co-infection of Chlamydia psittaci(C.psittaci)and Tropheryma whipplei(T.whipplei)is unusual,and the detection of pathogenic microorganisms is particularly important for patients with severe diseases or poor experience in treatment.Early identification of pathogens can significantly improve the prognosis of the patients.Targeted next-generation sequencing(tNGS)is currently widely used in clinical practice for various infectious diseases,including respiratory infections,to achieve early,accurate,and rapid microbial diagnosis.CASE SUMMARY We report a case of a 40-year-old female patient with a history of contact with parrots who was diagnosed with C.psittaci and T.whipplei infection through bronchial lavage fluid targeted next generation sequencing.After moxifloxacin treatment,the patient's symptoms improved significantly,and the imaging changes were obviously resolved.CONCLUSION Coinfection with C.psittaci and T.whipplei is not common.In this case,timely and accurate identification of both pathogens was achieved using tNGS.Moreover,the efficacy of monotherapy with moxifloxacin was confirmed. 展开更多
关键词 Infectious diseases Chlamydia psittaci Tropheryma whipplei targeted next generation sequencing Case report
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濒危植物百山祖冷杉和资源冷杉的物种划分及其遗传资源的保护
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作者 杨玲 梁思琪 +7 位作者 潘佳明 韦金鑫 丁涛 蒋日红 邵毅贞 张宪春 刘勇波 向巧萍 《植物生态学报》 CAS CSCD 北大核心 2023年第12期1629-1645,共17页
物种是生物学中最基本的分类单元,对于珍稀濒危物种而言,物种的正确界定对于制定保护措施至关重要。分布于中国亚热带地区的百山祖冷杉(Abies beshanzuensis)、资源冷杉(A. ziyuanensis)和大院冷杉(A. dayuanensis)种群极小,且分类上长... 物种是生物学中最基本的分类单元,对于珍稀濒危物种而言,物种的正确界定对于制定保护措施至关重要。分布于中国亚热带地区的百山祖冷杉(Abies beshanzuensis)、资源冷杉(A. ziyuanensis)和大院冷杉(A. dayuanensis)种群极小,且分类上长期存在争议。现行分类依据形态和地理分布将大院冷杉归并到资源冷杉,又将资源冷杉处理为百山祖冷杉的变种,但分子证据不足。该研究对百山祖冷杉、资源冷杉和大院冷杉分布区内8个种群的23株个体进行靶向捕获测序,获得了60个单拷贝核基因中的805个单核苷酸多态性位点。种群遗传结构和历史动态分析表明,这些个体可分为两个谱系,分别对应于百山祖冷杉和资源冷杉,其中资源冷杉在2.35Ma前与百山祖冷杉和大院冷杉的共同祖先分化,而大院冷杉与百山祖冷杉亲缘关系更近,形成一个谱系。百山祖冷杉、资源冷杉和大院冷杉的遗传多样性水平整体较低,种群间存在较为明显的遗传分化(遗传分化指数0.083–0.208)。由于未检测到分化后的谱系间遗传交流,推测分布区的碎片化是谱系间遗传交流受阻进而产生分化的主要原因。生态位比较分析结果显示百山祖冷杉、资源冷杉和大院冷杉这群濒危冷杉分布区的年平均气温和最冷季平均气温显著高于东亚分布的非濒危冷杉物种,因此,该研究认为全球气候变暖是导致其濒危的关键因素。综合以上研究结果,该研究对百山祖冷杉、资源冷杉和大院冷杉这群植物进行新的分类处理,将大院冷杉处理为百山祖冷杉的异名,确认资源冷杉种的地位。在对其濒危机制深入理解的基础上,建议在西南的横断山和秦巴山地区尝试迁地栽培实验,同时就地人工辅助育种。 展开更多
关键词 大院冷杉 溯祖分析 生态位 种群遗传学 物种保护 物种划分 靶向捕获测序
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血浆游离DNA甲基化靶向测序在结直肠癌中的应用价值 被引量:3
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作者 张丽静 万智毅 +4 位作者 孙利群 徐岩 王霞 张倩倩 周长江 《临床检验杂志》 CAS 2022年第3期179-182,共4页
目的检测结直肠癌(CRC)患者血浆游离DNA(cell-free DNA,cfDNA)的甲基化水平,并分析其临床应用价值。方法收集38例大连大学附属新华医院就诊的CRC患者(Ⅰ~Ⅲ期)及38例体检健康者的血液标本,采用化学发光法检测血清癌胚抗原(CEA)水平;提取... 目的检测结直肠癌(CRC)患者血浆游离DNA(cell-free DNA,cfDNA)的甲基化水平,并分析其临床应用价值。方法收集38例大连大学附属新华医院就诊的CRC患者(Ⅰ~Ⅲ期)及38例体检健康者的血液标本,采用化学发光法检测血清癌胚抗原(CEA)水平;提取CRC组及体检健康者血浆cfDNA,行高通量甲基化靶向测序检测,计算甲基化评分,并分析其与CRC患者临床病理参数的关系;ROC曲线评估cfDNA和CEA单独及联合检测筛查CRC的临床价值。结果与健康人对照组相比,CRC组cfDNA浓度差异无统计学意义(34.41±5.00 vs 36.59±4.46,t=0.326,P=0.745),而cfDNA甲基化评分显著升高(0.53±0.27 vs 0.26±0.18,t=6.134,P<0.001)。伴有淋巴结转移的CRC患者cfDNA甲基化阳性率较无淋巴结转移者显著升高(88.9%vs 60%,χ^(2)=4.323,P=0.038),但在不同性别、年龄、肿瘤位置分组中的差异均无统计学意义(P均>0.05)。ROC曲线分析结果显示,cfDNA甲基化检测筛查CRC的ROC曲线下面积(AUC_(ROC))为0.892(95%CI:0.814~0.970),血清CEA为0.810(95%CI:0.707~0.909),二者联合检测的AUC_(ROC)为0.930(95%CI:0.8674~0.9967)。cfDNA甲基化检测的敏感性为84.21%,特异性为86.84%(cut-off值为0.2805);CEA单独检测的敏感性为42.1%,特异性为97.3%(cut-off值为4.0 ng/mL);二者联合检测的敏感性显著升高(89.47%),特异性为91.89%,准确性为90.67%。结论血浆cfDNA甲基化检测在CRC筛查中的敏感性和特异性较高,并且与淋巴结转移相关,具有较好的临床应用价值。 展开更多
关键词 结直肠癌 血浆游离DNA 甲基化 靶向测序
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基于捕获法的靶向测序技术在弥漫大B细胞淋巴瘤IgH基因重排检测中的应用价值
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作者 李三恩 石晨曦 +2 位作者 朱卫东 王玉红 郭凌川 《临床与实验病理学杂志》 CAS 北大核心 2023年第3期317-320,共4页
目的探讨基于捕获法的靶向测序技术在弥漫大B细胞淋巴瘤IgH基因克隆性重排检测中的应用价值。方法收集2020年3月~2022年1月苏州大学附属第一医院送检的DLBCL标本99例,提取患者基因组DNA,使用基于捕获法的靶向测序技术进行IgH基因克隆性... 目的探讨基于捕获法的靶向测序技术在弥漫大B细胞淋巴瘤IgH基因克隆性重排检测中的应用价值。方法收集2020年3月~2022年1月苏州大学附属第一医院送检的DLBCL标本99例,提取患者基因组DNA,使用基于捕获法的靶向测序技术进行IgH基因克隆性重排检测。结果27.3%(27/99)患者检测到IgH基因完全IgHV-IgHD-IgHJ重排,50.5%(50/99)患者检测到IgH基因不完全IgHD-IgHJ重排,IgH基因克隆性重排联合检出率为66.7%(66/99)。27例患者检测到32种IgHV-IgHD-IgHJ重排,50例患者检测到52种IgHD-IgHJ重排,在IgHV-IgHD-IgHJ重排中,IgHV3、IgHD3和IgHJ4家族基因的取用频率最高,在IgHD-IgHJ重排中,IgHD3和IgHJ4家族基因的取用频率最高。3例患者捕获到未知IgH基因融合伴侣,其中2例为MIR4507-IgH融合,1例为IRF8-IgH融合。结论基于捕获法的靶向测序技术不仅可以检测IgH基因克隆性重排具体方式,还能发现IgH基因未知融合伴侣,对DLBCL诊断及个体化治疗策略制定具有重要意义。 展开更多
关键词 淋巴瘤 弥漫大B细胞淋巴瘤 捕获法 靶向测序 IGH基因重排
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Targeted gene panel provides advantages over whole-exome sequencing for diagnosing obesity and diabetes mellitus
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作者 Hairong Yu Haoyong Yu +7 位作者 Rong Zhang Danfeng Peng Dandan Yan Yunjuan Gu Yuqian Bao Weiping Jia Hong Zhang Cheng Hu 《Journal of Molecular Cell Biology》 SCIE CAS CSCD 2023年第6期40-52,共13页
A small fraction of patients diagnosed with obesity or diabetes mellitus has an underlying monogenic cause.Here,we constructed a targeted gene panel consisting of 83 genes reported to be causative for monogenic obesit... A small fraction of patients diagnosed with obesity or diabetes mellitus has an underlying monogenic cause.Here,we constructed a targeted gene panel consisting of 83 genes reported to be causative for monogenic obesity or diabetes.We performed this panel in 481 patients to detect causative variants and compared these results with whole-exome sequencing(WES)data available for 146 of these patients.The coverage of targeted gene panel sequencing was significantly higher than that of WES.The diagnostic yield in patients sequenced by the panel was 32.9%with subsequent WES leading to three additional diagnoses with two novel genes.In total,178 variants in 83 genes were detected in 146 patients by targeted sequencing.Three of the 178 variants were missed by WES,although the WES-only approach had a similar diagnostic yield.For the 335 samples only receiving targeted sequencing,the diagnostic yield was 32.2%.In conclusion,taking into account the lower costs,shorter turnaround time,and higher quality of data,targeted sequencing is a more effective screening method for monogenic obesity and diabetes compared to WES.Therefore,this approach could be routinely established and used as a first-tier test in clinical practice for specific patients. 展开更多
关键词 molecular diagnosis monogenic diabetes mellitus monogenic obesity targeted panel whole-exome sequencing
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Targeting KRAS in pancreatic adenocarcinoma:Progress in demystifying the holy grail
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作者 Ahmed Elhariri Ahmed Alhaj +10 位作者 Daniel Ahn Mohamad Bassam Sonbol Tanios Bekaii-Saab Christina Wu Michael Scott Rutenberg John Stauffer Jason Starr Umair Majeed Jeremy Jones Mitesh Borad Hani Babiker 《World Journal of Clinical Oncology》 2023年第8期285-296,共12页
Pancreatic cancer(PC)remains one of the most challenging diseases,with a very poor 5-year overall survival of around 11.5%.Kirsten rat sarcoma virus(KRAS)mutation is seen in 90%-95%of PC patients and plays an importan... Pancreatic cancer(PC)remains one of the most challenging diseases,with a very poor 5-year overall survival of around 11.5%.Kirsten rat sarcoma virus(KRAS)mutation is seen in 90%-95%of PC patients and plays an important role in cancer cell proliferation,differentiation,metabolism,and survival,making it an essential mutation for targeted therapy.Despite extensive efforts in studying this oncogene,there has been little success in finding a drug to target this pathway,labelling it for decades as“undruggable”.In this article we summarize some of the efforts made to target the KRAS pathway in PC,discuss the challenges,and shed light on promising clinical trials. 展开更多
关键词 Kirsten rat sarcoma virus targeted therapy Pancreatic cancer Drug resistance Next generation sequencing Clustered regularly interspaced short palindromic repeats
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Construction of SNP genetic maps based on targeted next-generation sequencing and QTL mapping of vital agronomic traits in faba bean(Vicia faba L.)
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作者 LI Meng-wei HE Yu-hua +10 位作者 LIU Rong LI Guan WANG Dong JI Yi-shan YAN Xin HUANG Shu-xian WANG Chen-yu MA Yu LIU Bei YANG Tao ZONG Xu-xiao 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2023年第9期2648-2659,共12页
Owing to the limitation of a large genome size(~13 Gb),the genetic and gene mapping studies on faba bean(Vicia faba L.)are lagging far behind those for other legumes.In this study,we selected three purified faba bean ... Owing to the limitation of a large genome size(~13 Gb),the genetic and gene mapping studies on faba bean(Vicia faba L.)are lagging far behind those for other legumes.In this study,we selected three purified faba bean lines(Yundou 8137,H0003712,and H000572)as parents and constructed two F2 populations.These two F2 populations,namely 167 F2 plants in Pop1(Yundou 8137×H0003712)and 204 F2 plants in Pop2(H000572×Yundou 8137),were genotyped using a targeted next-generation sequencing(TNGS)genotyping platform,and two high-density single nucleotide polymorphisms(SNP)genetic linkage maps of faba bean were constructed.The map constructed from Pop1 contained 5103 SNPs with a length of 1333.31 cM and an average marker density of 0.26 cM.The map constructed from Pop2 contained 1904 SNPs with a greater length of 1610.61 cM.In these two F2 populations,QTL mapping identified 98 QTLs for 14 agronomic traits related to the flowers,pods,plant types and grains.The two maps were then merged into an integrated genetic linkage map containing 6895 SNPs,with a length of 3324.48 cM.These results not only lay the foundation for fine mapping and map-based cloning of related genes,but can also accelerate the molecular marker-assisted breeding of faba bean. 展开更多
关键词 faba bean targeted next-generation sequencing single nucleotide polymorphisms genetic linkage map QTL mapping
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Targeted deep sequencing reveals the genetic heterogeneity in well-differentiated pancreatic neuroendocrine tumors with liver metastasis
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作者 Wentao Zhou Xu Han +4 位作者 Yuan Ji Dansong Wang Dong Xie Zilong Qiu Wenhui Lou 《Hepatobiliary Surgery and Nutrition》 SCIE 2023年第3期302-313,I0001-I0005,共17页
Background:Pancreatic neuroendocrine tumor is a rare and heterogeneous entity,and approximately half of the patients harbored liver metastasis when initially diagnosed,whose prognosis is dismal.High-throughput sequenc... Background:Pancreatic neuroendocrine tumor is a rare and heterogeneous entity,and approximately half of the patients harbored liver metastasis when initially diagnosed,whose prognosis is dismal.High-throughput sequencing has largely uncovered the genomic features of pancreatic neuroendocrine tumor,but the genetic alterations in the metastatic cases remain relatively unclear,which we aimed to study.Methods:Pathologically confirmed well-differentiated pancreatic neuroendocrine tumor samples resected in our hospital from 2000 to 2019 were collected.We performed deep sequencing on the exome of 341 tumor-related genes,and compared the differences of genetic alterations between the metastatic and the non-metastatic cases,as well as between the primary and the paired liver metastatic tumors.Results:Sequencing data of 79 samples from 29 pancreatic neuroendocrine tumor patients were included into analysis.A total of 2,471 somatic variants were identified,75.5%of which were considered as low-abundance.NOTCH1 was the most frequently mutated gene,altered in 26(53.1%)pancreatic neuroendocrine tumor samples from 18(62.1%)patients.Compared with the non-metastatic pancreatic neuroendocrine tumors,the metastatic cases were discovered with more single nucleotide variants and copy number variations,indicating the increased genomic instability.In addition,among the paired metastatic cases,the primary and the metastatic lesions shared limited mutated genes.Conclusions:Through the targeted deep sequencing,we identified the intratumor,intraindividual,and interindividual heterogeneity in the pancreatic neuroendocrine tumor patients,particularly in the metastatic cases,bringing potential challenges for the current biopsy strategies in guiding clinical treatments. 展开更多
关键词 Pancreatic neuroendocrine tumor(pNET) liver metastasis targeted sequencing genomic alteration HETEROGENEITY
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对乳头状甲状腺癌临床分子靶标的筛选 被引量:4
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作者 杨迟晖 张晶 +4 位作者 孟磊俊 宫丽平 常庆 张泓 曾乃燕 《诊断学理论与实践》 2019年第4期402-411,共10页
目的:通过对比分析乳头状甲状腺癌(papillary thyroid cancer,PTC)和癌旁组织中NF-κB信号通路相关基因的差异表达,以及52个实体瘤相关基因的突变情况,鉴定与PTC临床诊断治疗相关的肿瘤特异性分子靶点。方法:分别提取20例PTC石蜡样本的... 目的:通过对比分析乳头状甲状腺癌(papillary thyroid cancer,PTC)和癌旁组织中NF-κB信号通路相关基因的差异表达,以及52个实体瘤相关基因的突变情况,鉴定与PTC临床诊断治疗相关的肿瘤特异性分子靶点。方法:分别提取20例PTC石蜡样本的癌与癌旁组织的RNA及DNA,运用定量反转录聚合酶链式反应(quantitative reverse transcription PCR,qRT-PCR)分析NF-κB信号通路目的基因CD44、BCL2、CCND2、c-FLIP、IκBα、A20及ABINs的RNA水平表达,并用免疫组化方法进行蛋白水平表达验证。同时利用靶向二代测序(next generation sequencing,NGS)对其中5例随访复发病例的肿瘤相关基因的突变情况进行全面分析筛选。结果:PTC癌组织中CD44和CCND2基因在RNA和蛋白水平的表达均显著高于癌旁组织。在有淋巴结转移和无淋巴结转移的PTC间,各NF-κB目的基因的表达量差异均无统计学意义。在基因水平,ALK、BRAF、FGFR3/4、KIT、MYC及MAPK信号通路的HRAS、KRAS、NRAS及RET是PTC中的高频突变基因。有2例病例分别含35个和40个突变基因,存在很大肿瘤负荷,结合临床数据发现均为术后复发患者。常见的BRAF V600E突变并非都是体细胞突变(64%),也可为胚系突变(29%);用NGS和qPCR同时检测验证V600E时,2种方法检出结果的相符率达80%。结论:CD44和CCND2基因在乳头状甲状腺癌癌组织中高表达,BRAF、RAS、FGFRs、KIT和MYC等基因的肿瘤特异性突变可能作为临床上对PTC患者实施个体化治疗所需的分子靶点。NGS和qPCR技术对BRAF V600E检测具有很高平行性,联合应用可提高检出率。 展开更多
关键词 乳头状甲状腺癌 荧光定量PCR 靶向基因测序 NF-κB目的基因 BRAF V600E突变
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