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首页> 外文期刊>Journal of cardiovascular electrophysiology >Clinical assessment of the pathogenicity of unknown variants in long-QT syndrome: Does the pendulum swing back?
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Clinical assessment of the pathogenicity of unknown variants in long-QT syndrome: Does the pendulum swing back?

机译:长QT综合征未知变体的致病性的临床评估:摆是否回摆?

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摘要

The first linkage studies in families with inherited arrhyth-mogenic disorders, among which was the long-QT syndrome (LQTS), fully relied upon good clinical definition of the phe-notype and correct classification of affected and unaffected individuals as being imperative to find linkage and, therefore, the causative mutations. These studies successfully showed that mutations in genes coding for ion channels were responsible for genetically determined rhythm disorders such as LQTS. Since then, hundreds of mutations in 13 genes have been described to associate with LQTS. Sequencing of candidate genes has become a routine procedure in the diagnosis of LQTS and mutations in the 3 major LQT susceptibility genes KCNQ1 (LQT1), KCNH2 (LQT2) and SCN5A (LQT3) are found in >90% of successfully genotyped congenital LQTS cases.
机译:对遗传性心律失常性疾病家族进行的第一项连锁研究,其中包括长QT综合征(LQTS),完全依赖于表型的良好临床定义以及对受影响和未受影响的个体进行正确分类的必要条件因此,原因突变。这些研究成功地表明,编码离子通道的基因中的突变与遗传确定的节奏障碍(例如LQTS)有关。从那时起,已有13种基因的数百种突变与LQTS相关。候选基因的测序已成为诊断LQTS的常规程序,并在成功进行基因分型的先天性LQTS病例的90%以上发现3个主要的LQT易感基因KCNQ1(LQT1),KCNH2(LQT2)和SCN5A(LQT3)发生突变。

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