What a finding of gene copy number variation can add to the diagnosis of developmental neuropsychiatric disorders

被引:13
作者
Vorstman, Jacob [1 ,2 ,3 ]
Scherer, Stephen W. [2 ,3 ,4 ,5 ]
机构
[1] Univ Toronto, Dept Psychiat, Hosp Sick Children, Toronto, ON, Canada
[2] Hosp Sick Children, Program Genet & Genome Biol, Toronto, ON, Canada
[3] Hosp Sick Children, Ctr Appl Genom, Toronto, ON, Canada
[4] Univ Toronto, McLaughlin Ctr, Toronto, ON, Canada
[5] Univ Toronto, Dept Mol Genet, Toronto, ON, Canada
关键词
AUTISM SPECTRUM DISORDERS; INDIVIDUALS; MICROARRAY; MUTATIONS; VARIANTS; CLINGEN; IMPACT; BRAIN; EXONS; RISK;
D O I
10.1016/j.gde.2020.12.017
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Among medical disciplines, diagnosis in psychiatry depends highly upon descriptive signs and symptoms, rather than biomarkers. Clear descriptions ofspecificgenetic etiologies have been lacking; genomic technologies, however, are rapidly changing that landscape. Notably, chromosomal microarrays-which detect gene copy number variants (CNVs)-are a recommended standard of care for neurodevelopmental disorders. As a result, an increasing number of patients now receive a clinical diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and an identified genetic etiological variant. However, psychiatric and genetic diagnoses are frequently communicated and managed as two disconnected diagnostic parameters. Here, we advocate for a transition model, allowing the integration of genetic etiological information-starting with diagnostically proven CNVs-within the DSM-5 classification framework.
引用
收藏
页码:18 / 25
页数:8
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