DNA-based diagnostics of hereditary diseases of the respiratory tract
https://doi.org/10.18093/0869-0189-2024-34-2-151-157
Abstract
The diagnosis of orphan lung diseases often requires specific tests, and treatment is difficult due to problems in understanding the mechanisms of disease development and low incidence. When a therapy is developed, it is very expensive.
The aim of the article was to present modern approaches for the genetic diagnosis of hereditary respiratory diseases.
Conclusion. A physician of any specialty can encounter an orphan disease in clinical practice. The emergence of new methods for the maintenance and targeted therapy of orphan lung diseases necessitates allertness of both pediatric and adult pulmonologists. Competent management of such patients requires knowledge of the basics of genetics and the modern possibilities of DNA diagnostics, as well as close interdisciplinary cooperation between physicians of different specialties and laboratories.
About the Authors
S. I. KutsevRussian Federation
Sergey I. Kutsev, Doctor of Medicine, Professor, Academician of the Russian Academy of Sciences, Federal State Budgetary Scientific Institution “Research Centre for Medical Genetics”, Ministry of Science and Higher Education of the Russian Federation; Chief Freelance Specialist in Medical Genetics of the Ministry of Health of the Russian Federation
ul. Moskvorechye 1, Moscow, 115522
O. A. Shchagina
Russian Federation
Ol’ga A. Shchagina, Candidate of Medicine, Head of the Laboratory of Mo- lecular Genetic Diagnostics No.1, Leading Researcher, Laboratory of DNA Diagnostics, Associate Professor, Department of Molecular Genetics and Bioinformatics, Institute of Higher and Additional Professional Education
ul. Moskvorechye 1, Moscow, 115522
Yu. L. Melyanovskaya
Russian Federation
Yuliya L. Mel’yanovskaya, Researcher, Scientific and Clinical Department of Cystic Fibrosis
ul. Moskvorechye 1, Moscow, 115522
E. I. Kondratyeva
Russian Federation
Elena I. Kondratyeva, Doctor of Medicine, Professor, Head of the Scientific and Clinical Department of Cystic Fibrosis, Head of the Department of Genetics of Respiratory System Diseases, Institute of Higher and Additional Professional Education
ul. Moskvorechye 1, Moscow, 115522
References
1. Ginter E.K., Puzyrev V.P., Kutsev S.I. [Medical genetics: guidelines]. Moscow: GEOTAR-Media; 2022 (in Russian).
2. Wagner T., Humbert M., Wijsenbeek M. et al. Rare diseases of the respiratory system. Sheffield: ERS; 2023. DOI: 10.1183/2312508X.erm10023.
3. Kondratyeva E.I., Avdeev S.N., Mizernitskiy Yu.L. et al. [Primary ciliary dyskinesia: review of the draft clinical guidelines, 2022]. Pul’monologiya. 2022; 32 (4): 517–538. DOI: 10.18093/0869-0189-2022-32-4-517-538 (in Russian).
4. Green R.C., Berg J.S., Grody W.W. et al. ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing. Genet Med. 2013; 15 (7): 565–574. DOI: 10.1038/gim.2013.73.
5. Ryzhkova O.P., Kardymon O.L., Prokhorchuk E.B. et al. [Guidelines for the interpretation of massive parallel sequencing variants (update 2018, v2)]. Meditsinskaya genetika. 2019; 18 (2): 3–23. DOI: 10.25557/2073-7998.2019.02.3-23 (in Russian).
6. Ginter E.K., Puzyrev V.P., eds. [Hereditary diseases: guidelines: short edition]. Moscow: GEOTAR-Media; 2017 (in Russian).
7. Polyakov A.V., Shchagina O.A. [Genetic heterogeneity of Mendelian disorders and DNA-diagnostics]. Meditsinskaya genetika. 2016;15 (2): 3–9. Available at: https://www.medgen-journal.ru/jour/article/view/92/80 (in Russian).
8. Anikaev A.Yu., Lomonosov A.M. [Clinical applications of Next-generation sequencing (NGS)]. Laboratornaya sluzhba. 2014; 3 (1): 32– 36. Available at: https://www.mediasphera.ru/issues/laboratornaya-sluzhba/2014/1/032305-2198201415?clear_cache=Y (in Russian).
9. Richards S., Aziz N., Bale S. et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015; 17 (5): 405–424. DOI: 10.1038/gim.2015.30.
10. Avdeev S.N., Kondratyeva E.I., Namazova-Baranova L.S., Kutsev S.I. [Hereditary lung diseases and modern possibilities of genetic testing]. Pul’monologiya. 2023; 33 (2): 151–169. DOI: 10.18093/0869-0189-2023-33-2-151-169 (in Russian).
11. Ministry of Health of the Russian Federation [Clinical recommendations. Cystic fibrosis]. 2020. Available at: https://mukoviscidoz.org/doc/med_doc/klinrec_cistys_fibrosys.pdf?ysclid=lt4cvy8ea5584460666 (in Russian).
12. Kondratyeva E.I., Amelina E.L., Chernukha M.Yu. et al. [Review of clinical guidelines “Cystic fibrosis”, 2020]. Pul’monologiya. 2021; 31 (2): 135–146. DOI: 10.18093/0869-0189-2021-31-2-135-146 (in Russian).
13. Kondratyeva E.I., Avdeev S.N., Kyian T.A., Mizernitskiy Yu.L. [Classification of primary ciliary dyskinesia]. Pul’monologiya. 2023; 33 (6): 731–738. DOI: 10.18093/0869-0189-2023-33-6-731-738 (in Russian).
Supplementary files
Review
For citations:
Kutsev S.I., Shchagina O.A., Melyanovskaya Yu.L., Kondratyeva E.I. DNA-based diagnostics of hereditary diseases of the respiratory tract. PULMONOLOGIYA. 2024;34(2):151-157. (In Russ.) https://doi.org/10.18093/0869-0189-2024-34-2-151-157