Endogenous, non-reducing end glycosaminoglycan biomarkers are superior to internal disaccharide glycosaminoglycan biomarkers for newborn screening of mucopolysaccharidoses and GM1 gangliosidosis

被引:7
|
作者
Herbst, Zackary M.
Hong, Xinying [1 ,2 ]
Urdaneta, Leslie [3 ]
Klein, Terri [3 ]
Waggoner, Christine [4 ]
Liao, Hsuan-Chieh [5 ]
Kubaski, Francyne [6 ]
Giugliani, Roberto [7 ]
Fuller, Maria [8 ,9 ]
Gelb, Michael H. [1 ,10 ]
机构
[1] Univ Washington, Dept Chem, Seattle, WA 98195 USA
[2] Childrens Hosp Philadelphia, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA
[3] Natl MPS Soc, POB 14686, Durham, NC 27709 USA
[4] Cure GM1 Fdn, POB 6890, Albany, CA 94706 USA
[5] Univ Washington, Dept Lab Med & Pathol, Seattle, WA 98195 USA
[6] Greenwood Genet Ctr, Biochem Genet Lab, Greenwood, SC 29646 USA
[7] Univ Fed Rio Grande, Programa Posgrad Genet & Biol Mol, Porto Alegre, RS, Brazil
[8] Univ Adelaide, Womens & Childrens Hosp, Adelaide Med Sch, Genet & Mol Pathol,SA Pathol, North Adelaide 5006, Australia
[9] Univ Adelaide, Womens & Childrens Hosp, Sch Biol Sci, SA Pathol, North Adelaide 5006, Australia
[10] Univ Washington, Dept Biochem, Seattle, WA 98195 USA
基金
美国国家卫生研究院;
关键词
Newborn screening; Glycosaminoglycans; Mucopolysaccharidosis; GM1; gangliosidosis; Mass spectrometry; Biochemical genetics; ENZYME ASSAY; DIAGNOSIS; HUNTER; IVA;
D O I
10.1016/j.ymgme.2023.107632
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Measurement of enzymatic activity in newborn dried blood spots (DBS) is the preferred first-tier method in newborn screening (NBS) for mucopolysaccharidoses (MPSs). Our previous publications on glycosaminoglycan (GAG) biomarker levels in DBS for mucopolysaccharidosis type 1 (MPS-I) and MPS-II demonstrated that second-tier GAG biomarker analysis can dramatically reduce the false positive rate in NBS. In the present study, we evaluate two methods for measuring GAG biomarkers in seven MPS types and GM1 gangliosidosis. We obtained newborn DBS from patients with MPS-IIIA-D,-IVA,-VI,-VII, and GM1 gangliosidosis. These samples were analyzed via two GAG mass spectrometry methods: (1) The internal disaccharide biomarker method; (2) The endogenous non-reducing end (NRE) biomarker method. This study supports the use of second-tier GAG analysis of newborn DBS by the endogenous NRE biomarker method, as part of NBS to reduce the false positive rate.
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页数:13
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