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Updated: May 27, 2026

Simultaneous Quantification of T-Cell Receptor Excision Circles (TRECs) and K-Deleting Recombination Excision Circles (KRECs) by Real-time PCR
Published on: December 6, 2014
Primary immunodeficiency update and newborn screening
1University of Missouri-Kansas City School of Medicine, USA. mamado@cmh.edu
Insights
Severe combined immunodeficiency (SCID) is often undetectable in newborns. Newborn screening for T cell receptor excision circles (TREC) enables early diagnosis and treatment, improving survival rates.
Area of Science:
- Immunology
- Genetics
- Pediatrics
Background:
- Severe combined immunodeficiency (SCID) often presents with no visible symptoms in newborns.
- Early diagnosis of SCID is critical, as hematopoietic stem cell transplantation within the first three months of life significantly improves survival and reduces medical costs.
Purpose of the Study:
- To highlight the importance of newborn screening for SCID.
- To emphasize the role of T cell receptor excision circles (TREC) in early SCID detection.
Main Methods:
- Newborn screening protocols.
- Measurement of T cell receptor excision circles (TREC) as a biomarker for T cell maturation.
- Analysis of SCID diagnosis and treatment outcomes.
Main Results:
- Newborn screening using TREC can lead to the early diagnosis of SCID.
- Early diagnosis facilitates timely intervention, such as hematopoietic stem cell transplantation.
- The Secretary of Health and Human Services recommended adding TREC screening to newborn panels.
Conclusions:
- Newborn screening for TREC is a vital tool for the early detection and management of SCID.
- Prompt diagnosis and treatment significantly enhance survival rates and decrease healthcare burdens associated with SCID.
Abstract:
Most newborns with severe combined immunodeficiency (SCID) appear normal. Hematopoietic stem cell transplant within the first three months of life increases survival and decreases medical costs. Newborn screening measuring T cell receptor excision circles (TREC), a by product of T cell maturation, offers the opportunity for early diagnosis before infections and failure to thrive occur. The Secretary of Health and Human Services recently recommended addition of TREC to newborn screening, enabling prompt diagnosis and effective management of SCID.
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