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Published on: June 25, 2010
Newborn Screening for Lysosomal Storage Disorders
Roy W A Peake1, Olaf A Bodamer2
1Department of Laboratory Medicine, Boston Children's Hospital, Boston, Massachusetts, United States.
Insights
Newborn screening identifies infants with treatable conditions, reducing illness and death. This review examines the potential for newborn screening of lysosomal storage disorders, despite challenges like late-onset symptoms.
Area of Science:
- Public Health
- Genetics
- Pediatrics
Background:
- Newborn screening is a vital public health strategy for early detection of treatable infant diseases.
- Screening expands with new technologies and therapies, including for rare genetic disorders.
- Lysosomal storage disorders are emerging candidates for newborn screening programs.
Purpose of the Study:
- To critically review the current status of newborn screening for lysosomal storage disorders.
- To evaluate the feasibility and challenges of implementing newborn screening for these conditions.
- To assess the impact of screening on morbidity and mortality.
Main Methods:
- Literature review of current newborn screening practices.
- Analysis of technological advancements in screening methodologies.
- Evaluation of therapeutic options for lysosomal storage disorders.
- Assessment of challenges in identifying late-onset phenotypes.
Main Results:
- Lysosomal storage disorders are increasingly considered for newborn screening.
- Technological advancements facilitate broader screening capabilities.
- Significant challenges remain, particularly in identifying late-onset forms of these disorders.
- Early identification holds potential to reduce disease burden.
Conclusions:
- Newborn screening for lysosomal storage disorders is a developing area with significant potential.
- Addressing challenges like late-onset phenotypes is crucial for successful implementation.
- Further research and technological refinement are needed to optimize screening protocols.
Abstract:
Newborn screening is one of the most important public health initiatives to date, focusing on the identification of presymptomatic newborn infants with treatable conditions to reduce morbidity and mortality. The number of screening conditions continues to expand due to advances in screening technologies and the development of novel therapies. Consequently, some of the lysosomal storage disorders are now considered as candidates for newborn screening, although many challenges including identification of late-onset phenotypes remain. This review provides a critical appraisal of the current state of newborn screening for lysosomal storage disorders.
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