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Newborn Screening for Lysosomal Storage Disorders
Insights
Lysosomal storage disorders (LSDs) are rare inherited metabolic diseases. This article overviews seven LSDs available for newborn screening, detailing their characteristics and treatments.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Background:
- Lysosomal storage disorders (LSDs) encompass approximately 50 rare inherited metabolic conditions.
- These disorders stem from enzyme deficiencies impairing lysosome function, presenting significant variability in onset, severity, and outcomes.
Purpose of the Study:
- To provide an overview of LSDs for healthcare providers.
- To detail seven specific LSDs currently included in newborn screening programs.
Main Methods:
- Review of existing literature on LSDs.
- Compilation of information on enzyme deficiencies, inheritance patterns, incidence, clinical presentation, and treatment options for seven LSDs.
Main Results:
- Laboratory methods are available for newborn screening of seven LSDs.
- Information on enzyme deficiency, inheritance, incidence, clinical course, and treatments is provided for each of the seven LSDs.
Conclusions:
- Newborn screening for LSDs is expanding, necessitating increased provider awareness.
- Understanding the variability and specific characteristics of these seven LSDs is crucial for timely diagnosis and management.
Abstract:
Lysosomal storage disorders (LSDs) are a heterogeneous group of approximately 50 rare inherited metabolic conditions that result from enzyme deficiencies that interfere with lysosome function. Although often grouped together, there is great variability regarding age of onset, severity, treatment, and outcomes for each disorder and subtype. Currently, laboratory methods are available to test newborns for seven of these conditions. Although newborn screening programs remain state-based, each at a different phase of condition review and implementation, if newborn screening for LSDs has not yet been adopted by the state within which you practice, it likely will. Given the extremely low prevalence and limited provider familiarity with these conditions, this article provides an overview of LSDs and the seven conditions for which newborn screening is available. It offers information about each of the conditions including enzyme deficiency, mode of inheritance, incidence rates, types, clinical course, and available as well as potential treatment options.
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