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Newborn Genomic Sequencing Needs Confirmation but Not Repeating.

Bruce Bennetts1,2, Gladys Ho1,2, Sarah Shin1

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Newborn screening (NBS) can leverage genomic data for faster, cost-effective diagnostics. Using single-nucleotide variants (SNVs) transitions screening data to diagnostic-grade, speeding up confirmation and reducing family anxiety.

Keywords:
NBSdiagnosticrepeat testing

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Area of Science:

  • Genomics
  • Public Health
  • Biochemistry

Background:

  • Newborn screening (NBS) has evolved significantly, with genomic testing poised for major expansion.
  • Current NBS protocols involve repeat testing for confirmation, which is costly for high-expense genomic assays like whole-genome sequencing.

Purpose of the Study:

  • To investigate the transition of screening-grade genomic data from NBS into diagnostic-grade data.
  • To assess the utility of single-nucleotide variants (SNVs) for linking diagnostic specimens with NBS genomic data and provenance.

Main Methods:

  • Utilized a panel of single-nucleotide variants (SNVs) on a diagnostic specimen.
  • Developed a strategy to repurpose screening-grade NBS data for diagnostic purposes.

Main Results:

  • Demonstrated that screening-grade NBS data can be converted into diagnostic-grade data using SNVs.
  • The proposed strategy offers significant cost benefits for public health authorities.

Conclusions:

  • This approach facilitates the rapid use of NBS genomic data in acute care settings when genetic diagnoses are suspected.
  • The strategy promises to expedite the confirmation of positive NBS results, thereby reducing parental anxiety associated with delayed diagnostic testing.