来自明尼苏达州的新生儿查腺核胆固醇缺陷的见解:五年更新
Arpana Rayannavar1,2, Charles J Billington2,3, Rebecca Tryon2,3,4
1Division of Pediatric Endocrinology, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.
American journal of medical genetics. Part A
|January 13, 2025
概括
新生儿查X链接上腺核衰竭 (ALD) 能够在儿童中早期检测上腺功能不足 (AI) 和大脑ALD (cALD). 新生儿查中高的溶酸胆水平与变异性致病性相关.
科学领域:
- 生物化学 生物化学
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
背景情况:
- 与X结合的上腺核衰竭 (ALD) 是一种罕见的遗传疾病,影响上腺和中枢神经系统.
- 针对ALD的新生儿查 (NBS) 允许早期识别受影响的个体.
研究的目的:
- 在明尼苏达州通过NBS诊断的儿童中报告上腺功能缺陷 (AI) 和大脑ALD (cALD) 的结果.
- 评估ALD NBS在早期检测和管理中的有效性.
主要方法:
- 通过明尼苏达州NBS (02/2017-02/2022) 对被诊断患有ALD的儿童进行回顾性图表审查.
- 审查新生儿查数据,非常长链脂肪酸水平,ABCD1分子测试,激素水平 (ACTH,皮质醇) 和脑MRI结果.
主要成果:
- 32名男孩和11名女孩被诊断出患有ALD.
- 六个男孩开发了AI,两个开发了cALD,需要进行干细胞移植.
- 所有检测到的致病变体都显示了初始C26:0 lysophosphatidylcholine (C26:0 lysoPC) 水平>0.3μmol/L.
结论:
- 在明尼苏达州,ALD被添加到NBS中,有助于早期检测无症状AI和cALD.
- 新生儿查高的LysoPC水平与变异性致病性正相关,有助于风险评估.
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