意大利中链乙基-CoA脱酶缺乏症 (MCADD) 新生儿查:来自全国性计划的五年经验
Margherita Ruoppolo1,2, Cristina Cereda3, Teresa Giovanniello4
1Department of Molecular Medicine and Medical Biotechnology, University of Naples, Federico II, 80131 Naples, Italy.
International journal of neonatal screening
|October 24, 2025
概括
新生儿查中链乙-CoA脱酶缺乏症 (MCADD) 对于早期诊断至关重要. 这项研究发现,意大利的MCADD发病率为1/21,960,这凸显了扩大新生儿查计划的需要.
科学领域:
- 遗传学 遗传学 是一个
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生 公共卫生
背景情况:
- 中链乙-CoA脱酶缺乏症 (MCADD) 是一种严重的自体逆向性疾病,影响脂肪酸代谢.
- 通过新生儿查 (NBS) 及时诊断和治疗对于预防严重的健康结果至关重要.
研究的目的:
- 确定意大利MCADD的发病率和分子特征.
- 评估扩展新生儿查MCADD的有效性.
主要方法:
- 在2019年1月至2023年12月期间,意大利对1,976,473名新生儿进行了查.
- 进行了分子分析,以确定致病性ACADM基因变异.
- 计算的MCADD发病率和分析的变异频率.
主要成果:
- 诊断出90名不相关的新生儿患有MCADD,产生1/21,960活产的发病率.
- 确定c.985A>G (p.Lys329Glu) 变种是最常见的,在63%的受影响患者中存在.
- 在意大利人群中发现了MCADD的高患病率,这项研究是第一个全面的调查.
结论:
- 扩大新生儿查有效地识别了意大利的MCADD.
- 意大利的MCADD的发病率和分子概况与其他地中海人群相似.
- 这项研究强调了持续NBS对MCADD的重要性,以减少发病率和死亡率.
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