Nationwide Children's Hospital, Paul D. Wellstone Muscular Dystrophy Cooperative Research Center and Department of Pediatrics, Ohio State University, 700 Childrens Drive, Columbus, Ohio, 43205, USA.
Muscle Nerve. 2013 Jul;48(1):21-6. doi: 10.1002/mus.23810. Epub 2013 May 29.
This report summarizes the progress made in newborn screening for Duchenne muscular dystrophy (DMD). This subject was discussed fully at a symposium held on September 11-12, 2012, in Bethesda, Maryland, by a group of experts from multiple disciplines. The meeting was triggered by the simultaneous combination of improvements in methods for newborn screening for DMD and greater potential for treatment. On the screening side, a two-tier system of newborn screening was introduced that enabled creatine kinase levels and DMD gene analysis to be done on the same dried blood spots obtained at birth. Treatment improvements included promising results from exon skipping as well as multiple studies showing long-term benefits of glucocorticoids and data indicating that early intervention of both forms of therapy was the most beneficial. Conclusions from this symposium with supportive data could have a significant impact on propelling efforts for approval of newborn screening for DMD.
本报告总结了杜氏肌营养不良症(DMD)新生儿筛查的进展情况。2012 年 9 月 11 日至 12 日,在马里兰州贝塞斯达,一组来自多个学科的专家充分讨论了这一主题。会议的触发因素是 DMD 新生儿筛查方法的改进和治疗潜力的提高。在筛查方面,引入了一种双层新生儿筛查系统,使肌酸激酶水平和 DMD 基因分析能够在出生时获得的同一干血斑上进行。治疗方面的改进包括外显子跳跃的有希望的结果,以及多项研究表明糖皮质激素的长期益处,以及数据表明两种形式的治疗早期干预最有益。本次研讨会的结论和支持数据可能会对推动 DMD 新生儿筛查的批准工作产生重大影响。