Matern Dietrich, Oglesbee Devin, Tortorelli Silvia
Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Dev Disabil Res Rev. 2013;17(3):247-53. doi: 10.1002/ddrr.1117.
Newborn screening (NBS) is a public health program aimed at identifying treatable conditions in presymptomatic newborns to avoid premature mortality, morbidity, and disabilities. Currently, every newborn in the Unites States is screened for at least 29 conditions where evidence suggests that early detection is possible and beneficial. With new or improved treatment options and development of high-throughput screening tests, additional conditions have been proposed for inclusion into NBS programs. Among those are several conditions with a strong neuronopathic component. Some of these conditions have already been added to a few national and international screening programs, whereas others are undergoing pilot studies to determine the test performance metrics. Here, we review the current state of NBS for 13 lysosomal storage disorders, X-adrenoleukodystrophy, Wilson disease, and Friedreich ataxia.
新生儿筛查(NBS)是一项公共卫生项目,旨在识别无症状新生儿中可治疗的疾病,以避免过早死亡、发病和残疾。目前,美国的每一名新生儿都至少接受29种疾病的筛查,有证据表明早期检测是可行且有益的。随着新的或改进的治疗方案以及高通量筛查测试的发展,更多疾病被提议纳入新生儿筛查项目。其中包括几种具有强烈神经病变成分的疾病。这些疾病中的一些已经被纳入一些国家和国际筛查项目,而其他疾病正在进行试点研究以确定测试性能指标。在此,我们综述了13种溶酶体贮积症、X-肾上腺脑白质营养不良、威尔逊病和弗里德赖希共济失调的新生儿筛查现状。